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PROTEIN SCIENCES CORPORATION WELFARE BENEFIT PLAN 401k Plan overview

Plan NamePROTEIN SCIENCES CORPORATION WELFARE BENEFIT PLAN
Plan identification number 501

PROTEIN SCIENCES CORPORATION WELFARE BENEFIT PLAN 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
  • Other welfare benefit cover

401k Sponsoring company profile

PROTEIN SCIENCES CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:PROTEIN SCIENCES CORPORATION
Employer identification number (EIN):061098847
NAIC Classification:541700

Additional information about PROTEIN SCIENCES CORPORATION

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 2008700

More information about PROTEIN SCIENCES CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PROTEIN SCIENCES CORPORATION WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-02-01
5012017-02-01ALAN LUBECK2019-08-09
5012016-02-01

Plan Statistics for PROTEIN SCIENCES CORPORATION WELFARE BENEFIT PLAN

401k plan membership statisitcs for PROTEIN SCIENCES CORPORATION WELFARE BENEFIT PLAN

Measure Date Value
2017: PROTEIN SCIENCES CORPORATION WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-02-01102
Total number of active participants reported on line 7a of the Form 55002017-02-01100
Total of all active and inactive participants2017-02-01100
Number of retired or separated participants receiving benefits2017-02-010
Number of other retired or separated participants entitled to future benefits2017-02-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-02-010
Total participants2017-02-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-02-010
2016: PROTEIN SCIENCES CORPORATION WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-02-01102
Total number of active participants reported on line 7a of the Form 55002016-02-01102
Total of all active and inactive participants2016-02-01102
Total participants2016-02-01102

Form 5500 Responses for PROTEIN SCIENCES CORPORATION WELFARE BENEFIT PLAN

2017: PROTEIN SCIENCES CORPORATION WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-02-01Type of plan entitySingle employer plan
2017-02-01Submission has been amendedYes
2017-02-01This submission is the final filingYes
2017-02-01Plan funding arrangement – InsuranceYes
2017-02-01Plan benefit arrangement – InsuranceYes
2016: PROTEIN SCIENCES CORPORATION WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-02-01Type of plan entitySingle employer plan
2016-02-01First time form 5500 has been submittedYes
2016-02-01Plan funding arrangement – InsuranceYes
2016-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberAL00005734
Policy instance 1
Insurance contract or identification numberAL00005734
Number of Individuals Covered100
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $7,748
Total amount of fees paid to insurance companyUSD $1,873
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $53,497
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,748
Amount paid for insurance broker fees1873
Additional information about fees paid to insurance brokerINCENTIVES, EDUCATION, COMMUNICATION AND TRAINING.
Insurance broker organization code?3
Insurance broker nameACRISURE LLC
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number690111
Policy instance 2
Insurance contract or identification number690111
Number of Individuals Covered84
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $3,203
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $64,098
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,203
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?3
Insurance broker nameACRISURE LLC
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number801021
Policy instance 3
Insurance contract or identification number801021
Number of Individuals Covered73
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $19,765
Total amount of fees paid to insurance companyUSD $3,650
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $718,000
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,765
Amount paid for insurance broker fees3650
Additional information about fees paid to insurance brokerINCENTIVES, EDUCATION, COMMUNICATION AND TRAINING
Insurance broker organization code?3
Insurance broker nameACRISURE LLC
UNICARE HEALTH AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80314 )
Policy contract numberAL00005734
Policy instance 4
Insurance contract or identification numberAL00005734
Number of Individuals Covered100
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,968
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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