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MB MEDICAL OPERATIONS 401k Plan overview

Plan NameMB MEDICAL OPERATIONS
Plan identification number 501

MB MEDICAL OPERATIONS Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • 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

MB MEDICAL OPERATIONS has sponsored the creation of one or more 401k plans.

Company Name:MB MEDICAL OPERATIONS
Employer identification number (EIN):814488450
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MB MEDICAL OPERATIONS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-05-01CRISTINA PINCKNEY2023-11-20
5012021-05-01CRISTINA PINCKNEY2023-01-23

Plan Statistics for MB MEDICAL OPERATIONS

401k plan membership statisitcs for MB MEDICAL OPERATIONS

Measure Date Value
2022: MB MEDICAL OPERATIONS 2022 401k membership
Total participants, beginning-of-year2022-05-01321
Total number of active participants reported on line 7a of the Form 55002022-05-01419
Number of retired or separated participants receiving benefits2022-05-010
Number of other retired or separated participants entitled to future benefits2022-05-010
Total of all active and inactive participants2022-05-01419
Number of employers contributing to the scheme2022-05-010
2021: MB MEDICAL OPERATIONS 2021 401k membership
Total participants, beginning-of-year2021-05-01367
Total number of active participants reported on line 7a of the Form 55002021-05-01321
Number of retired or separated participants receiving benefits2021-05-010
Number of other retired or separated participants entitled to future benefits2021-05-010
Total of all active and inactive participants2021-05-01321
Number of employers contributing to the scheme2021-05-010

Form 5500 Responses for MB MEDICAL OPERATIONS

2022: MB MEDICAL OPERATIONS 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan funding arrangement – General assets of the sponsorYes
2022-05-01Plan benefit arrangement – InsuranceYes
2022-05-01Plan benefit arrangement – General assets of the sponsorYes
2021: MB MEDICAL OPERATIONS 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01First time form 5500 has been submittedYes
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan 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 number35273
Policy instance 1
Insurance contract or identification number35273
Number of Individuals Covered419
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $35,871
Total amount of fees paid to insurance companyUSD $8,188
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $179,355
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,903
Amount paid for insurance broker fees8188
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number782209
Policy instance 2
Insurance contract or identification number782209
Number of Individuals Covered412
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $56,653
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENT, HOSPITAL, CANCER
Welfare Benefit Premiums Paid to CarrierUSD $107,012
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,268
Amount paid for insurance broker fees0
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number170135
Policy instance 3
Insurance contract or identification number170135
Number of Individuals Covered844
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $33,528
Total amount of fees paid to insurance companyUSD $13,304
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,146
Amount paid for insurance broker fees7437
Additional information about fees paid to insurance brokerCONTNGENT COMPENSATION
Insurance broker organization code?3
HUMANA MEDICAL PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95270 )
Policy contract number826056
Policy instance 1
Insurance contract or identification number826056
Number of Individuals Covered321
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $172,673
Total amount of fees paid to insurance companyUSD $11,279
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,880,753
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $130,130
Amount paid for insurance broker fees11279
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3

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