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THIBIANT INTERNATIONAL FLEXIBLE BENEFIT PLAN 401k Plan overview

Plan NameTHIBIANT INTERNATIONAL FLEXIBLE BENEFIT PLAN
Plan identification number 501

THIBIANT INTERNATIONAL FLEXIBLE BENEFIT 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
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

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

Company Name:THIBIANT INTERNATIONAL, INC.
Employer identification number (EIN):953039563
NAIC Classification:339900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THIBIANT INTERNATIONAL FLEXIBLE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-05-01
5012016-05-01
5012015-05-01PATRICK THIBIANT
5012014-05-01PATRICK THIBIANT
5012013-05-01PATRICK THIBIANT
5012012-05-01PATRICK THIBIANT
5012011-05-01PATRICK THIBIANT
5012010-05-01JOE BUSSING
5012009-05-01JOE BUSSING

Plan Statistics for THIBIANT INTERNATIONAL FLEXIBLE BENEFIT PLAN

401k plan membership statisitcs for THIBIANT INTERNATIONAL FLEXIBLE BENEFIT PLAN

Measure Date Value
2017: THIBIANT INTERNATIONAL FLEXIBLE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-05-01224
Total number of active participants reported on line 7a of the Form 55002017-05-010
Number of retired or separated participants receiving benefits2017-05-010
Number of other retired or separated participants entitled to future benefits2017-05-010
Total of all active and inactive participants2017-05-010
Number of employers contributing to the scheme2017-05-010
2016: THIBIANT INTERNATIONAL FLEXIBLE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-05-01298
Total number of active participants reported on line 7a of the Form 55002016-05-01224
Number of retired or separated participants receiving benefits2016-05-010
Number of other retired or separated participants entitled to future benefits2016-05-010
Total of all active and inactive participants2016-05-01224
2015: THIBIANT INTERNATIONAL FLEXIBLE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-01243
Total number of active participants reported on line 7a of the Form 55002015-05-01286
Number of retired or separated participants receiving benefits2015-05-010
Number of other retired or separated participants entitled to future benefits2015-05-0112
Total of all active and inactive participants2015-05-01298
2014: THIBIANT INTERNATIONAL FLEXIBLE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-05-01260
Total number of active participants reported on line 7a of the Form 55002014-05-01262
Number of retired or separated participants receiving benefits2014-05-012
Number of other retired or separated participants entitled to future benefits2014-05-016
Total of all active and inactive participants2014-05-01270
2013: THIBIANT INTERNATIONAL FLEXIBLE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-05-01254
Total number of active participants reported on line 7a of the Form 55002013-05-01254
Number of retired or separated participants receiving benefits2013-05-011
Number of other retired or separated participants entitled to future benefits2013-05-016
Total of all active and inactive participants2013-05-01261
2012: THIBIANT INTERNATIONAL FLEXIBLE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-05-01245
Total number of active participants reported on line 7a of the Form 55002012-05-01237
Number of retired or separated participants receiving benefits2012-05-019
Number of other retired or separated participants entitled to future benefits2012-05-019
Total of all active and inactive participants2012-05-01255
2011: THIBIANT INTERNATIONAL FLEXIBLE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-05-01265
Total number of active participants reported on line 7a of the Form 55002011-05-01236
Number of retired or separated participants receiving benefits2011-05-013
Number of other retired or separated participants entitled to future benefits2011-05-0117
Total of all active and inactive participants2011-05-01256
2010: THIBIANT INTERNATIONAL FLEXIBLE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-05-01247
Total number of active participants reported on line 7a of the Form 55002010-05-01248
Number of retired or separated participants receiving benefits2010-05-0110
Number of other retired or separated participants entitled to future benefits2010-05-017
Total of all active and inactive participants2010-05-01265
2009: THIBIANT INTERNATIONAL FLEXIBLE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-05-01266
Total number of active participants reported on line 7a of the Form 55002009-05-01193
Number of retired or separated participants receiving benefits2009-05-016
Number of other retired or separated participants entitled to future benefits2009-05-010
Total of all active and inactive participants2009-05-01199

