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| Plan Name | NIC INFO TEK, INC. WELFARE BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | NIC INFO TEK, INC. |
| Employer identification number (EIN): | 432053994 |
| NAIC Classification: | 519100 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2017-12-01 | ||||
| 501 | 2016-12-01 | SUDHIR VEMURI | |||
| 501 | 2015-12-01 | SUDHIR VEMURI |
| Measure | Date | Value |
|---|---|---|
| 2017: NIC INFO TEK, INC. WELFARE BENEFIT PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-12-01 | 113 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-12-01 | 98 |
| Total of all active and inactive participants | 2017-12-01 | 98 |
| 2016: NIC INFO TEK, INC. WELFARE BENEFIT PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-12-01 | 137 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-12-01 | 121 |
| Total of all active and inactive participants | 2016-12-01 | 121 |
| 2015: NIC INFO TEK, INC. WELFARE BENEFIT PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-12-01 | 126 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-12-01 | 135 |
| Total of all active and inactive participants | 2015-12-01 | 135 |
| 2017: NIC INFO TEK, INC. WELFARE BENEFIT PLAN 2017 form 5500 responses | ||
|---|---|---|
| 2017-12-01 | Type of plan entity | Single employer plan |
| 2017-12-01 | Plan funding arrangement – Insurance | Yes |
| 2017-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: NIC INFO TEK, INC. WELFARE BENEFIT PLAN 2016 form 5500 responses | ||
| 2016-12-01 | Type of plan entity | Single employer plan |
| 2016-12-01 | Plan funding arrangement – Insurance | Yes |
| 2016-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: NIC INFO TEK, INC. WELFARE BENEFIT PLAN 2015 form 5500 responses | ||
| 2015-12-01 | Type of plan entity | Single employer plan |
| 2015-12-01 | First time form 5500 has been submitted | Yes |
| 2015-12-01 | Plan funding arrangement – Insurance | Yes |
| 2015-12-01 | Plan benefit arrangement – Insurance | Yes |
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) | |||||||||||||||||||
| Policy contract number | 00047901 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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