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US WORLDMEDS VENTURES, LLC WELFARE BENEFTIS PLAN 401k Plan overview

Plan NameUS WORLDMEDS VENTURES, LLC WELFARE BENEFTIS PLAN
Plan identification number 501

US WORLDMEDS VENTURES, LLC WELFARE BENEFTIS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

US WORLDMEDS VENTURES, LLC has sponsored the creation of one or more 401k plans.

Company Name:US WORLDMEDS VENTURES, LLC
Employer identification number (EIN):475653462
NAIC Classification:325410

Form 5500 Filing Information

Submission information for form 5500 for 401k plan US WORLDMEDS VENTURES, LLC WELFARE BENEFTIS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-09-01CATHERINE BASSETT2022-06-07
5012019-09-01CATHY BASSETT2021-03-17

Plan Statistics for US WORLDMEDS VENTURES, LLC WELFARE BENEFTIS PLAN

401k plan membership statisitcs for US WORLDMEDS VENTURES, LLC WELFARE BENEFTIS PLAN

Measure Date Value
2020: US WORLDMEDS VENTURES, LLC WELFARE BENEFTIS PLAN 2020 401k membership
Total participants, beginning-of-year2020-09-01108
Total number of active participants reported on line 7a of the Form 55002020-09-01102
Number of retired or separated participants receiving benefits2020-09-010
Number of other retired or separated participants entitled to future benefits2020-09-010
Total of all active and inactive participants2020-09-01102
Number of employers contributing to the scheme2020-09-010
2019: US WORLDMEDS VENTURES, LLC WELFARE BENEFTIS PLAN 2019 401k membership
Total participants, beginning-of-year2019-09-01214
Total number of active participants reported on line 7a of the Form 55002019-09-01106
Number of retired or separated participants receiving benefits2019-09-010
Number of other retired or separated participants entitled to future benefits2019-09-010
Total of all active and inactive participants2019-09-01106
Number of employers contributing to the scheme2019-09-010

Form 5500 Responses for US WORLDMEDS VENTURES, LLC WELFARE BENEFTIS PLAN

2020: US WORLDMEDS VENTURES, LLC WELFARE BENEFTIS PLAN 2020 form 5500 responses
2020-09-01Type of plan entitySingle employer plan
2020-09-01Plan funding arrangement – InsuranceYes
2020-09-01Plan funding arrangement – General assets of the sponsorYes
2020-09-01Plan benefit arrangement – InsuranceYes
2020-09-01Plan benefit arrangement – General assets of the sponsorYes
2019: US WORLDMEDS VENTURES, LLC WELFARE BENEFTIS PLAN 2019 form 5500 responses
2019-09-01Type of plan entitySingle employer plan
2019-09-01Plan funding arrangement – InsuranceYes
2019-09-01Plan funding arrangement – General assets of the sponsorYes
2019-09-01Plan benefit arrangement – InsuranceYes
2019-09-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number564410
Policy instance 1
Insurance contract or identification number564410
Number of Individuals Covered104
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $15,140
Total amount of fees paid to insurance companyUSD $12,882
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $231,728
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,140
Amount paid for insurance broker fees12882
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number59ES001718
Policy instance 2
Insurance contract or identification number59ES001718
Number of Individuals Covered33
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $2,927
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedLONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $19,817
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,293
Amount paid for insurance broker fees0
Insurance broker organization code?3
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberW26339
Policy instance 3
Insurance contract or identification numberW26339
Number of Individuals Covered302
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $26,573
Total amount of fees paid to insurance companyUSD $4,212
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,808,694
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,573
Amount paid for insurance broker fees4212
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number564410
Policy instance 1
Insurance contract or identification number564410
Number of Individuals Covered106
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $19,299
Total amount of fees paid to insurance companyUSD $6,649
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $412,146
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,299
Amount paid for insurance broker fees6649
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number59ES001718, 247
Policy instance 2
Insurance contract or identification number59ES001718, 247
Number of Individuals Covered46
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $3,737
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedLONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $25,215
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,852
Amount paid for insurance broker fees0
Insurance broker organization code?3
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberW26339
Policy instance 3
Insurance contract or identification numberW26339
Number of Individuals Covered363
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $48,272
Total amount of fees paid to insurance companyUSD $5,450
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,184,468
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $48,272
Amount paid for insurance broker fees5450
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3

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