Form 5500 Responses for THIBIANT INTERNATIONAL FLEXIBLE BENEFIT PLAN

2017: THIBIANT INTERNATIONAL FLEXIBLE BENEFIT PLAN 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01This submission is the final filingYes
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan funding arrangement – General assets of the sponsorYes
2017-05-01Plan benefit arrangement – InsuranceYes
2017-05-01Plan benefit arrangement – General assets of the sponsorYes
2016: THIBIANT INTERNATIONAL FLEXIBLE BENEFIT PLAN 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Submission has been amendedNo
2016-05-01This submission is the final filingNo
2016-05-01This return/report is a short plan year return/report (less than 12 months)No
2016-05-01Plan is a collectively bargained planNo
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan funding arrangement – General assets of the sponsorYes
2016-05-01Plan benefit arrangement – InsuranceYes
2016-05-01Plan benefit arrangement – General assets of the sponsorYes
2015: THIBIANT INTERNATIONAL FLEXIBLE BENEFIT PLAN 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Submission has been amendedNo
2015-05-01This submission is the final filingNo
2015-05-01This return/report is a short plan year return/report (less than 12 months)No
2015-05-01Plan is a collectively bargained planNo
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan funding arrangement – General assets of the sponsorYes
2015-05-01Plan benefit arrangement – InsuranceYes
2015-05-01Plan benefit arrangement – General assets of the sponsorYes
2014: THIBIANT INTERNATIONAL FLEXIBLE BENEFIT PLAN 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Submission has been amendedNo
2014-05-01This submission is the final filingNo
2014-05-01This return/report is a short plan year return/report (less than 12 months)No
2014-05-01Plan is a collectively bargained planNo
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan funding arrangement – General assets of the sponsorYes
2014-05-01Plan benefit arrangement – InsuranceYes
2014-05-01Plan benefit arrangement – General assets of the sponsorYes
2013: THIBIANT INTERNATIONAL FLEXIBLE BENEFIT PLAN 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Submission has been amendedNo
2013-05-01This submission is the final filingNo
2013-05-01This return/report is a short plan year return/report (less than 12 months)No
2013-05-01Plan is a collectively bargained planNo
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan funding arrangement – General assets of the sponsorYes
2013-05-01Plan benefit arrangement – InsuranceYes
2013-05-01Plan benefit arrangement – General assets of the sponsorYes
2012: THIBIANT INTERNATIONAL FLEXIBLE BENEFIT PLAN 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Submission has been amendedNo
2012-05-01This submission is the final filingNo
2012-05-01This return/report is a short plan year return/report (less than 12 months)No
2012-05-01Plan is a collectively bargained planNo
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan funding arrangement – General assets of the sponsorYes
2012-05-01Plan benefit arrangement – InsuranceYes
2012-05-01Plan benefit arrangement – General assets of the sponsorYes
2011: THIBIANT INTERNATIONAL FLEXIBLE BENEFIT PLAN 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Submission has been amendedNo
2011-05-01This submission is the final filingNo
2011-05-01This return/report is a short plan year return/report (less than 12 months)No
2011-05-01Plan is a collectively bargained planNo
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan funding arrangement – General assets of the sponsorYes
2011-05-01Plan benefit arrangement – InsuranceYes
2011-05-01Plan benefit arrangement – General assets of the sponsorYes
2010: THIBIANT INTERNATIONAL FLEXIBLE BENEFIT PLAN 2010 form 5500 responses
2010-05-01Type of plan entitySingle employer plan
2010-05-01Submission has been amendedNo
2010-05-01This submission is the final filingNo
2010-05-01This return/report is a short plan year return/report (less than 12 months)No
2010-05-01Plan is a collectively bargained planNo
2010-05-01Plan funding arrangement – InsuranceYes
2010-05-01Plan funding arrangement – General assets of the sponsorYes
2010-05-01Plan benefit arrangement – InsuranceYes
2010-05-01Plan benefit arrangement – General assets of the sponsorYes
2009: THIBIANT INTERNATIONAL FLEXIBLE BENEFIT PLAN 2009 form 5500 responses
2009-05-01Type of plan entitySingle employer plan
2009-05-01Submission has been amendedNo
2009-05-01This submission is the final filingNo
2009-05-01This return/report is a short plan year return/report (less than 12 months)No
2009-05-01Plan is a collectively bargained planNo
2009-05-01Plan funding arrangement – InsuranceYes
2009-05-01Plan funding arrangement – General assets of the sponsorYes
2009-05-01Plan benefit arrangement – InsuranceYes
2009-05-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number98162401001
Policy instance 1
Insurance contract or identification number98162401001
Number of Individuals Covered224
Insurance policy start date2017-05-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3338853
Policy instance 2
Insurance contract or identification number3338853
Number of Individuals Covered224
Insurance policy start date2017-05-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number8707725
Policy instance 3
Insurance contract or identification number8707725
Number of Individuals Covered12
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $64
Total amount of fees paid to insurance companyUSD $27
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedCANCER
Welfare Benefit Premiums Paid to CarrierUSD $1,754
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: )
Policy contract number279485
Policy instance 4
Insurance contract or identification number279485
Number of Individuals Covered224
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number230058
Policy instance 5
Insurance contract or identification number230058
Number of Individuals Covered251
Insurance policy start date2017-05-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $24,150
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $605,462
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUPR0B299
Policy instance 6
Insurance contract or identification numberGUPR0B299
Number of Individuals Covered120
Insurance policy start date2017-05-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $5,051
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $33,676
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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