401k Plan data: PERFEKTA GROUP MEDICAL PLAN plan

PERFEKTA GROUP MEDICAL PLAN 401k Plan overview

Plan Name	PERFEKTA GROUP MEDICAL PLAN
Plan identification number	550

PERFEKTA GROUP MEDICAL PLAN 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 Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

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

Company Name: PERFEKTA, INC.

Employer identification number (EIN): 481034356

NAIC Classification: 331310

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PERFEKTA GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
550 2020-01-01 CHERYL WEITZEL 2021-07-09
550 2019-01-01 CHERYL WEITZEL 2020-07-07
550 2018-01-01
550 2017-01-01
550 2016-01-01 MATTHEW SMITH
550 2015-01-01 MATTHEW SMITH MATTHEW SMITH 2016-07-27
550 2014-01-01 MATTHEW A. SMITH
550 2013-01-01 CHERYL WEITZEL ERIC DIEHL 2014-07-25
550 2012-06-01 CHERYL WEITZEL ERIC DIEHL 2013-07-25
550 2011-06-01 CHERYL WEITZEL ERIC DIEHL 2012-12-26
550 2010-06-01 CHERYL WEITZEL ERIC DIEHL 2013-02-20
550 2009-06-01 CHERYL WEITZEL ERIC DIEHL 2013-02-20
550 2008-06-01 CHERYL WEITZEL ERIC DIEHL 2013-02-20
550 2007-06-01 CHERYL WEITZEL ERIC DIEHL 2013-02-20
550 2006-06-01 CHERYL WEITZEL ERIC DIEHL 2013-02-20
550 2005-06-01 CHERYL WEITZEL ERIC DIEHL 2013-02-20
550 2004-07-01 CHERYL WEITZEL ERIC DIEHL 2013-02-20
550 2003-07-01 CHERYL WEITZEL ERIC DIEHL 2013-02-20
550 2002-07-01 CHERYL WEITZEL ERIC DIEHL 2013-02-20
550 2001-07-01 CHERYL WEITZEL ERIC DIEHL 2013-02-20
550 2000-07-01 CHERYL WEITZEL ERIC DIEHL 2013-02-20
550 1999-07-01 CHERYL WEITZEL ERIC DIEHL 2013-02-20

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
550	2020-01-01	CHERYL WEITZEL	2021-07-09
550	2019-01-01	CHERYL WEITZEL	2020-07-07
550	2018-01-01
550	2017-01-01
550	2016-01-01	MATTHEW SMITH
550	2015-01-01	MATTHEW SMITH		MATTHEW SMITH	2016-07-27
550	2014-01-01	MATTHEW A. SMITH
550	2013-01-01	CHERYL WEITZEL		ERIC DIEHL	2014-07-25
550	2012-06-01	CHERYL WEITZEL		ERIC DIEHL	2013-07-25
550	2011-06-01	CHERYL WEITZEL		ERIC DIEHL	2012-12-26
550	2010-06-01	CHERYL WEITZEL		ERIC DIEHL	2013-02-20
550	2009-06-01	CHERYL WEITZEL		ERIC DIEHL	2013-02-20
550	2008-06-01	CHERYL WEITZEL		ERIC DIEHL	2013-02-20
550	2007-06-01	CHERYL WEITZEL		ERIC DIEHL	2013-02-20
550	2006-06-01	CHERYL WEITZEL		ERIC DIEHL	2013-02-20
550	2005-06-01	CHERYL WEITZEL		ERIC DIEHL	2013-02-20
550	2004-07-01	CHERYL WEITZEL		ERIC DIEHL	2013-02-20
550	2003-07-01	CHERYL WEITZEL		ERIC DIEHL	2013-02-20
550	2002-07-01	CHERYL WEITZEL		ERIC DIEHL	2013-02-20
550	2001-07-01	CHERYL WEITZEL		ERIC DIEHL	2013-02-20
550	2000-07-01	CHERYL WEITZEL		ERIC DIEHL	2013-02-20
550	1999-07-01	CHERYL WEITZEL		ERIC DIEHL	2013-02-20

