401k Plan data: SOLIDCORE BENEFIT PLAN plan

SOLIDCORE BENEFIT PLAN 401k Plan overview

Plan Name	SOLIDCORE BENEFIT PLAN
Plan identification number	501

SOLIDCORE 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)

401k Sponsoring company profile

SOLIDCORE has sponsored the creation of one or more 401k plans.

Company Name: SOLIDCORE

Employer identification number (EIN): 822889061

NAIC Classification: 713900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOLIDCORE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-01-01 MEGAN BAUER 2024-06-21
501 2022-01-01 ERIKA RAMIREZ 2023-07-26

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2023-01-01	MEGAN BAUER	2024-06-21
501	2022-01-01	ERIKA RAMIREZ	2023-07-26

Form 5500 Responses for SOLIDCORE BENEFIT PLAN

2023: SOLIDCORE BENEFIT PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2022: SOLIDCORE BENEFIT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	First time form 5500 has been submitted	Yes
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1150653

Policy instance

Insurance contract or identification number	1150653
Number of Individuals Covered	275
Insurance policy start date	2023-01-01
Insurance policy end date	2023-10-31
Total amount of commissions paid to insurance broker	USD $8,508
Total amount of fees paid to insurance company	USD $21,769
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
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $162,393
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

1L2886

Policy instance

Insurance contract or identification number	1L2886
Number of Individuals Covered	144
Insurance policy start date	2023-01-01
Insurance policy end date	2023-10-31
Total amount of commissions paid to insurance broker	USD $23,580
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $579,571
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1150653

Policy instance

Insurance contract or identification number	1150653
Number of Individuals Covered	207
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $15,782
Total amount of fees paid to insurance company	USD $0
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
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $147,988
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

1L2886

Policy instance

Insurance contract or identification number	1L2886
Number of Individuals Covered	117
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $27,100
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $604,607
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	SOLIDCORE
Employer identification number (EIN):	822889061
NAIC Classification:	713900