401k Plan data: CONSOLIDATED SUPPORT CO EMPLOYEE BENEFIT PLAN plan

CONSOLIDATED SUPPORT CO EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan Name	CONSOLIDATED SUPPORT CO EMPLOYEE BENEFIT PLAN
Plan identification number	501

CONSOLIDATED SUPPORT CO EMPLOYEE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

CONSOLIDATED SUPPORT CO has sponsored the creation of one or more 401k plans.

Company Name: CONSOLIDATED SUPPORT CO

Employer identification number (EIN): 730673273

NAIC Classification: 452110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CONSOLIDATED SUPPORT CO EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2012-03-15 BRYAN COLEMAN

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2012-03-15	BRYAN COLEMAN

Plan Statistics for CONSOLIDATED SUPPORT CO EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for CONSOLIDATED SUPPORT CO EMPLOYEE BENEFIT PLAN

Measure Date Value
2012: CONSOLIDATED SUPPORT CO EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-03-15 300
Total number of active participants reported on line 7a of the Form 5500 2012-03-15 309
Total of all active and inactive participants 2012-03-15 309
Total participants 2012-03-15 309

Measure	Date	Value
2012: CONSOLIDATED SUPPORT CO EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-03-15	300
Total number of active participants reported on line 7a of the Form 5500	2012-03-15	309
Total of all active and inactive participants	2012-03-15	309
Total participants	2012-03-15	309

Form 5500 Responses for CONSOLIDATED SUPPORT CO EMPLOYEE BENEFIT PLAN

2012: CONSOLIDATED SUPPORT CO EMPLOYEE BENEFIT PLAN 2012 form 5500 responses
2012-03-15	Type of plan entity	Single employer plan
2012-03-15	Plan funding arrangement – Insurance	Yes
2012-03-15	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: )

Policy contract number

COMPANION LIFE

Policy instance

Insurance contract or identification number	COMPANION LIFE
Number of Individuals Covered	309
Insurance policy start date	2012-03-01
Insurance policy end date	2013-02-28
Total amount of commissions paid to insurance broker	USD $40,052
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $330,531
Commission paid to Insurance Broker	USD $40,052
Insurance broker organization code?	3
Insurance broker name	RIDDLE FINANCIAL GROUP

OPTUMHEALTH, A DIVISION OF UNITED HEALTHCARE SERVICES (National Association of Insurance Commissioners NAIC id number: )

Policy contract number

OPTUMHEALTH CAR

Policy instance

Insurance contract or identification number	OPTUMHEALTH CAR
Number of Individuals Covered	309
Insurance policy start date	2012-03-01
Insurance policy end date	2013-02-28
Total amount of commissions paid to insurance broker	USD $1,464
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $27,539
Commission paid to Insurance Broker	USD $1,464
Additional information about fees paid to insurance broker	ORGAN TRANSPLANT
Insurance broker organization code?	3
Insurance broker name	HEALTHCARE SOLUTIONS GROUP, INC.

Potentially related plans

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Company Name:	CONSOLIDATED SUPPORT CO
Employer identification number (EIN):	730673273
NAIC Classification:	452110