401k Plan data: STARLIMS CORPORATION HEALTH AND WELFARE PLAN plan

STARLIMS CORPORATION HEALTH AND WELFARE PLAN 401k Plan overview

Plan Name	STARLIMS CORPORATION HEALTH AND WELFARE PLAN
Plan identification number	501

STARLIMS CORPORATION HEALTH AND WELFARE 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) Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

STARLIMS CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: STARLIMS CORPORATION

Employer identification number (EIN): 650234123

NAIC Classification: 541990
NAIC Description: All Other Professional, Scientific, and Technical Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan STARLIMS CORPORATION HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-08-01 WENDELL SHERRELL 2023-06-26

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2022-08-01	WENDELL SHERRELL	2023-06-26

Plan Statistics for STARLIMS CORPORATION HEALTH AND WELFARE PLAN

401k plan membership statisitcs for STARLIMS CORPORATION HEALTH AND WELFARE PLAN

Measure Date Value
2022: STARLIMS CORPORATION HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year 2022-08-01 108
Total number of active participants reported on line 7a of the Form 5500 2022-08-01 117
Number of retired or separated participants receiving benefits 2022-08-01 1
Number of other retired or separated participants entitled to future benefits 2022-08-01 14
Total of all active and inactive participants 2022-08-01 132
Number of employers contributing to the scheme 2022-08-01 0

Measure	Date	Value
2022: STARLIMS CORPORATION HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year	2022-08-01	108
Total number of active participants reported on line 7a of the Form 5500	2022-08-01	117
Number of retired or separated participants receiving benefits	2022-08-01	1
Number of other retired or separated participants entitled to future benefits	2022-08-01	14
Total of all active and inactive participants	2022-08-01	132
Number of employers contributing to the scheme	2022-08-01	0

Form 5500 Responses for STARLIMS CORPORATION HEALTH AND WELFARE PLAN

2022: STARLIMS CORPORATION HEALTH AND WELFARE PLAN 2022 form 5500 responses
2022-08-01	Type of plan entity	Single employer plan
2022-08-01	First time form 5500 has been submitted	Yes
2022-08-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2022-08-01	Plan funding arrangement – Insurance	Yes
2022-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-08-01	Plan benefit arrangement – Insurance	Yes
2022-08-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

925091

Policy instance

Insurance contract or identification number	925091
Number of Individuals Covered	98
Insurance policy start date	2022-08-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $34,890
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $606,060
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	34890
Additional information about fees paid to insurance broker	SERVICE FEE AGREEMENT
Insurance broker organization code?	3

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

TM05391080

Policy instance

Insurance contract or identification number	TM05391080
Number of Individuals Covered	372
Insurance policy start date	2022-09-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $1,912
Total amount of fees paid to insurance company	USD $572
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $32,317
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,912
Amount paid for insurance broker fees	572
Additional information about fees paid to insurance broker	SUPPLEMENTAL/NON-MONETARY COMPENSATION, MARKETING FEES
Insurance broker organization code?	3

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )

Policy contract number

30106193

Policy instance

Insurance contract or identification number	30106193
Number of Individuals Covered	73
Insurance policy start date	2022-08-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $846
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $7,094
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $846
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )

Policy contract number

GMDC0BYDF

Policy instance

Insurance contract or identification number	GMDC0BYDF
Number of Individuals Covered	101
Insurance policy start date	2022-08-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $242
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $2,422
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $242
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

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

Policy contract number

GLUG0BYDF

Policy instance

Insurance contract or identification number	GLUG0BYDF
Number of Individuals Covered	118
Insurance policy start date	2022-08-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $2,679
Total amount of fees paid to insurance company	USD $0
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	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT,CRITICAL ILLNESS,ACCIDENT
Welfare Benefit Premiums Paid to Carrier	USD $27,231
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,150
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

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Company Name:	STARLIMS CORPORATION
Employer identification number (EIN):	650234123
NAIC Classification:	541990
NAIC Description:	All Other Professional, Scientific, and Technical Services