Civic Intelligence
Filing

Sevan Multi-Site Solutions Inc. Health and Welfare Benefit Plan

Sevan Multi-Site Solutions Inc. • EIN 27-5107237 • Plan year 2021

Company ProfileSource Archive
Filing Insights

Participants

Down

385 → 356

-29 • -7.53%

Assets

No comparison

- → -

No earlier value available.

Investment Management Fee

-

Admin expenses - • Total expenses -

Filing Details

Context

No event flags were generated for this filing.

Status Flags

Fidelity bond in place

Not reported

Limited-scope audit performed

Not reported

Contributions transmitted on time

Not reported

Participant loans in default

Not reported

Leases in default

Not reported

Reportable party-in-interest issues

Not reported

Loss discovered during year

Not reported

Assets with undetermined value

Not reported

Non-cash contributions

Not reported

Assets held for investment

Not reported

5% transactions reported

Not reported

All plan assets distributed

Not reported

Benefits paid when due

Not reported

Plan blackout period

Not reported

Plan termination resolution adopted

Not reported

Counterparties

Company Timeline

This filing is highlighted inside the broader sponsor history.

Year / FilingFilingsParticipantsAssetsContributionsContrib./Participant
20242343$33,936,931$4,652,860$13,565iApproximate average salary by contribution assumption: employee only about $339,130 at 4% or $226,086 at 6%; with 50% employer match about $226,086 at 4% or $150,724 at 6%; with 100% employer match about $169,565 at 4% or $113,043 at 6%.
Sevan Multi-Site Solutions Inc. 401(K) Plan-312$33,936,931$4,652,860$14,913iApproximate average salary by contribution assumption: employee only about $372,825 at 4% or $248,550 at 6%; with 50% employer match about $248,550 at 4% or $165,700 at 6%; with 100% employer match about $186,413 at 4% or $124,275 at 6%.
Sevan Multi-Site Solutions Inc. Health and Welfare Benefit Plan-343---
20232457$30,631,866$5,464,340$11,957iApproximate average salary by contribution assumption: employee only about $298,925 at 4% or $199,283 at 6%; with 50% employer match about $199,283 at 4% or $132,855 at 6%; with 100% employer match about $149,462 at 4% or $99,642 at 6%.
Sevan Multi-Site Solutions Inc. 401(K) Plan-449$30,631,866$5,464,340$12,170iApproximate average salary by contribution assumption: employee only about $304,251 at 4% or $202,834 at 6%; with 50% employer match about $202,834 at 4% or $135,222 at 6%; with 100% employer match about $152,125 at 4% or $101,417 at 6%.
Sevan Multi-Site Solutions Inc. Health and Welfare Benefit Plan-457---
20222405$23,472,330$4,868,050$12,020iApproximate average salary by contribution assumption: employee only about $300,497 at 4% or $200,331 at 6%; with 50% employer match about $200,331 at 4% or $133,554 at 6%; with 100% employer match about $150,248 at 4% or $100,166 at 6%.
Sevan Multi-Site Solutions Inc. 401(K) Plan-393$23,472,330$4,868,050$12,387iApproximate average salary by contribution assumption: employee only about $309,672 at 4% or $206,448 at 6%; with 50% employer match about $206,448 at 4% or $137,632 at 6%; with 100% employer match about $154,836 at 4% or $103,224 at 6%.
Sevan Multi-Site Solutions Inc. Health and Welfare Benefit Plan-405---
20212356$26,925,113$4,002,795$11,244iApproximate average salary by contribution assumption: employee only about $281,095 at 4% or $187,397 at 6%; with 50% employer match about $187,397 at 4% or $124,931 at 6%; with 100% employer match about $140,548 at 4% or $93,698 at 6%.
Sevan Multi-Site Solutions Inc. 401(K) Plan-341$26,925,113$4,002,795$11,738iApproximate average salary by contribution assumption: employee only about $293,460 at 4% or $195,640 at 6%; with 50% employer match about $195,640 at 4% or $130,427 at 6%; with 100% employer match about $146,730 at 4% or $97,820 at 6%.
Sevan Multi-Site Solutions Inc. Health and Welfare Benefit PlanCurrent356---
20203361$22,293,880$1,757,117$4,867iApproximate average salary by contribution assumption: employee only about $121,684 at 4% or $81,123 at 6%; with 50% employer match about $81,123 at 4% or $54,082 at 6%; with 100% employer match about $60,842 at 4% or $40,561 at 6%.
Sevan Multi-Site Solutions Inc. 401(K) Plan-361$22,293,880$1,757,117$4,867iApproximate average salary by contribution assumption: employee only about $121,684 at 4% or $81,123 at 6%; with 50% employer match about $81,123 at 4% or $54,082 at 6%; with 100% employer match about $60,842 at 4% or $40,561 at 6%.
SEVAN MULTI-SITE SOLUTIONS, INC. BASIC LIFE AND AD&D PLAN-0---
SEVAN MULTI-SITE SOLUTIONS, INC. IDI PLAN-0---
20191366$0$0-
SEVAN MULTI-SITE SOLUTIONS, INC. BASIC LIFE AND AD&D PLAN-366---
Schedule Details

