401k Plan data: AMERICAN INTEGRATED HEALTH AND WELFARE BENEFIT PLAN plan

AMERICAN INTEGRATED HEALTH AND WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	AMERICAN INTEGRATED HEALTH AND WELFARE BENEFIT PLAN
Plan identification number	501

AMERICAN INTEGRATED HEALTH AND WELFARE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

AMERICAN INTEGRATED SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name: AMERICAN INTEGRATED SERVICES, INC.

Employer identification number (EIN): 954698255

NAIC Classification: 327900

Additional information about AMERICAN INTEGRATED SERVICES, INC.

Jurisdiction of Incorporation: California Department of State

Incorporation Date: 1998-07-22

Company Identification Number: C2090479

Legal Registered Office Address: 1502 E. Opp St

Wilmington
United States of America (USA)
90744

More information about AMERICAN INTEGRATED SERVICES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICAN INTEGRATED HEALTH AND WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-05-01 FRANCESCA BROOKS 2024-11-19
501 2022-05-01 CECILIA PRECIADO 2023-10-16
501 2021-05-01 WENDY VILLAFRANCO 2022-11-16

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2023-05-01	FRANCESCA BROOKS	2024-11-19
501	2022-05-01	CECILIA PRECIADO	2023-10-16
501	2021-05-01	WENDY VILLAFRANCO	2022-11-16

Form 5500 Responses for AMERICAN INTEGRATED HEALTH AND WELFARE BENEFIT PLAN

2023: AMERICAN INTEGRATED HEALTH AND WELFARE BENEFIT PLAN 2023 form 5500 responses
2023-05-01	Type of plan entity	Single employer plan
2023-05-01	Plan funding arrangement – Insurance	Yes
2023-05-01	Plan benefit arrangement – Insurance	Yes
2022: AMERICAN INTEGRATED HEALTH AND WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-05-01	Type of plan entity	Single employer plan
2022-05-01	Plan funding arrangement – Insurance	Yes
2022-05-01	Plan benefit arrangement – Insurance	Yes
2021: AMERICAN INTEGRATED HEALTH AND WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-05-01	Type of plan entity	Single employer plan
2021-05-01	Plan funding arrangement – Insurance	Yes
2021-05-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

911253

Policy instance

Insurance contract or identification number	911253
Number of Individuals Covered	650
Insurance policy start date	2023-05-01
Insurance policy end date	2024-04-30
Total amount of commissions paid to insurance broker	USD $212,826
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $3,416,959
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )

Policy contract number

10113961001

Policy instance

Insurance contract or identification number	10113961001
Number of Individuals Covered	492
Insurance policy start date	2023-05-01
Insurance policy end date	2024-04-30
Total amount of commissions paid to insurance broker	USD $3,755
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $37,348
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )

Policy contract number

305063

Policy instance

Insurance contract or identification number	305063
Number of Individuals Covered	394
Insurance policy start date	2023-05-01
Insurance policy end date	2024-04-30
Total amount of commissions paid to insurance broker	USD $22,625
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $150,831
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )

Policy contract number

10113961001

Policy instance

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

911253

Policy instance

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )

Policy contract number

10113961001

Policy instance

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

911253

Policy instance

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Company Name:	AMERICAN INTEGRATED SERVICES, INC.
Employer identification number (EIN):	954698255
NAIC Classification:	327900

Jurisdiction of Incorporation:	California Department of State
Incorporation Date:	1998-07-22
Company Identification Number:	C2090479
Legal Registered Office Address:	1502 E. Opp St Wilmington United States of America (USA) 90744