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ACI WORLDWIDE GROUP MEDICAL PLAN 401k Plan overview

Plan NameACI WORLDWIDE GROUP MEDICAL PLAN
Plan identification number 501

ACI WORLDWIDE GROUP MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

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

Company Name:ACI WORLDWIDE, INC.
Employer identification number (EIN):470772104
NAIC Classification:541519
NAIC Description:Other Computer Related Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ACI WORLDWIDE GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012018-01-01
5012017-01-01TRACY DIRKS
5012016-01-01MICHELE ANDERSON
5012015-01-01MICHELE ANDERSON
5012014-01-01MICHELE ANDERSON
5012013-01-01PAUL VAN DYNE
5012012-01-01PAUL VAN DYNE
5012011-01-01PAUL VAN DYNE
5012009-01-01PAUL VAN DYNE

Plan Statistics for ACI WORLDWIDE GROUP MEDICAL PLAN

401k plan membership statisitcs for ACI WORLDWIDE GROUP MEDICAL PLAN

Measure Date Value
2018: ACI WORLDWIDE GROUP MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,582
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-010
2017: ACI WORLDWIDE GROUP MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,600
Total number of active participants reported on line 7a of the Form 55002017-01-011,582
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-011,582
2016: ACI WORLDWIDE GROUP MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,904
Total number of active participants reported on line 7a of the Form 55002016-01-011,600
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-011,600
2015: ACI WORLDWIDE GROUP MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,924
Total number of active participants reported on line 7a of the Form 55002015-01-011,904
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-011,904
2014: ACI WORLDWIDE GROUP MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,969
Total number of active participants reported on line 7a of the Form 55002014-01-011,924
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-011,924
2013: ACI WORLDWIDE GROUP MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-011,418
Total number of active participants reported on line 7a of the Form 55002013-01-011,969
Total of all active and inactive participants2013-01-011,969
2012: ACI WORLDWIDE GROUP MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01760
Total number of active participants reported on line 7a of the Form 55002012-01-011,418
Total of all active and inactive participants2012-01-011,418
2011: ACI WORLDWIDE GROUP MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01725
Total number of active participants reported on line 7a of the Form 55002011-01-01760
Total of all active and inactive participants2011-01-01760
2009: ACI WORLDWIDE GROUP MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01926
Total number of active participants reported on line 7a of the Form 55002009-01-01899
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01899

Form 5500 Responses for ACI WORLDWIDE GROUP MEDICAL PLAN

2018: ACI WORLDWIDE GROUP MEDICAL PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01This submission is the final filingYes
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: ACI WORLDWIDE GROUP MEDICAL 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: ACI WORLDWIDE GROUP MEDICAL 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: ACI WORLDWIDE GROUP MEDICAL 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: ACI WORLDWIDE GROUP MEDICAL 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: ACI WORLDWIDE GROUP MEDICAL 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: ACI WORLDWIDE GROUP MEDICAL PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedYes
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: ACI WORLDWIDE GROUP MEDICAL 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
2009: ACI WORLDWIDE GROUP MEDICAL 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 – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number03226A
Policy instance 2
Insurance contract or identification number03226A
Number of Individuals Covered1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $7,568
Other welfare benefits providedMEDICAL BENEFITS ABROAD
Welfare Benefit Premiums Paid to CarrierUSD $75,676
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,568
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number212286
Policy instance 1
Insurance contract or identification number212286
Number of Individuals Covered1402
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of fees paid to insurance companyUSD $95,113
Welfare Benefit Premiums Paid to CarrierUSD $1,429,166
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees71458
Additional information about fees paid to insurance brokerOVERRIDE
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number212286
Policy instance 1
Insurance contract or identification number212286
Number of Individuals Covered1582
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of fees paid to insurance companyUSD $89,615
Welfare Benefit Premiums Paid to CarrierUSD $1,216,474
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees60824
Additional information about fees paid to insurance brokerOVERRIDE
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number212286
Policy instance 1
Insurance contract or identification number212286
Number of Individuals Covered1904
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Welfare Benefit Premiums Paid to CarrierUSD $1,093,319
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number212286
Policy instance 1
Insurance contract or identification number212286
Number of Individuals Covered1924
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Welfare Benefit Premiums Paid to CarrierUSD $1,098,532
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number212286
Policy instance 1
Insurance contract or identification number212286
Number of Individuals Covered1969
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Welfare Benefit Premiums Paid to CarrierUSD $1,016,120
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number212286
Policy instance 1
Insurance contract or identification number212286
Number of Individuals Covered1418
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Welfare Benefit Premiums Paid to CarrierUSD $715,312
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 number30022461
Policy instance 1
Insurance contract or identification number30022461
Number of Individuals Covered760
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number212286
Policy instance 2
Insurance contract or identification number212286
Number of Individuals Covered868
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $30,000
Welfare Benefit Premiums Paid to CarrierUSD $451,086
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number238917
Policy instance 1
Insurance contract or identification number238917
Number of Individuals Covered725
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $8,848
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $88,477
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,848
Insurance broker organization code?3
Insurance broker nameTHE HAYS GROUP
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number212286
Policy instance 2
Insurance contract or identification number212286
Number of Individuals Covered875
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $30,169
Welfare Benefit Premiums Paid to CarrierUSD $489,176
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,000
Insurance broker organization code?3
Insurance broker nameHAYS GROUP INC.

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