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USUI MEDICAL, DENTAL AND VISION PLAN, EFFECTIVE AUGUST 1, 2006 A PROGRAM UNDER THE USUI INTERNATI ONAL GROUP HEALTH & WELFARE PLAN 401k Plan overview

Plan NameUSUI MEDICAL, DENTAL AND VISION PLAN, EFFECTIVE AUGUST 1, 2006 A PROGRAM UNDER THE USUI INTERNATI ONAL GROUP HEALTH & WELFARE PLAN
Plan identification number 501

USUI MEDICAL, DENTAL AND VISION PLAN, EFFECTIVE AUGUST 1, 2006 A PROGRAM UNDER THE USUI INTERNATI ONAL GROUP HEALTH & WELFARE PLAN Benefits

401k Plan TypeWelfare 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

401k Sponsoring company profile

USUI INTERNATIONAL CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:USUI INTERNATIONAL CORPORATION
Employer identification number (EIN):382726506
NAIC Classification:336300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan USUI MEDICAL, DENTAL AND VISION PLAN, EFFECTIVE AUGUST 1, 2006 A PROGRAM UNDER THE USUI INTERNATI ONAL GROUP HEALTH & WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-08-01TIM SIRCY
5012016-08-01
5012015-08-01PATTI SWILLINGER-HAAS
5012014-08-01PATTI SWILLINGER-HAAS
5012014-08-01PATTI SWILLINGER-HAAS

Form 5500 Responses for USUI MEDICAL, DENTAL AND VISION PLAN, EFFECTIVE AUGUST 1, 2006 A PROGRAM UNDER THE USUI INTERNATI ONAL GROUP HEALTH & WELFARE PLAN

2017: USUI MEDICAL, DENTAL AND VISION PLAN, EFFECTIVE AUGUST 1, 2006 A PROGRAM UNDER THE USUI INTERNATI ONAL GROUP HEALTH & WELFARE PLAN 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Submission has been amendedNo
2017-08-01This submission is the final filingNo
2017-08-01This return/report is a short plan year return/report (less than 12 months)No
2017-08-01Plan is a collectively bargained planNo
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan funding arrangement – General assets of the sponsorYes
2017-08-01Plan benefit arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – General assets of the sponsorYes
2016: USUI MEDICAL, DENTAL AND VISION PLAN, EFFECTIVE AUGUST 1, 2006 A PROGRAM UNDER THE USUI INTERNATI ONAL GROUP HEALTH & WELFARE PLAN 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01Submission has been amendedNo
2016-08-01This submission is the final filingNo
2016-08-01This return/report is a short plan year return/report (less than 12 months)No
2016-08-01Plan is a collectively bargained planNo
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan funding arrangement – General assets of the sponsorYes
2016-08-01Plan benefit arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – General assets of the sponsorYes
2015: USUI MEDICAL, DENTAL AND VISION PLAN, EFFECTIVE AUGUST 1, 2006 A PROGRAM UNDER THE USUI INTERNATI ONAL GROUP HEALTH & WELFARE PLAN 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01Submission has been amendedNo
2015-08-01This submission is the final filingNo
2015-08-01This return/report is a short plan year return/report (less than 12 months)No
2015-08-01Plan is a collectively bargained planNo
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan funding arrangement – General assets of the sponsorYes
2015-08-01Plan benefit arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – General assets of the sponsorYes
2014: USUI MEDICAL, DENTAL AND VISION PLAN, EFFECTIVE AUGUST 1, 2006 A PROGRAM UNDER THE USUI INTERNATI ONAL GROUP HEALTH & WELFARE PLAN 2014 form 5500 responses
2014-08-01Type of plan entitySingle employer plan
2014-08-01Submission has been amendedNo
2014-08-01This submission is the final filingNo
2014-08-01This return/report is a short plan year return/report (less than 12 months)No
2014-08-01Plan is a collectively bargained planNo
2014-08-01Plan funding arrangement – InsuranceYes
2014-08-01Plan funding arrangement – General assets of the sponsorYes
2014-08-01Plan benefit arrangement – InsuranceYes
2014-08-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number246058
Policy instance 1
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number033-2321-03
Policy instance 1
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number033-2321-03
Policy instance 1

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