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CHESAPEAKE UROLOGY ASSOCIATES, LLC GROUP BENEFITS PLAN 401k Plan overview

Plan NameCHESAPEAKE UROLOGY ASSOCIATES, LLC GROUP BENEFITS PLAN
Plan identification number 502

CHESAPEAKE UROLOGY ASSOCIATES, LLC GROUP BENEFITS 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)

401k Sponsoring company profile

CHESAPEAKE UROLOGY ASSOCIATES, LLC has sponsored the creation of one or more 401k plans.

Company Name:CHESAPEAKE UROLOGY ASSOCIATES, LLC
Employer identification number (EIN):522146172
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHESAPEAKE UROLOGY ASSOCIATES, LLC GROUP BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-10-01JODY DIAZ2023-06-14
5022020-10-01
5022019-10-01

Plan Statistics for CHESAPEAKE UROLOGY ASSOCIATES, LLC GROUP BENEFITS PLAN

401k plan membership statisitcs for CHESAPEAKE UROLOGY ASSOCIATES, LLC GROUP BENEFITS PLAN

Measure Date Value
2021: CHESAPEAKE UROLOGY ASSOCIATES, LLC GROUP BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-01136
Total number of active participants reported on line 7a of the Form 55002021-10-01140
Number of retired or separated participants receiving benefits2021-10-010
Number of other retired or separated participants entitled to future benefits2021-10-010
Total of all active and inactive participants2021-10-01140
Number of employers contributing to the scheme2021-10-010
2020: CHESAPEAKE UROLOGY ASSOCIATES, LLC GROUP BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-01116
Total number of active participants reported on line 7a of the Form 55002020-10-01122
Number of retired or separated participants receiving benefits2020-10-012
Number of other retired or separated participants entitled to future benefits2020-10-010
Total of all active and inactive participants2020-10-01124
2019: CHESAPEAKE UROLOGY ASSOCIATES, LLC GROUP BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01125
Total number of active participants reported on line 7a of the Form 55002019-10-01125
Number of retired or separated participants receiving benefits2019-10-012
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-01127

Form 5500 Responses for CHESAPEAKE UROLOGY ASSOCIATES, LLC GROUP BENEFITS PLAN

2021: CHESAPEAKE UROLOGY ASSOCIATES, LLC GROUP BENEFITS PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan funding arrangement – General assets of the sponsorYes
2021-10-01Plan benefit arrangement – InsuranceYes
2021-10-01Plan benefit arrangement – General assets of the sponsorYes
2020: CHESAPEAKE UROLOGY ASSOCIATES, LLC GROUP BENEFITS PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Submission has been amendedNo
2020-10-01This submission is the final filingNo
2020-10-01This return/report is a short plan year return/report (less than 12 months)No
2020-10-01Plan is a collectively bargained planNo
2020-10-01Plan funding arrangement – General assets of the sponsorYes
2020-10-01Plan benefit arrangement – General assets of the sponsorYes
2019: CHESAPEAKE UROLOGY ASSOCIATES, LLC GROUP BENEFITS PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01First time form 5500 has been submittedYes
2019-10-01Submission has been amendedNo
2019-10-01This submission is the final filingNo
2019-10-01This return/report is a short plan year return/report (less than 12 months)No
2019-10-01Plan is a collectively bargained planNo
2019-10-01Plan funding arrangement – General assets of the sponsorYes
2019-10-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number766582G
Policy instance 1
Insurance contract or identification number766582G
Number of Individuals Covered216
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $37,925
Total amount of fees paid to insurance companyUSD $29,668
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, ACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $765,436
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees28235
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30034611
Policy instance 2
Insurance contract or identification number30034611
Number of Individuals Covered820
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $167,464
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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