401k Plan data: ACCELERATED CLAIMS, INC. 401(K) PLAN plan

ACCELERATED CLAIMS, INC. 401(K) PLAN 401k Plan overview

Plan Name	ACCELERATED CLAIMS, INC. 401(K) PLAN
Plan identification number	001

ACCELERATED CLAIMS, INC. 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

ACCELERATED CLAIMS, INC. has sponsored the creation of one or more 401k plans.

Company Name: ACCELERATED CLAIMS, INC.

Employer identification number (EIN): 562566723

NAIC Classification: 524290

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ACCELERATED CLAIMS, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01 JANE SIDLER 2022-10-16
001 2020-01-01 JANE SIDLER 2021-10-12
001 2020-01-01 JANE SIDLER 2021-10-12
001 2019-01-01
001 2019-01-01
001 2019-01-01
001 2019-01-01
001 2019-01-01

Plan Statistics for ACCELERATED CLAIMS, INC. 401(K) PLAN

401k plan membership statisitcs for ACCELERATED CLAIMS, INC. 401(K) PLAN

Measure Date Value
2021: ACCELERATED CLAIMS, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 163
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 125
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 125
Number of participants with account balances 2021-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: ACCELERATED CLAIMS, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 179
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 152
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 14
Total of all active and inactive participants 2020-01-01 166
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 166
Number of participants with account balances 2020-01-01 84
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 2
2019: ACCELERATED CLAIMS, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 193
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 160
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 9
Total of all active and inactive participants 2019-01-01 169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 169
Number of participants with account balances 2019-01-01 75
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0

Measure	Date	Value
2021: ACCELERATED CLAIMS, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	163
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	125
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	125
Number of participants with account balances	2021-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: ACCELERATED CLAIMS, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	179
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	152
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	14
Total of all active and inactive participants	2020-01-01	166
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	166
Number of participants with account balances	2020-01-01	84
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	2
2019: ACCELERATED CLAIMS, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	193
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	160
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	9
Total of all active and inactive participants	2019-01-01	169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	169
Number of participants with account balances	2019-01-01	75
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0

Financial Data on ACCELERATED CLAIMS, INC. 401(K) PLAN

Measure	Date	Value
2021 : ACCELERATED CLAIMS, INC. 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-10-26	$0
Total transfer of assets from this plan	2021-10-26	$900,924
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-10-26	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-10-26	$0
Total income from all sources (including contributions)	2021-10-26	$220,546
Total loss/gain on sale of assets	2021-10-26	$0
Total of all expenses incurred	2021-10-26	$124,588
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-10-26	$104,279
Value of total corrective distributions	2021-10-26	$5,519
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-10-26	$116,600
Value of total assets at end of year	2021-10-26	$0
Value of total assets at beginning of year	2021-10-26	$804,966
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-10-26	$14,790
Total interest from all sources	2021-10-26	$1,105
Total dividends received (eg from common stock, registered investment company shares)	2021-10-26	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-10-26	No
Was this plan covered by a fidelity bond	2021-10-26	Yes
Value of fidelity bond cover	2021-10-26	$100,000
If this is an individual account plan, was there a blackout period	2021-10-26	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-10-26	$0
Were there any nonexempt tranactions with any party-in-interest	2021-10-26	No
Contributions received from participants	2021-10-26	$92,509
Participant contributions at end of year	2021-10-26	$0
Participant contributions at beginning of year	2021-10-26	$27,634
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-10-26	No
Value of net income/loss	2021-10-26	$95,958
Value of net assets at end of year (total assets less liabilities)	2021-10-26	$0
Value of net assets at beginning of year (total assets less liabilities)	2021-10-26	$804,966
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-10-26	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-10-26	No
Were any leases to which the plan was party in default or uncollectible	2021-10-26	No
Investment advisory and management fees	2021-10-26	$14,790
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-10-26	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-10-26	$777,332
Interest on participant loans	2021-10-26	$1,105
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-10-26	$102,841
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-10-26	No
Was there a failure to transmit to the plan any participant contributions	2021-10-26	No
Has the plan failed to provide any benefit when due under the plan	2021-10-26	No
Contributions received in cash from employer	2021-10-26	$24,091
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-10-26	$104,279
Did the plan have assets held for investment	2021-10-26	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-10-26	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-10-26	No
Opinion of an independent qualified public accountant for this plan	2021-10-26	Unqualified
Accountancy firm name	2021-10-26	SMITH AND HOWARD
Accountancy firm EIN	2021-10-26	581250486
2020 : ACCELERATED CLAIMS, INC. 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$381,826
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$127,534
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$115,681
Expenses. Certain deemed distributions of participant loans	2020-12-31	$367
Value of total corrective distributions	2020-12-31	$87
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$267,024
Value of total assets at end of year	2020-12-31	$804,966
Value of total assets at beginning of year	2020-12-31	$550,674
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$11,399
Total interest from all sources	2020-12-31	$1,180
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$100,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$207,347
Participant contributions at end of year	2020-12-31	$27,634
Participant contributions at beginning of year	2020-12-31	$24,224
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$5,648
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$254,292
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$804,966
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$550,674
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$11,399
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$777,332
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$526,450
Interest on participant loans	2020-12-31	$1,180
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$113,622
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$54,029
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$115,681
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	SMITH & HOWARD P.C.
Accountancy firm EIN	2020-12-31	581250486
2019 : ACCELERATED CLAIMS, INC. 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total transfer of assets to this plan	2019-12-31	$475,867
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$77,785
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$2,978
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$1,895
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$59,233
Value of total assets at end of year	2019-12-31	$550,674
Value of total assets at beginning of year	2019-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$1,083
Total interest from all sources	2019-12-31	$231
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$75,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$49,358
Participant contributions at end of year	2019-12-31	$24,224
Administrative expenses (other) incurred	2019-12-31	$1,083
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$74,807
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$550,674
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$526,450
Interest on participant loans	2019-12-31	$231
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$18,321
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$9,875
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$1,895
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	SMITH & HOWARD, P.C.
Accountancy firm EIN	2019-12-31	581250486

Form 5500 Responses for ACCELERATED CLAIMS, INC. 401(K) PLAN

2021: ACCELERATED CLAIMS, INC. 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	Yes
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: ACCELERATED CLAIMS, INC. 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	Yes
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: ACCELERATED CLAIMS, INC. 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	First time form 5500 has been submitted	Yes
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

141652

Policy instance

Insurance contract or identification number	141652
Number of Individuals Covered	125
Insurance policy start date	2021-01-01
Insurance policy end date	2021-11-01
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $2,159
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	2047
Additional information about fees paid to insurance broker	FEES
Insurance broker organization code?	5

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

141652

Policy instance

Insurance contract or identification number	141652
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $2,270
Total amount of fees paid to insurance company	USD $2,570
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,270
Insurance broker organization code?	3
Amount paid for insurance broker fees	2570
Additional information about fees paid to insurance broker	FEES

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

141652

Policy instance

Insurance contract or identification number	141652
Number of Individuals Covered	88
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $4,964
Total amount of fees paid to insurance company	USD $1,255
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,964
Insurance broker organization code?	3
Amount paid for insurance broker fees	1255
Additional information about fees paid to insurance broker	FEES

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Company Name:	ACCELERATED CLAIMS, INC.
Employer identification number (EIN):	562566723
NAIC Classification:	524290

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2021-01-01	JANE SIDLER	2022-10-16
001	2020-01-01	JANE SIDLER	2021-10-12
001	2020-01-01	JANE SIDLER	2021-10-12
001	2019-01-01
001	2019-01-01
001	2019-01-01
001	2019-01-01
001	2019-01-01