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NORCOM, INC. ANCILLARY BENEFIT PLAN 401k Plan overview

Plan NameNORCOM, INC. ANCILLARY BENEFIT PLAN
Plan identification number 502

NORCOM, INC. ANCILLARY BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

NORCOM, INC. has sponsored the creation of one or more 401k plans.

Company Name:NORCOM, INC.
Employer identification number (EIN):042632925
NAIC Classification:424100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORCOM, INC. ANCILLARY BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022018-10-01
5022018-10-01
5022017-10-01
5022015-05-01EVAN STITT EVAN STITT2016-11-04
5022015-05-01EVAN STITT
5022014-05-01EVAN STITT EVAN STITT2016-01-18
5022013-06-01EVAN STITT
5022012-06-01EVAN STITT EVAN STITT2013-11-18
5022011-06-01EVAN STITT

Plan Statistics for NORCOM, INC. ANCILLARY BENEFIT PLAN

401k plan membership statisitcs for NORCOM, INC. ANCILLARY BENEFIT PLAN

Measure Date Value
2018: NORCOM, INC. ANCILLARY BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01129
Total number of active participants reported on line 7a of the Form 55002018-10-01123
Number of retired or separated participants receiving benefits2018-10-011
Number of other retired or separated participants entitled to future benefits2018-10-010
Total of all active and inactive participants2018-10-01124
2017: NORCOM, INC. ANCILLARY BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01138
Total number of active participants reported on line 7a of the Form 55002017-10-01129
Number of retired or separated participants receiving benefits2017-10-010
Number of other retired or separated participants entitled to future benefits2017-10-010
Total of all active and inactive participants2017-10-01129
2015: NORCOM, INC. ANCILLARY BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-01232
Total number of active participants reported on line 7a of the Form 55002015-05-01287
Total of all active and inactive participants2015-05-01287
Number of retired or separated participants receiving benefits2015-05-010
Number of other retired or separated participants entitled to future benefits2015-05-010
2014: NORCOM, INC. ANCILLARY BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-05-01270
Total number of active participants reported on line 7a of the Form 55002014-05-01232
Total of all active and inactive participants2014-05-01232
2013: NORCOM, INC. ANCILLARY BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-06-01582
Total number of active participants reported on line 7a of the Form 55002013-06-01270
Total of all active and inactive participants2013-06-01270
2012: NORCOM, INC. ANCILLARY BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-06-01590
Total number of active participants reported on line 7a of the Form 55002012-06-01582
Total of all active and inactive participants2012-06-01582
2011: NORCOM, INC. ANCILLARY BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-06-01590
Total number of active participants reported on line 7a of the Form 55002011-06-01590
Number of retired or separated participants receiving benefits2011-06-010
Number of other retired or separated participants entitled to future benefits2011-06-010
Total of all active and inactive participants2011-06-01590

Form 5500 Responses for NORCOM, INC. ANCILLARY BENEFIT PLAN

2018: NORCOM, INC. ANCILLARY BENEFIT PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Submission has been amendedNo
2018-10-01This submission is the final filingNo
2018-10-01This return/report is a short plan year return/report (less than 12 months)No
2018-10-01Plan is a collectively bargained planNo
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – InsuranceYes
2017: NORCOM, INC. ANCILLARY BENEFIT PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Submission has been amendedNo
2017-10-01This submission is the final filingNo
2017-10-01This return/report is a short plan year return/report (less than 12 months)No
2017-10-01Plan is a collectively bargained planNo
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – InsuranceYes
2015: NORCOM, INC. ANCILLARY BENEFIT 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 – InsuranceYes
2015-05-01Plan benefit arrangement – InsuranceYes
2014: NORCOM, INC. ANCILLARY BENEFIT PLAN 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
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 – InsuranceYes
2014-05-01Plan benefit arrangement – InsuranceYes
2013: NORCOM, INC. ANCILLARY BENEFIT PLAN 2013 form 5500 responses
2013-06-01Type of plan entitySingle employer plan
2013-06-01Submission has been amendedNo
2013-06-01This submission is the final filingNo
2013-06-01This return/report is a short plan year return/report (less than 12 months)Yes
2013-06-01Plan is a collectively bargained planNo
2013-06-01Plan funding arrangement – InsuranceYes
2013-06-01Plan benefit arrangement – InsuranceYes
2012: NORCOM, INC. ANCILLARY BENEFIT PLAN 2012 form 5500 responses
2012-06-01Type of plan entitySingle employer plan
2012-06-01Submission has been amendedNo
2012-06-01This submission is the final filingNo
2012-06-01This return/report is a short plan year return/report (less than 12 months)No
2012-06-01Plan is a collectively bargained planNo
2012-06-01Plan funding arrangement – InsuranceYes
2012-06-01Plan benefit arrangement – InsuranceYes
2011: NORCOM, INC. ANCILLARY BENEFIT PLAN 2011 form 5500 responses
2011-06-01Type of plan entitySingle employer plan
2011-06-01First time form 5500 has been submittedYes
2011-06-01Submission has been amendedNo
2011-06-01This submission is the final filingNo
2011-06-01This return/report is a short plan year return/report (less than 12 months)No
2011-06-01Plan is a collectively bargained planNo
2011-06-01Plan funding arrangement – InsuranceYes
2011-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5944395
Policy instance 1
Insurance contract or identification number5944395
Number of Individuals Covered279
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $19,183
Total amount of fees paid to insurance companyUSD $1,130
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 BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $161,444
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,183
Amount paid for insurance broker fees1130
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05344395
Policy instance 1
Insurance contract or identification numberTM05344395
Number of Individuals Covered250
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $19,007
Total amount of fees paid to insurance companyUSD $6,633
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 BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $155,844
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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