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BIRMINGHAM HEART CLINIC CAFETERIA PLAN 401k Plan overview

Plan NameBIRMINGHAM HEART CLINIC CAFETERIA PLAN
Plan identification number 502

BIRMINGHAM HEART CLINIC CAFETERIA PLAN Benefits

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

401k Sponsoring company profile

BIRMINGHAM HEART CLINIC, P.C. has sponsored the creation of one or more 401k plans.

Company Name:BIRMINGHAM HEART CLINIC, P.C.
Employer identification number (EIN):631119002
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BIRMINGHAM HEART CLINIC CAFETERIA PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022023-01-01ANDREW BRIAN2024-10-11
5022022-01-01RYAN LUCHNER2023-10-05
5022021-01-01RYAN LUCHNER2022-06-27
5022020-01-01TONYA WHITE2021-07-21
5022019-01-01TONYA WHITE2020-07-27
5022018-01-01TONYA WHITE2020-07-27

Form 5500 Responses for BIRMINGHAM HEART CLINIC CAFETERIA PLAN

2023: BIRMINGHAM HEART CLINIC CAFETERIA PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – General assets of the sponsorYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – General assets of the sponsorYes
2022: BIRMINGHAM HEART CLINIC CAFETERIA PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: BIRMINGHAM HEART CLINIC CAFETERIA PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: BIRMINGHAM HEART CLINIC CAFETERIA PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: BIRMINGHAM HEART CLINIC CAFETERIA PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: BIRMINGHAM HEART CLINIC CAFETERIA PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01First time form 5500 has been submittedYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract numberAL00602
Policy instance 6
Insurance contract or identification numberAL00602
Number of Individuals Covered321
Insurance policy start date2023-04-01
Insurance policy end date2024-03-31
Total amount of commissions paid to insurance brokerUSD $9,117
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $91,170
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CANOPY INSURANCE CORP (National Association of Insurance Commissioners NAIC id number: 17138 )
Policy contract numberSBS0003168/3168
Policy instance 5
Insurance contract or identification numberSBS0003168/3168
Number of Individuals Covered109
Insurance policy start date2023-01-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $477
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AXIS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 37273 )
Policy contract numberGAPAGI-3012
Policy instance 4
Insurance contract or identification numberGAPAGI-3012
Number of Individuals Covered108
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $78,119
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $248,505
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
AMERICOMP BENEFITS (National Association of Insurance Commissioners NAIC id number: 52421 )
Policy contract numberABI1075
Policy instance 3
Insurance contract or identification numberABI1075
Number of Individuals Covered47
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,470
Other welfare benefits providedDEPENDENT CARE & FLEXIBLE SPENDING
Welfare Benefit Premiums Paid to CarrierUSD $87,424
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )
Policy contract number0044694
Policy instance 2
Insurance contract or identification number0044694
Number of Individuals Covered247
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Other welfare benefits providedBABY YOURSELF, AIR MEDICAL SERVICES
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CANOPY INSURANCE CORP (National Association of Insurance Commissioners NAIC id number: 17138 )
Policy contract numberSBS0003168/3168
Policy instance 1
Insurance contract or identification numberSBS0003168/3168
Number of Individuals Covered119
Insurance policy start date2023-01-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $2,027
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CANOPY INSURANCE CORP (National Association of Insurance Commissioners NAIC id number: 17138 )
Policy contract numberSBS0003168/3168
Policy instance 1
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number34721
Policy instance 2
BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )
Policy contract number0044694
Policy instance 3
GULF GUARANTY EMPLOYEE BENEFIT SERVICES, INC (National Association of Insurance Commissioners NAIC id number: 77976 )
Policy contract number1161
Policy instance 4
AMERICOMP BENEFITS (National Association of Insurance Commissioners NAIC id number: 52421 )
Policy contract numberABI1075
Policy instance 5
AXIS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 37273 )
Policy contract numberGAPAGI-3012
Policy instance 6
CANOPY INSURANCE CORP (National Association of Insurance Commissioners NAIC id number: 17138 )
Policy contract numberSBS0003168/3168
Policy instance 7
AMERICOMP BENEFITS (National Association of Insurance Commissioners NAIC id number: 52421 )
Policy contract numberABI1075
Policy instance 5
GULF GUARANTY EMPLOYEE BENEFIT SERVICES, INC (National Association of Insurance Commissioners NAIC id number: 77976 )
Policy contract number1161
Policy instance 4
BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )
Policy contract number0044694
Policy instance 3
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number34721
Policy instance 2
SOUTHLAND DENTAL CORP (National Association of Insurance Commissioners NAIC id number: 16631 )
Policy contract numberSBS0003168
Policy instance 1
AMERICOMP BENEFITS (National Association of Insurance Commissioners NAIC id number: 52421 )
Policy contract numberABI1075
Policy instance 6
SOUTHLAND DENTAL CORP (National Association of Insurance Commissioners NAIC id number: 16631 )
Policy contract numberSBS0003168
Policy instance 1
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number34721
Policy instance 2
BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )
Policy contract number0044694
Policy instance 3
GULF GUARANTY EMPLOYEE BENEFIT SERVICES, INC (National Association of Insurance Commissioners NAIC id number: 77976 )
Policy contract number1161
Policy instance 4
ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 )
Policy contract number40042
Policy instance 5
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number34721
Policy instance 2
BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )
Policy contract number0044694
Policy instance 3
MADISON NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65781 )
Policy contract number60063
Policy instance 4
ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 )
Policy contract number40042
Policy instance 5
AMERICOMP BENEFITS (National Association of Insurance Commissioners NAIC id number: 52421 )
Policy contract numberABI1075
Policy instance 6
SOUTHLAND NATIONAL INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 79057 )
Policy contract numberSOUTHLAND 3168
Policy instance 1
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number34721
Policy instance 2
SOUTHLAND NATIONAL INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 79057 )
Policy contract numberSOUTHLAND 3168
Policy instance 1
MADISON NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65781 )
Policy contract number60063
Policy instance 4
BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )
Policy contract number0044694
Policy instance 5
AMERICOMP BENEFITS (National Association of Insurance Commissioners NAIC id number: 52421 )
Policy contract numberABI1075
Policy instance 6
GUARANTEED TRUST LIFE (National Association of Insurance Commissioners NAIC id number: 64211 )
Policy contract numberGTL AL38
Policy instance 3

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