OROLIA USA INC MEDICAL PLAN 401k Plan overview
| Plan Name | OROLIA USA INC MEDICAL PLAN |
| Plan identification number | 503 |
OROLIA USA INC MEDICAL PLAN Benefits
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits | - Health (other than dental or vision)
|
401k Sponsoring company profile
SAFRAN TRUSTED 4D, INC. has sponsored the creation of one or more 401k plans.
Additional information about SAFRAN TRUSTED 4D, INC.
| Jurisdiction of Incorporation: | State of Delaware Division of Corporations |
| Incorporation Date: | |
| Company Identification Number: | 4005644 |
More information about SAFRAN TRUSTED 4D, INC.
Form 5500 Filing Information
Submission information for form 5500 for 401k plan OROLIA USA INC MEDICAL PLAN
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 503 | 2021-01-01 | JENNIFER STEIER | 2022-08-15 | | |
| 503 | 2021-01-01 | JENNIFER STEIER | 2022-08-09 | | |
Plan Statistics for OROLIA USA INC MEDICAL PLAN
401k plan membership statisitcs for OROLIA USA INC MEDICAL PLAN
| Measure | Date | Value |
|---|
| 2021: OROLIA USA INC MEDICAL PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 139 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2021-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 0 |
| Total of all active and inactive participants | 2021-01-01 | 0 |
| Number of employers contributing to the scheme | 2021-01-01 | 0 |
Form 5500 Responses for OROLIA USA INC MEDICAL PLAN
| 2021: OROLIA USA INC MEDICAL PLAN 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | First time form 5500 has been submitted | Yes |
| 2021-01-01 | Submission has been amended | Yes |
| 2021-01-01 | This submission is the final filing | Yes |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
Insurance Providers Used on plan
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | 1ZV3 |
| Policy instance | 1 |
| Insurance contract or identification number | 1ZV3 | | Number of Individuals Covered | 139 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $67,462 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $67,462 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | 101426 |
| Policy instance | 1 |
| Insurance contract or identification number | 101426 | | Number of Individuals Covered | 139 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $67,462 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $67,462 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
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