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PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN 401k Plan overview

Plan NamePEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN
Plan identification number 502

PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

PEGATRON TECHNOLOGY SERVICE, INC has sponsored the creation of one or more 401k plans.

Company Name:PEGATRON TECHNOLOGY SERVICE, INC
Employer identification number (EIN):611384193
NAIC Classification:811210
NAIC Description: Electronic and Precision Equipment Repair and Maintenance

Additional information about PEGATRON TECHNOLOGY SERVICE, INC

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 3355643

More information about PEGATRON TECHNOLOGY SERVICE, INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022018-10-01SHENG-CHO LAI2021-01-13
5022018-10-01SHENG-CHO LAI2020-09-15
5022017-10-01SHENG-CHO LAI2020-09-15
5022016-10-01SHENG-CHO LAI2020-09-15
5022015-10-01SHENG-CHO LAI2020-09-15
5022014-10-01SHENG-CHO LAI2020-09-15
5022013-10-01SHENG-CHO LAI2020-09-15
5022012-10-01SHENG-CHO LAI2020-09-15
5022011-10-01SHENG-CHO LAI2020-09-15
5022010-10-01SHENG-CHO LAI2020-09-15
5022009-10-01SHENG-CHO LAI2020-09-15
5022007-10-01SHENG-CHO LAI2020-09-15
5022006-10-01SHENG-CHO LAI2020-09-15
5022005-10-01SHENG-CHO LAI2020-09-15

Plan Statistics for PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN

401k plan membership statisitcs for PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN

Measure Date Value
2018: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01274
Total number of active participants reported on line 7a of the Form 55002018-10-01126
Number of retired or separated participants receiving benefits2018-10-010
Number of other retired or separated participants entitled to future benefits2018-10-010
Total of all active and inactive participants2018-10-01126
Number of employers contributing to the scheme2018-10-010
2017: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01232
Total number of active participants reported on line 7a of the Form 55002017-10-01176
Number of retired or separated participants receiving benefits2017-10-010
Number of other retired or separated participants entitled to future benefits2017-10-010
Total of all active and inactive participants2017-10-01176
Number of employers contributing to the scheme2017-10-010
2016: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-01199
Total number of active participants reported on line 7a of the Form 55002016-10-01235
Number of retired or separated participants receiving benefits2016-10-010
Number of other retired or separated participants entitled to future benefits2016-10-010
Total of all active and inactive participants2016-10-01235
Number of employers contributing to the scheme2016-10-010
2015: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-01157
Total number of active participants reported on line 7a of the Form 55002015-10-01197
Number of retired or separated participants receiving benefits2015-10-010
Number of other retired or separated participants entitled to future benefits2015-10-010
Total of all active and inactive participants2015-10-01197
Number of employers contributing to the scheme2015-10-010
2014: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-01137
Total number of active participants reported on line 7a of the Form 55002014-10-01158
Number of retired or separated participants receiving benefits2014-10-010
Number of other retired or separated participants entitled to future benefits2014-10-010
Total of all active and inactive participants2014-10-01158
Number of employers contributing to the scheme2014-10-010
2013: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-01153
Total number of active participants reported on line 7a of the Form 55002013-10-01150
Number of retired or separated participants receiving benefits2013-10-010
Number of other retired or separated participants entitled to future benefits2013-10-010
Total of all active and inactive participants2013-10-01150
Number of employers contributing to the scheme2013-10-010
2012: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-01136
Total number of active participants reported on line 7a of the Form 55002012-10-01153
Number of retired or separated participants receiving benefits2012-10-010
Number of other retired or separated participants entitled to future benefits2012-10-010
Total of all active and inactive participants2012-10-01153
Number of employers contributing to the scheme2012-10-010
2011: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-01145
Total number of active participants reported on line 7a of the Form 55002011-10-01136
Number of retired or separated participants receiving benefits2011-10-010
Number of other retired or separated participants entitled to future benefits2011-10-010
Total of all active and inactive participants2011-10-01136
Number of employers contributing to the scheme2011-10-010
2010: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-10-01147
Total number of active participants reported on line 7a of the Form 55002010-10-01145
Number of retired or separated participants receiving benefits2010-10-010
Number of other retired or separated participants entitled to future benefits2010-10-010
Total of all active and inactive participants2010-10-01145
Number of employers contributing to the scheme2010-10-010
2009: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-01159
Total number of active participants reported on line 7a of the Form 55002009-10-01147
Number of retired or separated participants receiving benefits2009-10-010
Number of other retired or separated participants entitled to future benefits2009-10-010
Total of all active and inactive participants2009-10-01147
Number of employers contributing to the scheme2009-10-010
2007: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN 2007 401k membership
Total participants, beginning-of-year2007-10-01203
Total number of active participants reported on line 7a of the Form 55002007-10-01212
Number of retired or separated participants receiving benefits2007-10-010
Number of other retired or separated participants entitled to future benefits2007-10-010
Total of all active and inactive participants2007-10-01212
Number of employers contributing to the scheme2007-10-010
2006: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN 2006 401k membership
Total participants, beginning-of-year2006-10-01188
Total number of active participants reported on line 7a of the Form 55002006-10-01178
Number of retired or separated participants receiving benefits2006-10-010
Number of other retired or separated participants entitled to future benefits2006-10-010
Total of all active and inactive participants2006-10-01178
Number of employers contributing to the scheme2006-10-010
2005: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN 2005 401k membership
Total participants, beginning-of-year2005-10-01161
Total number of active participants reported on line 7a of the Form 55002005-10-01188
Number of retired or separated participants receiving benefits2005-10-010
Number of other retired or separated participants entitled to future benefits2005-10-010
Total of all active and inactive participants2005-10-01188
Number of employers contributing to the scheme2005-10-010

