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KYOCERA DOCUMENT SOLUTIONS OF NEW ENGLAND WELFARE BENEFITS PLAN 401k Plan overview

Plan NameKYOCERA DOCUMENT SOLUTIONS OF NEW ENGLAND WELFARE BENEFITS PLAN
Plan identification number 501

KYOCERA DOCUMENT SOLUTIONS OF NEW ENGLAND WELFARE BENEFITS 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

KYOCERA DOCUMENT SOLUTIONS OF NEW ENGLAND has sponsored the creation of one or more 401k plans.

Company Name:KYOCERA DOCUMENT SOLUTIONS OF NEW ENGLAND
Employer identification number (EIN):042839891
NAIC Classification:423800

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KYOCERA DOCUMENT SOLUTIONS OF NEW ENGLAND WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-09-15
5012019-09-15
5012018-09-15DONNA SYMOLON2020-07-15

Plan Statistics for KYOCERA DOCUMENT SOLUTIONS OF NEW ENGLAND WELFARE BENEFITS PLAN

401k plan membership statisitcs for KYOCERA DOCUMENT SOLUTIONS OF NEW ENGLAND WELFARE BENEFITS PLAN

Measure Date Value
2020: KYOCERA DOCUMENT SOLUTIONS OF NEW ENGLAND WELFARE BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-09-15128
Total number of active participants reported on line 7a of the Form 55002020-09-150
Number of retired or separated participants receiving benefits2020-09-150
Number of other retired or separated participants entitled to future benefits2020-09-150
Total of all active and inactive participants2020-09-150
2019: KYOCERA DOCUMENT SOLUTIONS OF NEW ENGLAND WELFARE BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-09-15158
Total number of active participants reported on line 7a of the Form 55002019-09-15128
Number of retired or separated participants receiving benefits2019-09-150
Number of other retired or separated participants entitled to future benefits2019-09-150
Total of all active and inactive participants2019-09-15128
2018: KYOCERA DOCUMENT SOLUTIONS OF NEW ENGLAND WELFARE BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year2018-09-15149
Total number of active participants reported on line 7a of the Form 55002018-09-15149
Number of retired or separated participants receiving benefits2018-09-152
Number of other retired or separated participants entitled to future benefits2018-09-150
Total of all active and inactive participants2018-09-15151

Form 5500 Responses for KYOCERA DOCUMENT SOLUTIONS OF NEW ENGLAND WELFARE BENEFITS PLAN

2020: KYOCERA DOCUMENT SOLUTIONS OF NEW ENGLAND WELFARE BENEFITS PLAN 2020 form 5500 responses
2020-09-15Type of plan entitySingle employer plan
2020-09-15Submission has been amendedNo
2020-09-15This submission is the final filingYes
2020-09-15This return/report is a short plan year return/report (less than 12 months)Yes
2020-09-15Plan is a collectively bargained planNo
2020-09-15Plan funding arrangement – InsuranceYes
2020-09-15Plan funding arrangement – General assets of the sponsorYes
2020-09-15Plan benefit arrangement – InsuranceYes
2020-09-15Plan benefit arrangement – General assets of the sponsorYes
2019: KYOCERA DOCUMENT SOLUTIONS OF NEW ENGLAND WELFARE BENEFITS PLAN 2019 form 5500 responses
2019-09-15Type of plan entitySingle employer plan
2019-09-15Submission has been amendedNo
2019-09-15This submission is the final filingNo
2019-09-15This return/report is a short plan year return/report (less than 12 months)No
2019-09-15Plan is a collectively bargained planNo
2019-09-15Plan funding arrangement – InsuranceYes
2019-09-15Plan funding arrangement – General assets of the sponsorYes
2019-09-15Plan benefit arrangement – InsuranceYes
2019-09-15Plan benefit arrangement – General assets of the sponsorYes
2018: KYOCERA DOCUMENT SOLUTIONS OF NEW ENGLAND WELFARE BENEFITS PLAN 2018 form 5500 responses
2018-09-15Type of plan entitySingle employer plan
2018-09-15First time form 5500 has been submittedYes
2018-09-15Submission has been amendedNo
2018-09-15This submission is the final filingNo
2018-09-15This return/report is a short plan year return/report (less than 12 months)No
2018-09-15Plan is a collectively bargained planNo
2018-09-15Plan funding arrangement – InsuranceYes
2018-09-15Plan funding arrangement – General assets of the sponsorYes
2018-09-15Plan benefit arrangement – InsuranceYes
2018-09-15Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4957001
Policy instance 1
Insurance contract or identification number4957001
Number of Individuals Covered164
Insurance policy start date2020-09-15
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $12,665
Total amount of fees paid to insurance companyUSD $4,485
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $349,466
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,665
Amount paid for insurance broker fees4485
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30060337
Policy instance 2
Insurance contract or identification number30060337
Number of Individuals Covered64
Insurance policy start date2020-09-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $327
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $3,099
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $327
Insurance broker organization code?3
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50023311
Policy instance 3
Insurance contract or identification number50023311
Number of Individuals Covered358
Insurance policy start date2020-09-15
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $5,536
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEALTH & DISMEMBERMENT; ACCIDENT; HOSPITAL CARE; GROUP & VOL. GROUP TERM LIFE
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 CarrierUSD $22,772
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,536
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4957001
Policy instance 1
Insurance contract or identification number4957001
Number of Individuals Covered175
Insurance policy start date2019-09-15
Insurance policy end date2020-09-14
Total amount of commissions paid to insurance brokerUSD $35,165
Total amount of fees paid to insurance companyUSD $6,120
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $1,173,305
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,165
Amount paid for insurance broker fees6120
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30060337
Policy instance 2
Insurance contract or identification number30060337
Number of Individuals Covered82
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $811
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $11,611
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $811
Insurance broker organization code?3
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50023311
Policy instance 3
Insurance contract or identification number50023311
Number of Individuals Covered349
Insurance policy start date2019-09-15
Insurance policy end date2020-09-14
Total amount of commissions paid to insurance brokerUSD $24,770
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEALTH & DISMEMBERMENT; ACCIDENT; HOSPITAL CARE; CRITICAL CARE; GROUP & VOL. GROUP TERM LIFE
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 CarrierUSD $101,475
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,770
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4957001
Policy instance 1
Insurance contract or identification number4957001
Number of Individuals Covered195
Insurance policy start date2018-09-15
Insurance policy end date2019-09-14
Total amount of commissions paid to insurance brokerUSD $34,282
Total amount of fees paid to insurance companyUSD $6,120
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $1,157,956
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $34,282
Amount paid for insurance broker fees6120
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30060337
Policy instance 2
Insurance contract or identification number30060337
Number of Individuals Covered77
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $776
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $10,741
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $776
Insurance broker organization code?3
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50023311
Policy instance 3
Insurance contract or identification number50023311
Number of Individuals Covered115
Insurance policy start date2018-09-15
Insurance policy end date2019-09-14
Total amount of commissions paid to insurance brokerUSD $26,361
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D, ACCIDENT, HOSPITAL CARE AND CRITICAL CARE
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 CarrierUSD $100,167
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,361
Insurance broker organization code?3

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