Plan Statistics for PERFEKTA GROUP MEDICAL PLAN

401k plan membership statisitcs for PERFEKTA GROUP MEDICAL PLAN

Measure Date Value
2020: PERFEKTA GROUP MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 191
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 0
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 0
Number of employers contributing to the scheme 2020-01-01 0
2019: PERFEKTA GROUP MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 166
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 191
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 191
Number of employers contributing to the scheme 2019-01-01 0
2018: PERFEKTA GROUP MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 141
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 165
Number of retired or separated participants receiving benefits 2018-01-01 1
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 166
Number of employers contributing to the scheme 2018-01-01 0
2017: PERFEKTA GROUP MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 156
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 150
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 150
2016: PERFEKTA GROUP MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 281
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 156
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 156
2015: PERFEKTA GROUP MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 113
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 150
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 150
2014: PERFEKTA GROUP MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 114
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 113
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 113
2013: PERFEKTA GROUP MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 115
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 114
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 114
Total participants 2013-01-01 114
2012: PERFEKTA GROUP MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-06-01 121
Total number of active participants reported on line 7a of the Form 5500 2012-06-01 189
Total of all active and inactive participants 2012-06-01 189
Total participants 2012-06-01 189
2011: PERFEKTA GROUP MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-06-01 106
Total number of active participants reported on line 7a of the Form 5500 2011-06-01 112
Number of retired or separated participants receiving benefits 2011-06-01 0
Number of other retired or separated participants entitled to future benefits 2011-06-01 0
Total of all active and inactive participants 2011-06-01 112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-06-01 0
Total participants 2011-06-01 112
2010: PERFEKTA GROUP MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year 2010-06-01 107
Total number of active participants reported on line 7a of the Form 5500 2010-06-01 106
Total of all active and inactive participants 2010-06-01 106
Total participants 2010-06-01 106
2009: PERFEKTA GROUP MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-06-01 111
Total number of active participants reported on line 7a of the Form 5500 2009-06-01 104
Total of all active and inactive participants 2009-06-01 104
Total participants 2009-06-01 104
2008: PERFEKTA GROUP MEDICAL PLAN 2008 401k membership
Total participants, beginning-of-year 2008-06-01 173
Total number of active participants reported on line 7a of the Form 5500 2008-06-01 105
Number of retired or separated participants receiving benefits 2008-06-01 0
Number of other retired or separated participants entitled to future benefits 2008-06-01 0
Total of all active and inactive participants 2008-06-01 105
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2008-06-01 0
Total participants 2008-06-01 105
2007: PERFEKTA GROUP MEDICAL PLAN 2007 401k membership
Total participants, beginning-of-year 2007-06-01 202
Total number of active participants reported on line 7a of the Form 5500 2007-06-01 202
Number of retired or separated participants receiving benefits 2007-06-01 0
Number of other retired or separated participants entitled to future benefits 2007-06-01 0
Total of all active and inactive participants 2007-06-01 202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2007-06-01 0
