401k Plan data: SELECT SIRES, INC. HEALTH AND WELFARE WRAP PLAN plan

SELECT SIRES, INC. HEALTH AND WELFARE WRAP PLAN 401k Plan overview

Plan Name	SELECT SIRES, INC. HEALTH AND WELFARE WRAP PLAN
Plan identification number	503

SELECT SIRES, INC. HEALTH AND WELFARE WRAP 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

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

Company Name: SELECT SIRES, INC.

Employer identification number (EIN): 310717091

NAIC Classification: 115210
NAIC Description: Support Activities for Animal Production

Additional information about SELECT SIRES, INC.

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division

Incorporation Date: 1965-10-12

Company Identification Number: 344324

Legal Registered Office Address: 500 SOUTH FRONT STREET
SUITE 1200
COLUMBUS
United States of America (USA)
43215

More information about SELECT SIRES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SELECT SIRES, INC. HEALTH AND WELFARE WRAP PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2023-01-01 CHRISTOPHER ENGLAND 2024-09-13
503 2022-01-01 CHRISTOPHER ENGLAND 2023-07-07
503 2021-01-01 CHRISTOPHER ENGLAND 2022-07-05

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
503	2023-01-01	CHRISTOPHER ENGLAND	2024-09-13
503	2022-01-01	CHRISTOPHER ENGLAND	2023-07-07
503	2021-01-01	CHRISTOPHER ENGLAND	2022-07-05

Form 5500 Responses for SELECT SIRES, INC. HEALTH AND WELFARE WRAP PLAN

2023: SELECT SIRES, INC. HEALTH AND WELFARE WRAP PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2022: SELECT SIRES, INC. HEALTH AND WELFARE WRAP 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 funding arrangement – General assets of the sponsor	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: SELECT SIRES, INC. HEALTH AND WELFARE WRAP PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	First time form 5500 has been submitted	Yes
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

HEALTHJOY, LLC (National Association of Insurance Commissioners NAIC id number: 51121 )

Policy contract number

Policy instance

Insurance contract or identification number	00
Number of Individuals Covered	285
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	TELEHEALTH
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

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

Policy contract number

465143

Policy instance

Insurance contract or identification number	465143
Number of Individuals Covered	285
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $21,745
Total amount of fees paid to insurance company	USD $1,519
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM, ACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to Carrier	USD $219,543
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

915362

Policy instance

Insurance contract or identification number	915362
Number of Individuals Covered	1
Insurance policy start date	2022-09-01
Insurance policy end date	2023-08-31
Total amount of commissions paid to insurance broker	USD $559
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Other welfare benefits provided	BUSINESS TRAVEL ACCIDENT
Welfare Benefit Premiums Paid to Carrier	USD $5,586
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )

Policy contract number

99084237

Policy instance

Insurance contract or identification number	99084237
Number of Individuals Covered	285
Insurance policy start date	2022-09-01
Insurance policy end date	2023-08-31
Total amount of commissions paid to insurance broker	USD $214
Total amount of fees paid to insurance company	USD $21
Other welfare benefits provided	BUSINESS TRAVEL ACCIDENT
Welfare Benefit Premiums Paid to Carrier	USD $1,425
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

HEALTHJOY, LLC (National Association of Insurance Commissioners NAIC id number: 51121 )

Policy contract number

Policy instance

Insurance contract or identification number	00
Number of Individuals Covered	190
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	TELEHEALTH
Welfare Benefit Premiums Paid to Carrier	USD $14,866
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

465143

Policy instance

Insurance contract or identification number	465143
Number of Individuals Covered	270
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $16,810
Total amount of fees paid to insurance company	USD $6,579
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM, ACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to Carrier	USD $195,441
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

915362

Policy instance

Insurance contract or identification number	915362
Number of Individuals Covered	270
Insurance policy start date	2021-09-01
Insurance policy end date	2022-08-31
Total amount of commissions paid to insurance broker	USD $510
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Other welfare benefits provided	BUSINESS TRAVEL ACCIDENT
Welfare Benefit Premiums Paid to Carrier	USD $5,100
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )

Policy contract number

99084237

Policy instance

Insurance contract or identification number	99084237
Number of Individuals Covered	270
Insurance policy start date	2021-09-01
Insurance policy end date	2022-08-31
Total amount of commissions paid to insurance broker	USD $214
Total amount of fees paid to insurance company	USD $59
Other welfare benefits provided	BUSINESS TRAVEL ACCIDENT
Welfare Benefit Premiums Paid to Carrier	USD $1,425
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

HEALTHJOY, LLC (National Association of Insurance Commissioners NAIC id number: 51121 )

Policy contract number

Policy instance

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

Policy contract number

465143

Policy instance

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

915362

Policy instance

FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )

Policy contract number

9908-42-37

Policy instance

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Company Name:	SELECT SIRES, INC.
Employer identification number (EIN):	310717091
NAIC Classification:	115210
NAIC Description:	Support Activities for Animal Production

Jurisdiction of Incorporation:	Ohio Secretary of State Business Services Division
Incorporation Date:	1965-10-12
Company Identification Number:	344324
Legal Registered Office Address:	500 SOUTH FRONT STREET SUITE 1200 COLUMBUS United States of America (USA) 43215