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NEWVAC LLC HEALTH PLAN 401k Plan overview

Plan NameNEWVAC LLC HEALTH PLAN
Plan identification number 501

NEWVAC LLC HEALTH PLAN Benefits

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

401k Sponsoring company profile

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

Company Name:NEWVAC, LLC
Employer identification number (EIN):842171465
NAIC Classification:334410

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NEWVAC LLC HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-10-01MARK DUBOIS2023-03-21
5012021-10-01MARK DUBOIS2023-03-21
5012020-10-01MARK DUBOIS2022-02-11
5012019-10-01MARK DUBOIS2021-05-24

Plan Statistics for NEWVAC LLC HEALTH PLAN

401k plan membership statisitcs for NEWVAC LLC HEALTH PLAN

Measure Date Value
2022: NEWVAC LLC HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year2022-10-01126
Total number of active participants reported on line 7a of the Form 55002022-10-01133
Number of retired or separated participants receiving benefits2022-10-010
Number of other retired or separated participants entitled to future benefits2022-10-010
Total of all active and inactive participants2022-10-01133
Number of employers contributing to the scheme2022-10-010
2021: NEWVAC LLC HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-01167
Total number of active participants reported on line 7a of the Form 55002021-10-01126
Number of retired or separated participants receiving benefits2021-10-010
Number of other retired or separated participants entitled to future benefits2021-10-010
Total of all active and inactive participants2021-10-01126
Number of employers contributing to the scheme2021-10-010
2020: NEWVAC LLC HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-01133
Total number of active participants reported on line 7a of the Form 55002020-10-01167
Number of retired or separated participants receiving benefits2020-10-010
Number of other retired or separated participants entitled to future benefits2020-10-010
Total of all active and inactive participants2020-10-01167
Number of employers contributing to the scheme2020-10-010
2019: NEWVAC LLC HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01114
Total number of active participants reported on line 7a of the Form 55002019-10-01191
Number of retired or separated participants receiving benefits2019-10-010
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-01191
Number of employers contributing to the scheme2019-10-010

Form 5500 Responses for NEWVAC LLC HEALTH PLAN

2022: NEWVAC LLC HEALTH PLAN 2022 form 5500 responses
2022-10-01Type of plan entitySingle employer plan
2022-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-10-01Plan funding arrangement – InsuranceYes
2022-10-01Plan benefit arrangement – InsuranceYes
2021: NEWVAC LLC HEALTH PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan benefit arrangement – InsuranceYes
2020: NEWVAC LLC HEALTH PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – InsuranceYes
2019: NEWVAC LLC HEALTH PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01First time form 5500 has been submittedYes
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberL03930
Policy instance 1
Insurance contract or identification numberL03930
Number of Individuals Covered194
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $45,292
Total amount of fees paid to insurance companyUSD $5,709
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $906,697
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $45,292
Amount paid for insurance broker fees5709
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number141060
Policy instance 1
Insurance contract or identification number141060
Number of Individuals Covered179
Insurance policy start date2021-10-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $1,142
Total amount of fees paid to insurance companyUSD $46
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,526
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,142
Amount paid for insurance broker fees46
Additional information about fees paid to insurance brokerINDIRECT COMPENSATION
Insurance broker organization code?3
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number141060HNO
Policy instance 2
Insurance contract or identification number141060HNO
Number of Individuals Covered118
Insurance policy start date2021-10-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $2,896
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $65,063
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,896
Amount paid for insurance broker fees0
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number141060
Policy instance 1
Insurance contract or identification number141060
Number of Individuals Covered183
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $13,578
Total amount of fees paid to insurance companyUSD $5,802
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $184,426
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,578
Amount paid for insurance broker fees5802
Additional information about fees paid to insurance broker2020 PINNACLE SPECIALTY AND MEDICAL RETENTION INCENTIVE/ENHANCEMENT RISK
Insurance broker organization code?3
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number141060HNO
Policy instance 2
Insurance contract or identification number141060HNO
Number of Individuals Covered117
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $35,658
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $711,032
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,658
Amount paid for insurance broker fees0
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number141060
Policy instance 1
Insurance contract or identification number141060
Number of Individuals Covered191
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $10,731
Total amount of fees paid to insurance companyUSD $6,965
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $143,353
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,731
Amount paid for insurance broker fees6965
Additional information about fees paid to insurance broker2019 PPP SPECIALTY NEW BUSINESS RISK 2019 PREMIER PRODUCER PROGRAM INDIRECT COMPENSATION
Insurance broker organization code?3
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number141060HNO
Policy instance 2
Insurance contract or identification number141060HNO
Number of Individuals Covered126
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $30,174
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $664,098
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,174
Amount paid for insurance broker fees0
Insurance broker organization code?3

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