Total participants 2007-06-01 202
2006: PERFEKTA GROUP MEDICAL PLAN 2006 401k membership
Total participants, beginning-of-year 2006-06-01 184
Total number of active participants reported on line 7a of the Form 5500 2006-06-01 184
Number of retired or separated participants receiving benefits 2006-06-01 0
Number of other retired or separated participants entitled to future benefits 2006-06-01 0
Total of all active and inactive participants 2006-06-01 184
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2006-06-01 0
Total participants 2006-06-01 184
2005: PERFEKTA GROUP MEDICAL PLAN 2005 401k membership
Total participants, beginning-of-year 2005-06-01 163
Total number of active participants reported on line 7a of the Form 5500 2005-06-01 163
Number of retired or separated participants receiving benefits 2005-06-01 0
Number of other retired or separated participants entitled to future benefits 2005-06-01 0
Total of all active and inactive participants 2005-06-01 163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2005-06-01 0
Total participants 2005-06-01 163
2004: PERFEKTA GROUP MEDICAL PLAN 2004 401k membership
Total participants, beginning-of-year 2004-07-01 130
Total number of active participants reported on line 7a of the Form 5500 2004-07-01 130
Number of retired or separated participants receiving benefits 2004-07-01 0
Number of other retired or separated participants entitled to future benefits 2004-07-01 0
Total of all active and inactive participants 2004-07-01 130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2004-07-01 0
Total participants 2004-07-01 130
2003: PERFEKTA GROUP MEDICAL PLAN 2003 401k membership
Total participants, beginning-of-year 2003-07-01 110
Total number of active participants reported on line 7a of the Form 5500 2003-07-01 110
Number of retired or separated participants receiving benefits 2003-07-01 0
Number of other retired or separated participants entitled to future benefits 2003-07-01 0
Total of all active and inactive participants 2003-07-01 110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2003-07-01 0
Total participants 2003-07-01 110
2002: PERFEKTA GROUP MEDICAL PLAN 2002 401k membership
Total participants, beginning-of-year 2002-07-01 98
Total number of active participants reported on line 7a of the Form 5500 2002-07-01 98
Number of retired or separated participants receiving benefits 2002-07-01 0
Number of other retired or separated participants entitled to future benefits 2002-07-01 0
Total of all active and inactive participants 2002-07-01 98
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2002-07-01 0
Total participants 2002-07-01 98
2001: PERFEKTA GROUP MEDICAL PLAN 2001 401k membership
Total participants, beginning-of-year 2001-07-01 95
Total number of active participants reported on line 7a of the Form 5500 2001-07-01 95
Number of retired or separated participants receiving benefits 2001-07-01 0
Number of other retired or separated participants entitled to future benefits 2001-07-01 0
Total of all active and inactive participants 2001-07-01 95
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2001-07-01 0
Total participants 2001-07-01 95
2000: PERFEKTA GROUP MEDICAL PLAN 2000 401k membership
Total participants, beginning-of-year 2000-07-01 83
Total number of active participants reported on line 7a of the Form 5500 2000-07-01 83
Number of retired or separated participants receiving benefits 2000-07-01 0
Number of other retired or separated participants entitled to future benefits 2000-07-01 0
Total of all active and inactive participants 2000-07-01 83
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2000-07-01 0
Total participants 2000-07-01 83
1999: PERFEKTA GROUP MEDICAL PLAN 1999 401k membership
Total participants, beginning-of-year 1999-07-01 115
Total number of active participants reported on line 7a of the Form 5500 1999-07-01 115
Number of retired or separated participants receiving benefits 1999-07-01 0
Number of other retired or separated participants entitled to future benefits 1999-07-01 0
Total of all active and inactive participants 1999-07-01 115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1999-07-01 0
Total participants 1999-07-01 115

