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SUPPORT SYSTEMS AND SERVICES HEALTH AND BENEFIT PLANS 401k Plan overview

Plan NameSUPPORT SYSTEMS AND SERVICES HEALTH AND BENEFIT PLANS
Plan identification number 501

SUPPORT SYSTEMS AND SERVICES HEALTH AND BENEFIT PLANS Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Death benefits (include travel accident but not life insurance)
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

SUPPORT SYSTEMS AND SERVICES INC has sponsored the creation of one or more 401k plans.

Company Name:SUPPORT SYSTEMS AND SERVICES INC
Employer identification number (EIN):431661015
NAIC Classification:541990
NAIC Description:All Other Professional, Scientific, and Technical Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SUPPORT SYSTEMS AND SERVICES HEALTH AND BENEFIT PLANS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-06-01PAM NELSON2020-09-11
5012018-06-01PAM NELSON2019-10-30
5012018-06-01PAM NELSON2020-09-11
5012017-06-01

Plan Statistics for SUPPORT SYSTEMS AND SERVICES HEALTH AND BENEFIT PLANS

401k plan membership statisitcs for SUPPORT SYSTEMS AND SERVICES HEALTH AND BENEFIT PLANS

Measure Date Value
2019: SUPPORT SYSTEMS AND SERVICES HEALTH AND BENEFIT PLANS 2019 401k membership
Total participants, beginning-of-year2019-06-01129
Total number of active participants reported on line 7a of the Form 55002019-06-0126
Number of retired or separated participants receiving benefits2019-06-010
Number of other retired or separated participants entitled to future benefits2019-06-010
Total of all active and inactive participants2019-06-0126
Number of employers contributing to the scheme2019-06-010
2018: SUPPORT SYSTEMS AND SERVICES HEALTH AND BENEFIT PLANS 2018 401k membership
Total participants, beginning-of-year2018-06-01154
Total number of active participants reported on line 7a of the Form 55002018-06-01129
Number of retired or separated participants receiving benefits2018-06-010
Number of other retired or separated participants entitled to future benefits2018-06-010
Total of all active and inactive participants2018-06-01129
Number of employers contributing to the scheme2018-06-012
2017: SUPPORT SYSTEMS AND SERVICES HEALTH AND BENEFIT PLANS 2017 401k membership
Total participants, beginning-of-year2017-06-01163
Total number of active participants reported on line 7a of the Form 55002017-06-01154
Number of retired or separated participants receiving benefits2017-06-010
Number of other retired or separated participants entitled to future benefits2017-06-010
Total of all active and inactive participants2017-06-01154
Number of employers contributing to the scheme2017-06-010

Form 5500 Responses for SUPPORT SYSTEMS AND SERVICES HEALTH AND BENEFIT PLANS

2019: SUPPORT SYSTEMS AND SERVICES HEALTH AND BENEFIT PLANS 2019 form 5500 responses
2019-06-01Type of plan entitySingle employer plan
2019-06-01Plan funding arrangement – InsuranceYes
2019-06-01Plan benefit arrangement – InsuranceYes
2018: SUPPORT SYSTEMS AND SERVICES HEALTH AND BENEFIT PLANS 2018 form 5500 responses
2018-06-01Type of plan entityMulitple employer plan
2018-06-01Submission has been amendedYes
2018-06-01Plan funding arrangement – InsuranceYes
2018-06-01Plan benefit arrangement – InsuranceYes
2017: SUPPORT SYSTEMS AND SERVICES HEALTH AND BENEFIT PLANS 2017 form 5500 responses
2017-06-01Type of plan entityMulitple employer plan
2017-06-01First time form 5500 has been submittedYes
2017-06-01Plan funding arrangement – InsuranceYes
2017-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number424776
Policy instance 1
Insurance contract or identification number424776
Number of Individuals Covered26
Insurance policy start date2019-06-01
Insurance policy end date2020-05-31
Total amount of commissions paid to insurance brokerUSD $59
Total amount of fees paid to insurance companyUSD $29
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $588
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $59
Amount paid for insurance broker fees29
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract numberOU6595
Policy instance 2
Insurance contract or identification numberOU6595
Number of Individuals Covered18
Insurance policy start date2019-06-01
Insurance policy end date2020-05-31
Total amount of commissions paid to insurance brokerUSD $7,743
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $151,509
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,743
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number424776
Policy instance 1
Insurance contract or identification number424776
Number of Individuals Covered129
Insurance policy start date2018-06-01
Insurance policy end date2019-05-31
Total amount of commissions paid to insurance brokerUSD $144
Total amount of fees paid to insurance companyUSD $72
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,318
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $144
Amount paid for insurance broker fees72
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract numberOU6595
Policy instance 2
Insurance contract or identification numberOU6595
Number of Individuals Covered56
Insurance policy start date2018-06-01
Insurance policy end date2019-05-31
Total amount of commissions paid to insurance brokerUSD $14,865
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $304,878
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,865
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number424776
Policy instance 1
Insurance contract or identification number424776
Number of Individuals Covered154
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $393
Total amount of fees paid to insurance companyUSD $96
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $2,054
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $393
Amount paid for insurance broker fees96
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
Insurance broker namePAYCHEX INSURANCE AGENCY, INC.
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number659827
Policy instance 2
Insurance contract or identification number659827
Number of Individuals Covered63
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $15,302
Total amount of fees paid to insurance companyUSD $176
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $267,906
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,302
Amount paid for insurance broker fees176
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker namePAYCHEX INSURANCE AGENCY, INC

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