Form 5500 Responses for PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN

2018: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Submission has been amendedYes
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – InsuranceYes
2017: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – InsuranceYes
2016: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – InsuranceYes
2015: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – InsuranceYes
2014: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – InsuranceYes
2013: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan benefit arrangement – InsuranceYes
2012: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan benefit arrangement – InsuranceYes
2011: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan benefit arrangement – InsuranceYes
2010: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN 2010 form 5500 responses
2010-10-01Type of plan entitySingle employer plan
2010-10-01Plan funding arrangement – InsuranceYes
2010-10-01Plan benefit arrangement – InsuranceYes
2009: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan benefit arrangement – InsuranceYes
2007: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN 2007 form 5500 responses
2007-10-01Type of plan entitySingle employer plan
2007-10-01Plan funding arrangement – InsuranceYes
2007-10-01Plan benefit arrangement – InsuranceYes
2006: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN 2006 form 5500 responses
2006-10-01Type of plan entitySingle employer plan
2006-10-01Plan funding arrangement – InsuranceYes
2006-10-01Plan benefit arrangement – InsuranceYes
2005: PEGATRON TECHNOLOGY SERVICES HEALTH & WELFARE BENEFIT MEDICAL PLAN 2005 form 5500 responses
2005-10-01Type of plan entitySingle employer plan
2005-10-01First time form 5500 has been submittedYes
2005-10-01Plan funding arrangement – InsuranceYes
2005-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract number626121
Policy instance 1
Insurance contract or identification number626121
Number of Individuals Covered126
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $29,108
Total amount of fees paid to insurance companyUSD $6,962
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $573,339
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,108
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBONUS
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract number626121
Policy instance 1
Insurance contract or identification number626121
Number of Individuals Covered176
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $47,193
Total amount of fees paid to insurance companyUSD $12,231
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $876,138
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract number626121
Policy instance 1
Insurance contract or identification number626121
Number of Individuals Covered235
Insurance policy start date2016-10-01
Insurance policy end date2017-09-30
Total amount of commissions paid to insurance brokerUSD $61,436
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,090,936
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $50,477
Amount paid for insurance broker fees0
Insurance broker organization code?3
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract number626121
Policy instance 1
Insurance contract or identification number626121
Number of Individuals Covered197
Insurance policy start date2015-10-01
Insurance policy end date2016-09-30
Total amount of commissions paid to insurance brokerUSD $49,956
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $715,731
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,779
Amount paid for insurance broker fees0
Insurance broker organization code?3
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract number626121
Policy instance 1
Insurance contract or identification number626121
Number of Individuals Covered158
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $29,294
Total amount of fees paid to insurance companyUSD $41
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $585,948
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,763
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number626121
Policy instance 1
Insurance contract or identification number626121
Number of Individuals Covered152
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $32,601
Total amount of fees paid to insurance companyUSD $18,305
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $629,755
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,249
Amount paid for insurance broker fees18305
Additional information about fees paid to insurance brokerVOLUME INCENTIVES
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number626121
Policy instance 1
Insurance contract or identification number626121
Number of Individuals Covered165
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $30,891
Total amount of fees paid to insurance companyUSD $19,463
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $593,703
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,637
Amount paid for insurance broker fees19463
Additional information about fees paid to insurance brokerVOLUME INCENTIVE
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number626121
Policy instance 1
Insurance contract or identification number626121
Number of Individuals Covered140
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $30,488
Total amount of fees paid to insurance companyUSD $180
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $557,480
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,488
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerVOLUME INCENTIVES
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number626121
Policy instance 1
Insurance contract or identification number626121
Number of Individuals Covered144
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $31,288
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $540,827
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,288
Amount paid for insurance broker fees0
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number626121
Policy instance 1
Insurance contract or identification number626121
Number of Individuals Covered161
Insurance policy start date2009-10-01
Insurance policy end date2010-09-30
Total amount of commissions paid to insurance brokerUSD $26,851
Total amount of fees paid to insurance companyUSD $4,901
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $623,221
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,892
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerVOLUME INCENTIVE
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract number626121
Policy instance 1
Insurance contract or identification number626121
Number of Individuals Covered212
Insurance policy start date2007-10-01
Insurance policy end date2008-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract number626121
Policy instance 1
Insurance contract or identification number626121
Number of Individuals Covered212
Insurance policy start date2006-10-01
Insurance policy end date2007-09-30
Total amount of commissions paid to insurance brokerUSD $28,306
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $717,384
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,306
Amount paid for insurance broker fees0
Insurance broker organization code?3
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract number626121
Policy instance 1
Insurance contract or identification number626121
Number of Individuals Covered178
Insurance policy start date2005-10-01
Insurance policy end date2006-09-30
Total amount of commissions paid to insurance brokerUSD $23,262
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $542,922
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,356
Amount paid for insurance broker fees0
Insurance broker organization code?3

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