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HISADA AMERICA, INC. HEALTH BENEFIT PLAN 401k Plan overview

Plan NameHISADA AMERICA, INC. HEALTH BENEFIT PLAN
Plan identification number 501

HISADA AMERICA, INC. HEALTH BENEFIT PLAN Benefits

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

401k Sponsoring company profile

HISADA AMERICA, INC. has sponsored the creation of one or more 401k plans.

Company Name:HISADA AMERICA, INC.
Employer identification number (EIN):352007085
NAIC Classification:336300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HISADA AMERICA, INC. HEALTH BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01LISA BREWER2023-08-28 HAJIME SUGAWARA2023-08-28
5012021-01-01HAJIME SUGAWARA2022-08-24
5012020-01-01RONALD R STEPHENS2021-08-18
5012019-01-01
5012018-01-01RONALD R STEPHENS
5012017-01-01RONALD R STEPHENS
5012016-01-01RONALD R STEPHENS
5012015-01-01RONALD R STEPHENS
5012014-01-01RONALD R STEPHENS
5012013-01-01RONALD R STEPHENS
5012012-01-01RONALD R STEPHENS
5012011-01-01RONALD R STEPHENS
5012010-01-01RONALD R STEPHENS
5012009-01-01RONALD R STEPHENS
5012009-01-01RONALD R STEPHENS

Plan Statistics for HISADA AMERICA, INC. HEALTH BENEFIT PLAN

401k plan membership statisitcs for HISADA AMERICA, INC. HEALTH BENEFIT PLAN

Measure Date Value
2022: HISADA AMERICA, INC. HEALTH BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01147
Total number of active participants reported on line 7a of the Form 55002022-01-01138
Total of all active and inactive participants2022-01-01138
2021: HISADA AMERICA, INC. HEALTH BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01190
Total number of active participants reported on line 7a of the Form 55002021-01-01147
Total of all active and inactive participants2021-01-01147
2020: HISADA AMERICA, INC. HEALTH BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01211
Total number of active participants reported on line 7a of the Form 55002020-01-01190
Total of all active and inactive participants2020-01-01190
2019: HISADA AMERICA, INC. HEALTH BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01219
Total number of active participants reported on line 7a of the Form 55002019-01-01211
Total of all active and inactive participants2019-01-01211
Total participants2019-01-01211
Number of participants with account balances2019-01-010
2018: HISADA AMERICA, INC. HEALTH BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01235
Total number of active participants reported on line 7a of the Form 55002018-01-01219
Total of all active and inactive participants2018-01-01219
Total participants2018-01-01219
2017: HISADA AMERICA, INC. HEALTH BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01262
Total number of active participants reported on line 7a of the Form 55002017-01-01235
Total of all active and inactive participants2017-01-01235
Total participants2017-01-01235
2016: HISADA AMERICA, INC. HEALTH BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01294
Total number of active participants reported on line 7a of the Form 55002016-01-01262
Total of all active and inactive participants2016-01-01262
Total participants2016-01-01262
2015: HISADA AMERICA, INC. HEALTH BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01306
Total number of active participants reported on line 7a of the Form 55002015-01-01294
Total of all active and inactive participants2015-01-01294
Total participants2015-01-010
2014: HISADA AMERICA, INC. HEALTH BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01311
Total number of active participants reported on line 7a of the Form 55002014-01-01306
Total of all active and inactive participants2014-01-01306
Total participants2014-01-010
2013: HISADA AMERICA, INC. HEALTH BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01294
Total number of active participants reported on line 7a of the Form 55002013-01-01311
Total of all active and inactive participants2013-01-01311
Total participants2013-01-010
2012: HISADA AMERICA, INC. HEALTH BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01483
Total number of active participants reported on line 7a of the Form 55002012-01-01294
Total of all active and inactive participants2012-01-01294
Total participants2012-01-010
2011: HISADA AMERICA, INC. HEALTH BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01455
Total number of active participants reported on line 7a of the Form 55002011-01-01483
Total of all active and inactive participants2011-01-01483
Total participants2011-01-01483
2010: HISADA AMERICA, INC. HEALTH BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01417
Total number of active participants reported on line 7a of the Form 55002010-01-01455
Total of all active and inactive participants2010-01-01455
Total participants2010-01-01455
2009: HISADA AMERICA, INC. HEALTH BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01337
Total number of active participants reported on line 7a of the Form 55002009-01-01417
Total of all active and inactive participants2009-01-01417
Total participants2009-01-01417