Schedule A

Row 1
Form Id
6
Ins Broker Name
LOCKTON COMPANIES LLC
Ins Broker US Address1
PO BOX 843844
Ins Broker US City
KANSAS CITY
Ins Broker US State
MO
Ins Broker US ZIP
64184
Ins Broker Comm Pd Amount
$0
Ins Broker Fees Pd Amount
$1,297
Ins Broker Fees Pd Text
ADDITIONAL COMPENSATION PAID
Ins Broker Code
3
Row 2
Form Id
1
Ins Broker Name
LOCKTON COMPANIES LLC
Ins Broker US Address1
444 WEST 47TH STREET
Ins Broker US Address2
SUITE 900
Ins Broker US City
KANSAS CITY
Ins Broker US State
MO
Ins Broker US ZIP
64112
Ins Broker Comm Pd Amount
$91,681
Ins Broker Fees Pd Amount
$0
Ins Broker Fees Pd Text
NA
Ins Broker Code
3
Row 3
Form Id
2
Ins Broker Name
LOCKTON COMPANIES LLC
Ins Broker US Address1
PO BOX 843844
Ins Broker US City
KANSAS CITY
Ins Broker US State
MO
Ins Broker US ZIP
64184
Ins Broker Comm Pd Amount
$1,206
Ins Broker Fees Pd Amount
$380
Ins Broker Fees Pd Text
ADDITIONAL COMPENSATION PAID
Ins Broker Code
3
Row 4
Form Id
3
Ins Broker Name
LOCKTON COMPANIES LLC
Ins Broker US Address1
PO BOX 843844
Ins Broker US City
KANSAS CITY
Ins Broker US State
MO
Ins Broker US ZIP
64184
Ins Broker Comm Pd Amount
$2,334
Ins Broker Fees Pd Amount
$778
Ins Broker Fees Pd Text
ADDITIONAL COMPENSATION PAID
Ins Broker Code
3
Row 5
Form Id
4
Ins Broker Name
LOCKTON COMPANIES LLC
Ins Broker US Address1
PO BOX 843844
Ins Broker US City
KANSAS CITY
Ins Broker US State
MO
Ins Broker US ZIP
64184
Ins Broker Comm Pd Amount
$0
Ins Broker Fees Pd Amount
$13,434
Ins Broker Fees Pd Text
ADDITIONAL COMPENSATION PAID
Ins Broker Code
3
Row 6
Form Id
5
Ins Broker Name
LOCKTON COMPANIES LLC
Ins Broker US Address1
PO BOX 843844
Ins Broker US City
KANSAS CITY
Ins Broker US State
MO
Ins Broker US ZIP
64184
Ins Broker Comm Pd Amount
$0
Ins Broker Fees Pd Amount
$752
Ins Broker Fees Pd Text
ADDITIONAL COMPENSATION PAID
Ins Broker Code
3
Row 7
Form Id
2
Ins Broker Name
MARSH & MCLENNAN AGENCY LLC
Ins Broker US Address1
20 N. MARTINGALE RD., STE. 100
Ins Broker US City
SCHAUMBURG
Ins Broker US State
IL
Ins Broker US ZIP
60173
Ins Broker Comm Pd Amount
$217
Ins Broker Fees Pd Amount
$58
Ins Broker Fees Pd Text
ADDITIONAL COMPENSATION PAID
Ins Broker Code
3
Row 8
Ins Carrier Name: BLUECROSS BLUESHIELD OF ILLINOIS
Form Id
1
Schedule A Plan Year Begin Date
2021-01-01
Schedule A Plan Year End Date
2021-12-31
Schedule A Plan Num
503
Schedule A EIN
27-5107237
Ins Carrier Name
BLUECROSS BLUESHIELD OF ILLINOIS
Ins Carrier EIN
36-1236610
Ins Carrier Naic Code
70670
Ins Contract Num
266764
Ins Prsn Covered End of year Count
715
Ins Policy From Date
2021-01-01
Ins Policy To Date
2021-12-31
Ins Broker Comm Total Amount
$91,682
Ins Broker Fees Total Amount
$0
Pension Total Bal Addn Amount
$0
Pension End of year Bal Amount
$0
Wlfr Bnft Health Indicator
