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AREVO GROUP, INC. MEDICAL AND DENTAL PLAN 401k Plan overview

Plan NameAREVO GROUP, INC. MEDICAL AND DENTAL PLAN
Plan identification number 501

AREVO GROUP, INC. MEDICAL AND DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

AREVO GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name:AREVO GROUP, INC.
Employer identification number (EIN):561590404
NAIC Classification:561300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AREVO GROUP, INC. MEDICAL AND DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-11-03
5012018-11-03
5012017-11-03
5012016-11-03MELISSA HOOKER
5012015-11-03MELISSA HOOKER

Plan Statistics for AREVO GROUP, INC. MEDICAL AND DENTAL PLAN

401k plan membership statisitcs for AREVO GROUP, INC. MEDICAL AND DENTAL PLAN

Measure Date Value
2019: AREVO GROUP, INC. MEDICAL AND DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-11-03270
Total number of active participants reported on line 7a of the Form 55002019-11-0332
Number of retired or separated participants receiving benefits2019-11-030
Number of other retired or separated participants entitled to future benefits2019-11-030
Total of all active and inactive participants2019-11-0332
2018: AREVO GROUP, INC. MEDICAL AND DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-11-03372
Total number of active participants reported on line 7a of the Form 55002018-11-03255
Number of retired or separated participants receiving benefits2018-11-030
Number of other retired or separated participants entitled to future benefits2018-11-030
Total of all active and inactive participants2018-11-03255
2017: AREVO GROUP, INC. MEDICAL AND DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-11-03206
Total number of active participants reported on line 7a of the Form 55002017-11-03340
Number of retired or separated participants receiving benefits2017-11-030
Number of other retired or separated participants entitled to future benefits2017-11-030
Total of all active and inactive participants2017-11-03340
2016: AREVO GROUP, INC. MEDICAL AND DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-11-03236
Total number of active participants reported on line 7a of the Form 55002016-11-03296
Number of retired or separated participants receiving benefits2016-11-030
Number of other retired or separated participants entitled to future benefits2016-11-030
Total of all active and inactive participants2016-11-03296
2015: AREVO GROUP, INC. MEDICAL AND DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-11-03218
Total number of active participants reported on line 7a of the Form 55002015-11-03196
Number of retired or separated participants receiving benefits2015-11-030
Number of other retired or separated participants entitled to future benefits2015-11-030
Total of all active and inactive participants2015-11-03196

Form 5500 Responses for AREVO GROUP, INC. MEDICAL AND DENTAL PLAN

2019: AREVO GROUP, INC. MEDICAL AND DENTAL PLAN 2019 form 5500 responses
2019-11-03Type of plan entitySingle employer plan
2019-11-03Submission has been amendedNo
2019-11-03This submission is the final filingNo
2019-11-03This return/report is a short plan year return/report (less than 12 months)No
2019-11-03Plan is a collectively bargained planNo
2019-11-03Plan funding arrangement – InsuranceYes
2019-11-03Plan benefit arrangement – InsuranceYes
2018: AREVO GROUP, INC. MEDICAL AND DENTAL PLAN 2018 form 5500 responses
2018-11-03Type of plan entitySingle employer plan
2018-11-03Submission has been amendedNo
2018-11-03This submission is the final filingNo
2018-11-03This return/report is a short plan year return/report (less than 12 months)No
2018-11-03Plan is a collectively bargained planNo
2018-11-03Plan funding arrangement – InsuranceYes
2018-11-03Plan benefit arrangement – InsuranceYes
2017: AREVO GROUP, INC. MEDICAL AND DENTAL PLAN 2017 form 5500 responses
2017-11-03Type of plan entitySingle employer plan
2017-11-03Submission has been amendedNo
2017-11-03This submission is the final filingNo
2017-11-03This return/report is a short plan year return/report (less than 12 months)No
2017-11-03Plan is a collectively bargained planNo
2017-11-03Plan funding arrangement – InsuranceYes
2017-11-03Plan benefit arrangement – InsuranceYes
2016: AREVO GROUP, INC. MEDICAL AND DENTAL PLAN 2016 form 5500 responses
2016-11-03Type of plan entitySingle employer plan
2016-11-03Submission has been amendedNo
2016-11-03This submission is the final filingNo
2016-11-03This return/report is a short plan year return/report (less than 12 months)No
2016-11-03Plan is a collectively bargained planNo
2016-11-03Plan funding arrangement – InsuranceYes
2016-11-03Plan benefit arrangement – InsuranceYes
2015: AREVO GROUP, INC. MEDICAL AND DENTAL PLAN 2015 form 5500 responses
2015-11-03Type of plan entitySingle employer plan
2015-11-03First time form 5500 has been submittedYes
2015-11-03Submission has been amendedNo
2015-11-03This submission is the final filingNo
2015-11-03This return/report is a short plan year return/report (less than 12 months)No
2015-11-03Plan is a collectively bargained planNo
2015-11-03Plan funding arrangement – InsuranceYes
2015-11-03Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 )
Policy contract number2905300
Policy instance 1
Insurance contract or identification number2905300
Number of Individuals Covered275
Insurance policy start date2019-11-03
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $9,415
Total amount of fees paid to insurance companyUSD $6,920
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $47,722
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number1439
Policy instance 2
Insurance contract or identification number1439
Number of Individuals Covered24
Insurance policy start date2019-12-30
Insurance policy end date2020-11-02
Total amount of commissions paid to insurance brokerUSD $451
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $7,579
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number1439
Policy instance 3
Insurance contract or identification number1439
Number of Individuals Covered31
Insurance policy start date2019-12-30
Insurance policy end date2020-11-02
Total amount of commissions paid to insurance brokerUSD $3,800
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $34,121
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 )
Policy contract number2905300
Policy instance 1
Insurance contract or identification number2905300
Number of Individuals Covered255
Insurance policy start date2018-11-03
Insurance policy end date2019-11-02
Total amount of commissions paid to insurance brokerUSD $63,153
Total amount of fees paid to insurance companyUSD $47,141
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $325,109
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 fees47141
Additional information about fees paid to insurance brokerFEES PAID
Insurance broker organization code?5
BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 )
Policy contract number2905300
Policy instance 1
Insurance contract or identification number2905300
Number of Individuals Covered340
Insurance policy start date2017-11-03
Insurance policy end date2018-11-02
Total amount of commissions paid to insurance brokerUSD $91,663
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $279,347
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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