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GOULD MEDICAL GROUP HEALTH INSURANCE PLAN 401k Plan overview

Plan NameGOULD MEDICAL GROUP HEALTH INSURANCE PLAN
Plan identification number 506

GOULD MEDICAL GROUP HEALTH INSURANCE PLAN Benefits

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

401k Sponsoring company profile

GOULD MEDICAL GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name:GOULD MEDICAL GROUP, INC.
Employer identification number (EIN):942151374
NAIC Classification:541600

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GOULD MEDICAL GROUP HEALTH INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062015-03-01MARTIN F. PRICCO, M.D.
5062015-03-01MARTIN F. PRICCO, M.D.
5062014-03-01MARTIN F. PRICCO, M.D.
5062013-03-01MARTIN F. PRICCO, M.D.
5062012-03-01MARTIN F. PRICCO, M.D.
5062011-03-01MARTIN PRICCO
5062009-03-01MARTIN PRICCO
5062009-03-01 MARTIN PRICCO2010-07-27

Plan Statistics for GOULD MEDICAL GROUP HEALTH INSURANCE PLAN

401k plan membership statisitcs for GOULD MEDICAL GROUP HEALTH INSURANCE PLAN

Measure Date Value
2015: GOULD MEDICAL GROUP HEALTH INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-03-01184
Total number of active participants reported on line 7a of the Form 55002015-03-01194
Total of all active and inactive participants2015-03-01194
Total participants2015-03-01194
2014: GOULD MEDICAL GROUP HEALTH INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-03-01166
Total number of active participants reported on line 7a of the Form 55002014-03-01184
Total of all active and inactive participants2014-03-01184
Total participants2014-03-01184
2013: GOULD MEDICAL GROUP HEALTH INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-03-01161
Total number of active participants reported on line 7a of the Form 55002013-03-01166
Total of all active and inactive participants2013-03-01166
Total participants2013-03-01166
2012: GOULD MEDICAL GROUP HEALTH INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-03-01194
Total number of active participants reported on line 7a of the Form 55002012-03-01161
Total of all active and inactive participants2012-03-01161
Total participants2012-03-01161
2011: GOULD MEDICAL GROUP HEALTH INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-03-01205
Total number of active participants reported on line 7a of the Form 55002011-03-01194
Total of all active and inactive participants2011-03-01194
Total participants2011-03-01194
2009: GOULD MEDICAL GROUP HEALTH INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-03-01171
Total number of active participants reported on line 7a of the Form 55002009-03-01195
Total of all active and inactive participants2009-03-01195

Form 5500 Responses for GOULD MEDICAL GROUP HEALTH INSURANCE PLAN

2015: GOULD MEDICAL GROUP HEALTH INSURANCE PLAN 2015 form 5500 responses
2015-03-01Type of plan entitySingle employer plan
2015-03-01Submission has been amendedYes
2015-03-01Plan funding arrangement – InsuranceYes
2015-03-01Plan benefit arrangement – InsuranceYes
2014: GOULD MEDICAL GROUP HEALTH INSURANCE PLAN 2014 form 5500 responses
2014-03-01Type of plan entitySingle employer plan
2014-03-01Plan funding arrangement – InsuranceYes
2014-03-01Plan benefit arrangement – InsuranceYes
2013: GOULD MEDICAL GROUP HEALTH INSURANCE PLAN 2013 form 5500 responses
2013-03-01Type of plan entitySingle employer plan
2013-03-01Plan funding arrangement – InsuranceYes
2013-03-01Plan benefit arrangement – InsuranceYes
2012: GOULD MEDICAL GROUP HEALTH INSURANCE PLAN 2012 form 5500 responses
2012-03-01Type of plan entitySingle employer plan
2012-03-01Plan funding arrangement – InsuranceYes
2012-03-01Plan benefit arrangement – InsuranceYes
2011: GOULD MEDICAL GROUP HEALTH INSURANCE PLAN 2011 form 5500 responses
2011-03-01Type of plan entitySingle employer plan
2011-03-01Submission has been amendedNo
2011-03-01This submission is the final filingNo
2011-03-01This return/report is a short plan year return/report (less than 12 months)No
2011-03-01Plan is a collectively bargained planNo
2011-03-01Plan funding arrangement – InsuranceYes
2011-03-01Plan benefit arrangement – InsuranceYes
2009: GOULD MEDICAL GROUP HEALTH INSURANCE PLAN 2009 form 5500 responses
2009-03-01Type of plan entitySingle employer plan
2009-03-01Submission has been amendedYes
2009-03-01This submission is the final filingNo
2009-03-01Plan funding arrangement – InsuranceYes
2009-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 )
Policy contract numberW0001292
Policy instance 1
Insurance contract or identification numberW0001292
Number of Individuals Covered194
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $387,085
Total amount of fees paid to insurance companyUSD $2,544
Welfare Benefit Premiums Paid to CarrierUSD $4,201,118
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $387,085
Amount paid for insurance broker fees2544
Insurance broker organization code?3
Insurance broker nameBB&T INSURANCE SVCS OF CALIFORNIA
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 )
Policy contract numberW0001292
Policy instance 1
Insurance contract or identification numberW0001292
Number of Individuals Covered184
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $149,025
Total amount of fees paid to insurance companyUSD $3,824
Welfare Benefit Premiums Paid to CarrierUSD $3,230,924
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $149,025
Amount paid for insurance broker fees3824
Insurance broker organization code?3
Insurance broker nameBB&T INSURANCE SVCS OF CALIFORNIA
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0718206
Policy instance 1
Insurance contract or identification number0718206
Number of Individuals Covered437
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $143,703
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $3,332,714
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $143,703
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameBB&T INSURANCE SVCS OF CALIFORNIA
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0718206
Policy instance 1
Insurance contract or identification number0718206
Number of Individuals Covered161
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $111,540
Total amount of fees paid to insurance companyUSD $4,890
Welfare Benefit Premiums Paid to CarrierUSD $3,049,559
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,060
Amount paid for insurance broker fees4890
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker nameBB&T INSURANCE SVCS OF CALIFORNIA
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number523422
Policy instance 1
Insurance contract or identification number523422
Number of Individuals Covered147
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $105,711
Total amount of fees paid to insurance companyUSD $3,750
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $2,642,784
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0718206
Policy instance 2
Insurance contract or identification number0718206
Number of Individuals Covered47
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $10,708
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $258,300
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0718206
Policy instance 1
Insurance contract or identification number0718206
Number of Individuals Covered52
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $10,354
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $258,851
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,354
Insurance broker organization code?3
Insurance broker nameLIBERTY BENEFIT INSURANCE SERVICES
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number523422
Policy instance 2
Insurance contract or identification number523422
Number of Individuals Covered153
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $2,730,665
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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