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HCAS LLC DBA ALIVI TECHNOLOGY WELFARE BENEFITS PLAN 401k Plan overview

Plan NameHCAS LLC DBA ALIVI TECHNOLOGY WELFARE BENEFITS PLAN
Plan identification number 502

HCAS LLC DBA ALIVI TECHNOLOGY WELFARE BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

HCAS LLC has sponsored the creation of one or more 401k plans.

Company Name:HCAS LLC
Employer identification number (EIN):814280357
NAIC Classification:541519
NAIC Description:Other Computer Related Services

Additional information about HCAS LLC

Jurisdiction of Incorporation: Oklahoma Secretary Of State
Incorporation Date:
Company Identification Number: 3512215089

More information about HCAS LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HCAS LLC DBA ALIVI TECHNOLOGY WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-03-01PRISCILA FRANCISCO2024-03-14
5022021-03-01JOSEPH ALEMANY2022-07-12
5022020-03-01MAGDIEL RODRIGUEZ2021-09-17

Plan Statistics for HCAS LLC DBA ALIVI TECHNOLOGY WELFARE BENEFITS PLAN

401k plan membership statisitcs for HCAS LLC DBA ALIVI TECHNOLOGY WELFARE BENEFITS PLAN

Measure Date Value
2022: HCAS LLC DBA ALIVI TECHNOLOGY WELFARE BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year2022-03-01151
Total number of active participants reported on line 7a of the Form 55002022-03-01161
Number of retired or separated participants receiving benefits2022-03-010
Number of other retired or separated participants entitled to future benefits2022-03-010
Total of all active and inactive participants2022-03-01161
Number of employers contributing to the scheme2022-03-010
2021: HCAS LLC DBA ALIVI TECHNOLOGY WELFARE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-03-01117
Total number of active participants reported on line 7a of the Form 55002021-03-01156
Number of retired or separated participants receiving benefits2021-03-010
Number of other retired or separated participants entitled to future benefits2021-03-010
Total of all active and inactive participants2021-03-01156
Number of employers contributing to the scheme2021-03-010
2020: HCAS LLC DBA ALIVI TECHNOLOGY WELFARE BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-03-01134
Total number of active participants reported on line 7a of the Form 55002020-03-01154
Number of retired or separated participants receiving benefits2020-03-010
Number of other retired or separated participants entitled to future benefits2020-03-010
Total of all active and inactive participants2020-03-01154
Number of employers contributing to the scheme2020-03-010

Form 5500 Responses for HCAS LLC DBA ALIVI TECHNOLOGY WELFARE BENEFITS PLAN

2022: HCAS LLC DBA ALIVI TECHNOLOGY WELFARE BENEFITS PLAN 2022 form 5500 responses
2022-03-01Type of plan entitySingle employer plan
2022-03-01Plan funding arrangement – InsuranceYes
2022-03-01Plan benefit arrangement – InsuranceYes
2021: HCAS LLC DBA ALIVI TECHNOLOGY WELFARE BENEFITS PLAN 2021 form 5500 responses
2021-03-01Type of plan entitySingle employer plan
2021-03-01Plan funding arrangement – InsuranceYes
2021-03-01Plan benefit arrangement – InsuranceYes
2020: HCAS LLC DBA ALIVI TECHNOLOGY WELFARE BENEFITS PLAN 2020 form 5500 responses
2020-03-01Type of plan entitySingle employer plan
2020-03-01First time form 5500 has been submittedYes
2020-03-01Plan funding arrangement – InsuranceYes
2020-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number572536
Policy instance 1
Insurance contract or identification number572536
Number of Individuals Covered98
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $4,940
Total amount of fees paid to insurance companyUSD $3,272
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $49,406
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,940
Amount paid for insurance broker fees3272
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLTD0C3MQ
Policy instance 2
Insurance contract or identification numberGLTD0C3MQ
Number of Individuals Covered161
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $7,967
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $49,238
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,967
Amount paid for insurance broker fees0
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number572536
Policy instance 1
Insurance contract or identification number572536
Number of Individuals Covered155
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $7,869
Total amount of fees paid to insurance companyUSD $3,273
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $75,139
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,869
Amount paid for insurance broker fees3273
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number572536
Policy instance 1
Insurance contract or identification number572536
Number of Individuals Covered117
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $5,880
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $56,061
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,880
Amount paid for insurance broker fees0
Insurance broker organization code?3

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