Measure	Date	Value
2020: PERFEKTA GROUP MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	191
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	0
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	0
Number of employers contributing to the scheme	2020-01-01	0
2019: PERFEKTA GROUP MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	166
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	191
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	191
Number of employers contributing to the scheme	2019-01-01	0
2018: PERFEKTA GROUP MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	141
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	165
Number of retired or separated participants receiving benefits	2018-01-01	1
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	166
Number of employers contributing to the scheme	2018-01-01	0
2017: PERFEKTA GROUP MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	156
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	150
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	150
2016: PERFEKTA GROUP MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	281
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	156
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	156
2015: PERFEKTA GROUP MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	113
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	150
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	150
2014: PERFEKTA GROUP MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	114
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	113
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	113
2013: PERFEKTA GROUP MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	115
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	114
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	114
Total participants	2013-01-01	114
2012: PERFEKTA GROUP MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-06-01	121
Total number of active participants reported on line 7a of the Form 5500	2012-06-01	189
Total of all active and inactive participants	2012-06-01	189
Total participants	2012-06-01	189
2011: PERFEKTA GROUP MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-06-01	106
Total number of active participants reported on line 7a of the Form 5500	2011-06-01	112
Number of retired or separated participants receiving benefits	2011-06-01	0
Number of other retired or separated participants entitled to future benefits	2011-06-01	0
Total of all active and inactive participants	2011-06-01	112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-06-01	0
Total participants	2011-06-01	112
2010: PERFEKTA GROUP MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year	2010-06-01	107
Total number of active participants reported on line 7a of the Form 5500	2010-06-01	106
Total of all active and inactive participants	2010-06-01	106
Total participants	2010-06-01	106
2009: PERFEKTA GROUP MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-06-01	111
Total number of active participants reported on line 7a of the Form 5500	2009-06-01	104
Total of all active and inactive participants	2009-06-01	104
Total participants	2009-06-01	104
2008: PERFEKTA GROUP MEDICAL PLAN 2008 401k membership
Total participants, beginning-of-year	2008-06-01	173
Total number of active participants reported on line 7a of the Form 5500	2008-06-01	105
Number of retired or separated participants receiving benefits	2008-06-01	0
Number of other retired or separated participants entitled to future benefits	2008-06-01	0
Total of all active and inactive participants	2008-06-01	105
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2008-06-01	0
Total participants	2008-06-01	105
2007: PERFEKTA GROUP MEDICAL PLAN 2007 401k membership
Total participants, beginning-of-year	2007-06-01	202
Total number of active participants reported on line 7a of the Form 5500	2007-06-01	202
Number of retired or separated participants receiving benefits	2007-06-01	0
Number of other retired or separated participants entitled to future benefits	2007-06-01	0
Total of all active and inactive participants	2007-06-01	202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2007-06-01	0
Total participants	2007-06-01	202
2006: PERFEKTA GROUP MEDICAL PLAN 2006 401k membership
Total participants, beginning-of-year	2006-06-01	184
Total number of active participants reported on line 7a of the Form 5500	2006-06-01	184
Number of retired or separated participants receiving benefits	2006-06-01	0
Number of other retired or separated participants entitled to future benefits	2006-06-01	0
Total of all active and inactive participants	2006-06-01	184
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2006-06-01	0
Total participants	2006-06-01	184
2005: PERFEKTA GROUP MEDICAL PLAN 2005 401k membership
Total participants, beginning-of-year	2005-06-01	163
Total number of active participants reported on line 7a of the Form 5500	2005-06-01	163
Number of retired or separated participants receiving benefits	2005-06-01	0
Number of other retired or separated participants entitled to future benefits	2005-06-01	0
Total of all active and inactive participants	2005-06-01	163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2005-06-01	0
Total participants	2005-06-01	163
2004: PERFEKTA GROUP MEDICAL PLAN 2004 401k membership
Total participants, beginning-of-year	2004-07-01	130
Total number of active participants reported on line 7a of the Form 5500	2004-07-01	130
Number of retired or separated participants receiving benefits	2004-07-01	0
Number of other retired or separated participants entitled to future benefits	2004-07-01	0
Total of all active and inactive participants	2004-07-01	130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2004-07-01	0
Total participants	2004-07-01	130
2003: PERFEKTA GROUP MEDICAL PLAN 2003 401k membership
Total participants, beginning-of-year	2003-07-01	110
Total number of active participants reported on line 7a of the Form 5500	2003-07-01	110
Number of retired or separated participants receiving benefits	2003-07-01	0
Number of other retired or separated participants entitled to future benefits	2003-07-01	0
Total of all active and inactive participants	2003-07-01	110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2003-07-01	0
Total participants	2003-07-01	110
2002: PERFEKTA GROUP MEDICAL PLAN 2002 401k membership
Total participants, beginning-of-year	2002-07-01	98
Total number of active participants reported on line 7a of the Form 5500	2002-07-01	98
Number of retired or separated participants receiving benefits	2002-07-01	0
Number of other retired or separated participants entitled to future benefits	2002-07-01	0
Total of all active and inactive participants	2002-07-01	98
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2002-07-01	0
Total participants	2002-07-01	98
2001: PERFEKTA GROUP MEDICAL PLAN 2001 401k membership
Total participants, beginning-of-year	2001-07-01	95
Total number of active participants reported on line 7a of the Form 5500	2001-07-01	95
Number of retired or separated participants receiving benefits	2001-07-01	0
Number of other retired or separated participants entitled to future benefits	2001-07-01	0
Total of all active and inactive participants	2001-07-01	95
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2001-07-01	0
Total participants	2001-07-01	95
2000: PERFEKTA GROUP MEDICAL PLAN 2000 401k membership
Total participants, beginning-of-year	2000-07-01	83
Total number of active participants reported on line 7a of the Form 5500	2000-07-01	83
Number of retired or separated participants receiving benefits	2000-07-01	0
Number of other retired or separated participants entitled to future benefits	2000-07-01	0
Total of all active and inactive participants	2000-07-01	83
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2000-07-01	0
Total participants	2000-07-01	83
1999: PERFEKTA GROUP MEDICAL PLAN 1999 401k membership
Total participants, beginning-of-year	1999-07-01	115
Total number of active participants reported on line 7a of the Form 5500	1999-07-01	115
Number of retired or separated participants receiving benefits	1999-07-01	0
Number of other retired or separated participants entitled to future benefits	1999-07-01	0
Total of all active and inactive participants	1999-07-01	115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	1999-07-01	0
Total participants	1999-07-01	115

