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ON-SITE HEALTH & SAFETY 401k Plan overview

Plan NameON-SITE HEALTH & SAFETY
Plan identification number 501

ON-SITE HEALTH & SAFETY Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Other welfare benefit cover

401k Sponsoring company profile

IOSM has sponsored the creation of one or more 401k plans.

Company Name:IOSM
Employer identification number (EIN):711003664
NAIC Classification:541990
NAIC Description:All Other Professional, Scientific, and Technical Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ON-SITE HEALTH & SAFETY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-11-01ZULEMA GARCIA
5012022-11-01ZULEMA GARCIA2024-03-25

Plan Statistics for ON-SITE HEALTH & SAFETY

401k plan membership statisitcs for ON-SITE HEALTH & SAFETY

Measure Date Value
2022: ON-SITE HEALTH & SAFETY 2022 401k membership
Total participants, beginning-of-year2022-11-01155
Total number of active participants reported on line 7a of the Form 55002022-11-01158
Total of all active and inactive participants2022-11-01158

Form 5500 Responses for ON-SITE HEALTH & SAFETY

2022: ON-SITE HEALTH & SAFETY 2022 form 5500 responses
2022-11-01Type of plan entitySingle employer plan
2022-11-01First time form 5500 has been submittedYes
2022-11-01Submission has been amendedNo
2022-11-01This submission is the final filingNo
2022-11-01This return/report is a short plan year return/report (less than 12 months)No
2022-11-01Plan is a collectively bargained planNo
2022-11-01Plan funding arrangement – InsuranceYes
2022-11-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberJ75862
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00028526
Policy instance 2
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number348781
Policy instance 3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number72165
Policy instance 4

Potentially related plans

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