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PERCEPTION RESEARCH SERVICES INC TRAVEL ACCIDENT PLAN 401k Plan overview

Plan NamePERCEPTION RESEARCH SERVICES INC TRAVEL ACCIDENT PLAN
Plan identification number 509

PERCEPTION RESEARCH SERVICES INC TRAVEL ACCIDENT PLAN Benefits

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

401k Sponsoring company profile

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

Company Name:BEHAVIORALLY
Employer identification number (EIN):270173262
NAIC Classification:541910
NAIC Description:Marketing Research and Public Opinion Polling

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PERCEPTION RESEARCH SERVICES INC TRAVEL ACCIDENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5092022-03-07JANETTE WILLIAMSON2024-01-12
5092021-03-07JOSE BALAREZO2022-10-29
5092020-03-07MELISSA PAGANO2021-07-16
5092019-03-07MELISSA PAGANO2020-10-16
5092015-03-07SUSAN MAUEL

Plan Statistics for PERCEPTION RESEARCH SERVICES INC TRAVEL ACCIDENT PLAN

401k plan membership statisitcs for PERCEPTION RESEARCH SERVICES INC TRAVEL ACCIDENT PLAN

Measure Date Value
2022: PERCEPTION RESEARCH SERVICES INC TRAVEL ACCIDENT PLAN 2022 401k membership
Total participants, beginning-of-year2022-03-07184
Total number of active participants reported on line 7a of the Form 55002022-03-07184
Number of retired or separated participants receiving benefits2022-03-070
Number of other retired or separated participants entitled to future benefits2022-03-070
Total of all active and inactive participants2022-03-07184
Number of employers contributing to the scheme2022-03-070
2021: PERCEPTION RESEARCH SERVICES INC TRAVEL ACCIDENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-03-07184
Total number of active participants reported on line 7a of the Form 55002021-03-07184
Number of retired or separated participants receiving benefits2021-03-070
Number of other retired or separated participants entitled to future benefits2021-03-070
Total of all active and inactive participants2021-03-07184
Number of employers contributing to the scheme2021-03-070
2020: PERCEPTION RESEARCH SERVICES INC TRAVEL ACCIDENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-03-07184
Total number of active participants reported on line 7a of the Form 55002020-03-07184
Number of retired or separated participants receiving benefits2020-03-070
Number of other retired or separated participants entitled to future benefits2020-03-070
Total of all active and inactive participants2020-03-07184
Number of employers contributing to the scheme2020-03-070
2019: PERCEPTION RESEARCH SERVICES INC TRAVEL ACCIDENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-03-07184
Total number of active participants reported on line 7a of the Form 55002019-03-07184
Number of retired or separated participants receiving benefits2019-03-070
Number of other retired or separated participants entitled to future benefits2019-03-070
Total of all active and inactive participants2019-03-07184
Number of employers contributing to the scheme2019-03-070
2015: PERCEPTION RESEARCH SERVICES INC TRAVEL ACCIDENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-03-07137
Total number of active participants reported on line 7a of the Form 55002015-03-07154
Number of retired or separated participants receiving benefits2015-03-070
Number of other retired or separated participants entitled to future benefits2015-03-070
Total of all active and inactive participants2015-03-07154

Form 5500 Responses for PERCEPTION RESEARCH SERVICES INC TRAVEL ACCIDENT PLAN

2022: PERCEPTION RESEARCH SERVICES INC TRAVEL ACCIDENT PLAN 2022 form 5500 responses
2022-03-07Type of plan entitySingle employer plan
2022-03-07Plan funding arrangement – InsuranceYes
2022-03-07Plan benefit arrangement – InsuranceYes
2021: PERCEPTION RESEARCH SERVICES INC TRAVEL ACCIDENT PLAN 2021 form 5500 responses
2021-03-07Type of plan entitySingle employer plan
2021-03-07Plan funding arrangement – InsuranceYes
2021-03-07Plan benefit arrangement – InsuranceYes
2020: PERCEPTION RESEARCH SERVICES INC TRAVEL ACCIDENT PLAN 2020 form 5500 responses
2020-03-07Type of plan entitySingle employer plan
2020-03-07Plan funding arrangement – InsuranceYes
2020-03-07Plan benefit arrangement – InsuranceYes
2019: PERCEPTION RESEARCH SERVICES INC TRAVEL ACCIDENT PLAN 2019 form 5500 responses
2019-03-07Type of plan entitySingle employer plan
2019-03-07Plan funding arrangement – InsuranceYes
2019-03-07Plan benefit arrangement – InsuranceYes
2015: PERCEPTION RESEARCH SERVICES INC TRAVEL ACCIDENT PLAN 2015 form 5500 responses
2015-03-07Type of plan entitySingle employer plan
2015-03-07Submission has been amendedNo
2015-03-07This submission is the final filingNo
2015-03-07This return/report is a short plan year return/report (less than 12 months)No
2015-03-07Plan is a collectively bargained planNo
2015-03-07Plan funding arrangement – InsuranceYes
2015-03-07Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberETB119198
Policy instance 1
Insurance contract or identification numberETB119198
Number of Individuals Covered184
Insurance policy start date2022-03-07
Insurance policy end date2023-03-06
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $31
Other welfare benefits providedBUSINESS TRAVEL ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees31
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberETB119198
Policy instance 1
Insurance contract or identification numberETB119198
Number of Individuals Covered184
Insurance policy start date2021-03-07
Insurance policy end date2022-03-06
Total amount of commissions paid to insurance brokerUSD $264
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedBUSINESS TRAVEL ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $1,759
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $264
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberETB119198
Policy instance 1
Insurance contract or identification numberETB119198
Number of Individuals Covered184
Insurance policy start date2020-03-07
Insurance policy end date2021-03-06
Total amount of commissions paid to insurance brokerUSD $264
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedBUSINESS TRAVEL ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $1,759
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $264
Amount paid for insurance broker fees0
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberETB119198
Policy instance 1
Insurance contract or identification numberETB119198
Number of Individuals Covered184
Insurance policy start date2019-03-07
Insurance policy end date2020-03-06
Total amount of commissions paid to insurance brokerUSD $264
Total amount of fees paid to insurance companyUSD $70
Other welfare benefits providedBUSINESS TRAVEL ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $1,759
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $264
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBONUS
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberETB-119198
Policy instance 1
Insurance contract or identification numberETB-119198
Number of Individuals Covered154
Insurance policy start date2015-03-07
Insurance policy end date2016-03-06
Total amount of commissions paid to insurance brokerUSD $264
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedBUSINESS TRAVEL ACCIDENT
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 $1,759
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $264
Insurance broker organization code?3
Insurance broker nameDANIEL COMPAIN

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