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| Plan Name | SAMSUNG GLOBAL SLC AMERICA, INC. DBA SAMSUNG SDS AMERICA, INC. HEALTH PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | SAMSUNG SDS AMERICA, INC. |
| Employer identification number (EIN): | 770453818 |
| NAIC Classification: | 334200 |
Additional information about SAMSUNG SDS AMERICA, INC.
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 2016-07-01 |
| Company Identification Number: | 0802463182 |
| Legal Registered Office Address: |
100 CHALLENGER RD STE 601 RIDGEFIELD PK United States of America (USA) 07660 |
More information about SAMSUNG SDS AMERICA, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2024-01-01 | MJ CHOI | |||
| 502 | 2023-01-01 | ||||
| 502 | 2023-01-01 | MJ CHOI | |||
| 502 | 2023-01-01 | MJ CHOI | |||
| 502 | 2022-01-01 | ||||
| 502 | 2022-01-01 | MJ CHOI | |||
| 502 | 2021-01-01 | ||||
| 502 | 2021-01-01 | ||||
| 502 | 2021-01-01 | MJ CHOI |
| 2023: SAMSUNG GLOBAL SLC AMERICA, INC. DBA SAMSUNG SDS AMERICA, INC. HEALTH PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Submission has been amended | Yes |
| 2023-01-01 | This submission is the final filing | No |
| 2023-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2023-01-01 | Plan is a collectively bargained plan | No |
| 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 |
| 2022: SAMSUNG GLOBAL SLC AMERICA, INC. DBA SAMSUNG SDS AMERICA, INC. HEALTH PLAN 2022 form 5500 responses | ||
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Submission has been amended | Yes |
| 2022-01-01 | This submission is the final filing | No |
| 2022-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-01-01 | Plan is a collectively bargained plan | No |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2021: SAMSUNG GLOBAL SLC AMERICA, INC. DBA SAMSUNG SDS AMERICA, INC. HEALTH PLAN 2021 form 5500 responses | ||
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Submission has been amended | No |
| 2021-01-01 | This submission is the final filing | No |
| 2021-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-01-01 | Plan is a collectively bargained plan | No |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 2500100,3337747 | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||
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| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 2500100,3337747 | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 2500100,3337747 | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||
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