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SPECIAL SERVICE FOR GROUPS - FLEXIBLE BENEFITS PLAN 401k Plan overview

Plan NameSPECIAL SERVICE FOR GROUPS - FLEXIBLE BENEFITS PLAN
Plan identification number 501

SPECIAL SERVICE FOR GROUPS - FLEXIBLE 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
  • Other welfare benefit cover

401k Sponsoring company profile

SPECIAL SERVICE FOR GROUPS, INC. has sponsored the creation of one or more 401k plans.

Company Name:SPECIAL SERVICE FOR GROUPS, INC.
Employer identification number (EIN):951716914
NAIC Classification:624200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SPECIAL SERVICE FOR GROUPS - FLEXIBLE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-05-01HERBERT HATANAKA
5012016-05-01HERBERT HATANAKA
5012015-05-01HERBERT HATANAKA
5012014-05-01HERBERT HATANAKA
5012014-05-01HERBERT HATANAKA HERBERT HATANAKA2015-11-09
5012013-05-01HERBERT HATANAKA
5012012-05-01HERBERT HATANAKA

Plan Statistics for SPECIAL SERVICE FOR GROUPS - FLEXIBLE BENEFITS PLAN

401k plan membership statisitcs for SPECIAL SERVICE FOR GROUPS - FLEXIBLE BENEFITS PLAN

Measure Date Value
2017: SPECIAL SERVICE FOR GROUPS - FLEXIBLE BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year2017-05-0184
Total number of active participants reported on line 7a of the Form 55002017-05-0175
Total of all active and inactive participants2017-05-0175
Total participants2017-05-0175
2016: SPECIAL SERVICE FOR GROUPS - FLEXIBLE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year2016-05-0180
Total number of active participants reported on line 7a of the Form 55002016-05-0170
Total of all active and inactive participants2016-05-0170
Total participants2016-05-0170
2015: SPECIAL SERVICE FOR GROUPS - FLEXIBLE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-0170
Total number of active participants reported on line 7a of the Form 55002015-05-0158
Total of all active and inactive participants2015-05-0158
Total participants2015-05-0158
2014: SPECIAL SERVICE FOR GROUPS - FLEXIBLE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year2014-05-0132
Total number of active participants reported on line 7a of the Form 55002014-05-0133
Total of all active and inactive participants2014-05-0133
Total participants2014-05-0133
Number of retired or separated participants receiving benefits2014-05-011
Number of other retired or separated participants entitled to future benefits2014-05-010
2013: SPECIAL SERVICE FOR GROUPS - FLEXIBLE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year2013-05-01476
Total number of active participants reported on line 7a of the Form 55002013-05-01485
Number of retired or separated participants receiving benefits2013-05-017
Number of other retired or separated participants entitled to future benefits2013-05-010
Total of all active and inactive participants2013-05-01492
2012: SPECIAL SERVICE FOR GROUPS - FLEXIBLE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year2012-05-01448
Total number of active participants reported on line 7a of the Form 55002012-05-01471
Number of retired or separated participants receiving benefits2012-05-015
Number of other retired or separated participants entitled to future benefits2012-05-010
Total of all active and inactive participants2012-05-01476