Yes
Wlfr Bnft Dental Indicator
Yes
Wlfr Bnft Vision Indicator
No
Wlfr Bnft Life Insur Indicator
No
Wlfr Bnft Temp Disab Indicator
No
Wlfr Bnft Long Terminate Disab Indicator
No
Wlfr Bnft Unemp Indicator
No
Wlfr Bnft Drug Indicator
No
Wlfr Bnft Hmo Indicator
No
Wlfr Bnft Ppo Indicator
No
Wlfr Bnft Indemnity Indicator
No
Wlfr Bnft Other Indicator
No
Wlfr Total Earned Prem Amount
$0
Wlfr Incurred Claim Amount
$0
Wlfr Ret Total Amount
$0
Wlfr Refund Cash Indicator
No
Wlfr Refund Credit Indicator
No
Wlfr Total Charges Paid Amount
$4,629,317
Wlfr Acquis Cost Amount
$0
Wlfr Acquis Cost Text
NA
Ins Fail Provide Info Indicator
No
Row 9
Ins Carrier Name: UNUM INSURANCE COMPANY
Form Id
2
Schedule A Plan Year Begin Date
2021-01-01
Schedule A Plan Year End Date
2021-12-31
Schedule A Plan Num
503
Schedule A EIN
27-5107237
Ins Carrier Name
UNUM INSURANCE COMPANY
Ins Carrier EIN
04-2381280
Ins Carrier Naic Code
67601
Ins Contract Num
430323
Ins Prsn Covered End of year Count
69
Ins Policy From Date
2021-01-01
Ins Policy To Date
2021-12-31
Ins Broker Comm Total Amount
$1,423
Ins Broker Fees Total Amount
$438
Alloc Contracts Indiv Indicator
No
Alloc Contracts Group Indicator
No
Alloc Contracts Other Indicator
No
Pens Distr Bnft Terminate Pln Indicator
No
Unalloc Contracts Dep Adm Indicator
No
Unal Contrac Imm Part Guar Indicator
No
Unal Contracts Guar Invest Indicator
No
Unalloc Contracts Other Indicator
No
Pension Total Bal Addn Amount
$0
Pension End of year Bal Amount
$0
Wlfr Bnft Health Indicator
No
Wlfr Bnft Dental Indicator
No
Wlfr Bnft Vision Indicator
No
Wlfr Bnft Life Insur Indicator
No
Wlfr Bnft Temp Disab Indicator
No
Wlfr Bnft Long Terminate Disab Indicator
No
Wlfr Bnft Unemp Indicator
No
Wlfr Bnft Drug Indicator
No
Wlfr Bnft Stop Loss Indicator
No
Wlfr Bnft Hmo Indicator
No
Wlfr Bnft Ppo Indicator
No
Wlfr Bnft Indemnity Indicator
No
Wlfr Bnft Other Indicator
Yes
Wlfr Type Bnft Oth Text
ACCIDENT
Wlfr Total Earned Prem Amount
$0
Wlfr Incurred Claim Amount
$0
Wlfr Ret Total Amount
$0
Wlfr Refund Cash Indicator
No
Wlfr Refund Credit Indicator
No
Wlfr Total Charges Paid Amount
$13,814
Wlfr Acquis Cost Amount
$0
Wlfr Acquis Cost Text
NA
Ins Fail Provide Info Indicator
No
Row 10
Ins Carrier Name: UNUM INSURANCE COMPANY
Form Id
3
Schedule A Plan Year Begin Date
2021-01-01
Schedule A Plan Year End Date
2021-12-31
Schedule A Plan Num
503
Schedule A EIN
27-5107237
Ins Carrier Name
UNUM INSURANCE COMPANY
Ins Carrier EIN
04-2381280
Ins Carrier Naic Code
67601
Ins Contract Num
430322
Ins Prsn Covered End of year Count
57
Ins Policy From Date
2021-01-01
Ins Policy To Date
2021-12-31
Ins Broker Comm Total Amount
$2,334
Ins Broker Fees Total Amount
$778
Alloc Contracts Indiv Indicator
No
Alloc Contracts Group Indicator
