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SUBSERO HEALTH, LLC 401k Plan overview

Plan NameSUBSERO HEALTH, LLC
Plan identification number 504

SUBSERO HEALTH, LLC Benefits

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

401k Sponsoring company profile

SUBSERO CARE, LLC DBA SUBSERO HEALTH has sponsored the creation of one or more 401k plans.

Company Name:SUBSERO CARE, LLC DBA SUBSERO HEALTH
Employer identification number (EIN):822912515
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SUBSERO HEALTH, LLC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042018-08-01
5042018-08-01
5042017-08-01AMANDA LEWIS
5042017-08-01

Plan Statistics for SUBSERO HEALTH, LLC

401k plan membership statisitcs for SUBSERO HEALTH, LLC

Measure Date Value
2018: SUBSERO HEALTH, LLC 2018 401k membership
Total participants, beginning-of-year2018-08-01195
Total number of active participants reported on line 7a of the Form 55002018-08-01187
Number of retired or separated participants receiving benefits2018-08-015
Number of other retired or separated participants entitled to future benefits2018-08-010
Total of all active and inactive participants2018-08-01192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-08-010
Total participants2018-08-01192
Number of participants with account balances2018-08-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-08-010
2017: SUBSERO HEALTH, LLC 2017 401k membership
Total participants, beginning-of-year2017-08-01167
Total number of active participants reported on line 7a of the Form 55002017-08-01157
Number of retired or separated participants receiving benefits2017-08-013
Total of all active and inactive participants2017-08-01160
Total participants2017-08-01160
Number of participants with account balances2017-08-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-08-010
Number of other retired or separated participants entitled to future benefits2017-08-010

Financial Data on SUBSERO HEALTH, LLC

Measure Date Value
2018 : SUBSERO HEALTH, LLC 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-07-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-07-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-07-31$0
Total income from all sources (including contributions)2018-07-31$1,141,801
Total loss/gain on sale of assets2018-07-31$0
Total of all expenses incurred2018-07-31$1,141,801
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-07-31$1,141,801
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-07-31$1,141,801
Value of total assets at end of year2018-07-31$0
Value of total assets at beginning of year2018-07-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-07-31$0
Total interest from all sources2018-07-31$0
Total dividends received (eg from common stock, registered investment company shares)2018-07-31$0
Was this plan covered by a fidelity bond2018-07-31No
Contributions received from participants2018-07-31$481,253
Value of net income/loss2018-07-31$0
Value of net assets at end of year (total assets less liabilities)2018-07-31$0
Value of net assets at beginning of year (total assets less liabilities)2018-07-31$0
Were any loans by the plan or fixed income obligations due to the plan in default2018-07-31No
Expenses. Payments to insurance carriers foe the provision of benefits2018-07-31$1,141,801
Contributions received in cash from employer2018-07-31$660,548

Form 5500 Responses for SUBSERO HEALTH, LLC

2018: SUBSERO HEALTH, LLC 2018 form 5500 responses
2018-08-01Type of plan entitySingle employer plan
2018-08-01First time form 5500 has been submittedYes
2018-08-01Submission has been amendedNo
2018-08-01This submission is the final filingNo
2018-08-01This return/report is a short plan year return/report (less than 12 months)No
2018-08-01Plan is a collectively bargained planNo
2018-08-01Plan funding arrangement – InsuranceYes
2018-08-01Plan benefit arrangement – InsuranceYes
2017: SUBSERO HEALTH, LLC 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01First time form 5500 has been submittedYes
2017-08-01Submission has been amendedNo
2017-08-01This submission is the final filingNo
2017-08-01This return/report is a short plan year return/report (less than 12 months)No
2017-08-01Plan is a collectively bargained planNo
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract numberB2343
Policy instance 1
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract numberB2343
Policy instance 2
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract numberB2343
Policy instance 1
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract numberB2343
Policy instance 2

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