401k Plan data: DATA.WORLD, INC. HEALTH & WELFARE BENEFIT PLAN plan

DATA.WORLD, INC. HEALTH & WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	DATA.WORLD, INC. HEALTH & WELFARE BENEFIT PLAN
Plan identification number	501

DATA.WORLD, INC. HEALTH & 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

DATA.WORLD, INC. has sponsored the creation of one or more 401k plans.

Company Name: DATA.WORLD, INC.

Employer identification number (EIN): 475115483

NAIC Classification: 541519
NAIC Description: Other Computer Related Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DATA.WORLD, INC. HEALTH & WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-01-01 MATTHEW LAESSIG 2024-06-27

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2023-01-01	MATTHEW LAESSIG	2024-06-27

Plan Statistics for DATA.WORLD, INC. HEALTH & WELFARE BENEFIT PLAN

401k plan membership statisitcs for DATA.WORLD, INC. HEALTH & WELFARE BENEFIT PLAN

Measure Date Value
2023: DATA.WORLD, INC. HEALTH & WELFARE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year 2023-01-01 125
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 127
Number of retired or separated participants receiving benefits 2023-01-01 7
Number of other retired or separated participants entitled to future benefits 2023-01-01 4
Total of all active and inactive participants 2023-01-01 138
Number of employers contributing to the scheme 2023-01-01 0

Measure	Date	Value
2023: DATA.WORLD, INC. HEALTH & WELFARE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year	2023-01-01	125
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	127
Number of retired or separated participants receiving benefits	2023-01-01	7
Number of other retired or separated participants entitled to future benefits	2023-01-01	4
Total of all active and inactive participants	2023-01-01	138
Number of employers contributing to the scheme	2023-01-01	0

Form 5500 Responses for DATA.WORLD, INC. HEALTH & WELFARE BENEFIT PLAN

2023: DATA.WORLD, INC. HEALTH & WELFARE BENEFIT PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	First time form 5500 has been submitted	Yes
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )

Policy contract number

51451

Policy instance

Insurance contract or identification number	51451
Number of Individuals Covered	37
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $7,958
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	ACCIDENT, CRITICAL ILLNESS, HOSPITAL
Welfare Benefit Premiums Paid to Carrier	USD $31,746
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

WORKERS ASSISTANCE PROGRAM (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

87095

Policy instance

Insurance contract or identification number	87095
Number of Individuals Covered	1
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $4,800
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 number

930047

Policy instance

Insurance contract or identification number	930047
Number of Individuals Covered	361
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $29,480
Total amount of fees paid to insurance company	USD $69,497
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
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
Welfare Benefit Premiums Paid to Carrier	USD $1,736,464
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	DATA.WORLD, INC.
Employer identification number (EIN):	475115483
NAIC Classification:	541519
NAIC Description:	Other Computer Related Services