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GROUP LIFE, DEPENDENT LIFE, ACCIDENTAL DEATH AND DISMEMBERMENT, AND WEEKLY INCOME INSURANCE FOR EMPLOYEES OF IDENTISYS, INC. 401k Plan overview

Plan NameGROUP LIFE, DEPENDENT LIFE, ACCIDENTAL DEATH AND DISMEMBERMENT, AND WEEKLY INCOME INSURANCE FOR EMPLOYEES OF IDENTISYS, INC.
Plan identification number 501

GROUP LIFE, DEPENDENT LIFE, ACCIDENTAL DEATH AND DISMEMBERMENT, AND WEEKLY INCOME INSURANCE FOR EMPLOYEES OF IDENTISYS, INC. Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

IDENTISYS INCORPORATED has sponsored the creation of one or more 401k plans.

Company Name:IDENTISYS INCORPORATED
Employer identification number (EIN):411938567
NAIC Classification:811210
NAIC Description: Electronic and Precision Equipment Repair and Maintenance

Additional information about IDENTISYS INCORPORATED

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2005-05-31
Company Identification Number: 0800501835
Legal Registered Office Address: 7630 COMMERCE WAY

EDEN PRAIRIE
United States of America (USA)
55344

More information about IDENTISYS INCORPORATED

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP LIFE, DEPENDENT LIFE, ACCIDENTAL DEATH AND DISMEMBERMENT, AND WEEKLY INCOME INSURANCE FOR EMPLOYEES OF IDENTISYS, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012014-07-01ROGER BOELTER
5012013-07-01ROGER BOELTER

Plan Statistics for GROUP LIFE, DEPENDENT LIFE, ACCIDENTAL DEATH AND DISMEMBERMENT, AND WEEKLY INCOME INSURANCE FOR EMPLOYEES OF IDENTISYS, INC.

401k plan membership statisitcs for GROUP LIFE, DEPENDENT LIFE, ACCIDENTAL DEATH AND DISMEMBERMENT, AND WEEKLY INCOME INSURANCE FOR EMPLOYEES OF IDENTISYS, INC.

Measure Date Value
2014: GROUP LIFE, DEPENDENT LIFE, ACCIDENTAL DEATH AND DISMEMBERMENT, AND WEEKLY INCOME INSURANCE FOR EMPLOYEES OF IDENTISYS, INC. 2014 401k membership
Total participants, beginning-of-year2014-07-01127
Total number of active participants reported on line 7a of the Form 55002014-07-01130
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-010
Total of all active and inactive participants2014-07-01130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-07-010
Total participants2014-07-01130
2013: GROUP LIFE, DEPENDENT LIFE, ACCIDENTAL DEATH AND DISMEMBERMENT, AND WEEKLY INCOME INSURANCE FOR EMPLOYEES OF IDENTISYS, INC. 2013 401k membership
Total participants, beginning-of-year2013-07-01129
Total number of active participants reported on line 7a of the Form 55002013-07-01127
Number of retired or separated participants receiving benefits2013-07-010
Number of other retired or separated participants entitled to future benefits2013-07-010
Total of all active and inactive participants2013-07-01127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-07-010
Total participants2013-07-01127
Number of participants with account balances2013-07-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-07-010

Form 5500 Responses for GROUP LIFE, DEPENDENT LIFE, ACCIDENTAL DEATH AND DISMEMBERMENT, AND WEEKLY INCOME INSURANCE FOR EMPLOYEES OF IDENTISYS, INC.

2014: GROUP LIFE, DEPENDENT LIFE, ACCIDENTAL DEATH AND DISMEMBERMENT, AND WEEKLY INCOME INSURANCE FOR EMPLOYEES OF IDENTISYS, INC. 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: GROUP LIFE, DEPENDENT LIFE, ACCIDENTAL DEATH AND DISMEMBERMENT, AND WEEKLY INCOME INSURANCE FOR EMPLOYEES OF IDENTISYS, INC. 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01First time form 5500 has been submittedYes
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10177118
Policy instance 1
Insurance contract or identification number10177118
Number of Individuals Covered130
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $2,477
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $14,323
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $716
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameCORPORATE HEALTH SYSTEMS INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10177118
Policy instance 1
Insurance contract or identification number10177118
Number of Individuals Covered129
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $1,860
Total amount of fees paid to insurance companyUSD $780
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $15,604
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,860
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerOVERRIDES
Insurance broker nameBENEUSA LLC

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