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KAISER PERMANENTE FOR SMALL BUSINESSES 401k Plan overview

Plan NameKAISER PERMANENTE FOR SMALL BUSINESSES
Plan identification number 501

KAISER PERMANENTE FOR SMALL BUSINESSES 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

401k Sponsoring company profile

BOLD DATA TECHNOLOGY INC has sponsored the creation of one or more 401k plans.

Company Name:BOLD DATA TECHNOLOGY INC
Employer identification number (EIN):943134062
NAIC Classification:334110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KAISER PERMANENTE FOR SMALL BUSINESSES

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012012-01-01MICHAEL BINETTI MICHAEL BINETTI2013-08-08

Plan Statistics for KAISER PERMANENTE FOR SMALL BUSINESSES

401k plan membership statisitcs for KAISER PERMANENTE FOR SMALL BUSINESSES

Measure Date Value
2012: KAISER PERMANENTE FOR SMALL BUSINESSES 2012 401k membership
Total participants, beginning-of-year2012-01-0123
Total number of active participants reported on line 7a of the Form 55002012-01-0123
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-0123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0123
Number of participants with account balances2012-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010

Form 5500 Responses for KAISER PERMANENTE FOR SMALL BUSINESSES

2012: KAISER PERMANENTE FOR SMALL BUSINESSES 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01First time form 5500 has been submittedYes
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number658225
Policy instance 1
Insurance contract or identification number658225
Number of Individuals Covered51
Insurance policy start date2012-06-01
Insurance policy end date2013-05-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $265,468
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerNONE
Insurance broker name

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