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CAMBRIDGE SEMANTICS, INC. HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameCAMBRIDGE SEMANTICS, INC. HEALTH AND WELFARE PLAN
Plan identification number 501

CAMBRIDGE SEMANTICS, INC. HEALTH AND WELFARE 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
  • Death benefits (include travel accident but not life insurance)
  • 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.

401k Sponsoring company profile

CAMBRIDGE SEMANTICS INC. has sponsored the creation of one or more 401k plans.

Company Name:CAMBRIDGE SEMANTICS INC.
Employer identification number (EIN):208954633
NAIC Classification:541519
NAIC Description:Other Computer Related Services

Additional information about CAMBRIDGE SEMANTICS INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2018-05-01
Company Identification Number: 0803003778
Legal Registered Office Address: 1 BEACON ST FL 15

BOSTON
United States of America (USA)
02108

More information about CAMBRIDGE SEMANTICS INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAMBRIDGE SEMANTICS, INC. HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-09-01BROOKE MORTON2022-04-19

Plan Statistics for CAMBRIDGE SEMANTICS, INC. HEALTH AND WELFARE PLAN

401k plan membership statisitcs for CAMBRIDGE SEMANTICS, INC. HEALTH AND WELFARE PLAN

Measure Date Value
2020: CAMBRIDGE SEMANTICS, INC. HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-09-01111
Total number of active participants reported on line 7a of the Form 55002020-09-0173
Number of retired or separated participants receiving benefits2020-09-010
Number of other retired or separated participants entitled to future benefits2020-09-010
Total of all active and inactive participants2020-09-0173
Number of employers contributing to the scheme2020-09-010

Form 5500 Responses for CAMBRIDGE SEMANTICS, INC. HEALTH AND WELFARE PLAN

2020: CAMBRIDGE SEMANTICS, INC. HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-09-01Type of plan entitySingle employer plan
2020-09-01First time form 5500 has been submittedYes
2020-09-01Plan funding arrangement – InsuranceYes
2020-09-01Plan funding arrangement – General assets of the sponsorYes
2020-09-01Plan benefit arrangement – InsuranceYes
2020-09-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30035692
Policy instance 1
Insurance contract or identification number30035692
Number of Individuals Covered63
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $879
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,057
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $826
Amount paid for insurance broker fees0
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number8064204
Policy instance 2
Insurance contract or identification number8064204
Number of Individuals Covered153
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $32,102
Total amount of fees paid to insurance companyUSD $6,915
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,389,686
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $32,102
Amount paid for insurance broker fees6915
Additional information about fees paid to insurance brokerOTHER COMISSION
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number941401
Policy instance 3
Insurance contract or identification number941401
Number of Individuals Covered73
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $22,205
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, ACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $83,177
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,205
Amount paid for insurance broker fees0
Insurance broker organization code?3

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