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VERISTOR SYSTEMS, INC. VISION PLAN 401k Plan overview

Plan NameVERISTOR SYSTEMS, INC. VISION PLAN
Plan identification number 503

VERISTOR SYSTEMS, INC. VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Vision

401k Sponsoring company profile

VERISTOR SYSTEMS INC has sponsored the creation of one or more 401k plans.

Company Name:VERISTOR SYSTEMS INC
Employer identification number (EIN):582666393
NAIC Classification:541519
NAIC Description:Other Computer Related Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VERISTOR SYSTEMS, INC. VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032019-12-01
5032018-12-01
5032017-12-01DEBORAH LOVETT

Plan Statistics for VERISTOR SYSTEMS, INC. VISION PLAN

401k plan membership statisitcs for VERISTOR SYSTEMS, INC. VISION PLAN

Measure Date Value
2019: VERISTOR SYSTEMS, INC. VISION PLAN 2019 401k membership
Total participants, beginning-of-year2019-12-01105
Total number of active participants reported on line 7a of the Form 55002019-12-01108
Total of all active and inactive participants2019-12-01108
2018: VERISTOR SYSTEMS, INC. VISION PLAN 2018 401k membership
Total participants, beginning-of-year2018-12-01105
Total number of active participants reported on line 7a of the Form 55002018-12-01108
Total of all active and inactive participants2018-12-01108
2017: VERISTOR SYSTEMS, INC. VISION PLAN 2017 401k membership
Total participants, beginning-of-year2017-12-01105
Total number of active participants reported on line 7a of the Form 55002017-12-01103
Total of all active and inactive participants2017-12-01103

Form 5500 Responses for VERISTOR SYSTEMS, INC. VISION PLAN

2019: VERISTOR SYSTEMS, INC. VISION PLAN 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Submission has been amendedNo
2019-12-01This submission is the final filingNo
2019-12-01This return/report is a short plan year return/report (less than 12 months)No
2019-12-01Plan is a collectively bargained planNo
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan benefit arrangement – InsuranceYes
2018: VERISTOR SYSTEMS, INC. VISION PLAN 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01Submission has been amendedNo
2018-12-01This submission is the final filingNo
2018-12-01This return/report is a short plan year return/report (less than 12 months)No
2018-12-01Plan is a collectively bargained planNo
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan benefit arrangement – InsuranceYes
2017: VERISTOR SYSTEMS, INC. VISION PLAN 2017 form 5500 responses
2017-12-01Type of plan entitySingle employer plan
2017-12-01First time form 5500 has been submittedYes
2017-12-01Submission has been amendedNo
2017-12-01This submission is the final filingNo
2017-12-01This return/report is a short plan year return/report (less than 12 months)No
2017-12-01Plan is a collectively bargained planNo
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number98418261001
Policy instance 1
Insurance contract or identification number98418261001
Number of Individuals Covered262
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $1,924
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,496
Commission paid to Insurance BrokerUSD $50
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number98418261001
Policy instance 1
Insurance contract or identification number98418261001
Number of Individuals Covered274
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,701
Commission paid to Insurance BrokerUSD $580
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number98418261001
Policy instance 1
Insurance contract or identification number98418261001
Number of Individuals Covered240
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $2,260
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,186

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