Form 5500 Responses for PERFEKTA GROUP MEDICAL PLAN

2020: PERFEKTA GROUP MEDICAL PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	This submission is the final filing	Yes
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: PERFEKTA GROUP MEDICAL PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: PERFEKTA GROUP MEDICAL 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 benefit arrangement – Insurance	Yes
2017: PERFEKTA GROUP MEDICAL PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: PERFEKTA GROUP MEDICAL PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	Yes
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: PERFEKTA GROUP MEDICAL PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: PERFEKTA GROUP MEDICAL PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: PERFEKTA GROUP MEDICAL PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: PERFEKTA GROUP MEDICAL PLAN 2012 form 5500 responses
2012-06-01	Type of plan entity	Single employer plan
2012-06-01	Submission has been amended	No
2012-06-01	This submission is the final filing	No
2012-06-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-06-01	Plan is a collectively bargained plan	No
2012-06-01	Plan funding arrangement – Insurance	Yes
2012-06-01	Plan benefit arrangement – Insurance	Yes
2011: PERFEKTA GROUP MEDICAL PLAN 2011 form 5500 responses
2011-06-01	Type of plan entity	Single employer plan
2011-06-01	First time form 5500 has been submitted	Yes
2011-06-01	Submission has been amended	No
2011-06-01	This submission is the final filing	No
2011-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-06-01	Plan is a collectively bargained plan	No
2011-06-01	Plan funding arrangement – Insurance	Yes
2011-06-01	Plan benefit arrangement – Insurance	Yes
2010: PERFEKTA GROUP MEDICAL PLAN 2010 form 5500 responses
2010-06-01	Type of plan entity	Single employer plan
2010-06-01	First time form 5500 has been submitted	Yes
2010-06-01	Submission has been amended	No
2010-06-01	This submission is the final filing	No
2010-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-06-01	Plan is a collectively bargained plan	No
2010-06-01	Plan funding arrangement – Insurance	Yes
2010-06-01	Plan benefit arrangement – Insurance	Yes
2009: PERFEKTA GROUP MEDICAL PLAN 2009 form 5500 responses
2009-06-01	Type of plan entity	Single employer plan
2009-06-01	First time form 5500 has been submitted	Yes
2009-06-01	Submission has been amended	No
2009-06-01	This submission is the final filing	No
2009-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-06-01	Plan is a collectively bargained plan	No
2009-06-01	Plan funding arrangement – Insurance	Yes
2009-06-01	Plan benefit arrangement – Insurance	Yes
2008: PERFEKTA GROUP MEDICAL PLAN 2008 form 5500 responses
2008-06-01	Type of plan entity	Single employer plan
2008-06-01	First time form 5500 has been submitted	Yes
2008-06-01	Submission has been amended	No
2008-06-01	This submission is the final filing	No
2008-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-06-01	Plan is a collectively bargained plan	No
2008-06-01	Plan funding arrangement – Insurance	Yes
2008-06-01	Plan benefit arrangement – Insurance	Yes
2007: PERFEKTA GROUP MEDICAL PLAN 2007 form 5500 responses
2007-06-01	Type of plan entity	Single employer plan
2007-06-01	First time form 5500 has been submitted	Yes
2007-06-01	Submission has been amended	No
2007-06-01	This submission is the final filing	No
2007-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-06-01	Plan is a collectively bargained plan	No
2007-06-01	Plan funding arrangement – Insurance	Yes
2007-06-01	Plan benefit arrangement – Insurance	Yes
2006: PERFEKTA GROUP MEDICAL PLAN 2006 form 5500 responses
2006-06-01	Type of plan entity	Single employer plan
2006-06-01	First time form 5500 has been submitted	Yes
2006-06-01	Submission has been amended	No
2006-06-01	This submission is the final filing	No