No
Alloc Contracts Other Indicator
No
Pens Distr Bnft Terminate Pln Indicator
No
Unalloc Contracts Dep Adm Indicator
No
Unal Contrac Imm Part Guar Indicator
No
Unal Contracts Guar Invest Indicator
No
Unalloc Contracts Other Indicator
No
Pension Total Bal Addn Amount
$0
Pension End of year Bal Amount
$0
Wlfr Bnft Health Indicator
No
Wlfr Bnft Dental Indicator
No
Wlfr Bnft Vision Indicator
No
Wlfr Bnft Life Insur Indicator
No
Wlfr Bnft Temp Disab Indicator
No
Wlfr Bnft Long Terminate Disab Indicator
No
Wlfr Bnft Unemp Indicator
No
Wlfr Bnft Drug Indicator
No
Wlfr Bnft Stop Loss Indicator
No
Wlfr Bnft Hmo Indicator
No
Wlfr Bnft Ppo Indicator
No
Wlfr Bnft Indemnity Indicator
No
Wlfr Bnft Other Indicator
Yes
Wlfr Type Bnft Oth Text
CRITICAL LLLNESS
Wlfr Total Earned Prem Amount
$0
Wlfr Incurred Claim Amount
$0
Wlfr Ret Total Amount
$0
Wlfr Refund Cash Indicator
No
Wlfr Refund Credit Indicator
No
Wlfr Total Charges Paid Amount
$15,563
Wlfr Acquis Cost Amount
$0
Wlfr Acquis Cost Text
NA
Ins Fail Provide Info Indicator
No
Row 11
Ins Carrier Name: UNUM LIFE INSURANCE COMPANY OF AMERICA
Form Id
4
Schedule A Plan Year Begin Date
2021-01-01
Schedule A Plan Year End Date
2021-12-31
Schedule A Plan Num
503
Schedule A EIN
27-5107237
Ins Carrier Name
UNUM LIFE INSURANCE COMPANY OF AMERICA
Ins Carrier EIN
01-0278678
Ins Carrier Naic Code
62235
Ins Contract Num
430319
Ins Prsn Covered End of year Count
356
Ins Policy From Date
2021-01-01
Ins Policy To Date
2021-12-31
Ins Broker Comm Total Amount
$0
Ins Broker Fees Total Amount
$13,434
Alloc Contracts Indiv Indicator
No
Alloc Contracts Group Indicator
No
Alloc Contracts Other Indicator
No
Pens Distr Bnft Terminate Pln Indicator
No
Unalloc Contracts Dep Adm Indicator
No
Unal Contrac Imm Part Guar Indicator
No
Unal Contracts Guar Invest Indicator
No
Unalloc Contracts Other Indicator
No
Pension Total Bal Addn Amount
$0
Pension End of year Bal Amount
$0
Wlfr Bnft Health Indicator
No
Wlfr Bnft Dental Indicator
No
Wlfr Bnft Vision Indicator
No
Wlfr Bnft Life Insur Indicator
Yes
Wlfr Bnft Temp Disab Indicator
Yes
Wlfr Bnft Long Terminate Disab Indicator
Yes
Wlfr Bnft Unemp Indicator
No
Wlfr Bnft Drug Indicator
No
Wlfr Bnft Stop Loss Indicator
No
Wlfr Bnft Hmo Indicator
No
Wlfr Bnft Ppo Indicator
No
Wlfr Bnft Indemnity Indicator
No
Wlfr Bnft Other Indicator
Yes
Wlfr Type Bnft Oth Text
AD&D
Wlfr Total Earned Prem Amount
$0
Wlfr Incurred Claim Amount
$0
Wlfr Ret Total Amount
$0
Wlfr Refund Cash Indicator
No
Wlfr Refund Credit Indicator
No
Wlfr Total Charges Paid Amount
$268,684
Wlfr Acquis Cost Amount
$0
Wlfr Acquis Cost Text
NA
Ins Fail Provide Info Indicator
No
Row 12
Ins Carrier Name: UNUM LIFE INSURANCE COMPANY OF AMERICA
Form Id
5
Schedule A Plan Year Begin Date
