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GEORGIA HIGHLANDS MEDICAL SERVICES LIFE PLAN 401k Plan overview

Plan NameGEORGIA HIGHLANDS MEDICAL SERVICES LIFE PLAN
Plan identification number 502

GEORGIA HIGHLANDS MEDICAL SERVICES LIFE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

GEORGIA HIGHLANDS MEDICAL SERVICES, INC has sponsored the creation of one or more 401k plans.

Company Name:GEORGIA HIGHLANDS MEDICAL SERVICES, INC
Employer identification number (EIN):581338038
NAIC Classification:621498
NAIC Description:All Other Outpatient Care Centers

Additional information about GEORGIA HIGHLANDS MEDICAL SERVICES, INC

Jurisdiction of Incorporation: Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number: 576814

More information about GEORGIA HIGHLANDS MEDICAL SERVICES, INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GEORGIA HIGHLANDS MEDICAL SERVICES LIFE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01TODD SHIFFLET2023-10-02
5022021-01-01

Plan Statistics for GEORGIA HIGHLANDS MEDICAL SERVICES LIFE PLAN

401k plan membership statisitcs for GEORGIA HIGHLANDS MEDICAL SERVICES LIFE PLAN

Measure Date Value
2022: GEORGIA HIGHLANDS MEDICAL SERVICES LIFE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01113
Total number of active participants reported on line 7a of the Form 55002022-01-01117
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01117
Number of employers contributing to the scheme2022-01-010
2021: GEORGIA HIGHLANDS MEDICAL SERVICES LIFE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01109
Total number of active participants reported on line 7a of the Form 55002021-01-01118
Number of retired or separated participants receiving benefits2021-01-010
Total of all active and inactive participants2021-01-01118

Form 5500 Responses for GEORGIA HIGHLANDS MEDICAL SERVICES LIFE PLAN

2022: GEORGIA HIGHLANDS MEDICAL SERVICES LIFE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: GEORGIA HIGHLANDS MEDICAL SERVICES LIFE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01First time form 5500 has been submittedYes
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

GREATER GEORGIA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97217 )
Policy contract numberGA9893
Policy instance 1
Insurance contract or identification numberGA9893
Number of Individuals Covered135
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $3,796
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $21,952
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,451
Amount paid for insurance broker fees0
Insurance broker organization code?3
GREATER GEORGIA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97217 )
Policy contract numberGA9893
Policy instance 1
Insurance contract or identification numberGA9893
Number of Individuals Covered118
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $5,902
Life Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $16,748
Commission paid to Insurance BrokerUSD $5,902
Insurance broker organization code?3

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