401k Plan data: CARTER CONSULTING, INC MEDICAL PLAN plan

CARTER CONSULTING, INC MEDICAL PLAN 401k Plan overview

Plan Name	CARTER CONSULTING, INC MEDICAL PLAN
Plan identification number	501

CARTER CONSULTING, INC MEDICAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

CARTER CONSULTING, INC. has sponsored the creation of one or more 401k plans.

Company Name: CARTER CONSULTING, INC.

Employer identification number (EIN): 651249235

NAIC Classification: 541600

Additional information about CARTER CONSULTING, INC.

Jurisdiction of Incorporation: Georgia Department of States Corporations Division

Incorporation Date: 2005-02-22

Company Identification Number: 338383

Legal Registered Office Address: 2310 PARKLAKE DRIVE
SUITE 535
ATLANTA
United States of America (USA)
30345

More information about CARTER CONSULTING, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CARTER CONSULTING, INC MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2016-02-01 JOSEPH CARTER JOSEPH CARTER 2017-07-10
501 2015-02-01 JOSEPH CARTER JOSEPH CARTER 2016-07-14

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2016-02-01	JOSEPH CARTER		JOSEPH CARTER	2017-07-10
501	2015-02-01	JOSEPH CARTER		JOSEPH CARTER	2016-07-14

Plan Statistics for CARTER CONSULTING, INC MEDICAL PLAN

401k plan membership statisitcs for CARTER CONSULTING, INC MEDICAL PLAN

Measure Date Value
2016: CARTER CONSULTING, INC MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-02-01 102
Total number of active participants reported on line 7a of the Form 5500 2016-02-01 43
Total of all active and inactive participants 2016-02-01 43
Total participants 2016-02-01 43
2015: CARTER CONSULTING, INC MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-02-01 102
Total number of active participants reported on line 7a of the Form 5500 2015-02-01 102
Number of retired or separated participants receiving benefits 2015-02-01 0
Number of other retired or separated participants entitled to future benefits 2015-02-01 0
Total of all active and inactive participants 2015-02-01 102

Measure	Date	Value
2016: CARTER CONSULTING, INC MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-02-01	102
Total number of active participants reported on line 7a of the Form 5500	2016-02-01	43
Total of all active and inactive participants	2016-02-01	43
Total participants	2016-02-01	43
2015: CARTER CONSULTING, INC MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-02-01	102
Total number of active participants reported on line 7a of the Form 5500	2015-02-01	102
Number of retired or separated participants receiving benefits	2015-02-01	0
Number of other retired or separated participants entitled to future benefits	2015-02-01	0
Total of all active and inactive participants	2015-02-01	102

Form 5500 Responses for CARTER CONSULTING, INC MEDICAL PLAN

2016: CARTER CONSULTING, INC MEDICAL PLAN 2016 form 5500 responses
2016-02-01	Type of plan entity	Single employer plan
2016-02-01	Submission has been amended	No
2016-02-01	This submission is the final filing	No
2016-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-02-01	Plan is a collectively bargained plan	No
2016-02-01	Plan funding arrangement – Insurance	Yes
2016-02-01	Plan benefit arrangement – Insurance	Yes
2015: CARTER CONSULTING, INC MEDICAL PLAN 2015 form 5500 responses
2015-02-01	Type of plan entity	Single employer plan
2015-02-01	First time form 5500 has been submitted	Yes
2015-02-01	Submission has been amended	No
2015-02-01	This submission is the final filing	No
2015-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-02-01	Plan is a collectively bargained plan	No
2015-02-01	Plan funding arrangement – Insurance	Yes
2015-02-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 )

Policy contract number

GA7019

Policy instance

Insurance contract or identification number	GA7019
Number of Individuals Covered	102
Insurance policy start date	2015-02-01
Insurance policy end date	2016-01-31
Total amount of commissions paid to insurance broker	USD $39,136
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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	Yes
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
Welfare Benefit Premiums Paid to Carrier	USD $941,085
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $39,136
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Insurance broker name	D.L. MEAD & ASSOCIATES, INC

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Company Name:	CARTER CONSULTING, INC.
Employer identification number (EIN):	651249235
NAIC Classification:	541600

Jurisdiction of Incorporation:	Georgia Department of States Corporations Division
Incorporation Date:	2005-02-22
Company Identification Number:	338383
Legal Registered Office Address:	2310 PARKLAKE DRIVE SUITE 535 ATLANTA United States of America (USA) 30345