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ASSOCIATES IN DERMATOLOGY GROUP LIFE & DISABILITY PLAN 401k Plan overview

Plan NameASSOCIATES IN DERMATOLOGY GROUP LIFE & DISABILITY PLAN
Plan identification number 501

ASSOCIATES IN DERMATOLOGY GROUP LIFE & DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

ASSOCIATES IN DERMATOLOGY has sponsored the creation of one or more 401k plans.

Company Name:ASSOCIATES IN DERMATOLOGY
Employer identification number (EIN):611085679
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ASSOCIATES IN DERMATOLOGY GROUP LIFE & DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01AL APPEL2023-07-07
5012021-01-01AL APPEL2022-07-28

Plan Statistics for ASSOCIATES IN DERMATOLOGY GROUP LIFE & DISABILITY PLAN

401k plan membership statisitcs for ASSOCIATES IN DERMATOLOGY GROUP LIFE & DISABILITY PLAN

Measure Date Value
2022: ASSOCIATES IN DERMATOLOGY GROUP LIFE & DISABILITY PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01110
Total number of active participants reported on line 7a of the Form 55002022-01-01113
Total of all active and inactive participants2022-01-01113
2021: ASSOCIATES IN DERMATOLOGY GROUP LIFE & DISABILITY PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01113
Total number of active participants reported on line 7a of the Form 55002021-01-01110
Total of all active and inactive participants2021-01-01110

Form 5500 Responses for ASSOCIATES IN DERMATOLOGY GROUP LIFE & DISABILITY PLAN

2022: ASSOCIATES IN DERMATOLOGY GROUP LIFE & DISABILITY 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: ASSOCIATES IN DERMATOLOGY GROUP LIFE & DISABILITY PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01First time form 5500 has been submittedYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number767056G
Policy instance 1
Insurance contract or identification number767056G
Number of Individuals Covered113
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $12,573
Total amount of fees paid to insurance companyUSD $686
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $151,672
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,573
Amount paid for insurance broker fees686
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number767056G
Policy instance 1
Insurance contract or identification number767056G
Number of Individuals Covered110
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $11,324
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $137,217
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,324
Insurance broker organization code?3

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