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COMPUTER COMPONENTS CORPORATION GROUP MEDICAL PLAN 401k Plan overview

Plan NameCOMPUTER COMPONENTS CORPORATION GROUP MEDICAL PLAN
Plan identification number 510

COMPUTER COMPONENTS CORPORATION GROUP MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

COMPUTER COMPONENTS CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:COMPUTER COMPONENTS CORPORATION
Employer identification number (EIN):232331080
NAIC Classification:332900

Additional information about COMPUTER COMPONENTS CORPORATION

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 2004270

More information about COMPUTER COMPONENTS CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMPUTER COMPONENTS CORPORATION GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5102022-01-01
5102021-01-01
5102020-01-01
5102019-01-01

Plan Statistics for COMPUTER COMPONENTS CORPORATION GROUP MEDICAL PLAN

401k plan membership statisitcs for COMPUTER COMPONENTS CORPORATION GROUP MEDICAL PLAN

Measure Date Value
2022: COMPUTER COMPONENTS CORPORATION GROUP MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0158
Total number of active participants reported on line 7a of the Form 55002022-01-0159
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-0159
2021: COMPUTER COMPONENTS CORPORATION GROUP MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0155
Total number of active participants reported on line 7a of the Form 55002021-01-0158
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-0158
2020: COMPUTER COMPONENTS CORPORATION GROUP MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0163
Total number of active participants reported on line 7a of the Form 55002020-01-0155
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-0155
2019: COMPUTER COMPONENTS CORPORATION GROUP MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0163
Total number of active participants reported on line 7a of the Form 55002019-01-0163
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-0163

Financial Data on COMPUTER COMPONENTS CORPORATION GROUP MEDICAL PLAN

Measure Date Value
2022 : COMPUTER COMPONENTS CORPORATION GROUP MEDICAL PLAN 2022 401k financial data
Total plan liabilities at end of year2022-12-31$81,045
Total plan liabilities at beginning of year2022-12-31$61,662
Total income from all sources2022-12-31$864,483
Expenses. Total of all expenses incurred2022-12-31$898,355
Benefits paid (including direct rollovers)2022-12-31$490,863
Total plan assets at end of year2022-12-31$153,411
Total plan assets at beginning of year2022-12-31$167,900
Value of fidelity bond covering the plan2022-12-31$500,000
Total contributions received or receivable from participants2022-12-31$76,000
Expenses. Other expenses not covered elsewhere2022-12-31$311,391
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$0
Noncash contributions received2022-12-31$0
Net income (gross income less expenses)2022-12-31$-33,872
Net plan assets at end of year (total assets less liabilities)2022-12-31$72,366
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$106,238
Total contributions received or receivable from employer(s)2022-12-31$788,483
Value of certain deemed distributions of participant loans2022-12-31$0
Value of corrective distributions2022-12-31$79,325
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$16,776
2021 : COMPUTER COMPONENTS CORPORATION GROUP MEDICAL PLAN 2021 401k financial data
Total plan liabilities at end of year2021-12-31$61,662
Total plan liabilities at beginning of year2021-12-31$76,380
Total income from all sources2021-12-31$781,612
Expenses. Total of all expenses incurred2021-12-31$763,640
Benefits paid (including direct rollovers)2021-12-31$455,251
Total plan assets at end of year2021-12-31$167,900
Total plan assets at beginning of year2021-12-31$164,646
Value of fidelity bond covering the plan2021-12-31$500,000
Total contributions received or receivable from participants2021-12-31$293,475
Expenses. Other expenses not covered elsewhere2021-12-31$277,605
Net income (gross income less expenses)2021-12-31$17,972
Net plan assets at end of year (total assets less liabilities)2021-12-31$106,238
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$88,266
Total contributions received or receivable from employer(s)2021-12-31$488,137
Value of corrective distributions2021-12-31$14,074
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$16,710
2020 : COMPUTER COMPONENTS CORPORATION GROUP MEDICAL PLAN 2020 401k financial data
Total plan liabilities at end of year2020-12-31$76,380
Total plan liabilities at beginning of year2020-12-31$81,472
Total income from all sources2020-12-31$833,664
Expenses. Total of all expenses incurred2020-12-31$672,131
Benefits paid (including direct rollovers)2020-12-31$367,732
Total plan assets at end of year2020-12-31$164,646
Total plan assets at beginning of year2020-12-31$8,205
Value of fidelity bond covering the plan2020-12-31$500,000
Total contributions received or receivable from participants2020-12-31$311,525
Expenses. Other expenses not covered elsewhere2020-12-31$277,711
Net income (gross income less expenses)2020-12-31$161,533
Net plan assets at end of year (total assets less liabilities)2020-12-31$88,266
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$-73,267
Total contributions received or receivable from employer(s)2020-12-31$522,139
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$26,688
2019 : COMPUTER COMPONENTS CORPORATION GROUP MEDICAL PLAN 2019 401k financial data
Total plan liabilities at end of year2019-12-31$81,472
Total income from all sources2019-12-31$783,045
Expenses. Total of all expenses incurred2019-12-31$856,312
Benefits paid (including direct rollovers)2019-12-31$554,012
Total plan assets at end of year2019-12-31$8,205
Value of fidelity bond covering the plan2019-12-31$500,000
Total contributions received or receivable from participants2019-12-31$287,676
Expenses. Other expenses not covered elsewhere2019-12-31$266,980
Contributions received from other sources (not participants or employers)2019-12-31$0
Other income received2019-12-31$23
Net income (gross income less expenses)2019-12-31$-73,267
Net plan assets at end of year (total assets less liabilities)2019-12-31$-73,267
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$0
Total contributions received or receivable from employer(s)2019-12-31$495,346
Value of corrective distributions2019-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$35,320

Form 5500 Responses for COMPUTER COMPONENTS CORPORATION GROUP MEDICAL PLAN

2022: COMPUTER COMPONENTS CORPORATION GROUP MEDICAL PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: COMPUTER COMPONENTS CORPORATION GROUP MEDICAL PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: COMPUTER COMPONENTS CORPORATION GROUP MEDICAL PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: COMPUTER COMPONENTS CORPORATION GROUP MEDICAL PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01First time form 5500 has been submittedYes
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number407727
Policy instance 1
Insurance contract or identification number407727
Number of Individuals Covered59
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $267,002
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number407727
Policy instance 1
Insurance contract or identification number407727
Number of Individuals Covered58
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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 BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $233,570
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500438
Policy instance 1
Insurance contract or identification number30500438
Number of Individuals Covered55
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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 BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $231,438
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered63
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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 BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $218,504
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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