401k Plan data: ENCORE TECHNOLOGIES plan

ENCORE TECHNOLOGIES 401k Plan overview

Plan Name	ENCORE TECHNOLOGIES
Plan identification number	501

ENCORE TECHNOLOGIES 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

401k Sponsoring company profile

SJN DATE CENTER LLC has sponsored the creation of one or more 401k plans.

Company Name: SJN DATE CENTER LLC

Employer identification number (EIN): 472512296

NAIC Classification: 541513
NAIC Description: Computer Facilities Management Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ENCORE TECHNOLOGIES

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2024-01-01 ABBIE FILLIATER
501 2023-01-01
501 2023-01-01 ABBIE FILLIATER
501 2022-01-01
501 2022-01-01 MATT CLEVELAND
501 2021-01-01
501 2021-01-01 MATT CLEVELAND

Form 5500 Responses for ENCORE TECHNOLOGIES

2023: ENCORE TECHNOLOGIES 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2022: ENCORE TECHNOLOGIES 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2021: ENCORE TECHNOLOGIES 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	First time form 5500 has been submitted	Yes
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )

Policy contract number

OH2162

Policy instance

Insurance contract or identification number	OH2162
Number of Individuals Covered	215
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $60,095
Total amount of fees paid to insurance company	USD $1,713
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $2,074,103
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1049407

Policy instance

Insurance contract or identification number	1049407
Number of Individuals Covered	289
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $10,061
Total amount of fees paid to insurance company	USD $2,696
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	CRITICAL ILLNESS
Welfare Benefit Premiums Paid to Carrier	USD $84,521
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )

Policy contract number

OH2162

Policy instance

Insurance contract or identification number	OH2162
Number of Individuals Covered	181
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $47,094
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,592,063
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )

Policy contract number

OH2162

Policy instance

Insurance contract or identification number	OH2162
Number of Individuals Covered	223
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $14,191
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1049407

Policy instance

Insurance contract or identification number	1049407
Number of Individuals Covered	230
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $7,601
Total amount of fees paid to insurance company	USD $641
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	CRITICAL ILLNESS
Welfare Benefit Premiums Paid to Carrier	USD $68,237
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )

Policy contract number

OH2162

Policy instance

ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )

Policy contract number

OH2162

Policy instance

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Company Name:	SJN DATE CENTER LLC
Employer identification number (EIN):	472512296
NAIC Classification:	541513
NAIC Description:	Computer Facilities Management Services

Plan id#	Filing Submission Date	Name of Administrator
501	2024-01-01	ABBIE FILLIATER
501	2023-01-01
501	2023-01-01	ABBIE FILLIATER
501	2022-01-01
501	2022-01-01	MATT CLEVELAND
501	2021-01-01
501	2021-01-01	MATT CLEVELAND