401k Plan data: VOCON DESIGN, INC. HEALTH AND WELFARE PLAN plan

VOCON DESIGN, INC. HEALTH AND WELFARE PLAN 401k Plan overview

Plan Name	VOCON DESIGN, INC. HEALTH AND WELFARE PLAN
Plan identification number	501

VOCON DESIGN, INC. HEALTH AND WELFARE 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)

401k Sponsoring company profile

VOCON DESIGN, INC. has sponsored the creation of one or more 401k plans.

Company Name: VOCON DESIGN, INC.

Employer identification number (EIN): 341541395

NAIC Classification: 541310
NAIC Description: Architectural Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VOCON DESIGN, INC. HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2021-07-01

Plan Statistics for VOCON DESIGN, INC. HEALTH AND WELFARE PLAN

401k plan membership statisitcs for VOCON DESIGN, INC. HEALTH AND WELFARE PLAN

Measure Date Value
2021: VOCON DESIGN, INC. HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 169
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 175
Number of retired or separated participants receiving benefits 2021-07-01 2
Total of all active and inactive participants 2021-07-01 177

Measure	Date	Value
2021: VOCON DESIGN, INC. HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	169
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	175
Number of retired or separated participants receiving benefits	2021-07-01	2
Total of all active and inactive participants	2021-07-01	177

Form 5500 Responses for VOCON DESIGN, INC. HEALTH AND WELFARE PLAN

2021: VOCON DESIGN, INC. HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
2021-07-01	Plan funding arrangement – Insurance	Yes
2021-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )

Policy contract number

W40713

Policy instance

Insurance contract or identification number	W40713
Insurance policy start date	2020-10-01
Insurance policy end date	2021-09-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3

COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )

Policy contract number

00169104

Policy instance

Insurance contract or identification number	00169104
Insurance policy start date	2020-10-01
Insurance policy end date	2021-09-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1054326

Policy instance

Insurance contract or identification number	1054326
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3

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Company Name:	VOCON DESIGN, INC.
Employer identification number (EIN):	341541395
NAIC Classification:	541310
NAIC Description:	Architectural Services