2006-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2006-06-01	Plan is a collectively bargained plan	No
2006-06-01	Plan funding arrangement – Insurance	Yes
2006-06-01	Plan benefit arrangement – Insurance	Yes
2005: PERFEKTA GROUP MEDICAL PLAN 2005 form 5500 responses
2005-06-01	Type of plan entity	Single employer plan
2005-06-01	First time form 5500 has been submitted	Yes
2005-06-01	Submission has been amended	No
2005-06-01	This submission is the final filing	No
2005-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2005-06-01	Plan is a collectively bargained plan	No
2005-06-01	Plan funding arrangement – Insurance	Yes
2005-06-01	Plan benefit arrangement – Insurance	Yes
2004: PERFEKTA GROUP MEDICAL PLAN 2004 form 5500 responses
2004-07-01	Type of plan entity	Single employer plan
2004-07-01	First time form 5500 has been submitted	Yes
2004-07-01	Submission has been amended	No
2004-07-01	This submission is the final filing	No
2004-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2004-07-01	Plan is a collectively bargained plan	No
2004-07-01	Plan funding arrangement – Insurance	Yes
2004-07-01	Plan benefit arrangement – Insurance	Yes
2003: PERFEKTA GROUP MEDICAL PLAN 2003 form 5500 responses
2003-07-01	Type of plan entity	Single employer plan
2003-07-01	First time form 5500 has been submitted	Yes
2003-07-01	Submission has been amended	No
2003-07-01	This submission is the final filing	No
2003-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2003-07-01	Plan is a collectively bargained plan	No
2003-07-01	Plan funding arrangement – Insurance	Yes
2003-07-01	Plan benefit arrangement – Insurance	Yes
2002: PERFEKTA GROUP MEDICAL PLAN 2002 form 5500 responses
2002-07-01	Type of plan entity	Single employer plan
2002-07-01	First time form 5500 has been submitted	Yes
2002-07-01	Submission has been amended	No
2002-07-01	This submission is the final filing	No
2002-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2002-07-01	Plan is a collectively bargained plan	No
2002-07-01	Plan funding arrangement – Insurance	Yes
2002-07-01	Plan benefit arrangement – Insurance	Yes
2001: PERFEKTA GROUP MEDICAL PLAN 2001 form 5500 responses
2001-07-01	Type of plan entity	Single employer plan
2001-07-01	First time form 5500 has been submitted	Yes
2001-07-01	Submission has been amended	No
2001-07-01	This submission is the final filing	No
2001-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2001-07-01	Plan is a collectively bargained plan	No
2001-07-01	Plan funding arrangement – Insurance	Yes
2001-07-01	Plan benefit arrangement – Insurance	Yes
2000: PERFEKTA GROUP MEDICAL PLAN 2000 form 5500 responses
2000-07-01	Type of plan entity	Single employer plan
2000-07-01	First time form 5500 has been submitted	Yes
2000-07-01	Submission has been amended	No
2000-07-01	This submission is the final filing	No
2000-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2000-07-01	Plan is a collectively bargained plan	No
2000-07-01	Plan funding arrangement – Insurance	Yes
2000-07-01	Plan benefit arrangement – Insurance	Yes
1999: PERFEKTA GROUP MEDICAL PLAN 1999 form 5500 responses
1999-07-01	Type of plan entity	Single employer plan
1999-07-01	First time form 5500 has been submitted	Yes
1999-07-01	Submission has been amended	No
1999-07-01	This submission is the final filing	No
1999-07-01	This return/report is a short plan year return/report (less than 12 months)	No
1999-07-01	Plan is a collectively bargained plan	No
1999-07-01	Plan funding arrangement – Insurance	Yes
1999-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 )
Policy contract number	53910
Policy instance	4
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	859321G
Policy instance	3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	30072705
Policy instance	2
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number	7714
Policy instance	1
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number	7714
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	30072705
