401k Plan data: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN plan

NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 401k Plan overview

Plan Name	NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN
Plan identification number	501

NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN Benefits

401k Plan Type	Welfare 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) Other welfare benefit cover

401k Sponsoring company profile

WIRELESS TELECOM GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name: WIRELESS TELECOM GROUP, INC.

Employer identification number (EIN): 222582295

NAIC Classification: 334200

Additional information about WIRELESS TELECOM GROUP, INC.

Jurisdiction of Incorporation: Colorado Department of State

Incorporation Date: 2016-01-01

Company Identification Number: 20151787898

Legal Registered Office Address: 330 Oneida Street

Boulder
United States of America (USA)
80303-_

More information about WIRELESS TELECOM GROUP, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-01-01
501 2021-01-01
501 2020-01-01
501 2019-01-01
501 2018-01-01 MICHELLE LUTKOWSKI
501 2017-01-01 MICHELLE LUTKOWSKI
501 2017-01-01 MICHELLE LUTKOWSKI
501 2016-01-01 MICHELLE LUTKOWSKI
501 2015-01-01 JOANNE CALANDRA MOTTA
501 2014-01-01 JOANNE CALANDRA MOTTA
501 2013-01-01 JOANNE CALANDRA MOTTA
501 2012-01-01 JOANNE CALANDRA MOTTA
501 2011-01-01 JOANNE CALANDRA MOTTA
501 2010-01-01 JOANNE CALANDRA MOTTA
501 2009-01-01 JOANNE CALANDRA MOTTA

Plan Statistics for NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN

401k plan membership statisitcs for NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN

Measure Date Value
2022: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 113
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 71
Total of all active and inactive participants 2022-01-01 71
2021: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 111
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 113
Total of all active and inactive participants 2021-01-01 113
2020: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 105
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 111
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 111
2019: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 108
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 105
Total of all active and inactive participants 2019-01-01 105
2018: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 108
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 108
Total of all active and inactive participants 2018-01-01 108
2017: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 108
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 108
Total of all active and inactive participants 2017-01-01 108
Total participants 2017-01-01 108
2016: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 108
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 108
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 108
Total participants 2016-01-01 108
2015: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 118
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 108
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 108
Total participants 2015-01-01 108
2014: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 104
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 118
Total of all active and inactive participants 2014-01-01 118
Total participants 2014-01-01 118
2013: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 100
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 104
Total of all active and inactive participants 2013-01-01 104
Total participants 2013-01-01 104
2012: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 106
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 100
Total of all active and inactive participants 2012-01-01 100
Total participants 2012-01-01 100
2011: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 110
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 106
Total of all active and inactive participants 2011-01-01 106
Total participants 2011-01-01 106
2010: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 110
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 110
Total of all active and inactive participants 2010-01-01 110
Total participants 2010-01-01 110
2009: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 142
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 142
Total of all active and inactive participants 2009-01-01 142
Total participants 2009-01-01 142

Measure	Date	Value
2022: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	113
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	71
Total of all active and inactive participants	2022-01-01	71
2021: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	111
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	113
Total of all active and inactive participants	2021-01-01	113
2020: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	105
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	111
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	111
2019: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	108
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	105
Total of all active and inactive participants	2019-01-01	105
2018: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	108
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	108
Total of all active and inactive participants	2018-01-01	108
2017: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	108
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	108
Total of all active and inactive participants	2017-01-01	108
Total participants	2017-01-01	108
2016: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	108
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	108
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	108
Total participants	2016-01-01	108
2015: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	118
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	108
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	108
Total participants	2015-01-01	108
2014: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	104
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	118
Total of all active and inactive participants	2014-01-01	118
Total participants	2014-01-01	118
2013: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	104
Total of all active and inactive participants	2013-01-01	104
Total participants	2013-01-01	104
2012: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	106
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	100
Total of all active and inactive participants	2012-01-01	100
Total participants	2012-01-01	100
2011: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	110
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	106
Total of all active and inactive participants	2011-01-01	106
Total participants	2011-01-01	106
2010: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	110
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	110
Total of all active and inactive participants	2010-01-01	110
Total participants	2010-01-01	110
2009: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	142
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	142
Total of all active and inactive participants	2009-01-01	142
Total participants	2009-01-01	142