Financial Data on SPECIAL SERVICE FOR GROUPS - FLEXIBLE BENEFITS PLAN

Measure Date Value
2019 : SPECIAL SERVICE FOR GROUPS - FLEXIBLE BENEFITS PLAN 2019 401k financial data
Total plan liabilities at end of year2019-04-30$84,284
Total income from all sources2019-04-30$91,116
Expenses. Total of all expenses incurred2019-04-30$84,284
Benefits paid (including direct rollovers)2019-04-30$84,284
Total plan assets at end of year2019-04-30$91,116
Value of fidelity bond covering the plan2019-04-30$5,000
Total contributions received or receivable from participants2019-04-30$91,116
Net income (gross income less expenses)2019-04-30$6,832
Net plan assets at end of year (total assets less liabilities)2019-04-30$6,832
Net plan assets at beginning of year (total assets less liabilities)2019-04-30$0
2018 : SPECIAL SERVICE FOR GROUPS - FLEXIBLE BENEFITS PLAN 2018 401k financial data
Total plan liabilities at end of year2018-04-30$79,996
Total income from all sources2018-04-30$87,233
Expenses. Total of all expenses incurred2018-04-30$79,996
Benefits paid (including direct rollovers)2018-04-30$79,996
Total plan assets at end of year2018-04-30$87,233
Value of fidelity bond covering the plan2018-04-30$5,000
Total contributions received or receivable from participants2018-04-30$87,233
Net income (gross income less expenses)2018-04-30$7,237
Net plan assets at end of year (total assets less liabilities)2018-04-30$7,237
Net plan assets at beginning of year (total assets less liabilities)2018-04-30$0
2017 : SPECIAL SERVICE FOR GROUPS - FLEXIBLE BENEFITS PLAN 2017 401k financial data
Total plan liabilities at end of year2017-04-30$73,012
Total income from all sources2017-04-30$81,035
Expenses. Total of all expenses incurred2017-04-30$73,012
Benefits paid (including direct rollovers)2017-04-30$73,012
Total plan assets at end of year2017-04-30$81,035
Value of fidelity bond covering the plan2017-04-30$5,000
Total contributions received or receivable from participants2017-04-30$81,035
Net income (gross income less expenses)2017-04-30$8,023
Net plan assets at end of year (total assets less liabilities)2017-04-30$8,023
Net plan assets at beginning of year (total assets less liabilities)2017-04-30$0
2016 : SPECIAL SERVICE FOR GROUPS - FLEXIBLE BENEFITS PLAN 2016 401k financial data
Total plan liabilities at end of year2016-04-30$47,588
Total income from all sources2016-04-30$47,789
Expenses. Total of all expenses incurred2016-04-30$47,588
Benefits paid (including direct rollovers)2016-04-30$47,588
Total plan assets at end of year2016-04-30$47,789
Value of fidelity bond covering the plan2016-04-30$5,000
Total contributions received or receivable from participants2016-04-30$47,789
Net income (gross income less expenses)2016-04-30$201
Net plan assets at end of year (total assets less liabilities)2016-04-30$201
Net plan assets at beginning of year (total assets less liabilities)2016-04-30$0
2015 : SPECIAL SERVICE FOR GROUPS - FLEXIBLE BENEFITS PLAN 2015 401k financial data
Total income from all sources2015-04-30$23,541
Expenses. Total of all expenses incurred2015-04-30$22,929
Benefits paid (including direct rollovers)2015-04-30$22,929
Total plan assets at end of year2015-04-30$612
Value of fidelity bond covering the plan2015-04-30$5,000
Total contributions received or receivable from participants2015-04-30$23,541
Net income (gross income less expenses)2015-04-30$612
Net plan assets at end of year (total assets less liabilities)2015-04-30$612
Net plan assets at beginning of year (total assets less liabilities)2015-04-30$0

Form 5500 Responses for SPECIAL SERVICE FOR GROUPS - FLEXIBLE BENEFITS PLAN

2017: SPECIAL SERVICE FOR GROUPS - FLEXIBLE BENEFITS PLAN 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Submission has been amendedNo
2017-05-01This submission is the final filingNo
2017-05-01This return/report is a short plan year return/report (less than 12 months)No
2017-05-01Plan is a collectively bargained planNo
2017-05-01Plan funding arrangement – TrustYes
2017-05-01Plan benefit arrangement - TrustYes
2016: SPECIAL SERVICE FOR GROUPS - FLEXIBLE BENEFITS 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 – TrustYes
2016-05-01Plan benefit arrangement - TrustYes
2015: SPECIAL SERVICE FOR GROUPS - FLEXIBLE BENEFITS 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 – TrustYes
2015-05-01Plan benefit arrangement - TrustYes
2014: SPECIAL SERVICE FOR GROUPS - FLEXIBLE BENEFITS PLAN 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01First time form 5500 has been submittedYes
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 – TrustYes
2014-05-01Plan benefit arrangement - TrustYes
2013: SPECIAL SERVICE FOR GROUPS - FLEXIBLE BENEFITS 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 – General assets of the sponsorYes
2013-05-01Plan benefit arrangement – InsuranceYes
2012: SPECIAL SERVICE FOR GROUPS - FLEXIBLE BENEFITS PLAN 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01First time form 5500 has been submittedYes
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 – General assets of the sponsorYes
2012-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberBK 960105
Policy instance 10
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number097983
Policy instance 1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKMO5983235
Policy instance 2
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number127759
Policy instance 3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 961364
Policy instance 4
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract numberW0002654
Policy instance 5
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0008736194
Policy instance 6
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX 962859
Policy instance 7
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 964519
Policy instance 8
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract numberKM05983235
Policy instance 9
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberBK 960105
Policy instance 9
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKMO5983235
Policy instance 8
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 964519
Policy instance 7
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number30019723
Policy instance 6
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number097983
Policy instance 5
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract numberH54319/944169
Policy instance 4
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 961364
Policy instance 3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX 962859
Policy instance 2
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number127759
Policy instance 1
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract numberKMO5983235
Policy instance 2
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberBK 960105
Policy instance 3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKMO5983235
Policy instance 4
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX 962859
Policy instance 5
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number097983
Policy instance 6
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 964519
Policy instance 7
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number30019723
Policy instance 8
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number127759
Policy instance 9
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number30019723
Policy instance 11
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number30019723
Policy instance 12
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 961364
Policy instance 10
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract numberH54319/944169
Policy instance 1

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