401k Plan data: AIRWATCH plan

AIRWATCH 401k Plan overview

Plan Name	AIRWATCH
Plan identification number	501

AIRWATCH 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 Other welfare benefit cover Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

AIRWATCH has sponsored the creation of one or more 401k plans.

Company Name: AIRWATCH

Employer identification number (EIN): 364739196

NAIC Classification: 541511
NAIC Description: Custom Computer Programming Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AIRWATCH

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2015-09-01 SARA WALTERS
501 2014-09-01 SARA WALTERS

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2015-09-01	SARA WALTERS
501	2014-09-01	SARA WALTERS

Plan Statistics for AIRWATCH

401k plan membership statisitcs for AIRWATCH

Measure Date Value
2015: AIRWATCH 2015 401k membership
Total participants, beginning-of-year 2015-09-01 1,456
Total number of active participants reported on line 7a of the Form 5500 2015-09-01 1,274
Total of all active and inactive participants 2015-09-01 1,274
2014: AIRWATCH 2014 401k membership
Total participants, beginning-of-year 2014-09-01 1,252
Total number of active participants reported on line 7a of the Form 5500 2014-09-01 1,456
Total of all active and inactive participants 2014-09-01 1,456

Measure	Date	Value
2015: AIRWATCH 2015 401k membership
Total participants, beginning-of-year	2015-09-01	1,456
Total number of active participants reported on line 7a of the Form 5500	2015-09-01	1,274
Total of all active and inactive participants	2015-09-01	1,274
2014: AIRWATCH 2014 401k membership
Total participants, beginning-of-year	2014-09-01	1,252
Total number of active participants reported on line 7a of the Form 5500	2014-09-01	1,456
Total of all active and inactive participants	2014-09-01	1,456

Form 5500 Responses for AIRWATCH

2015: AIRWATCH 2015 form 5500 responses
2015-09-01	Type of plan entity	Single employer plan
2015-09-01	Submission has been amended	No
2015-09-01	This submission is the final filing	No
2015-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-09-01	Plan is a collectively bargained plan	No
2015-09-01	Plan funding arrangement – Insurance	Yes
2015-09-01	Plan benefit arrangement – Insurance	Yes
2014: AIRWATCH 2014 form 5500 responses
2014-09-01	Type of plan entity	Single employer plan
2014-09-01	Submission has been amended	No
2014-09-01	This submission is the final filing	No
2014-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-09-01	Plan is a collectively bargained plan	No
2014-09-01	Plan funding arrangement – Insurance	Yes
2014-09-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

0835188

Policy instance

Insurance contract or identification number	0835188
Number of Individuals Covered	2208
Insurance policy start date	2015-09-01
Insurance policy end date	2016-08-31
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
Welfare Benefit Premiums Paid to Carrier	USD $8,058,619
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

451331

Policy instance

Insurance contract or identification number	451331
Number of Individuals Covered	1274
Insurance policy start date	2015-09-01
Insurance policy end date	2016-08-31
Total amount of commissions paid to insurance broker	USD $39,627
Total amount of fees paid to insurance company	USD $22,624
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	AD&D, CRITICAL ILLNES, OPTIONAL LIFE
Welfare Benefit Premiums Paid to Carrier	USD $1,132,036
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $39,627
Amount paid for insurance broker fees	22624
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3
Insurance broker name	NORTHWESTERN BENEFIT CORP OF GA

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

0835188

Policy instance

Insurance contract or identification number	0835188
Number of Individuals Covered	2205
Insurance policy start date	2014-09-01
Insurance policy end date	2015-08-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $81,843
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $5,383,828
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	81843
Additional information about fees paid to insurance broker	2014/2015 PPP ENGAGEMENT CREDIT
Insurance broker organization code?	3
Insurance broker name	NORTHWESTERN BENEFIT CORP OF GA

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

Policy contract number

451331

Policy instance

Insurance contract or identification number	451331
Number of Individuals Covered	1456
Insurance policy start date	2014-09-01
Insurance policy end date	2015-08-31
Total amount of commissions paid to insurance broker	USD $37,719
Total amount of fees paid to insurance company	USD $16,697
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	AD&D, CRITICAL ILLNES, OPTIONAL LIFE
Welfare Benefit Premiums Paid to Carrier	USD $1,042,953
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $37,719
Amount paid for insurance broker fees	16697
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3
Insurance broker name	NORTHWESTERN BENEFIT CORP OF GA

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Company Name:	AIRWATCH
Employer identification number (EIN):	364739196
NAIC Classification:	541511
NAIC Description:	Custom Computer Programming Services