401k Plan data: ENCORE CORPORATE, INC HEALTH AND WELFARE PLAN plan

ENCORE CORPORATE, INC HEALTH AND WELFARE PLAN 401k Plan overview

Plan Name	ENCORE CORPORATE, INC HEALTH AND WELFARE PLAN
Plan identification number	501

ENCORE CORPORATE, INC HEALTH AND WELFARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

ENCORE CORPORATE, INC. has sponsored the creation of one or more 401k plans.

Company Name: ENCORE CORPORATE, INC.

Employer identification number (EIN): 453092623

NAIC Classification: 336410

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ENCORE CORPORATE, INC HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2018-01-01 MIKE MELANCON 2019-08-22

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2018-01-01	MIKE MELANCON	2019-08-22

Plan Statistics for ENCORE CORPORATE, INC HEALTH AND WELFARE PLAN

401k plan membership statisitcs for ENCORE CORPORATE, INC HEALTH AND WELFARE PLAN

Measure Date Value
2018: ENCORE CORPORATE, INC HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 588
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 588
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 588
Number of employers contributing to the scheme 2018-01-01 0

Measure	Date	Value
2018: ENCORE CORPORATE, INC HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	588
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	588
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	588
Number of employers contributing to the scheme	2018-01-01	0

Form 5500 Responses for ENCORE CORPORATE, INC HEALTH AND WELFARE PLAN

2018: ENCORE CORPORATE, INC HEALTH AND WELFARE PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

0805020HNO

Policy instance

Insurance contract or identification number	0805020HNO
Number of Individuals Covered	552
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $114,877
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $2,699,816
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $114,877
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

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

Policy contract number

805020

Policy instance

Insurance contract or identification number	805020
Number of Individuals Covered	54
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $18,107
Total amount of fees paid to insurance company	USD $15,637
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $417,285
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $18,107
Amount paid for insurance broker fees	15637
Additional information about fees paid to insurance broker	2017 PPP ENGAGEMENT CREDIT MEDICAL RETENTION
Insurance broker organization code?	3

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

KM05940353

Policy instance

Insurance contract or identification number	KM05940353
Number of Individuals Covered	572
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $32,659
Total amount of fees paid to insurance company	USD $7,290
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $309,625
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $32,659
Amount paid for insurance broker fees	7290
Additional information about fees paid to insurance broker	NON MONETARY COMPENSATION/SUPPLEMENTAL COMPENSATION
Insurance broker organization code?	3

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

ABL962588

Policy instance

Insurance contract or identification number	ABL962588
Number of Individuals Covered	588
Insurance policy start date	2017-08-01
Insurance policy end date	2018-07-31
Total amount of commissions paid to insurance broker	USD $467
Total amount of fees paid to insurance company	USD $114
Other welfare benefits provided	BUSINESS TRAVEL ACCIDENT
Welfare Benefit Premiums Paid to Carrier	USD $4,672
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $467
Amount paid for insurance broker fees	114
Additional information about fees paid to insurance broker	OVERRIDE
Insurance broker organization code?	3

SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )

Policy contract number

KM05940353

Policy instance

Insurance contract or identification number	KM05940353
Number of Individuals Covered	112
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $1,470
Total amount of fees paid to insurance company	USD $339
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $13,062
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,470
Amount paid for insurance broker fees	339
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMPENSATION
Insurance broker organization code?	3

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

632464

Policy instance

Insurance contract or identification number	632464
Number of Individuals Covered	566
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $9,157
Total amount of fees paid to insurance company	USD $1,831
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $93,865
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,157
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION PAID

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Company Name:	ENCORE CORPORATE, INC.
Employer identification number (EIN):	453092623
NAIC Classification:	336410