401k Plan data: SSI GROUP HEALTH PLAN plan

SSI GROUP HEALTH PLAN 401k Plan overview

Plan Name	SSI GROUP HEALTH PLAN
Plan identification number	501

SSI GROUP HEALTH PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental

401k Sponsoring company profile

SATELLITE SERVICES INC has sponsored the creation of one or more 401k plans.

Company Name: SATELLITE SERVICES INC

Employer identification number (EIN): 382380703

NAIC Classification: 561210
NAIC Description: Facilities Support Services

Additional information about SATELLITE SERVICES INC

Jurisdiction of Incorporation: Nevada Department of State

Incorporation Date: 2001-11-28

Company Identification Number: 20011488500

Legal Registered Office Address: 5605 RIGGINS CT STE 200

RENO
United States of America (USA)
89502

More information about SATELLITE SERVICES INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SSI GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2016-10-01
501 2016-10-01 JULI A. DUPRAS 2019-01-10
501 2015-10-01 JULI DUPRAS
501 2014-10-01 JULI DUPRAS
501 2013-10-01 JULI DUPRAS JULI DUPRAS 2015-02-18
501 2012-10-01 JULI DUPRAS JULI DUPRAS 2014-03-21

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2016-10-01
501	2016-10-01	JULI A. DUPRAS	2019-01-10
501	2015-10-01	JULI DUPRAS
501	2014-10-01	JULI DUPRAS
501	2013-10-01	JULI DUPRAS		JULI DUPRAS	2015-02-18
501	2012-10-01	JULI DUPRAS		JULI DUPRAS	2014-03-21

Plan Statistics for SSI GROUP HEALTH PLAN

401k plan membership statisitcs for SSI GROUP HEALTH PLAN

Measure Date Value
2016: SSI GROUP HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year 2016-10-01 127
Total number of active participants reported on line 7a of the Form 5500 2016-10-01 123
Number of retired or separated participants receiving benefits 2016-10-01 1
Number of other retired or separated participants entitled to future benefits 2016-10-01 0
Total of all active and inactive participants 2016-10-01 124
2015: SSI GROUP HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year 2015-10-01 146
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 127
Number of retired or separated participants receiving benefits 2015-10-01 0
Number of other retired or separated participants entitled to future benefits 2015-10-01 11
Total of all active and inactive participants 2015-10-01 138
Total participants 2015-10-01 138
2014: SSI GROUP HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 177
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 135
Number of retired or separated participants receiving benefits 2014-10-01 4
Number of other retired or separated participants entitled to future benefits 2014-10-01 7
Total of all active and inactive participants 2014-10-01 146
Total participants 2014-10-01 146
2013: SSI GROUP HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 152
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 164
Number of retired or separated participants receiving benefits 2013-10-01 2
Number of other retired or separated participants entitled to future benefits 2013-10-01 11
Total of all active and inactive participants 2013-10-01 177
Total participants 2013-10-01 177
2012: SSI GROUP HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 133
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 152
Number of retired or separated participants receiving benefits 2012-10-01 5
Number of other retired or separated participants entitled to future benefits 2012-10-01 7
Total of all active and inactive participants 2012-10-01 164
Total participants 2012-10-01 164

Measure	Date	Value
2016: SSI GROUP HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year	2016-10-01	127
Total number of active participants reported on line 7a of the Form 5500	2016-10-01	123
Number of retired or separated participants receiving benefits	2016-10-01	1
Number of other retired or separated participants entitled to future benefits	2016-10-01	0
Total of all active and inactive participants	2016-10-01	124
2015: SSI GROUP HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year	2015-10-01	146
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	127
Number of retired or separated participants receiving benefits	2015-10-01	0
Number of other retired or separated participants entitled to future benefits	2015-10-01	11
Total of all active and inactive participants	2015-10-01	138
Total participants	2015-10-01	138
2014: SSI GROUP HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	177
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	135
Number of retired or separated participants receiving benefits	2014-10-01	4
Number of other retired or separated participants entitled to future benefits	2014-10-01	7
Total of all active and inactive participants	2014-10-01	146
Total participants	2014-10-01	146
2013: SSI GROUP HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	152
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	164
Number of retired or separated participants receiving benefits	2013-10-01	2
Number of other retired or separated participants entitled to future benefits	2013-10-01	11
Total of all active and inactive participants	2013-10-01	177
Total participants	2013-10-01	177
2012: SSI GROUP HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	133
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	152
Number of retired or separated participants receiving benefits	2012-10-01	5
Number of other retired or separated participants entitled to future benefits	2012-10-01	7
Total of all active and inactive participants	2012-10-01	164
Total participants	2012-10-01	164

