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INNOVATIVE EMPLOYER SOLUTIONS DENTAL AND VISION PLAN 401k Plan overview

Plan NameINNOVATIVE EMPLOYER SOLUTIONS DENTAL AND VISION PLAN
Plan identification number 501

INNOVATIVE EMPLOYER SOLUTIONS DENTAL AND VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision
  • 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

INNOVATIVE EMPLOYER SOLUTIONS, INC. has sponsored the creation of one or more 401k plans.

Company Name:INNOVATIVE EMPLOYER SOLUTIONS, INC.
Employer identification number (EIN):593737824
NAIC Classification:561300

Additional information about INNOVATIVE EMPLOYER SOLUTIONS, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 2001-08-17
Company Identification Number: P01000082171
Legal Registered Office Address: 635 93rd Ave N

SAINT PETERSBURG

33702

More information about INNOVATIVE EMPLOYER SOLUTIONS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INNOVATIVE EMPLOYER SOLUTIONS DENTAL AND VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-06-01DENISE STEFAN2023-07-27
5012021-06-01DENISE STEFAN2022-09-06
5012020-06-01LONNIE KIRACOFE2021-09-13
5012019-06-01LONNIE KIRACOFE2020-08-18
5012018-06-01
5012018-06-01LONNIE KIRACOFE2019-08-14

Plan Statistics for INNOVATIVE EMPLOYER SOLUTIONS DENTAL AND VISION PLAN

401k plan membership statisitcs for INNOVATIVE EMPLOYER SOLUTIONS DENTAL AND VISION PLAN

Measure Date Value
2022: INNOVATIVE EMPLOYER SOLUTIONS DENTAL AND VISION PLAN 2022 401k membership
Total participants, beginning-of-year2022-06-01125
Total number of active participants reported on line 7a of the Form 55002022-06-0180
Number of retired or separated participants receiving benefits2022-06-010
Number of other retired or separated participants entitled to future benefits2022-06-010
Total of all active and inactive participants2022-06-0180
Number of employers contributing to the scheme2022-06-010
2021: INNOVATIVE EMPLOYER SOLUTIONS DENTAL AND VISION PLAN 2021 401k membership
Total participants, beginning-of-year2021-06-01228
Total number of active participants reported on line 7a of the Form 55002021-06-01125
Number of retired or separated participants receiving benefits2021-06-010
Number of other retired or separated participants entitled to future benefits2021-06-010
Total of all active and inactive participants2021-06-01125
Number of employers contributing to the scheme2021-06-010
2020: INNOVATIVE EMPLOYER SOLUTIONS DENTAL AND VISION PLAN 2020 401k membership
Total participants, beginning-of-year2020-06-01183
Total number of active participants reported on line 7a of the Form 55002020-06-01177
Number of retired or separated participants receiving benefits2020-06-010
Number of other retired or separated participants entitled to future benefits2020-06-010
Total of all active and inactive participants2020-06-01177
Number of employers contributing to the scheme2020-06-010
2019: INNOVATIVE EMPLOYER SOLUTIONS DENTAL AND VISION PLAN 2019 401k membership
Total participants, beginning-of-year2019-06-01180
Total number of active participants reported on line 7a of the Form 55002019-06-01183
Number of retired or separated participants receiving benefits2019-06-010
Number of other retired or separated participants entitled to future benefits2019-06-010
Total of all active and inactive participants2019-06-01183
Number of employers contributing to the scheme2019-06-010
2018: INNOVATIVE EMPLOYER SOLUTIONS DENTAL AND VISION PLAN 2018 401k membership
Total participants, beginning-of-year2018-06-01129
Total number of active participants reported on line 7a of the Form 55002018-06-01112
Number of retired or separated participants receiving benefits2018-06-010
Number of other retired or separated participants entitled to future benefits2018-06-010
Total of all active and inactive participants2018-06-01112
Number of employers contributing to the scheme2018-06-010

