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| Plan Name | DPIS ENGINEERING HEALTH AND WELLNESS |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | DPIS ENGINEERING, LLC |
| Employer identification number (EIN): | 472374293 |
| NAIC Classification: | 541330 |
| NAIC Description: | Engineering Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2020-11-01 | TANYA SMITH | 2022-04-25 | ||
| 501 | 2020-11-01 | TANYA SMITH | 2022-09-20 | ||
| 501 | 2019-11-01 | ABBY BLENIS | 2021-04-22 | ||
| 501 | 2018-11-01 | ABBY BLENIS | 2020-04-07 |
| Measure | Date | Value |
|---|---|---|
| 2020: DPIS ENGINEERING HEALTH AND WELLNESS 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-11-01 | 150 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-11-01 | 146 |
| Number of retired or separated participants receiving benefits | 2020-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-11-01 | 0 |
| Total of all active and inactive participants | 2020-11-01 | 146 |
| Number of employers contributing to the scheme | 2020-11-01 | 0 |
| 2019: DPIS ENGINEERING HEALTH AND WELLNESS 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-11-01 | 101 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-11-01 | 150 |
| Number of retired or separated participants receiving benefits | 2019-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-11-01 | 0 |
| Total of all active and inactive participants | 2019-11-01 | 150 |
| Number of employers contributing to the scheme | 2019-11-01 | 0 |
| 2018: DPIS ENGINEERING HEALTH AND WELLNESS 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-11-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-11-01 | 101 |
| Number of retired or separated participants receiving benefits | 2018-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-11-01 | 0 |
| Total of all active and inactive participants | 2018-11-01 | 101 |
| Number of employers contributing to the scheme | 2018-11-01 | 0 |
| 2020: DPIS ENGINEERING HEALTH AND WELLNESS 2020 form 5500 responses | ||
|---|---|---|
| 2020-11-01 | Type of plan entity | Single employer plan |
| 2020-11-01 | Submission has been amended | Yes |
| 2020-11-01 | This submission is the final filing | Yes |
| 2020-11-01 | Plan funding arrangement – Insurance | Yes |
| 2020-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: DPIS ENGINEERING HEALTH AND WELLNESS 2019 form 5500 responses | ||
| 2019-11-01 | Type of plan entity | Single employer plan |
| 2019-11-01 | Plan funding arrangement – Insurance | Yes |
| 2019-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: DPIS ENGINEERING HEALTH AND WELLNESS 2018 form 5500 responses | ||
| 2018-11-01 | Type of plan entity | Single employer plan |
| 2018-11-01 | First time form 5500 has been submitted | Yes |
| 2018-11-01 | Plan funding arrangement – Insurance | Yes |
| 2018-11-01 | Plan benefit arrangement – Insurance | Yes |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 922536 | ||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||
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| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 623912 | ||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||
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| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 1066778 | ||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||
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| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 623912 | ||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||
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