Form 5500 Responses for SSI GROUP HEALTH PLAN

2016: SSI GROUP HEALTH PLAN 2016 form 5500 responses
2016-10-01	Type of plan entity	Single employer plan
2016-10-01	Submission has been amended	No
2016-10-01	This submission is the final filing	No
2016-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-10-01	Plan is a collectively bargained plan	No
2016-10-01	Plan funding arrangement – Insurance	Yes
2016-10-01	Plan benefit arrangement – Insurance	Yes
2015: SSI GROUP HEALTH PLAN 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	Submission has been amended	No
2015-10-01	This submission is the final filing	No
2015-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-10-01	Plan is a collectively bargained plan	No
2015-10-01	Plan funding arrangement – Insurance	Yes
2015-10-01	Plan benefit arrangement – Insurance	Yes
2014: SSI GROUP HEALTH PLAN 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Submission has been amended	No
2014-10-01	This submission is the final filing	No
2014-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-10-01	Plan is a collectively bargained plan	No
2014-10-01	Plan funding arrangement – Insurance	Yes
2014-10-01	Plan benefit arrangement – Insurance	Yes
2013: SSI GROUP HEALTH PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Submission has been amended	No
2013-10-01	This submission is the final filing	No
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-10-01	Plan is a collectively bargained plan	No
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan benefit arrangement – Insurance	Yes
2012: SSI GROUP HEALTH PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	First time form 5500 has been submitted	Yes
2012-10-01	Submission has been amended	No
2012-10-01	This submission is the final filing	No
2012-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-10-01	Plan is a collectively bargained plan	No
2012-10-01	Plan funding arrangement – Insurance	Yes
2012-10-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

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

Policy contract number

906148

Policy instance

Insurance contract or identification number	906148
Number of Individuals Covered	127
Insurance policy start date	2015-10-01
Insurance policy end date	2016-09-30
Total amount of commissions paid to insurance broker	USD $60,717
Total amount of fees paid to insurance company	USD $8,000
Are there contracts with allocated funds for individual policies?	No
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $1,106,181
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $60,717
Amount paid for insurance broker fees	8000
Additional information about fees paid to insurance broker	PREFERRED BROKER COMPENSATION
Insurance broker organization code?	3
Insurance broker name	CRAFORD BENEFIT CONSULTANTS

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )

Policy contract number

06423

Policy instance

Insurance contract or identification number	06423
Number of Individuals Covered	135
Insurance policy start date	2014-10-01
Insurance policy end date	2015-09-30
Total amount of commissions paid to insurance broker	USD $28,930
Total amount of fees paid to insurance company	USD $877
Are there contracts with allocated funds for individual policies?	No
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $28,930
Amount paid for insurance broker fees	877
Additional information about fees paid to insurance broker	PREFERRED BROKER COMPENSATION
Insurance broker organization code?	3
Insurance broker name	CRAFORD BENEFIT CONSULTANTS

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )

Policy contract number

06423

Policy instance

Insurance contract or identification number	06423
Number of Individuals Covered	274
Insurance policy start date	2013-10-01
Insurance policy end date	2014-09-30
Total amount of commissions paid to insurance broker	USD $29,932
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $29,932
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Insurance broker name	CRAFORD BENEFIT CONSULTANTS

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )

Policy contract number

06423

Policy instance

Insurance contract or identification number	06423
Number of Individuals Covered	152
Insurance policy start date	2012-10-01
Insurance policy end date	2013-09-30
Total amount of commissions paid to insurance broker	USD $29,474
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	Yes
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $29,474
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Insurance broker name	CRAFORD BENEFIT CONSULTANTS

Potentially related plans

SSI GROUP RETIREMENT SAVINGS PLAN [EIN = 460879464]

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Company Name:	SATELLITE SERVICES INC
Employer identification number (EIN):	382380703
NAIC Classification:	561210
NAIC Description:	Facilities Support Services

Jurisdiction of Incorporation:	Nevada Department of State
Incorporation Date:	2001-11-28
Company Identification Number:	20011488500
Legal Registered Office Address:	5605 RIGGINS CT STE 200 RENO United States of America (USA) 89502