401k Plan data: OURO GLOBAL, INC. HEALTH AND WELFARE PLAN plan

OURO GLOBAL, INC. HEALTH AND WELFARE PLAN 401k Plan overview

Plan Name	OURO GLOBAL, INC. HEALTH AND WELFARE PLAN
Plan identification number	502

OURO GLOBAL, INC. 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) Prepaid legal Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

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

Company Name: NETSPEND CORPORATION

Employer identification number (EIN): 742907514

NAIC Classification: 522110
NAIC Description: Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OURO GLOBAL, INC. HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2023-05-01 ADAM CHADWICK 2024-11-25

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
502	2023-05-01	ADAM CHADWICK	2024-11-25

Plan Statistics for OURO GLOBAL, INC. HEALTH AND WELFARE PLAN

401k plan membership statisitcs for OURO GLOBAL, INC. HEALTH AND WELFARE PLAN

Measure Date Value
2023: OURO GLOBAL, INC. HEALTH AND WELFARE PLAN 2023 401k membership
Total participants, beginning-of-year 2023-05-01 512
Total number of active participants reported on line 7a of the Form 5500 2023-05-01 470
Number of retired or separated participants receiving benefits 2023-05-01 0
Number of other retired or separated participants entitled to future benefits 2023-05-01 0
Total of all active and inactive participants 2023-05-01 470
Number of employers contributing to the scheme 2023-05-01 0

Measure	Date	Value
2023: OURO GLOBAL, INC. HEALTH AND WELFARE PLAN 2023 401k membership
Total participants, beginning-of-year	2023-05-01	512
Total number of active participants reported on line 7a of the Form 5500	2023-05-01	470
Number of retired or separated participants receiving benefits	2023-05-01	0
Number of other retired or separated participants entitled to future benefits	2023-05-01	0
Total of all active and inactive participants	2023-05-01	470
Number of employers contributing to the scheme	2023-05-01	0

Form 5500 Responses for OURO GLOBAL, INC. HEALTH AND WELFARE PLAN

2023: OURO GLOBAL, INC. HEALTH AND WELFARE PLAN 2023 form 5500 responses
2023-05-01	Type of plan entity	Single employer plan
2023-05-01	First time form 5500 has been submitted	Yes
2023-05-01	Plan funding arrangement – Insurance	Yes
2023-05-01	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

HC110412

Policy instance

Insurance contract or identification number	HC110412
Number of Individuals Covered	381
Insurance policy start date	2023-05-01
Insurance policy end date	2024-04-30
Total amount of commissions paid to insurance broker	USD $4,716
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	HOSPITAL
Welfare Benefit Premiums Paid to Carrier	USD $25,429
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )

Policy contract number

VF028098

Policy instance

Insurance contract or identification number	VF028098
Number of Individuals Covered	470
Insurance policy start date	2023-05-01
Insurance policy end date	2024-04-30
Total amount of commissions paid to insurance broker	USD $74,982
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM, ACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to Carrier	USD $711,927
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HYATT LEGAL PLANS (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

8210010

Policy instance

Insurance contract or identification number	8210010
Number of Individuals Covered	35
Insurance policy start date	2023-05-01
Insurance policy end date	2024-04-30
Total amount of commissions paid to insurance broker	USD $1,094
Total amount of fees paid to insurance company	USD $54
Other welfare benefits provided	LEGAL
Welfare Benefit Premiums Paid to Carrier	USD $11,794
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

365936

Policy instance

Insurance contract or identification number	365936
Number of Individuals Covered	895
Insurance policy start date	2023-05-01
Insurance policy end date	2024-04-30
Total amount of commissions paid to insurance broker	USD $257,068
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Other welfare benefits provided	BUSINESS TRAVEL ACCIDENT
Welfare Benefit Premiums Paid to Carrier	USD $6,021,047
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

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Company Name:	NETSPEND CORPORATION
Employer identification number (EIN):	742907514
NAIC Classification:	522110
NAIC Description:	Commercial Banking