401k Plan data: ZIGNEGO COMPANY, INC. EMPLOYEE BENEFITS PLAN plan

ZIGNEGO COMPANY, INC. EMPLOYEE BENEFITS PLAN 401k Plan overview

Plan Name	ZIGNEGO COMPANY, INC. EMPLOYEE BENEFITS PLAN
Plan identification number	501

ZIGNEGO COMPANY, INC. EMPLOYEE BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Vision

401k Sponsoring company profile

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

Company Name: ZIGNEGO COMPANY, INC.

Employer identification number (EIN): 391370256

NAIC Classification: 238100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ZIGNEGO COMPANY, INC. EMPLOYEE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-07-01

Plan Statistics for ZIGNEGO COMPANY, INC. EMPLOYEE BENEFITS PLAN

401k plan membership statisitcs for ZIGNEGO COMPANY, INC. EMPLOYEE BENEFITS PLAN

Measure Date Value
2023: ZIGNEGO COMPANY, INC. EMPLOYEE BENEFITS PLAN 2023 401k membership
Total participants, beginning-of-year 2023-07-01 102
Total number of active participants reported on line 7a of the Form 5500 2023-07-01 88
Number of retired or separated participants receiving benefits 2023-07-01 1
Number of other retired or separated participants entitled to future benefits 2023-07-01 0
Total of all active and inactive participants 2023-07-01 89

Measure	Date	Value
2023: ZIGNEGO COMPANY, INC. EMPLOYEE BENEFITS PLAN 2023 401k membership
Total participants, beginning-of-year	2023-07-01	102
Total number of active participants reported on line 7a of the Form 5500	2023-07-01	88
Number of retired or separated participants receiving benefits	2023-07-01	1
Number of other retired or separated participants entitled to future benefits	2023-07-01	0
Total of all active and inactive participants	2023-07-01	89

Form 5500 Responses for ZIGNEGO COMPANY, INC. EMPLOYEE BENEFITS PLAN

2023: ZIGNEGO COMPANY, INC. EMPLOYEE BENEFITS PLAN 2023 form 5500 responses
2023-07-01	Type of plan entity	Single employer plan
2023-07-01	First time form 5500 has been submitted	Yes
2023-07-01	Submission has been amended	No
2023-07-01	This submission is the final filing	No
2023-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2023-07-01	Plan is a collectively bargained plan	No
2023-07-01	Plan funding arrangement – Insurance	Yes
2023-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF WISCONSIN (National Association of Insurance Commissioners NAIC id number: 54003 )

Policy contract number

L08433

Policy instance

Insurance contract or identification number	L08433
Number of Individuals Covered	89
Insurance policy start date	2023-07-01
Insurance policy end date	2024-06-30
Total amount of commissions paid to insurance broker	USD $46,233
Total amount of fees paid to insurance company	USD $3,967
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $590,505
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

COMPCARE HEALTH SERVICES INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 95693 )

Policy contract number

L08433

Policy instance

Insurance contract or identification number	L08433
Number of Individuals Covered	41
Insurance policy start date	2023-07-01
Insurance policy end date	2024-06-30
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $802,780
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	ZIGNEGO COMPANY, INC.
Employer identification number (EIN):	391370256
NAIC Classification:	238100