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ESENTIRE AMERICA, INC. EMPLOYEE BENEFITS PROGRAM 401k Plan overview

Plan NameESENTIRE AMERICA, INC. EMPLOYEE BENEFITS PROGRAM
Plan identification number 501

ESENTIRE AMERICA, INC. EMPLOYEE BENEFITS PROGRAM 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

ESENTIRE AMERICA INC. has sponsored the creation of one or more 401k plans.

Company Name:ESENTIRE AMERICA INC.
Employer identification number (EIN):981122952
NAIC Classification:541519
NAIC Description:Other Computer Related Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ESENTIRE AMERICA, INC. EMPLOYEE BENEFITS PROGRAM

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-07-01KIM WOODS2023-12-11
5012021-07-01KIM WOODS2022-11-08
5012020-07-01KIM WOODS2022-07-12

Plan Statistics for ESENTIRE AMERICA, INC. EMPLOYEE BENEFITS PROGRAM

401k plan membership statisitcs for ESENTIRE AMERICA, INC. EMPLOYEE BENEFITS PROGRAM

Measure Date Value
2022: ESENTIRE AMERICA, INC. EMPLOYEE BENEFITS PROGRAM 2022 401k membership
Total participants, beginning-of-year2022-07-01248
Total number of active participants reported on line 7a of the Form 55002022-07-01142
Number of retired or separated participants receiving benefits2022-07-010
Number of other retired or separated participants entitled to future benefits2022-07-010
Total of all active and inactive participants2022-07-01142
Number of employers contributing to the scheme2022-07-010
2021: ESENTIRE AMERICA, INC. EMPLOYEE BENEFITS PROGRAM 2021 401k membership
Total participants, beginning-of-year2021-07-01149
Total number of active participants reported on line 7a of the Form 55002021-07-01248
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-01248
Number of employers contributing to the scheme2021-07-010
2020: ESENTIRE AMERICA, INC. EMPLOYEE BENEFITS PROGRAM 2020 401k membership
Total participants, beginning-of-year2020-07-01100
Total number of active participants reported on line 7a of the Form 55002020-07-01149
Number of retired or separated participants receiving benefits2020-07-010
Number of other retired or separated participants entitled to future benefits2020-07-010
Total of all active and inactive participants2020-07-01149
Number of employers contributing to the scheme2020-07-010

Form 5500 Responses for ESENTIRE AMERICA, INC. EMPLOYEE BENEFITS PROGRAM

2022: ESENTIRE AMERICA, INC. EMPLOYEE BENEFITS PROGRAM 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – InsuranceYes
2021: ESENTIRE AMERICA, INC. EMPLOYEE BENEFITS PROGRAM 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes
2020: ESENTIRE AMERICA, INC. EMPLOYEE BENEFITS PROGRAM 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01First time form 5500 has been submittedYes
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5953265
Policy instance 1
Insurance contract or identification number5953265
Number of Individuals Covered603
Insurance policy start date2022-07-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $634
Total amount of fees paid to insurance companyUSD $190
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $21,100
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $634
Amount paid for insurance broker fees190
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number4018346
Policy instance 2
Insurance contract or identification number4018346
Number of Individuals Covered397
Insurance policy start date2022-07-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $10,252
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $205,031
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,252
Amount paid for insurance broker fees0
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5953265
Policy instance 1
Insurance contract or identification number5953265
Number of Individuals Covered582
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $11,977
Total amount of fees paid to insurance companyUSD $2,168
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $149,867
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,977
Amount paid for insurance broker fees2168
Additional information about fees paid to insurance brokerNON-MONETARY/ SUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number4018346
Policy instance 2
Insurance contract or identification number4018346
Number of Individuals Covered393
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $92,556
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,851,127
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $92,556
Amount paid for insurance broker fees0
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5953265
Policy instance 1
Insurance contract or identification number5953265
Number of Individuals Covered350
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $9,882
Total amount of fees paid to insurance companyUSD $1,251
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $110,686
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,882
Amount paid for insurance broker fees648
Additional information about fees paid to insurance brokerNON-MONTARY COMPENSATION, SUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number4018346
Policy instance 2
Insurance contract or identification number4018346
Number of Individuals Covered237
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $68,886
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,377,722
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $68,886
Amount paid for insurance broker fees0
Insurance broker organization code?3

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