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OTICS USA, INC. WELFARE BENEFITS WRAP PLAN 401k Plan overview

Plan NameOTICS USA, INC. WELFARE BENEFITS WRAP PLAN
Plan identification number 501

OTICS USA, INC. WELFARE BENEFITS WRAP PLAN 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)

401k Sponsoring company profile

OTICS USA, INC. has sponsored the creation of one or more 401k plans.

Company Name:OTICS USA, INC.
Employer identification number (EIN):621862921
NAIC Classification:336300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OTICS USA, INC. WELFARE BENEFITS WRAP PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-07-01CHARLOTTE JENNELLE
5012022-07-01
5012022-07-01CHARLOTTE JENNELLE
5012021-07-01
5012021-07-01CHARLOTTE JENNELLE
5012020-07-01
5012019-07-01
5012018-07-01
5012017-07-01KRISTIE DAWN MATTHEWS
5012016-07-01KRISTIE DAWN MATTHEWS
5012015-07-01CHARLOTTE LYNN JENNELLE
5012014-06-15CHARLOTTE LYNN JENNELLE
5012013-06-15CHARLOTTE LYNN JENNELLE
5012012-06-15CHARLOTTE LYNN JENNELLE
5012011-06-15CHARLOTTE LYNN JENNELLE
5012010-06-15CHARLOTTE LYNN JENNELLE
5012009-06-15CHARLOTTE LYNN JENNELLE
5012008-06-15

Form 5500 Responses for OTICS USA, INC. WELFARE BENEFITS WRAP PLAN

2022: OTICS USA, INC. WELFARE BENEFITS WRAP PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Submission has been amendedNo
2022-07-01This submission is the final filingNo
2022-07-01This return/report is a short plan year return/report (less than 12 months)No
2022-07-01Plan is a collectively bargained planNo
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – InsuranceYes
2021: OTICS USA, INC. WELFARE BENEFITS WRAP PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes
2020: OTICS USA, INC. WELFARE BENEFITS WRAP PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planNo
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes
2019: OTICS USA, INC. WELFARE BENEFITS WRAP PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planNo
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – InsuranceYes
2018: OTICS USA, INC. WELFARE BENEFITS WRAP PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planNo
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes
2017: OTICS USA, INC. WELFARE BENEFITS WRAP PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2016: OTICS USA, INC. WELFARE BENEFITS WRAP PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: OTICS USA, INC. WELFARE BENEFITS WRAP PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: OTICS USA, INC. WELFARE BENEFITS WRAP PLAN 2014 form 5500 responses
2014-06-15Type of plan entitySingle employer plan
2014-06-15Submission has been amendedNo
2014-06-15This submission is the final filingNo
2014-06-15This return/report is a short plan year return/report (less than 12 months)No
2014-06-15Plan is a collectively bargained planNo
2014-06-15Plan funding arrangement – InsuranceYes
2014-06-15Plan benefit arrangement – InsuranceYes
2013: OTICS USA, INC. WELFARE BENEFITS WRAP PLAN 2013 form 5500 responses
2013-06-15Type of plan entitySingle employer plan
2013-06-15Submission has been amendedNo
2013-06-15This submission is the final filingNo
2013-06-15This return/report is a short plan year return/report (less than 12 months)No
2013-06-15Plan is a collectively bargained planNo
2013-06-15Plan funding arrangement – InsuranceYes
2013-06-15Plan benefit arrangement – InsuranceYes
2012: OTICS USA, INC. WELFARE BENEFITS WRAP PLAN 2012 form 5500 responses
2012-06-15Type of plan entitySingle employer plan
2012-06-15Submission has been amendedNo
2012-06-15This submission is the final filingNo
2012-06-15This return/report is a short plan year return/report (less than 12 months)No
2012-06-15Plan is a collectively bargained planNo
2012-06-15Plan funding arrangement – InsuranceYes
2012-06-15Plan benefit arrangement – InsuranceYes
2011: OTICS USA, INC. WELFARE BENEFITS WRAP PLAN 2011 form 5500 responses
2011-06-15Type of plan entitySingle employer plan
2011-06-15Submission has been amendedNo
2011-06-15This submission is the final filingNo
2011-06-15This return/report is a short plan year return/report (less than 12 months)No
2011-06-15Plan is a collectively bargained planNo
2011-06-15Plan funding arrangement – InsuranceYes
2011-06-15Plan benefit arrangement – InsuranceYes
2010: OTICS USA, INC. WELFARE BENEFITS WRAP PLAN 2010 form 5500 responses
2010-06-15Type of plan entitySingle employer plan
2010-06-15Submission has been amendedNo
2010-06-15This submission is the final filingNo
2010-06-15This return/report is a short plan year return/report (less than 12 months)No
2010-06-15Plan is a collectively bargained planNo
2010-06-15Plan funding arrangement – InsuranceYes
2010-06-15Plan benefit arrangement – InsuranceYes
2009: OTICS USA, INC. WELFARE BENEFITS WRAP PLAN 2009 form 5500 responses
2009-06-15Type of plan entitySingle employer plan
2009-06-15Submission has been amendedNo
2009-06-15This submission is the final filingNo
2009-06-15This return/report is a short plan year return/report (less than 12 months)No
2009-06-15Plan is a collectively bargained planNo
2009-06-15Plan funding arrangement – InsuranceYes
2009-06-15Plan benefit arrangement – InsuranceYes
2008: OTICS USA, INC. WELFARE BENEFITS WRAP PLAN 2008 form 5500 responses
2008-06-15Type of plan entitySingle employer plan
2008-06-15Submission has been amendedYes
2008-06-15This submission is the final filingNo
2008-06-15This return/report is a short plan year return/report (less than 12 months)No
2008-06-15Plan is a collectively bargained planNo

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1054488
Policy instance 2
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number104685
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1054488
Policy instance 2
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number104685
Policy instance 1
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number104685
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1054488
Policy instance 2
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1054488
Policy instance 2
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number104685
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1054488
Policy instance 2
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number104685
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1054488
Policy instance 2
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number104685
Policy instance 1
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number104685
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1054488
Policy instance 2
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50003350
Policy instance 4
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number104685
Policy instance 1
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50003350
Policy instance 2
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50003350
Policy instance 3
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50003350
Policy instance 3
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50003350
Policy instance 2
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number104685
Policy instance 1
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50003350
Policy instance 4
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number104685
Policy instance 1
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50003350
Policy instance 2
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50003350
Policy instance 3
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50003350
Policy instance 4
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number101175601
Policy instance 4
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number101175601
Policy instance 3
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number101175601
Policy instance 2
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number104685
Policy instance 1
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number104685
Policy instance 1
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number1104685
Policy instance 2
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number1104685
Policy instance 3
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number1104685
Policy instance 4

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