401k Plan data: PSIC RETIREMENT SAVINGS PLAN plan

PSIC RETIREMENT SAVINGS PLAN 401k Plan overview

Plan Name	PSIC RETIREMENT SAVINGS PLAN
Plan identification number	003

PSIC RETIREMENT SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

PUBLIC SERVICE INSURANCE COMPANY has sponsored the creation of one or more 401k plans.

Company Name: PUBLIC SERVICE INSURANCE COMPANY

Employer identification number (EIN): 131188550

NAIC Classification: 524150

Additional information about PUBLIC SERVICE INSURANCE COMPANY

Jurisdiction of Incorporation: Georgia Department of States Corporations Division

Incorporation Date:

Company Identification Number: 736969

More information about PUBLIC SERVICE INSURANCE COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PSIC RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2023-01-01 VANIA BARRAZA 2023-11-30
003 2022-01-01 KAITLIN CUDDYER 2023-07-26
003 2021-01-01 KAITLIN CUDDYER 2022-10-04
003 2020-01-01 MARY HEFFERNAN 2021-08-16
003 2019-01-01 MARY HEFFERNAN 2020-06-30

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
003	2023-01-01	VANIA BARRAZA	2023-11-30
003	2022-01-01	KAITLIN CUDDYER	2023-07-26
003	2021-01-01	KAITLIN CUDDYER	2022-10-04
003	2020-01-01	MARY HEFFERNAN	2021-08-16
003	2019-01-01	MARY HEFFERNAN	2020-06-30

Plan Statistics for PSIC RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for PSIC RETIREMENT SAVINGS PLAN

Measure Date Value
2022: PSIC RETIREMENT SAVINGS PLAN 2022 401k membership
Total number of particpants at beginning of year 2022-10-04 22
Total number of particpants at end of year 2022-10-04 15
Number of Participants With Account Balances 2022-10-04 13

Measure	Date	Value
2022: PSIC RETIREMENT SAVINGS PLAN 2022 401k membership
Total number of particpants at beginning of year	2022-10-04	22
Total number of particpants at end of year	2022-10-04	15
Number of Participants With Account Balances	2022-10-04	13

Financial Data on PSIC RETIREMENT SAVINGS PLAN

Measure	Date	Value
2022 : PSIC RETIREMENT SAVINGS PLAN 2022 401k financial data
Total expenses incurred by plan in this plan year	2022-10-04	78588
Net assets as of the end of the plan year	2022-10-04	630833
Total assets as of the beginning of the plan year	2022-10-04	426619
Value of plan covered by a fidelity bond	2022-10-04	43000
Participant contributions to plan in this plan year	2022-10-04	153058
Value of participant loans at end of plan year	2022-10-04	22654
Other income to plan in this plan year	2022-10-04	82232
Plan net income in this plan year	2022-10-04	204214
Net assets as of the end of the plan year	2022-10-04	630833
Net assets as of the beginning of the plan year	2022-10-04	426619
Employer contributions to plan in this plan year	2022-10-04	47512
Expensese paid to adminstrative service provicers from plan in this plan year	2022-10-04	385

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Company Name:	PUBLIC SERVICE INSURANCE COMPANY
Employer identification number (EIN):	131188550
NAIC Classification:	524150

Jurisdiction of Incorporation:	Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number:	736969