401k Plan data: ELITECHGROUP, INC. HEALTH AND WELFARE BENEFIT PLAN plan

ELITECHGROUP, INC. HEALTH AND WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	ELITECHGROUP, INC. HEALTH AND WELFARE BENEFIT PLAN
Plan identification number	502

ELITECHGROUP, INC. HEALTH AND 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

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

Company Name: ELITECHGROUP, INC

Employer identification number (EIN): 870284733

NAIC Classification: 621510
NAIC Description: Medical and Diagnostic Laboratories

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ELITECHGROUP, INC. HEALTH AND WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2023-01-01 TED JOHNSON 2024-10-08

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
502	2023-01-01	TED JOHNSON	2024-10-08

Form 5500 Responses for ELITECHGROUP, INC. HEALTH AND WELFARE BENEFIT PLAN

2023: ELITECHGROUP, INC. HEALTH AND 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 benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

REGENCE BLUECROSS BLUESHIELD OF UTAH (National Association of Insurance Commissioners NAIC id number: 54550 )

Policy contract number

10055028

Policy instance

Insurance contract or identification number	10055028
Number of Individuals Covered	301
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $40,934
Total amount of fees paid to insurance company	USD $7,420
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,365,317
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

1032181

Policy instance

Insurance contract or identification number	1032181
Number of Individuals Covered	405
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $34,623
Total amount of fees paid to insurance company	USD $4,610
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $240,814
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TELADOC (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

138722

Policy instance

Insurance contract or identification number	138722
Number of Individuals Covered	46
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	TELEHEALTH
Welfare Benefit Premiums Paid to Carrier	USD $2,294
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )

Policy contract number

E4937280

Policy instance

Insurance contract or identification number	E4937280
Number of Individuals Covered	19
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $3,657
Total amount of fees paid to insurance company	USD $281
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $15,804
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	ELITECHGROUP, INC
Employer identification number (EIN):	870284733
NAIC Classification:	621510
NAIC Description:	Medical and Diagnostic Laboratories