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SIE HOLDINGS, INC. SECTION 125 CAFETERIA PLAN 401k Plan overview

Plan NameSIE HOLDINGS, INC. SECTION 125 CAFETERIA PLAN
Plan identification number 501

SIE HOLDINGS, INC. SECTION 125 CAFETERIA 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

401k Sponsoring company profile

SIE HOLDINGS INC has sponsored the creation of one or more 401k plans.

Company Name:SIE HOLDINGS INC
Employer identification number (EIN):871317918
NAIC Classification:423800

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SIE HOLDINGS, INC. SECTION 125 CAFETERIA PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01
5012022-01-01

Plan Statistics for SIE HOLDINGS, INC. SECTION 125 CAFETERIA PLAN

401k plan membership statisitcs for SIE HOLDINGS, INC. SECTION 125 CAFETERIA PLAN

Measure Date Value
2023: SIE HOLDINGS, INC. SECTION 125 CAFETERIA PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01483
Total number of active participants reported on line 7a of the Form 55002023-01-01519
Total of all active and inactive participants2023-01-01519
Total participants2023-01-01519
2022: SIE HOLDINGS, INC. SECTION 125 CAFETERIA PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01408
Total number of active participants reported on line 7a of the Form 55002022-01-01483
Total of all active and inactive participants2022-01-01483
Total participants2022-01-01483

Form 5500 Responses for SIE HOLDINGS, INC. SECTION 125 CAFETERIA PLAN

2023: SIE HOLDINGS, INC. SECTION 125 CAFETERIA PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01This submission is the final filingYes
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – General assets of the sponsorYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – General assets of the sponsorYes
2022: SIE HOLDINGS, INC. SECTION 125 CAFETERIA PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00580195
Policy instance 1
Insurance contract or identification number00580195
Number of Individuals Covered519
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $24,444
Total amount of fees paid to insurance companyUSD $2,526
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $746,260
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberEXRK
Policy instance 2
Insurance contract or identification numberEXRK
Number of Individuals Covered792
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $39,412
Total amount of fees paid to insurance companyUSD $60,940
Welfare Benefit Premiums Paid to CarrierUSD $998,999
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00580195
Policy instance 1
Insurance contract or identification number00580195
Number of Individuals Covered451
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $20,775
Total amount of fees paid to insurance companyUSD $2,714
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $675,393
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,775
Amount paid for insurance broker fees2714
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number942956
Policy instance 2
Insurance contract or identification number942956
Number of Individuals Covered483
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $57,893
Total amount of fees paid to insurance companyUSD $25,451
Welfare Benefit Premiums Paid to CarrierUSD $1,157,853
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $57,893
Amount paid for insurance broker fees25451
Additional information about fees paid to insurance brokerBONUSES AND ADDITIONAL PAYMENTS
Insurance broker organization code?3

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