Policy instance	2
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	859321G
Policy instance	3
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number	9586
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	30072705
Policy instance	2
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	859321G
Policy instance	3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	30072705
Policy instance	2
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number	20030
Policy instance	4
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	859321G
Policy instance	3
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number	09586
Policy instance	1
SURENCY LIFE AND HEALTH (National Association of Insurance Commissioners NAIC id number: 13175 )
Policy contract number	511770000000100
Policy instance	5
DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 )
Policy contract number	5117700000001
Policy instance	3
CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 95060 )
Policy contract number	3702020000
Policy instance	1
COVENTRY HEALTH CARE OF KANSAS, INC. (National Association of Insurance Commissioners NAIC id number: 95489 )
Policy contract number	3702020000
Policy instance	2
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	859321G
Policy instance	4
CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 95060 )
Policy contract number	3702020000
Policy instance	1
COVENTRY HEALTH CARE OF KANSAS, INC. (National Association of Insurance Commissioners NAIC id number: 95489 )
Policy contract number	3702020000
Policy instance	2
CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 95060 )
Policy contract number	3702020000
Policy instance	2
COVENTRY HEALTH CARE OF KANSAS, INC. (National Association of Insurance Commissioners NAIC id number: 95489 )
Policy contract number	3702020000
Policy instance	1
COVENTRY HEALTH CARE OF KANSAS, INC. (National Association of Insurance Commissioners NAIC id number: 95489 )
Policy contract number	3702021500
Policy instance	2
COVENTRY HEALTH CARE OF KANSAS, INC. (National Association of Insurance Commissioners NAIC id number: 95489 )
Policy contract number	3702023000
Policy instance	3
COVENTRY HEALTH CARE OF KANSAS, INC. (National Association of Insurance Commissioners NAIC id number: 95489 )
Policy contract number	3702021000
Policy instance	1
CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 95060 )
Policy contract number	3702025000
Policy instance	4
CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 95060 )
Policy contract number	3702027000
Policy instance	5
CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 95060 )
Policy contract number	722400
Policy instance	3
COVENTRY HEALTH CARE OF KANSAS, INC. (National Association of Insurance Commissioners NAIC id number: 95489 )
Policy contract number	581559
Policy instance	4
CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 95060 )
Policy contract number	722459
Policy instance	2
COVENTRY HEALTH CARE OF KANSAS, INC. (National Association of Insurance Commissioners NAIC id number: 95489 )
Policy contract number	581557
Policy instance	1
CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 95060 )
Policy contract number	722900
Policy instance	1
CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 95060 )
Policy contract number	722459
Policy instance	2
CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 95060 )
Policy contract number	722400
Policy instance	3
CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 95060 )
Policy contract number	722400
Policy instance	1
CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 95060 )
Policy contract number
Policy instance	1
CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 95060 )
Policy contract number
Policy instance	1

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Company Name:	PERFEKTA, INC.
Employer identification number (EIN):	481034356
NAIC Classification:	331310