Form 5500 Responses for NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN

2022: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2021: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2020: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	Yes
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: NOISE COM FLEXIBLE COMPENSATION PLAN AND WIRELESS TELECOM GROUP, INC. AMENDED AND RESTATED CAFETERIA PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00467272

Policy instance

Insurance contract or identification number	00467272
Number of Individuals Covered	71
Insurance policy start date	2022-01-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $5,470
Total amount of fees paid to insurance company	USD $7,934
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D, OPTIONAL LIFE, ACCIDENT
Welfare Benefit Premiums Paid to Carrier	USD $78,690
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,435
Amount paid for insurance broker fees	7934
Additional information about fees paid to insurance broker	OTHER FEES
Insurance broker organization code?	3

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00467272

Policy instance

Insurance contract or identification number	00467272
Number of Individuals Covered	113
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $13,527
Total amount of fees paid to insurance company	USD $9,493
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENT AND AD&D
Welfare Benefit Premiums Paid to Carrier	USD $202,048
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $13,527
Amount paid for insurance broker fees	9493
Insurance broker organization code?	3

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00467272

Policy instance

Insurance contract or identification number	00467272
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $13,539
Total amount of fees paid to insurance company	USD $7,541
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D, OPTIONAL LIFE
Welfare Benefit Premiums Paid to Carrier	USD $199,053
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $13,539
Amount paid for insurance broker fees	7541
Insurance broker organization code?	3

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00467272

Policy instance

Insurance contract or identification number	00467272
Number of Individuals Covered	105
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $12,602
Total amount of fees paid to insurance company	USD $5,638
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D, OPTIONAL LIFE
Welfare Benefit Premiums Paid to Carrier	USD $148,701
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $12,602
Amount paid for insurance broker fees	5638
Insurance broker organization code?	3

HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )

Policy contract number

80468

Policy instance

Insurance contract or identification number	80468
Number of Individuals Covered	91
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $70,214
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,422,338
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $70,214
Insurance broker organization code?	3

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00467272

Policy instance

Insurance contract or identification number	00467272
Number of Individuals Covered	108
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $10,658
Total amount of fees paid to insurance company	USD $4,486
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $95,672
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,658
Amount paid for insurance broker fees	4486
Insurance broker organization code?	3

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

5945769

Policy instance

Insurance contract or identification number	5945769
Number of Individuals Covered	326
Insurance policy start date	2018-01-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $5,539
Total amount of fees paid to insurance company	USD $1,780
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $54,836
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,972
Amount paid for insurance broker fees	1780

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

TMO5945769

Policy instance

Insurance contract or identification number	TMO5945769
Number of Individuals Covered	336
Insurance policy start date	2017-07-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $5,929
Total amount of fees paid to insurance company	USD $1,619
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $66,135
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,286
Amount paid for insurance broker fees	1619
Insurance broker name	PLATINUM PLANNING INC

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00467272

Policy instance

Insurance contract or identification number	00467272
Number of Individuals Covered	108
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $9,336
Total amount of fees paid to insurance company	USD $9,609
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D, OPTIONAL LIFE
Welfare Benefit Premiums Paid to Carrier	USD $152,855
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,336
Amount paid for insurance broker fees	9609
Additional information about fees paid to insurance broker	SERVICE/GENERAL AGENT PAYMENTS
Insurance broker organization code?	3
Insurance broker name	PREFERRED BENEFITS GROUP

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00467272

Policy instance

Insurance contract or identification number	00467272
Number of Individuals Covered	108
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $14,275
Total amount of fees paid to insurance company	USD $8,849
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	OPTIONAL LIFE
Welfare Benefit Premiums Paid to Carrier	USD $210,711
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $14,275
Amount paid for insurance broker fees	8849
Insurance broker organization code?	3
Insurance broker name	PREFERRED BENEFITS GROUP

HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )

Policy contract number

80468

Policy instance

Insurance contract or identification number	80468
Number of Individuals Covered	97
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $55,966
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,162,612
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $55,966
Insurance broker organization code?	3
Insurance broker name	PREFERRED BENEFITS GROUP, INC

HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )

Policy contract number

80468

Policy instance

Insurance contract or identification number	80468
Number of Individuals Covered	97
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $11,071
Welfare Benefit Premiums Paid to Carrier	USD $228,069
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $11,071
Insurance broker organization code?	3
Insurance broker name	PREFERRED BENEFITS GROUP, INC.

HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )

Policy contract number

80468

Policy instance

Insurance contract or identification number	80468
Number of Individuals Covered	105
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $51,359
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,055,986
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $51,359
Insurance broker organization code?	3
Insurance broker name	PREFERRED BENEFITS GROUP, INC

HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )

Policy contract number

80468

Policy instance

Insurance contract or identification number	80468
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $10,174
Welfare Benefit Premiums Paid to Carrier	USD $207,214
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,174
Insurance broker organization code?	3
Insurance broker name	PREFERRED BENEFITS GROUP, INC.

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00467272

Policy instance

Insurance contract or identification number	00467272
Number of Individuals Covered	118
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $11,888
Total amount of fees paid to insurance company	USD $8,232
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	OPTIONAL LIFE
Welfare Benefit Premiums Paid to Carrier	USD $190,860
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $11,833
Amount paid for insurance broker fees	8232
Insurance broker organization code?	3
Insurance broker name	FERRARA FINANCIAL GROUP LLC

HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )

Policy contract number

80468

Policy instance

Insurance contract or identification number	80468
Number of Individuals Covered	92
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $8,616
Welfare Benefit Premiums Paid to Carrier	USD $173,993
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,616
Insurance broker organization code?	3
Insurance broker name	PREFERRED BENEFITS GROUP, INC.

HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )

Policy contract number

80468

Policy instance

Insurance contract or identification number	80468
Number of Individuals Covered	92
Insurance policy start date	2013-07-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $42,567
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $859,826
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $42,567
Insurance broker organization code?	3
Insurance broker name	PREFERRED BENEFITS GROUP, INC

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00467272

Policy instance

Insurance contract or identification number	00467272
Number of Individuals Covered	100
Insurance policy start date	2012-05-01
Insurance policy end date	2013-04-30
Total amount of commissions paid to insurance broker	USD $10,734
Total amount of fees paid to insurance company	USD $7,783
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	OPTIONAL LIFE
Welfare Benefit Premiums Paid to Carrier	USD $157,300
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,524
Amount paid for insurance broker fees	7783
Insurance broker organization code?	3
Insurance broker name	FERRARA FINANCIAL GROUP LLC

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00467272

Policy instance

Insurance contract or identification number	00467272
Number of Individuals Covered	104
Insurance policy start date	2013-05-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $8,866
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	OPTIONAL LIFE
Welfare Benefit Premiums Paid to Carrier	USD $118,379
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,692
Insurance broker organization code?	3
Insurance broker name	FERRARA FINANCIAL GROUP, LLC

CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )

Policy contract number

3328120

Policy instance

Insurance contract or identification number	3328120
Number of Individuals Covered	86
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $75,503
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,077,827
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $53,891
Insurance broker organization code?	3
Insurance broker name	PROFESSIONAL PENSIONS, INC.

