401k Plan data: KNOWLEDGE LINK, INC. WELFARE BENEFIT PLAN plan

KNOWLEDGE LINK, INC. WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	KNOWLEDGE LINK, INC. WELFARE BENEFIT PLAN
Plan identification number	503

KNOWLEDGE LINK, INC. WELFARE BENEFIT 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

KNOWLEDGE LINK INC. has sponsored the creation of one or more 401k plans.

Company Name: KNOWLEDGE LINK INC.

Employer identification number (EIN): 753125857

NAIC Classification: 541600

Additional information about KNOWLEDGE LINK INC.

Jurisdiction of Incorporation: Virginia Secretary of State

Incorporation Date: 2003-08-12

Company Identification Number: 0601391

Legal Registered Office Address: 2551 DULLES VIEW DRIVE

HERNDON
United States of America (USA)
20171-5219

More information about KNOWLEDGE LINK INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KNOWLEDGE LINK, INC. WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2021-10-01 MICHAEL CHAVIRA 2022-11-30

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
503	2021-10-01	MICHAEL CHAVIRA	2022-11-30

Plan Statistics for KNOWLEDGE LINK, INC. WELFARE BENEFIT PLAN

401k plan membership statisitcs for KNOWLEDGE LINK, INC. WELFARE BENEFIT PLAN

Measure Date Value
2021: KNOWLEDGE LINK, INC. WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-10-01 102
Total number of active participants reported on line 7a of the Form 5500 2021-10-01 0
Number of retired or separated participants receiving benefits 2021-10-01 0
Number of other retired or separated participants entitled to future benefits 2021-10-01 0
Total of all active and inactive participants 2021-10-01 0
Number of employers contributing to the scheme 2021-10-01 0

Measure	Date	Value
2021: KNOWLEDGE LINK, INC. WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-10-01	102
Total number of active participants reported on line 7a of the Form 5500	2021-10-01	0
Number of retired or separated participants receiving benefits	2021-10-01	0
Number of other retired or separated participants entitled to future benefits	2021-10-01	0
Total of all active and inactive participants	2021-10-01	0
Number of employers contributing to the scheme	2021-10-01	0

Form 5500 Responses for KNOWLEDGE LINK, INC. WELFARE BENEFIT PLAN

2021: KNOWLEDGE LINK, INC. WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-10-01	Type of plan entity	Single employer plan
2021-10-01	First time form 5500 has been submitted	Yes
2021-10-01	This submission is the final filing	Yes
2021-10-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2021-10-01	Plan funding arrangement – Insurance	Yes
2021-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-10-01	Plan benefit arrangement – Insurance	Yes
2021-10-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )

Policy contract number

0B5CYP

Policy instance

Insurance contract or identification number	0B5CYP
Number of Individuals Covered	107
Insurance policy start date	2021-10-01
Insurance policy end date	2022-01-31
Total amount of commissions paid to insurance broker	USD $4,180
Total amount of fees paid to insurance company	USD $941
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $228,746
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,180
Amount paid for insurance broker fees	941
Additional information about fees paid to insurance broker	FEES
Insurance broker organization code?	3

DELTA DENTAL OF VIRGINIA (National Association of Insurance Commissioners NAIC id number: 55611 )

Policy contract number

401028

Policy instance

Insurance contract or identification number	401028
Number of Individuals Covered	201
Insurance policy start date	2021-10-01
Insurance policy end date	2022-01-31
Total amount of commissions paid to insurance broker	USD $1,801
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $25,730
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,801
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )

Policy contract number

30022408

Policy instance

Insurance contract or identification number	30022408
Number of Individuals Covered	80
Insurance policy start date	2021-10-01
Insurance policy end date	2022-01-31
Total amount of commissions paid to insurance broker	USD $513
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $5,442
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $470
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

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

Policy contract number

224803

Policy instance

Insurance contract or identification number	224803
Number of Individuals Covered	106
Insurance policy start date	2021-10-01
Insurance policy end date	2022-01-31
Total amount of commissions paid to insurance broker	USD $7,829
Total amount of fees paid to insurance company	USD $0
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
Welfare Benefit Premiums Paid to Carrier	USD $52,191
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,829
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

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Company Name:	KNOWLEDGE LINK INC.
Employer identification number (EIN):	753125857
NAIC Classification:	541600

Jurisdiction of Incorporation:	Virginia Secretary of State
Incorporation Date:	2003-08-12
Company Identification Number:	0601391
Legal Registered Office Address:	2551 DULLES VIEW DRIVE HERNDON United States of America (USA) 20171-5219