401k Plan data: PAY PLUS BENEFITS INC. HEALTH PLAN plan

PAY PLUS BENEFITS INC. HEALTH PLAN 401k Plan overview

Plan Name	PAY PLUS BENEFITS INC. HEALTH PLAN
Plan identification number	502

PAY PLUS BENEFITS INC. HEALTH 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

PAY PLUS BENEFITS INC. has sponsored the creation of one or more 401k plans.

Company Name: PAY PLUS BENEFITS INC.

Employer identification number (EIN): 911498297

NAIC Classification: 561300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PAY PLUS BENEFITS INC. HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2019-02-01
502 2017-02-01
502 2016-02-01
502 2015-02-01
502 2014-02-01 JOHN E HEATON
502 2013-02-01 JOHN E HEATON
502 2012-02-01 JOHN E HEATON
502 2011-02-01 JOHN E HEATON
502 2010-02-01 JOHN E HEATON
502 2009-02-01 JOHN E HEATON JOHN E. HEATON 2010-09-09

Plan Statistics for PAY PLUS BENEFITS INC. HEALTH PLAN

401k plan membership statisitcs for PAY PLUS BENEFITS INC. HEALTH PLAN

Measure Date Value
2019: PAY PLUS BENEFITS INC. HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year 2019-02-01 136
Total number of active participants reported on line 7a of the Form 5500 2019-02-01 137
Number of retired or separated participants receiving benefits 2019-02-01 0
Number of other retired or separated participants entitled to future benefits 2019-02-01 0
Total of all active and inactive participants 2019-02-01 137
Total participants 2019-02-01 137
2017: PAY PLUS BENEFITS INC. HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year 2017-02-01 109
Total number of active participants reported on line 7a of the Form 5500 2017-02-01 71
Number of retired or separated participants receiving benefits 2017-02-01 0
Number of other retired or separated participants entitled to future benefits 2017-02-01 0
Total of all active and inactive participants 2017-02-01 71
2016: PAY PLUS BENEFITS INC. HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year 2016-02-01 117
Total number of active participants reported on line 7a of the Form 5500 2016-02-01 110
Number of retired or separated participants receiving benefits 2016-02-01 0
Number of other retired or separated participants entitled to future benefits 2016-02-01 0
Total of all active and inactive participants 2016-02-01 110
2015: PAY PLUS BENEFITS INC. HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year 2015-02-01 108
Total number of active participants reported on line 7a of the Form 5500 2015-02-01 111
Number of retired or separated participants receiving benefits 2015-02-01 6
Number of other retired or separated participants entitled to future benefits 2015-02-01 0
Total of all active and inactive participants 2015-02-01 117
2014: PAY PLUS BENEFITS INC. HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year 2014-02-01 120
Total number of active participants reported on line 7a of the Form 5500 2014-02-01 106
Number of retired or separated participants receiving benefits 2014-02-01 2
Number of other retired or separated participants entitled to future benefits 2014-02-01 0
Total of all active and inactive participants 2014-02-01 108
2013: PAY PLUS BENEFITS INC. HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year 2013-02-01 196
Total number of active participants reported on line 7a of the Form 5500 2013-02-01 118
Number of retired or separated participants receiving benefits 2013-02-01 2
Total of all active and inactive participants 2013-02-01 120
2012: PAY PLUS BENEFITS INC. HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year 2012-02-01 210
Total number of active participants reported on line 7a of the Form 5500 2012-02-01 192
Number of retired or separated participants receiving benefits 2012-02-01 2
Total of all active and inactive participants 2012-02-01 194
2011: PAY PLUS BENEFITS INC. HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year 2011-02-01 162
Total number of active participants reported on line 7a of the Form 5500 2011-02-01 210
Number of retired or separated participants receiving benefits 2011-02-01 0
Number of other retired or separated participants entitled to future benefits 2011-02-01 0
Total of all active and inactive participants 2011-02-01 210
2010: PAY PLUS BENEFITS INC. HEALTH PLAN 2010 401k membership
Total participants, beginning-of-year 2010-02-01 250
Total number of active participants reported on line 7a of the Form 5500 2010-02-01 158
Number of retired or separated participants receiving benefits 2010-02-01 4
Total of all active and inactive participants 2010-02-01 162
2009: PAY PLUS BENEFITS INC. HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year 2009-02-01 271
Total number of active participants reported on line 7a of the Form 5500 2009-02-01 248
Number of retired or separated participants receiving benefits 2009-02-01 23
Number of other retired or separated participants entitled to future benefits 2009-02-01 0
Total of all active and inactive participants 2009-02-01 271