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00467272

Policy instance

Insurance contract or identification number	00467272
Number of Individuals Covered	100
Insurance policy start date	2011-05-01
Insurance policy end date	2012-04-30
Total amount of commissions paid to insurance broker	USD $10,632
Total amount of fees paid to insurance company	USD $6,156
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	OPTIONAL LIFE INSURANCE
Welfare Benefit Premiums Paid to Carrier	USD $149,793
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,935
Amount paid for insurance broker fees	6156
Insurance broker organization code?	3
Insurance broker name	FERRARA FINANCIAL GROUP LLC

HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )

Policy contract number

80468

Policy instance

Insurance contract or identification number	80468
Number of Individuals Covered	88
Insurance policy start date	2012-07-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $48,439
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $486,907
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $48,439
Insurance broker organization code?	3
Insurance broker name	PREFERRED BENEFITS GROUP, INC

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30003995

Policy instance

Insurance contract or identification number	30003995
Number of Individuals Covered	0
Insurance policy start date	2010-07-01
Insurance policy end date	2011-05-01
Total amount of commissions paid to insurance broker	USD $290
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $2,902
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30003995

Policy instance

Insurance contract or identification number	30003995
Number of Individuals Covered	106
Insurance policy start date	2011-01-01
Insurance policy end date	2011-04-30
Total amount of commissions paid to insurance broker	USD $112
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,122
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )

Policy contract number

200968

Policy instance

Insurance contract or identification number	200968
Number of Individuals Covered	93
Insurance policy start date	2010-05-01
Insurance policy end date	2011-05-01
Total amount of commissions paid to insurance broker	USD $3,373
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $93,148
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )

Policy contract number

3328120

Policy instance

Insurance contract or identification number	3328120
Number of Individuals Covered	88
Insurance policy start date	2010-07-01
Insurance policy end date	2011-06-30
Total amount of commissions paid to insurance broker	USD $53,138
Total amount of fees paid to insurance company	USD $2,037
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,062,761
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )

Policy contract number

200968

Policy instance

Insurance contract or identification number	200968
Number of Individuals Covered	107
Insurance policy start date	2009-05-01
Insurance policy end date	2010-04-30
Total amount of commissions paid to insurance broker	USD $3,770
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $102,003
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,770
Insurance broker organization code?	3
Insurance broker name	PREFERRED BENEFITS GROUP, INC.

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

200968

Policy instance

Insurance contract or identification number	200968
Number of Individuals Covered	110
Insurance policy start date	2009-05-01
Insurance policy end date	2010-04-30
Total amount of commissions paid to insurance broker	USD $2,264
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $15,175
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,264
Insurance broker organization code?	3
Insurance broker name	PREFERRED BENEFITS GROUP, INC.

DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )

Policy contract number

9038

Policy instance

Insurance contract or identification number	9038
Number of Individuals Covered	0
Insurance policy start date	2009-04-01
Insurance policy end date	2010-03-31
Total amount of commissions paid to insurance broker	USD $685
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $685
Insurance broker organization code?	3
Insurance broker name	PREFERRED BENEFITS GROUP, INC.

CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )

Policy contract number

3328120

Policy instance

Insurance contract or identification number	3328120
Number of Individuals Covered	101
Insurance policy start date	2009-07-01
Insurance policy end date	2010-06-30
Total amount of commissions paid to insurance broker	USD $55,950
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,118,992
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $55,950
Insurance broker organization code?	3
Insurance broker name	PREFERRED BENEFITS GROUP, INC.

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30003995

Policy instance

Insurance contract or identification number	30003995
Number of Individuals Covered	110
Insurance policy start date	2009-07-01
Insurance policy end date	2010-06-30
Total amount of commissions paid to insurance broker	USD $374
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $3,744
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $374
Insurance broker organization code?	3
Insurance broker name	PREFERRED BENEFITS GROUP INC.

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

200968

Policy instance

Insurance contract or identification number	200968
Number of Individuals Covered	110
Insurance policy start date	2009-05-01
Insurance policy end date	2010-04-30
Total amount of commissions paid to insurance broker	USD $2,225
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $31,880
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,225
Insurance broker organization code?	3
Insurance broker name	PREFERRED BENEFITS GROUP, INC.

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Company Name:	WIRELESS TELECOM GROUP, INC.
Employer identification number (EIN):	222582295
NAIC Classification:	334200

Jurisdiction of Incorporation:	Colorado Department of State
Incorporation Date:	2016-01-01
Company Identification Number:	20151787898
Legal Registered Office Address:	330 Oneida Street Boulder United States of America (USA) 80303-_