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PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT ANCILLARY PLANS 401k Plan overview

Plan NamePEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT ANCILLARY PLANS
Plan identification number 501

PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT ANCILLARY PLANS Benefits

401k Plan TypeWelfare 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
  • 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.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

PEGATRON TECHNOLOGY SERVICE, INC has sponsored the creation of one or more 401k plans.

Company Name:PEGATRON TECHNOLOGY SERVICE, INC
Employer identification number (EIN):611384193
NAIC Classification:811210
NAIC Description: Electronic and Precision Equipment Repair and Maintenance

Additional information about PEGATRON TECHNOLOGY SERVICE, INC

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 3355643

More information about PEGATRON TECHNOLOGY SERVICE, INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT ANCILLARY PLANS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-10-01LUINA LUONG2025-01-17
5012020-10-01SHENG-CHO (SEAN) LAI2022-02-25
5012019-10-01SHENG-CHO (SEAN) LAI2021-07-13
5012018-10-01SHENG-CHO LAI2020-09-15
5012017-10-01SHENG-CHO LAI2020-09-15
5012016-10-01SHENG-CHO LAI2020-09-15
5012015-10-01SHENG-CHO LAI2020-09-15
5012014-10-01SHENG-CHO LAI2020-09-15
5012013-10-01SHENG-CHO LAI2020-09-15
5012012-10-01SHENG-CHO LAI2020-09-15
5012011-10-01SHENG-CHO LAI2020-09-15
5012010-10-01SHENG-CHO LAI2020-09-15
5012009-10-01SHENG-CHO LAI2020-09-15
5012008-10-01SHENG-CHO LAI2020-09-15
5012007-10-01SHENG-CHO LAI2020-09-15
5012006-10-01SHENG-CHO LAI2020-09-15
5012005-10-01SHENG-CHO LAI2020-09-15

Form 5500 Responses for PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT ANCILLARY PLANS

2023: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT ANCILLARY PLANS 2023 form 5500 responses
2023-10-01Type of plan entitySingle employer plan
2023-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2023-10-01Plan funding arrangement – InsuranceYes
2023-10-01Plan benefit arrangement – InsuranceYes
2020: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT ANCILLARY PLANS 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – InsuranceYes
2019: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT ANCILLARY PLANS 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – InsuranceYes
2018: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT ANCILLARY PLANS 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – InsuranceYes
2017: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT ANCILLARY PLANS 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – InsuranceYes
2016: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT ANCILLARY PLANS 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – InsuranceYes
2015: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT ANCILLARY PLANS 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – InsuranceYes
2014: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT ANCILLARY PLANS 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – InsuranceYes
2013: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT ANCILLARY PLANS 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan benefit arrangement – InsuranceYes
2012: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT ANCILLARY PLANS 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan benefit arrangement – InsuranceYes
2011: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT ANCILLARY PLANS 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan benefit arrangement – InsuranceYes
2010: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT ANCILLARY PLANS 2010 form 5500 responses
2010-10-01Type of plan entitySingle employer plan
2010-10-01Plan funding arrangement – InsuranceYes
2010-10-01Plan benefit arrangement – InsuranceYes
2009: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT ANCILLARY PLANS 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan benefit arrangement – InsuranceYes
2008: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT ANCILLARY PLANS 2008 form 5500 responses
2008-10-01Type of plan entitySingle employer plan
2008-10-01Plan funding arrangement – InsuranceYes
2008-10-01Plan benefit arrangement – InsuranceYes
2007: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT ANCILLARY PLANS 2007 form 5500 responses
2007-10-01Type of plan entitySingle employer plan
2007-10-01Plan funding arrangement – InsuranceYes
2007-10-01Plan benefit arrangement – InsuranceYes
2006: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT ANCILLARY PLANS 2006 form 5500 responses
2006-10-01Type of plan entitySingle employer plan
2006-10-01Plan funding arrangement – InsuranceYes
2006-10-01Plan benefit arrangement – InsuranceYes
2005: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT ANCILLARY PLANS 2005 form 5500 responses
2005-10-01Type of plan entitySingle employer plan
2005-10-01First time form 5500 has been submittedYes
2005-10-01Plan funding arrangement – InsuranceYes
2005-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract numberL08331
Policy instance 3
Insurance contract or identification numberL08331
Number of Individuals Covered115
Insurance policy start date2023-06-01
Insurance policy end date2024-05-31
Total amount of commissions paid to insurance brokerUSD $26,697
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $717,309
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberG00614336
Policy instance 2
Insurance contract or identification numberG00614336
Number of Individuals Covered135
Insurance policy start date2023-06-01
Insurance policy end date2024-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )
Policy contract number626121
Policy instance 1
Insurance contract or identification number626121
Number of Individuals Covered135
Insurance policy start date2023-10-01
Insurance policy end date2024-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract number626121
Policy instance 4
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract number626121
Policy instance 3
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG00614336
Policy instance 2
HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )
Policy contract number626121
Policy instance 1
HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )
Policy contract number626121
Policy instance 1
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG00614336
Policy instance 2
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract number626121
Policy instance 3
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract number626121
Policy instance 4
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract number626121
Policy instance 3
HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )
Policy contract number626121
Policy instance 1
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG00614336
Policy instance 2
HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )
Policy contract number626121
Policy instance 1
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG00614336
Policy instance 2
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract number626121
Policy instance 3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10133762
Policy instance 4
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract number626121
Policy instance 3
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract number614336
Policy instance 2
HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )
Policy contract number626121
Policy instance 1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10133762
Policy instance 4
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract number626121
Policy instance 3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number626121
Policy instance 2
HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )
Policy contract number626121
Policy instance 1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10133762
Policy instance 2
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number626121
Policy instance 1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10133762
Policy instance 2
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number626121
Policy instance 1
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number626121
Policy instance 1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10133762
Policy instance 2
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10133762
Policy instance 2
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number626121
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1001178
Policy instance 2
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number626121
Policy instance 1
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number626121
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1001178
Policy instance 2
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1001178
Policy instance 2
HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )
Policy contract number626121
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number373047
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract numberG373047
Policy instance 1

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