401k Plan data: ELECTRO TECHNIK INDUSTRIES, INC. WELFARE BENEFITS PLAN plan

ELECTRO TECHNIK INDUSTRIES, INC. WELFARE BENEFITS PLAN 401k Plan overview

Plan Name	ELECTRO TECHNIK INDUSTRIES, INC. WELFARE BENEFITS PLAN
Plan identification number	503

ELECTRO TECHNIK INDUSTRIES, INC. WELFARE BENEFITS 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

ELECTRO TECHNIK INDUSTRIES, INC. has sponsored the creation of one or more 401k plans.

Company Name: ELECTRO TECHNIK INDUSTRIES, INC.

Employer identification number (EIN): 592288451

NAIC Classification: 335900

Additional information about ELECTRO TECHNIK INDUSTRIES, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 1982-11-02

Company Identification Number: G06899

Legal Registered Office Address: 230 65TH ST. N.

ST PETERSBURG

33710

More information about ELECTRO TECHNIK INDUSTRIES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ELECTRO TECHNIK INDUSTRIES, INC. WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2023-01-01 JANINE KANE 2024-07-10

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
503	2023-01-01	JANINE KANE	2024-07-10

Form 5500 Responses for ELECTRO TECHNIK INDUSTRIES, INC. WELFARE BENEFITS PLAN

2023: ELECTRO TECHNIK INDUSTRIES, INC. WELFARE BENEFITS PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	First time form 5500 has been submitted	Yes
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

634894

Policy instance

Insurance contract or identification number	634894
Number of Individuals Covered	61
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $29,641
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $242,063
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

924905

Policy instance

Insurance contract or identification number	924905
Number of Individuals Covered	58
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $2,504
Total amount of fees paid to insurance company	USD $504
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $25,041
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG0B58K

Policy instance

Insurance contract or identification number	GLUG0B58K
Number of Individuals Covered	173
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $3,386
Total amount of fees paid to insurance company	USD $2,744
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	Yes
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 $33,169
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	ELECTRO TECHNIK INDUSTRIES, INC.
Employer identification number (EIN):	592288451
NAIC Classification:	335900

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	1982-11-02
Company Identification Number:	G06899
Legal Registered Office Address:	230 65TH ST. N. ST PETERSBURG 33710