Measure	Date	Value
2019: PAY PLUS BENEFITS INC. HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year	2019-02-01	136
Total number of active participants reported on line 7a of the Form 5500	2019-02-01	137
Number of retired or separated participants receiving benefits	2019-02-01	0
Number of other retired or separated participants entitled to future benefits	2019-02-01	0
Total of all active and inactive participants	2019-02-01	137
Total participants	2019-02-01	137
2017: PAY PLUS BENEFITS INC. HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year	2017-02-01	109
Total number of active participants reported on line 7a of the Form 5500	2017-02-01	71
Number of retired or separated participants receiving benefits	2017-02-01	0
Number of other retired or separated participants entitled to future benefits	2017-02-01	0
Total of all active and inactive participants	2017-02-01	71
2016: PAY PLUS BENEFITS INC. HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year	2016-02-01	117
Total number of active participants reported on line 7a of the Form 5500	2016-02-01	110
Number of retired or separated participants receiving benefits	2016-02-01	0
Number of other retired or separated participants entitled to future benefits	2016-02-01	0
Total of all active and inactive participants	2016-02-01	110
2015: PAY PLUS BENEFITS INC. HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year	2015-02-01	108
Total number of active participants reported on line 7a of the Form 5500	2015-02-01	111
Number of retired or separated participants receiving benefits	2015-02-01	6
Number of other retired or separated participants entitled to future benefits	2015-02-01	0
Total of all active and inactive participants	2015-02-01	117
2014: PAY PLUS BENEFITS INC. HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year	2014-02-01	120
Total number of active participants reported on line 7a of the Form 5500	2014-02-01	106
Number of retired or separated participants receiving benefits	2014-02-01	2
Number of other retired or separated participants entitled to future benefits	2014-02-01	0
Total of all active and inactive participants	2014-02-01	108
2013: PAY PLUS BENEFITS INC. HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year	2013-02-01	196
Total number of active participants reported on line 7a of the Form 5500	2013-02-01	118
Number of retired or separated participants receiving benefits	2013-02-01	2
Total of all active and inactive participants	2013-02-01	120
2012: PAY PLUS BENEFITS INC. HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year	2012-02-01	210
Total number of active participants reported on line 7a of the Form 5500	2012-02-01	192
Number of retired or separated participants receiving benefits	2012-02-01	2
Total of all active and inactive participants	2012-02-01	194
2011: PAY PLUS BENEFITS INC. HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year	2011-02-01	162
Total number of active participants reported on line 7a of the Form 5500	2011-02-01	210
Number of retired or separated participants receiving benefits	2011-02-01	0
Number of other retired or separated participants entitled to future benefits	2011-02-01	0
Total of all active and inactive participants	2011-02-01	210
2010: PAY PLUS BENEFITS INC. HEALTH PLAN 2010 401k membership
Total participants, beginning-of-year	2010-02-01	250
Total number of active participants reported on line 7a of the Form 5500	2010-02-01	158
Number of retired or separated participants receiving benefits	2010-02-01	4
Total of all active and inactive participants	2010-02-01	162
2009: PAY PLUS BENEFITS INC. HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year	2009-02-01	271
Total number of active participants reported on line 7a of the Form 5500	2009-02-01	248
Number of retired or separated participants receiving benefits	2009-02-01	23
Number of other retired or separated participants entitled to future benefits	2009-02-01	0
Total of all active and inactive participants	2009-02-01	271

