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SAMTEC, INC. SELF-INSURED HEALTH PLAN 401k Plan overview

Plan NameSAMTEC, INC. SELF-INSURED HEALTH PLAN
Plan identification number 502

SAMTEC, INC. SELF-INSURED HEALTH PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision

401k Sponsoring company profile

SAMTEC, INC. has sponsored the creation of one or more 401k plans.

Company Name:SAMTEC, INC.
Employer identification number (EIN):351399589
NAIC Classification:334410

Additional information about SAMTEC, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2005-11-28
Company Identification Number: 0800577122
Legal Registered Office Address: PO BOX 1147

NEW ALBANY
United States of America (USA)
47151

More information about SAMTEC, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SAMTEC, INC. SELF-INSURED HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01BETH JOHNSON2023-07-27
5022021-01-01BETH JOHNSON2022-07-27
5022020-01-01BETH JOHNSON2021-07-21
5022019-01-01TIM BURKE2020-07-13
5022018-01-01
5022017-01-01
5022016-01-01
5022015-01-01
5022014-01-01
5022013-01-01
5022012-01-01TIM BURKE
5022011-01-01TIM BURKE
5022010-01-01TIM BURKE
5022009-01-01TIM BURKE TIM BURKE2010-07-12

Plan Statistics for SAMTEC, INC. SELF-INSURED HEALTH PLAN

401k plan membership statisitcs for SAMTEC, INC. SELF-INSURED HEALTH PLAN

Measure Date Value
2022: SAMTEC, INC. SELF-INSURED HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011,869
Total number of active participants reported on line 7a of the Form 55002022-01-012,052
Number of retired or separated participants receiving benefits2022-01-0142
Total of all active and inactive participants2022-01-012,094
2021: SAMTEC, INC. SELF-INSURED HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011,582
Total number of active participants reported on line 7a of the Form 55002021-01-011,610
Number of retired or separated participants receiving benefits2021-01-0124
Total of all active and inactive participants2021-01-011,634
2020: SAMTEC, INC. SELF-INSURED HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011,572
Total number of active participants reported on line 7a of the Form 55002020-01-011,558
Number of retired or separated participants receiving benefits2020-01-0124
Total of all active and inactive participants2020-01-011,582
2019: SAMTEC, INC. SELF-INSURED HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,549
Total number of active participants reported on line 7a of the Form 55002019-01-011,550
Number of retired or separated participants receiving benefits2019-01-0122
Total of all active and inactive participants2019-01-011,572
2018: SAMTEC, INC. SELF-INSURED HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,528
Total number of active participants reported on line 7a of the Form 55002018-01-011,523
Number of retired or separated participants receiving benefits2018-01-0126
Total of all active and inactive participants2018-01-011,549
2017: SAMTEC, INC. SELF-INSURED HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,396
Total number of active participants reported on line 7a of the Form 55002017-01-011,470
Number of retired or separated participants receiving benefits2017-01-0158
Total of all active and inactive participants2017-01-011,528
2016: SAMTEC, INC. SELF-INSURED HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,252
Total number of active participants reported on line 7a of the Form 55002016-01-011,348
Number of retired or separated participants receiving benefits2016-01-0148
Total of all active and inactive participants2016-01-011,396
2015: SAMTEC, INC. SELF-INSURED HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,194
Total number of active participants reported on line 7a of the Form 55002015-01-011,237
Number of retired or separated participants receiving benefits2015-01-0115
Total of all active and inactive participants2015-01-011,252
2014: SAMTEC, INC. SELF-INSURED HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,290
Total number of active participants reported on line 7a of the Form 55002014-01-011,184
Number of retired or separated participants receiving benefits2014-01-0110
Total of all active and inactive participants2014-01-011,194
2013: SAMTEC, INC. SELF-INSURED HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01941
Total number of active participants reported on line 7a of the Form 55002013-01-011,272
Number of retired or separated participants receiving benefits2013-01-0118
Total of all active and inactive participants2013-01-011,290
2012: SAMTEC, INC. SELF-INSURED HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01820
Total number of active participants reported on line 7a of the Form 55002012-01-01941
Number of retired or separated participants receiving benefits2012-01-0113
Total of all active and inactive participants2012-01-01954
2011: SAMTEC, INC. SELF-INSURED HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01689
Total number of active participants reported on line 7a of the Form 55002011-01-01805
Number of retired or separated participants receiving benefits2011-01-0115
Total of all active and inactive participants2011-01-01820
2010: SAMTEC, INC. SELF-INSURED HEALTH PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01716
Total number of active participants reported on line 7a of the Form 55002010-01-01685
Number of retired or separated participants receiving benefits2010-01-0121
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-01706
2009: SAMTEC, INC. SELF-INSURED HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01723
Total number of active participants reported on line 7a of the Form 55002009-01-01716
Number of retired or separated participants receiving benefits2009-01-0118
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01734

