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ARIZONA PULMONARY SPECIALISTS, LTD. GROUP INS PLAN 401k Plan overview

Plan NameARIZONA PULMONARY SPECIALISTS, LTD. GROUP INS PLAN
Plan identification number 501

ARIZONA PULMONARY SPECIALISTS, LTD. GROUP INS PLAN Benefits

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

401k Sponsoring company profile

ARIZONA PULMONARY SPECIALISTS, LTD. has sponsored the creation of one or more 401k plans.

Company Name:ARIZONA PULMONARY SPECIALISTS, LTD.
Employer identification number (EIN):860831961
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ARIZONA PULMONARY SPECIALISTS, LTD. GROUP INS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01

Plan Statistics for ARIZONA PULMONARY SPECIALISTS, LTD. GROUP INS PLAN

401k plan membership statisitcs for ARIZONA PULMONARY SPECIALISTS, LTD. GROUP INS PLAN

Measure Date Value
2022: ARIZONA PULMONARY SPECIALISTS, LTD. GROUP INS PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01157
Total number of active participants reported on line 7a of the Form 55002022-01-01157
Total of all active and inactive participants2022-01-01157
Total participants2022-01-01157

Financial Data on ARIZONA PULMONARY SPECIALISTS, LTD. GROUP INS PLAN

Measure Date Value
2022 : ARIZONA PULMONARY SPECIALISTS, LTD. GROUP INS PLAN 2022 401k financial data
Value of total assets at end of year2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31No
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in pooled separate accounts at end of year2022-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Did the plan have assets held for investment2022-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No

Form 5500 Responses for ARIZONA PULMONARY SPECIALISTS, LTD. GROUP INS PLAN

2022: ARIZONA PULMONARY SPECIALISTS, LTD. GROUP INS PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01First time form 5500 has been submittedYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53589 )
Policy contract number026872
Policy instance 1
Insurance contract or identification number026872
Number of Individuals Covered157
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $51,291
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,028,234
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $51,291
Additional information about fees paid to insurance brokerGENERAL AGENT/ BROKER PAYMENTS
Insurance broker organization code?3

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