Form 5500 Responses for PAY PLUS BENEFITS INC. HEALTH PLAN

2019: PAY PLUS BENEFITS INC. HEALTH PLAN 2019 form 5500 responses
2019-02-01	Type of plan entity	Mulitple employer plan
2019-02-01	First time form 5500 has been submitted	Yes
2019-02-01	Submission has been amended	No
2019-02-01	This submission is the final filing	No
2019-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-02-01	Plan is a collectively bargained plan	No
2019-02-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-02-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: PAY PLUS BENEFITS INC. HEALTH PLAN 2017 form 5500 responses
2017-02-01	Type of plan entity	Mulitple employer plan
2017-02-01	Submission has been amended	No
2017-02-01	This submission is the final filing	No
2017-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-02-01	Plan is a collectively bargained plan	No
2017-02-01	Plan funding arrangement – Insurance	Yes
2017-02-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-02-01	Plan benefit arrangement – Insurance	Yes
2017-02-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: PAY PLUS BENEFITS INC. HEALTH PLAN 2016 form 5500 responses
2016-02-01	Type of plan entity	Mulitple employer plan
2016-02-01	Submission has been amended	No
2016-02-01	This submission is the final filing	No
2016-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-02-01	Plan is a collectively bargained plan	No
2016-02-01	Plan funding arrangement – Insurance	Yes
2016-02-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-02-01	Plan benefit arrangement – Insurance	Yes
2016-02-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: PAY PLUS BENEFITS INC. HEALTH PLAN 2015 form 5500 responses
2015-02-01	Type of plan entity	Single employer plan
2015-02-01	Submission has been amended	No
2015-02-01	This submission is the final filing	No
2015-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-02-01	Plan is a collectively bargained plan	No
2015-02-01	Plan funding arrangement – Insurance	Yes
2015-02-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-02-01	Plan benefit arrangement – Insurance	Yes
2015-02-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: PAY PLUS BENEFITS INC. HEALTH PLAN 2014 form 5500 responses
2014-02-01	Type of plan entity	Single employer plan
2014-02-01	Submission has been amended	No
2014-02-01	This submission is the final filing	No
2014-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-02-01	Plan is a collectively bargained plan	No
2014-02-01	Plan funding arrangement – Insurance	Yes
2014-02-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-02-01	Plan benefit arrangement – Insurance	Yes
2014-02-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: PAY PLUS BENEFITS INC. HEALTH PLAN 2013 form 5500 responses
2013-02-01	Type of plan entity	Single employer plan
2013-02-01	Submission has been amended	No
2013-02-01	This submission is the final filing	No
2013-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-02-01	Plan is a collectively bargained plan	No
2013-02-01	Plan funding arrangement – Insurance	Yes
2013-02-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-02-01	Plan benefit arrangement – Insurance	Yes
2013-02-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: PAY PLUS BENEFITS INC. HEALTH PLAN 2012 form 5500 responses
2012-02-01	Type of plan entity	Single employer plan
2012-02-01	Submission has been amended	No
2012-02-01	This submission is the final filing	No
2012-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-02-01	Plan is a collectively bargained plan	No
2012-02-01	Plan funding arrangement – Insurance	Yes
2012-02-01	Plan benefit arrangement – Insurance	Yes
2011: PAY PLUS BENEFITS INC. HEALTH PLAN 2011 form 5500 responses
2011-02-01	Type of plan entity	Multi-employer plan
2011-02-01	Submission has been amended	No
2011-02-01	This submission is the final filing	No
2011-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-02-01	Plan is a collectively bargained plan	No
2011-02-01	Plan funding arrangement – Insurance	Yes
2011-02-01	Plan benefit arrangement – Insurance	Yes
2010: PAY PLUS BENEFITS INC. HEALTH PLAN 2010 form 5500 responses
2010-02-01	Type of plan entity	Multi-employer plan
2010-02-01	Submission has been amended	No
2010-02-01	This submission is the final filing	No
2010-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-02-01	Plan is a collectively bargained plan	No
2010-02-01	Plan funding arrangement – Insurance	Yes
2010-02-01	Plan benefit arrangement – Insurance	Yes
2009: PAY PLUS BENEFITS INC. HEALTH PLAN 2009 form 5500 responses
2009-02-01	Type of plan entity	Multi-employer plan
2009-02-01	Submission has been amended	No
2009-02-01	This submission is the final filing	No
2009-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-02-01	Plan is a collectively bargained plan	No
2009-02-01	Plan funding arrangement – Insurance	Yes
2009-02-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	10172319
Policy instance	5
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	10172318
Policy instance	4
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	10172317
Policy instance	3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	1D025872
Policy instance	2
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	4000107
Policy instance	1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	1D025872
Policy instance	2
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	10172317
Policy instance	3
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	4000107-0002
Policy instance	4
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	10172318
Policy instance	5
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	10172319
Policy instance	6
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	4000107-0001
Policy instance	1
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	0002
Policy instance	4
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	10172318
Policy instance	5
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	10172317
Policy instance	3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	1D025872
Policy instance	2
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	0001
Policy instance	1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	10172318
Policy instance	2
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	10172317
Policy instance	3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	1D025872
Policy instance	4
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	0001
Policy instance	1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLTD0AAFGJ
Policy instance	2
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLUG0AFGJ
Policy instance	3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GUG 0AFGJ
Policy instance	4
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	0001
Policy instance	1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GUG 0AFGJ
Policy instance	5
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	010-034945
Policy instance	1
REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 )
Policy contract number	10008395
Policy instance	2
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLUG0AFGJ
Policy instance	3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLTD0AAFGJ
Policy instance	4
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	010-034945
Policy instance	1
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	1006569-0001
Policy instance	2
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	0002
Policy instance	3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLTD0AFGJ
Policy instance	4
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000AFGJ
Policy instance	6
UNITED OF OMAHA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GUG 0AFGJ
Policy instance	5

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Company Name:	PAY PLUS BENEFITS INC.
Employer identification number (EIN):	911498297
NAIC Classification:	561300