Have any questions? 1 (800) 421-4758 or customerservice@abgrm.com

Plan Implementation Questionnaire

Welcome...

We appreciate the opportunity to provide our services to your Company. The intent of this questionnaire is to provide Alliance Benefit Group Rocky Mountain (ABGRM) with enough information to create the necessary service agreement(s) for your retirement plan. Department of Labor regulations require that an agreement be in place prior to beginning services. If you have any questions, please contact your ABGRM Client Service Manager or the Implementation Specialist at (800) 421-4758.


Employer Specifics

The legal name and address of the sponsoring company exactly as it appears on all legal records.
All mail will be sent to this address unless otherwise notified.
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The number used for federal tax reporting purposes.


Retirement Plan Specifics

Provide the plan name exactly as it appears, or will appear on the plan document.
Plan's Tax Identification Number.
The individual who will be responsible for the day-to-day operation of the plan. This can be an individual other than a trustee or primary business contact.
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This is the individual responsible to review our service agreement and fee disclosures.


Trustee Specifics

The individual(s) authorized to act on behalf of the plan.


Investment Advisor Specifics

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CPA Specifics

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Payroll Specifics

The frequency by which the employer runs their payroll and pays their employees.
The next scheduled date that employees will receive a paycheck.
(e.g. Intuit®, ADP®, Paychex, etc)
The name of the individual responsible for transmitting payroll and/or contribution data or answering payroll/contribution questions.
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Welfare Plan Specifics

The Welfare Contact is the individual who will be responsible for welfare plan communication.
Please select the welfare plans you sponsor below:

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Takeover Plan Specifics

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(e.g. Fidelity, Charles Schwab, TDAmeritrade, etc)


Fee Specifics...

ABGRM's default assumption is that the base fee and per-participant fee charges will be paid by the Employer.
Important: If your plan is a brokerage account only plan - all fees must be paid by the employer.
Please indicate how you wish to pay for fees:


Conference Call...

In conjunction with the setup of your plan, we would like to schedule a conference call.
Please provide a possible date and time for the call:

i.e 2pm, 3:30pm, etc