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HEARING LAB TECHNOLOGY, LLC WELFARE PLAN 401k Plan overview

Plan NameHEARING LAB TECHNOLOGY, LLC WELFARE PLAN
Plan identification number 502

HEARING LAB TECHNOLOGY, LLC WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental
  • Vision
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

HEARING LAB TECHNOLOGY, LLC has sponsored the creation of one or more 401k plans.

Company Name:HEARING LAB TECHNOLOGY, LLC
Employer identification number (EIN):260492223
NAIC Classification:541990
NAIC Description:All Other Professional, Scientific, and Technical Services

Additional information about HEARING LAB TECHNOLOGY, LLC

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 2015-06-02
Company Identification Number: 603512044
Legal Registered Office Address: 901 S GRADY WAY

RENTON
United States of America (USA)
980550000

More information about HEARING LAB TECHNOLOGY, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEARING LAB TECHNOLOGY, LLC WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022017-04-01JOSEPHINE PERSON LA FAYETTE
5022016-04-01JOSEPHINE PERSON LA FAYETTE
5022015-12-01JOSEPHINE PERSON LA FAYETTE
5022014-12-01JOSEPHINE C PERSON LA FAYETTE
5022013-12-01JOSEPHINE C PERSON LA FAYETTE

Plan Statistics for HEARING LAB TECHNOLOGY, LLC WELFARE PLAN

401k plan membership statisitcs for HEARING LAB TECHNOLOGY, LLC WELFARE PLAN

Measure Date Value
2017: HEARING LAB TECHNOLOGY, LLC WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-011,257
Total number of active participants reported on line 7a of the Form 55002017-04-011,283
Total of all active and inactive participants2017-04-011,283
Total participants2017-04-011,283
2016: HEARING LAB TECHNOLOGY, LLC WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-01606
Total number of active participants reported on line 7a of the Form 55002016-04-011,257
Total of all active and inactive participants2016-04-011,257
Total participants2016-04-011,257
2015: HEARING LAB TECHNOLOGY, LLC WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-12-01553
Total number of active participants reported on line 7a of the Form 55002015-12-01606
Number of retired or separated participants receiving benefits2015-12-010
Number of other retired or separated participants entitled to future benefits2015-12-010
Total of all active and inactive participants2015-12-01606
Total participants2015-12-01606
2014: HEARING LAB TECHNOLOGY, LLC WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-12-01394
Total number of active participants reported on line 7a of the Form 55002014-12-01553
Number of retired or separated participants receiving benefits2014-12-010
Number of other retired or separated participants entitled to future benefits2014-12-010
Total of all active and inactive participants2014-12-01553
2013: HEARING LAB TECHNOLOGY, LLC WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-12-01100
Total number of active participants reported on line 7a of the Form 55002013-12-01394
Number of retired or separated participants receiving benefits2013-12-010
Number of other retired or separated participants entitled to future benefits2013-12-010
Total of all active and inactive participants2013-12-01394

Form 5500 Responses for HEARING LAB TECHNOLOGY, LLC WELFARE PLAN

2017: HEARING LAB TECHNOLOGY, LLC WELFARE PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Submission has been amendedNo
2017-04-01This submission is the final filingNo
2017-04-01This return/report is a short plan year return/report (less than 12 months)No
2017-04-01Plan is a collectively bargained planNo
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan benefit arrangement – InsuranceYes
2016: HEARING LAB TECHNOLOGY, LLC WELFARE PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Submission has been amendedNo
2016-04-01This submission is the final filingNo
2016-04-01This return/report is a short plan year return/report (less than 12 months)No
2016-04-01Plan is a collectively bargained planNo
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan benefit arrangement – InsuranceYes
2015: HEARING LAB TECHNOLOGY, LLC WELFARE PLAN 2015 form 5500 responses
2015-12-01Type of plan entitySingle employer plan
2015-12-01Submission has been amendedNo
2015-12-01This submission is the final filingNo
2015-12-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-12-01Plan is a collectively bargained planNo
2015-12-01Plan funding arrangement – InsuranceYes
2015-12-01Plan benefit arrangement – InsuranceYes
2014: HEARING LAB TECHNOLOGY, LLC WELFARE PLAN 2014 form 5500 responses
2014-12-01Type of plan entitySingle employer plan
2014-12-01Submission has been amendedNo
2014-12-01This submission is the final filingNo
2014-12-01This return/report is a short plan year return/report (less than 12 months)No
2014-12-01Plan is a collectively bargained planNo
2014-12-01Plan funding arrangement – InsuranceYes
2014-12-01Plan benefit arrangement – InsuranceYes
2013: HEARING LAB TECHNOLOGY, LLC WELFARE PLAN 2013 form 5500 responses
2013-12-01Type of plan entitySingle employer plan
2013-12-01First time form 5500 has been submittedYes
2013-12-01Submission has been amendedNo
2013-12-01This submission is the final filingNo
2013-12-01This return/report is a short plan year return/report (less than 12 months)No
2013-12-01Plan is a collectively bargained planNo
2013-12-01Plan funding arrangement – InsuranceYes
2013-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05935860
Policy instance 1
Insurance contract or identification numberTM05935860
Number of Individuals Covered1283
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $44,841
Total amount of fees paid to insurance companyUSD $8,743
Are there contracts with allocated funds for individual policies?0
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 BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & 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 $446,465
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $44,841
Amount paid for insurance broker fees57
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION
Insurance broker organization code?3
Insurance broker nameUSI INSURANCE SERVICES NATIONAL INC
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number541068
Policy instance 2
Insurance contract or identification number541068
Number of Individuals Covered537
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $4,323
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $43,231
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,323
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameUSI INSURANCE SVCS NATL INC

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