Form 5500 Responses for HISADA AMERICA, INC. HEALTH BENEFIT PLAN

2022: HISADA AMERICA, INC. HEALTH BENEFIT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: HISADA AMERICA, INC. HEALTH BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: HISADA AMERICA, INC. HEALTH BENEFIT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: HISADA AMERICA, INC. HEALTH BENEFIT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: HISADA AMERICA, INC. HEALTH BENEFIT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: HISADA AMERICA, INC. HEALTH BENEFIT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: HISADA AMERICA, INC. HEALTH BENEFIT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: HISADA AMERICA, INC. HEALTH BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: HISADA AMERICA, INC. HEALTH BENEFIT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: HISADA AMERICA, INC. HEALTH BENEFIT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: HISADA AMERICA, INC. HEALTH BENEFIT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: HISADA AMERICA, INC. HEALTH BENEFIT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: HISADA AMERICA, INC. HEALTH BENEFIT PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: HISADA AMERICA, INC. HEALTH BENEFIT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

SIHO (National Association of Insurance Commissioners NAIC id number: 95812 )
Policy contract number101014
Policy instance 1
Insurance contract or identification number101014
Number of Individuals Covered251
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $48,324
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,610,813
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $48,324
Insurance broker organization code?4
SIHO (National Association of Insurance Commissioners NAIC id number: 95812 )
Policy contract number101014
Policy instance 1
Insurance contract or identification number101014
Number of Individuals Covered275
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $49,220
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,640,779
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $49,220
Insurance broker organization code?4
SIHO (National Association of Insurance Commissioners NAIC id number: 95812 )
Policy contract number101014
Policy instance 1
Insurance contract or identification number101014
Number of Individuals Covered348
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $63,027
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,100,904
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $63,027
Insurance broker organization code?3
SIHO (National Association of Insurance Commissioners NAIC id number: 95812 )
Policy contract number101014
Policy instance 1
Insurance contract or identification number101014
Number of Individuals Covered392
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $68,779
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,291,441
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $68,779
Insurance broker organization code?3
SIHO (National Association of Insurance Commissioners NAIC id number: 95812 )
Policy contract number101014
Policy instance 1
Insurance contract or identification number101014
Number of Individuals Covered410
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $66,015
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,218,090
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $66,015
Insurance broker organization code?3
SIHO (National Association of Insurance Commissioners NAIC id number: 95812 )
Policy contract number101014
Policy instance 1
Insurance contract or identification number101014
Number of Individuals Covered461
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $69,660
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,320,307
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $69,660
Insurance broker organization code?3
Insurance broker nameJA BENFITS
SIHO (National Association of Insurance Commissioners NAIC id number: 95812 )
Policy contract number101014
Policy instance 1
Insurance contract or identification number101014
Number of Individuals Covered571
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $73,067
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,435,570
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $73,067
Insurance broker organization code?3
Insurance broker nameJA BENFITS
SIHO (National Association of Insurance Commissioners NAIC id number: 95812 )
Policy contract number101014
Policy instance 1
Insurance contract or identification number101014
Number of Individuals Covered562
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $69,821
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,327,361
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $69,821
Insurance broker organization code?3
Insurance broker nameJA BENFITS
SIHO (National Association of Insurance Commissioners NAIC id number: 95812 )
Policy contract number101014
Policy instance 1
Insurance contract or identification number101014
Number of Individuals Covered573
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $69,032
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,301,058
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $69,032
Insurance broker organization code?3
Insurance broker nameJA BENFITS
SIHO (National Association of Insurance Commissioners NAIC id number: 95812 )
Policy contract number101014
Policy instance 1
Insurance contract or identification number101014
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $56,964
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,898,799
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $56,964
Insurance broker organization code?3
Insurance broker nameJA BENFITS
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberP08360
Policy instance 3
Insurance contract or identification numberP08360
Number of Individuals Covered11
Insurance policy start date2011-01-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $152
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,301
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 number00466670
Policy instance 1
Insurance contract or identification number00466670
Number of Individuals Covered75
Insurance policy start date2011-04-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $3,544
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,261
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 number714097
Policy instance 2
Insurance contract or identification number714097
Number of Individuals Covered483
Insurance policy start date2011-04-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $38,889
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,272,374
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberP08360
Policy instance 2
Insurance contract or identification numberP08360
Number of Individuals Covered11
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $835
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,772
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $152
Insurance broker organization code?3
Insurance broker nameHANNER FINANCIAL SERVICES INC
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number714097
Policy instance 1
Insurance contract or identification number714097
Number of Individuals Covered455
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $50,594
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,750,934
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $50,594
Insurance broker organization code?3
Insurance broker nameHANNER FINANCIAL SERVICES INC

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