Form 5500 Responses for INNOVATIVE EMPLOYER SOLUTIONS DENTAL AND VISION PLAN

2022: INNOVATIVE EMPLOYER SOLUTIONS DENTAL AND VISION PLAN 2022 form 5500 responses
2022-06-01Type of plan entitySingle employer plan
2022-06-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-06-01Plan funding arrangement – InsuranceYes
2022-06-01Plan benefit arrangement – InsuranceYes
2021: INNOVATIVE EMPLOYER SOLUTIONS DENTAL AND VISION PLAN 2021 form 5500 responses
2021-06-01Type of plan entitySingle employer plan
2021-06-01Plan funding arrangement – InsuranceYes
2021-06-01Plan benefit arrangement – InsuranceYes
2020: INNOVATIVE EMPLOYER SOLUTIONS DENTAL AND VISION PLAN 2020 form 5500 responses
2020-06-01Type of plan entitySingle employer plan
2020-06-01Plan funding arrangement – InsuranceYes
2020-06-01Plan benefit arrangement – InsuranceYes
2019: INNOVATIVE EMPLOYER SOLUTIONS DENTAL AND VISION PLAN 2019 form 5500 responses
2019-06-01Type of plan entitySingle employer plan
2019-06-01Plan funding arrangement – InsuranceYes
2019-06-01Plan benefit arrangement – InsuranceYes
2018: INNOVATIVE EMPLOYER SOLUTIONS DENTAL AND VISION PLAN 2018 form 5500 responses
2018-06-01Type of plan entitySingle employer plan
2018-06-01First time form 5500 has been submittedYes
2018-06-01Submission has been amendedYes
2018-06-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-06-01Plan funding arrangement – InsuranceYes
2018-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

SAFEGUARD HEALTH PLANS, INC., A FLORIDA CORPORATION (National Association of Insurance Commissioners NAIC id number: 52009 )
Policy contract number5347636
Policy instance 2
Insurance contract or identification number5347636
Number of Individuals Covered22
Insurance policy start date2022-06-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $120
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,733
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $100
Amount paid for insurance broker fees0
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5347636
Policy instance 1
Insurance contract or identification number5347636
Number of Individuals Covered188
Insurance policy start date2022-06-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $4,149
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $54,436
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,467
Amount paid for insurance broker fees0
Insurance broker organization code?3
SAFEGUARD HEALTH PLANS, INC., A FLORIDA CORPORATION (National Association of Insurance Commissioners NAIC id number: 52009 )
Policy contract numberTS05347636
Policy instance 2
Insurance contract or identification numberTS05347636
Number of Individuals Covered16
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $155
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,436
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $155
Amount paid for insurance broker fees0
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5347636
Policy instance 1
Insurance contract or identification number5347636
Number of Individuals Covered216
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $8,428
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $78,212
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,428
Amount paid for insurance broker fees0
Insurance broker organization code?3
SAFEGUARD HEALTH PLANS, INC., A FLORIDA CORPORATION (National Association of Insurance Commissioners NAIC id number: 52009 )
Policy contract number5347636
Policy instance 2
Insurance contract or identification number5347636
Number of Individuals Covered10
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
Total amount of commissions paid to insurance brokerUSD $193
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,829
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $193
Amount paid for insurance broker fees0
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTS05347636
Policy instance 1
Insurance contract or identification numberTS05347636
Number of Individuals Covered191
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
Total amount of commissions paid to insurance brokerUSD $7,714
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $76,884
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,714
Amount paid for insurance broker fees0
Insurance broker organization code?3
SAFEGUARD HEALTH PLANS, INC., A FLORIDA CORPORATION (National Association of Insurance Commissioners NAIC id number: 52009 )
Policy contract number5347636
Policy instance 2
Insurance contract or identification number5347636
Number of Individuals Covered15
Insurance policy start date2019-06-01
Insurance policy end date2020-05-31
Total amount of commissions paid to insurance brokerUSD $289
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,839
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $289
Amount paid for insurance broker fees0
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5347636
Policy instance 1
Insurance contract or identification number5347636
Number of Individuals Covered198
Insurance policy start date2019-06-01
Insurance policy end date2020-05-31
Total amount of commissions paid to insurance brokerUSD $7,672
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $76,902
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,672
Amount paid for insurance broker fees0
Insurance broker organization code?3
SAFEGUARD HEALTH PLANS, INC., A FLORIDA CORPORATION (National Association of Insurance Commissioners NAIC id number: 52009 )
Policy contract numberTS05347636
Policy instance 2
Insurance contract or identification numberTS05347636
Number of Individuals Covered5
Insurance policy start date2018-06-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $18
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $229
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18
Amount paid for insurance broker fees0
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTS05347636
Policy instance 1
Insurance contract or identification numberTS05347636
Number of Individuals Covered128
Insurance policy start date2018-06-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $1,330
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,941
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,330
Amount paid for insurance broker fees0
Insurance broker organization code?3

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