401k Plan data: LIGNETICS, INC HEALTH AND WELFARE BENEFIT PLAN plan

LIGNETICS, INC HEALTH AND WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	LIGNETICS, INC HEALTH AND WELFARE BENEFIT PLAN
Plan identification number	501

LIGNETICS, INC HEALTH AND WELFARE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

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

Company Name: LIGNETICS

Employer identification number (EIN): 464354722

NAIC Classification: 321900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIGNETICS, INC HEALTH AND WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-05-01 ADAM RUPLE 2024-10-29
501 2022-05-01 ADAM RUPLE 2023-11-10
501 2021-05-01 ADAM RUPLE 2022-10-17
501 2020-05-01 MITCH LEHN 2021-09-27
501 2019-05-01 MITCH LEHN 2020-09-23
501 2017-05-01
501 2016-05-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2023-05-01	ADAM RUPLE	2024-10-29
501	2022-05-01	ADAM RUPLE	2023-11-10
501	2021-05-01	ADAM RUPLE	2022-10-17
501	2020-05-01	MITCH LEHN	2021-09-27
501	2019-05-01	MITCH LEHN	2020-09-23
501	2017-05-01
501	2016-05-01

Plan Statistics for LIGNETICS, INC HEALTH AND WELFARE BENEFIT PLAN

401k plan membership statisitcs for LIGNETICS, INC HEALTH AND WELFARE BENEFIT PLAN

Measure Date Value
2023: LIGNETICS, INC HEALTH AND WELFARE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year 2023-05-01 575
Total number of active participants reported on line 7a of the Form 5500 2023-05-01 615
Number of retired or separated participants receiving benefits 2023-05-01 5
Number of other retired or separated participants entitled to future benefits 2023-05-01 15
Total of all active and inactive participants 2023-05-01 635
Number of employers contributing to the scheme 2023-05-01 0
2022: LIGNETICS, INC HEALTH AND WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-05-01 436
Total number of active participants reported on line 7a of the Form 5500 2022-05-01 563
Number of retired or separated participants receiving benefits 2022-05-01 5
Number of other retired or separated participants entitled to future benefits 2022-05-01 7
Total of all active and inactive participants 2022-05-01 575
Number of employers contributing to the scheme 2022-05-01 0
2021: LIGNETICS, INC HEALTH AND WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-05-01 357
Total number of active participants reported on line 7a of the Form 5500 2021-05-01 403
Number of retired or separated participants receiving benefits 2021-05-01 5
Number of other retired or separated participants entitled to future benefits 2021-05-01 28
Total of all active and inactive participants 2021-05-01 436
Number of employers contributing to the scheme 2021-05-01 0
2020: LIGNETICS, INC HEALTH AND WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-05-01 390
Total number of active participants reported on line 7a of the Form 5500 2020-05-01 343
Number of retired or separated participants receiving benefits 2020-05-01 6
Number of other retired or separated participants entitled to future benefits 2020-05-01 48
Total of all active and inactive participants 2020-05-01 397
Number of employers contributing to the scheme 2020-05-01 0
2019: LIGNETICS, INC HEALTH AND WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-05-01 400
Total number of active participants reported on line 7a of the Form 5500 2019-05-01 388
Number of retired or separated participants receiving benefits 2019-05-01 6
Number of other retired or separated participants entitled to future benefits 2019-05-01 13
Total of all active and inactive participants 2019-05-01 407
Number of employers contributing to the scheme 2019-05-01 0
2017: LIGNETICS, INC HEALTH AND WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-05-01 164
Total number of active participants reported on line 7a of the Form 5500 2017-05-01 243
Number of retired or separated participants receiving benefits 2017-05-01 6
Number of other retired or separated participants entitled to future benefits 2017-05-01 6
Total of all active and inactive participants 2017-05-01 255
2016: LIGNETICS, INC HEALTH AND WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-05-01 149
Total number of active participants reported on line 7a of the Form 5500 2016-05-01 154
Number of retired or separated participants receiving benefits 2016-05-01 2
Number of other retired or separated participants entitled to future benefits 2016-05-01 8
Total of all active and inactive participants 2016-05-01 164

Measure	Date	Value
2023: LIGNETICS, INC HEALTH AND WELFARE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year	2023-05-01	575
Total number of active participants reported on line 7a of the Form 5500	2023-05-01	615
Number of retired or separated participants receiving benefits	2023-05-01	5
Number of other retired or separated participants entitled to future benefits	2023-05-01	15
Total of all active and inactive participants	2023-05-01	635
Number of employers contributing to the scheme	2023-05-01	0
2022: LIGNETICS, INC HEALTH AND WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-05-01	436
Total number of active participants reported on line 7a of the Form 5500	2022-05-01	563
Number of retired or separated participants receiving benefits	2022-05-01	5
Number of other retired or separated participants entitled to future benefits	2022-05-01	7
Total of all active and inactive participants	2022-05-01	575
Number of employers contributing to the scheme	2022-05-01	0
2021: LIGNETICS, INC HEALTH AND WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-05-01	357
Total number of active participants reported on line 7a of the Form 5500	2021-05-01	403
Number of retired or separated participants receiving benefits	2021-05-01	5
Number of other retired or separated participants entitled to future benefits	2021-05-01	28
Total of all active and inactive participants	2021-05-01	436
Number of employers contributing to the scheme	2021-05-01	0
2020: LIGNETICS, INC HEALTH AND WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-05-01	390
Total number of active participants reported on line 7a of the Form 5500	2020-05-01	343
Number of retired or separated participants receiving benefits	2020-05-01	6
Number of other retired or separated participants entitled to future benefits	2020-05-01	48
Total of all active and inactive participants	2020-05-01	397
Number of employers contributing to the scheme	2020-05-01	0
2019: LIGNETICS, INC HEALTH AND WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-05-01	400
Total number of active participants reported on line 7a of the Form 5500	2019-05-01	388
Number of retired or separated participants receiving benefits	2019-05-01	6
Number of other retired or separated participants entitled to future benefits	2019-05-01	13
Total of all active and inactive participants	2019-05-01	407
Number of employers contributing to the scheme	2019-05-01	0
2017: LIGNETICS, INC HEALTH AND WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-05-01	164
Total number of active participants reported on line 7a of the Form 5500	2017-05-01	243
Number of retired or separated participants receiving benefits	2017-05-01	6
Number of other retired or separated participants entitled to future benefits	2017-05-01	6
Total of all active and inactive participants	2017-05-01	255
2016: LIGNETICS, INC HEALTH AND WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-05-01	149
Total number of active participants reported on line 7a of the Form 5500	2016-05-01	154
Number of retired or separated participants receiving benefits	2016-05-01	2
Number of other retired or separated participants entitled to future benefits	2016-05-01	8
Total of all active and inactive participants	2016-05-01	164