2021-01-01
Schedule A Plan Year End Date
2021-12-31
Schedule A Plan Num
503
Schedule A EIN
27-5107237
Ins Carrier Name
UNUM LIFE INSURANCE COMPANY OF AMERICA
Ins Carrier EIN
01-0278678
Ins Carrier Naic Code
62235
Ins Contract Num
430320
Ins Prsn Covered End of year Count
136
Ins Policy From Date
2021-01-01
Ins Policy To Date
2021-12-31
Ins Broker Comm Total Amount
$0
Ins Broker Fees Total Amount
$752
Pension Total Bal Addn Amount
$0
Pension End of year Bal Amount
$0
Wlfr Bnft Health Indicator
No
Wlfr Bnft Dental Indicator
No
Wlfr Bnft Vision Indicator
No
Wlfr Bnft Life Insur Indicator
Yes
Wlfr Bnft Temp Disab Indicator
No
Wlfr Bnft Long Terminate Disab Indicator
No
Wlfr Bnft Unemp Indicator
No
Wlfr Bnft Drug Indicator
No
Wlfr Bnft Hmo Indicator
No
Wlfr Bnft Ppo Indicator
No
Wlfr Bnft Indemnity Indicator
No
Wlfr Bnft Other Indicator
Yes
Wlfr Type Bnft Oth Text
AD&D
Wlfr Total Earned Prem Amount
$0
Wlfr Incurred Claim Amount
$0
Wlfr Ret Total Amount
$0
Wlfr Refund Cash Indicator
No
Wlfr Refund Credit Indicator
No
Wlfr Total Charges Paid Amount
$15,043
Wlfr Acquis Cost Amount
$0
Wlfr Acquis Cost Text
NA
Ins Fail Provide Info Indicator
No
Row 13
Ins Carrier Name: STARMOUNT LIFE INSURANCE COMPANY
Form Id
6
Schedule A Plan Year Begin Date
2021-01-01
Schedule A Plan Year End Date
2021-12-31
Schedule A Plan Num
503
Schedule A EIN
27-5107237
Ins Carrier Name
STARMOUNT LIFE INSURANCE COMPANY
Ins Carrier EIN
72-0977315
Ins Carrier Naic Code
68985
Ins Contract Num
430321
Ins Prsn Covered End of year Count
272
Ins Policy From Date
2021-01-01
Ins Policy To Date
2021-12-31
Ins Broker Comm Total Amount
$0
Ins Broker Fees Total Amount
$1,297
Alloc Contracts Indiv Indicator
No
Alloc Contracts Group Indicator
No
Alloc Contracts Other Indicator
No
Pens Distr Bnft Terminate Pln Indicator
No
Unalloc Contracts Dep Adm Indicator
No
Unal Contrac Imm Part Guar Indicator
No
Unal Contracts Guar Invest Indicator
No
Unalloc Contracts Other Indicator
No
Pension Total Bal Addn Amount
$0
Pension End of year Bal Amount
$0
Wlfr Bnft Health Indicator
No
Wlfr Bnft Dental Indicator
No
Wlfr Bnft Vision Indicator
Yes
Wlfr Bnft Life Insur Indicator
No
Wlfr Bnft Temp Disab Indicator
No
Wlfr Bnft Long Terminate Disab Indicator
No
Wlfr Bnft Unemp Indicator
No
Wlfr Bnft Drug Indicator
No
Wlfr Bnft Stop Loss Indicator
No
Wlfr Bnft Hmo Indicator
No
Wlfr Bnft Ppo Indicator
No
Wlfr Bnft Indemnity Indicator
No
Wlfr Bnft Other Indicator
No
Wlfr Total Earned Prem Amount
$0
Wlfr Incurred Claim Amount
$0
Wlfr Ret Total Amount
$0
Wlfr Refund Cash Indicator
No
Wlfr Refund Credit Indicator
No
Wlfr Total Charges Paid Amount
$25,938
Wlfr Acquis Cost Amount
$0
Wlfr Acquis Cost Text
NA
Ins Fail Provide Info Indicator
No

Filing received by DOL Jun 22, 2022