Form 5500 Responses for SAMTEC, INC. SELF-INSURED HEALTH PLAN

2022: SAMTEC, INC. SELF-INSURED HEALTH PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: SAMTEC, INC. SELF-INSURED HEALTH PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: SAMTEC, INC. SELF-INSURED HEALTH PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: SAMTEC, INC. SELF-INSURED HEALTH PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: SAMTEC, INC. SELF-INSURED HEALTH PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: SAMTEC, INC. SELF-INSURED HEALTH PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: SAMTEC, INC. SELF-INSURED HEALTH PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: SAMTEC, INC. SELF-INSURED HEALTH PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: SAMTEC, INC. SELF-INSURED HEALTH PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: SAMTEC, INC. SELF-INSURED HEALTH PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: SAMTEC, INC. SELF-INSURED HEALTH PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: SAMTEC, INC. SELF-INSURED HEALTH PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: SAMTEC, INC. SELF-INSURED HEALTH PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: SAMTEC, INC. SELF-INSURED HEALTH PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

LEGALPLANS, USA (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract number
Policy instance 3
Number of Individuals Covered307
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $5,706
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedLEGAL EASE
Welfare Benefit Premiums Paid to CarrierUSD $57,056
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,706
Insurance broker organization code?3
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract numberIN2002
Policy instance 2
Insurance contract or identification numberIN2002
Number of Individuals Covered3703
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $17,932
Welfare Benefit Premiums Paid to CarrierUSD $368,266
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees17932
Additional information about fees paid to insurance brokerBONUS, OVERRIDE, NON-MONETARY COMPENSATION - EDUCATION, COMMUNICATION
Insurance broker organization code?3
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract number00110988
Policy instance 1
Insurance contract or identification number00110988
Number of Individuals Covered2052
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $206,645
Total amount of fees paid to insurance companyUSD $23,399
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,571,278
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $206,645
Amount paid for insurance broker fees23399
Additional information about fees paid to insurance brokerBONUS, OVERRIDE, NON-MONETARY COMPENSATION - EDUCATION, COMMUNICATION
Insurance broker organization code?3
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00616395
Policy instance 2
Insurance contract or identification numberG 00616395
Number of Individuals Covered1784
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $88,424
Total amount of fees paid to insurance companyUSD $17,685
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $589,495
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $88,424
Amount paid for insurance broker fees17685
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract number00110988
Policy instance 1
Insurance contract or identification number00110988
Number of Individuals Covered1781
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $69,491
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $551,667
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $69,491
Insurance broker organization code?3
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00616395
Policy instance 2
Insurance contract or identification numberG 00616395
Number of Individuals Covered1716
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $86,768
Total amount of fees paid to insurance companyUSD $17,354
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $578,454
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $86,768
Amount paid for insurance broker fees17354
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract number00110988
Policy instance 1
Insurance contract or identification number00110988
Number of Individuals Covered1686
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $77,207
Total amount of fees paid to insurance companyUSD $5,662
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $537,903
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $77,207
Amount paid for insurance broker fees5662
Additional information about fees paid to insurance brokerBONUS, OVERRIDE, AND NON-MONETARY COMPENSATION
Insurance broker organization code?3
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00616395
Policy instance 2
Insurance contract or identification numberG 00616395
Number of Individuals Covered1690
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $81,908
Total amount of fees paid to insurance companyUSD $56,077
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $546,053
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $81,908
Amount paid for insurance broker fees56077
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract number00110988
Policy instance 1
Insurance contract or identification number00110988
Number of Individuals Covered1680
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $62,993
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $557,679
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $62,993
Insurance broker organization code?3
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract number00110988
Policy instance 1
Insurance contract or identification number00110988
Number of Individuals Covered1720
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $64,022
Total amount of fees paid to insurance companyUSD $30,773
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $611,941
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $47,984
Insurance broker organization code?3
Amount paid for insurance broker fees30773
Additional information about fees paid to insurance brokerINCENTIVES, EDUCATION, COMMUNICATION, AND TRAINING.
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract number00110988
Policy instance 1
Insurance contract or identification number00110988
Number of Individuals Covered1565
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $99,096
Total amount of fees paid to insurance companyUSD $19,062
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $625,434
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $99,096
Insurance broker organization code?3
Amount paid for insurance broker fees19062
Additional information about fees paid to insurance brokerINCENTIVES, EDUCATION, COMMUNICATION AND TRAINING
Insurance broker nameUSI INS SERVICES LLC

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