Form 5500 Responses for LIGNETICS, INC HEALTH AND WELFARE BENEFIT PLAN

2023: LIGNETICS, INC HEALTH AND WELFARE BENEFIT PLAN 2023 form 5500 responses
2023-05-01	Type of plan entity	Single employer plan
2023-05-01	Plan funding arrangement – Insurance	Yes
2023-05-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-05-01	Plan benefit arrangement – Insurance	Yes
2023-05-01	Plan benefit arrangement – General assets of the sponsor	Yes
2022: LIGNETICS, INC HEALTH AND WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-05-01	Type of plan entity	Single employer plan
2022-05-01	Plan funding arrangement – Insurance	Yes
2022-05-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-05-01	Plan benefit arrangement – Insurance	Yes
2022-05-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: LIGNETICS, INC HEALTH AND WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-05-01	Type of plan entity	Single employer plan
2021-05-01	Plan funding arrangement – Insurance	Yes
2021-05-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-05-01	Plan benefit arrangement – Insurance	Yes
2021-05-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: LIGNETICS, INC HEALTH AND WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-05-01	Type of plan entity	Single employer plan
2020-05-01	Plan funding arrangement – Insurance	Yes
2020-05-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-05-01	Plan benefit arrangement – Insurance	Yes
2020-05-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: LIGNETICS, INC HEALTH AND WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-05-01	Type of plan entity	Single employer plan
2019-05-01	Plan funding arrangement – Insurance	Yes
2019-05-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-05-01	Plan benefit arrangement – Insurance	Yes
2019-05-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: LIGNETICS, INC HEALTH AND WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-05-01	Type of plan entity	Single employer plan
2017-05-01	Plan funding arrangement – Insurance	Yes
2017-05-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-05-01	Plan benefit arrangement – Insurance	Yes
2017-05-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: LIGNETICS, INC HEALTH AND WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-05-01	Type of plan entity	Single employer plan
2016-05-01	First time form 5500 has been submitted	Yes
2016-05-01	Submission has been amended	Yes
2016-05-01	This submission is the final filing	No
2016-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-05-01	Plan is a collectively bargained plan	No
2016-05-01	Plan funding arrangement – Insurance	Yes
2016-05-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-05-01	Plan benefit arrangement – Insurance	Yes
2016-05-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

144890

Policy instance

Insurance contract or identification number	144890
Number of Individuals Covered	736
Insurance policy start date	2023-05-01
Insurance policy end date	2024-04-30
Total amount of commissions paid to insurance broker	USD $16,384
Total amount of fees paid to insurance company	USD $34,292
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30082686

Policy instance

Insurance contract or identification number	30082686
Number of Individuals Covered	544
Insurance policy start date	2023-05-01
Insurance policy end date	2024-04-30
Total amount of commissions paid to insurance broker	USD $2,694
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $99,904
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

REGENCE BLUESHIELD OF IDAHO (National Association of Insurance Commissioners NAIC id number: 60131 )

Policy contract number

60004149

Policy instance

Insurance contract or identification number	60004149
Number of Individuals Covered	908
Insurance policy start date	2023-05-01
Insurance policy end date	2024-04-30
Total amount of commissions paid to insurance broker	USD $270,152
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $5,933,821
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

144890

Policy instance

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30082686

Policy instance

REGENCE BLUESHIELD OF IDAHO (National Association of Insurance Commissioners NAIC id number: 60131 )

Policy contract number

60004149

Policy instance

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

144890

Policy instance

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30082686

Policy instance

REGENCE BLUESHIELD OF IDAHO (National Association of Insurance Commissioners NAIC id number: 60131 )

Policy contract number

60004149

Policy instance

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

144890

Policy instance

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30082686

Policy instance

ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 )

Policy contract number

60004149

Policy instance

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

144890

Policy instance

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30082686

Policy instance

REGENCE BLUESHIELD OF IDAHO (National Association of Insurance Commissioners NAIC id number: 60131 )

Policy contract number

60004149

Policy instance

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

144890

Policy instance

REGENCE BLUESHIELD OF IDAHO (National Association of Insurance Commissioners NAIC id number: 60131 )

Policy contract number

60004149

Policy instance

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Company Name:	LIGNETICS
Employer identification number (EIN):	464354722
NAIC Classification:	321900