401k Plan data: GENERAL INFORMATICS LABOR, LLC HEALTH AND WELFARE PLAN plan

GENERAL INFORMATICS LABOR, LLC HEALTH AND WELFARE PLAN 401k Plan overview

Plan Name	GENERAL INFORMATICS LABOR, LLC HEALTH AND WELFARE PLAN
Plan identification number	501

GENERAL INFORMATICS LABOR, LLC HEALTH AND WELFARE 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 Other welfare benefit cover

401k Sponsoring company profile

GENERAL INFORMATICS LABOR, LLC has sponsored the creation of one or more 401k plans.

Company Name: GENERAL INFORMATICS LABOR, LLC

Employer identification number (EIN): 874655322

NAIC Classification: 541512
NAIC Description: Computer Systems Design Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GENERAL INFORMATICS LABOR, LLC HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-02-01

Plan Statistics for GENERAL INFORMATICS LABOR, LLC HEALTH AND WELFARE PLAN

401k plan membership statisitcs for GENERAL INFORMATICS LABOR, LLC HEALTH AND WELFARE PLAN

Measure Date Value
2023: GENERAL INFORMATICS LABOR, LLC HEALTH AND WELFARE PLAN 2023 401k membership
Total participants, beginning-of-year 2023-02-01 160
Total number of active participants reported on line 7a of the Form 5500 2023-02-01 146
Number of retired or separated participants receiving benefits 2023-02-01 0
Total of all active and inactive participants 2023-02-01 146
Total participants 2023-02-01 146

Measure	Date	Value
2023: GENERAL INFORMATICS LABOR, LLC HEALTH AND WELFARE PLAN 2023 401k membership
Total participants, beginning-of-year	2023-02-01	160
Total number of active participants reported on line 7a of the Form 5500	2023-02-01	146
Number of retired or separated participants receiving benefits	2023-02-01	0
Total of all active and inactive participants	2023-02-01	146
Total participants	2023-02-01	146

Form 5500 Responses for GENERAL INFORMATICS LABOR, LLC HEALTH AND WELFARE PLAN

2023: GENERAL INFORMATICS LABOR, LLC HEALTH AND WELFARE PLAN 2023 form 5500 responses
2023-02-01	Type of plan entity	Single employer plan
2023-02-01	Submission has been amended	No
2023-02-01	This submission is the final filing	No
2023-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2023-02-01	Plan is a collectively bargained plan	No
2023-02-01	Plan funding arrangement – Insurance	Yes
2023-02-01	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

115419

Policy instance

Insurance contract or identification number	115419
Number of Individuals Covered	324
Insurance policy start date	2023-02-01
Insurance policy end date	2024-01-31
Total amount of commissions paid to insurance broker	USD $23,090
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
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
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENT, AD&D
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $207,233
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )

Policy contract number

26C17ERC

Policy instance

Insurance contract or identification number	26C17ERC
Number of Individuals Covered	312
Insurance policy start date	2023-02-01
Insurance policy end date	2024-01-31
Total amount of commissions paid to insurance broker	USD $57,675
Total amount of fees paid to insurance company	USD $11,558
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

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Company Name:	GENERAL INFORMATICS LABOR, LLC
Employer identification number (EIN):	874655322
NAIC Classification:	541512
NAIC Description:	Computer Systems Design Services