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GUARDIAN DENTAL & VISION PLAN 401k Plan overview

Plan NameGUARDIAN DENTAL & VISION PLAN
Plan identification number 502

GUARDIAN DENTAL & VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental
  • Vision

401k Sponsoring company profile

SIA PARTNERS US, INC. has sponsored the creation of one or more 401k plans.

Company Name:SIA PARTNERS US, INC.
Employer identification number (EIN):743243189
NAIC Classification:541600

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GUARDIAN DENTAL & VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-06-01MICHAEL EEM2023-12-21
5022021-06-01SHARI SPARLING2023-01-10

Plan Statistics for GUARDIAN DENTAL & VISION PLAN

401k plan membership statisitcs for GUARDIAN DENTAL & VISION PLAN

Measure Date Value
2022: GUARDIAN DENTAL & VISION PLAN 2022 401k membership
Total participants, beginning-of-year2022-06-01362
Total number of active participants reported on line 7a of the Form 55002022-06-01357
Number of retired or separated participants receiving benefits2022-06-010
Number of other retired or separated participants entitled to future benefits2022-06-010
Total of all active and inactive participants2022-06-01357
Number of employers contributing to the scheme2022-06-010
2021: GUARDIAN DENTAL & VISION PLAN 2021 401k membership
Total participants, beginning-of-year2021-06-01100
Total number of active participants reported on line 7a of the Form 55002021-06-01362
Number of retired or separated participants receiving benefits2021-06-010
Number of other retired or separated participants entitled to future benefits2021-06-010
Total of all active and inactive participants2021-06-01362
Number of employers contributing to the scheme2021-06-010

Form 5500 Responses for GUARDIAN DENTAL & VISION PLAN

2022: GUARDIAN DENTAL & VISION PLAN 2022 form 5500 responses
2022-06-01Type of plan entitySingle employer plan
2022-06-01Plan funding arrangement – InsuranceYes
2022-06-01Plan benefit arrangement – InsuranceYes
2021: GUARDIAN DENTAL & VISION PLAN 2021 form 5500 responses
2021-06-01Type of plan entitySingle employer plan
2021-06-01First time form 5500 has been submittedYes
2021-06-01Plan funding arrangement – InsuranceYes
2021-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number21036
Policy instance 1
Insurance contract or identification number21036
Number of Individuals Covered357
Insurance policy start date2022-06-01
Insurance policy end date2023-05-31
Total amount of commissions paid to insurance brokerUSD $15,148
Total amount of fees paid to insurance companyUSD $9,544
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $247,215
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,148
Amount paid for insurance broker fees9544
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number21036
Policy instance 1
Insurance contract or identification number21036
Number of Individuals Covered362
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $12,587
Total amount of fees paid to insurance companyUSD $3,576
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $205,168
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,587
Amount paid for insurance broker fees3576
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3

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