401k Plan data: GENASYS, INC. HEALTH & WELFARE BENEFITS PLAN plan

GENASYS, INC. HEALTH & WELFARE BENEFITS PLAN 401k Plan overview

Plan Name	GENASYS, INC. HEALTH & WELFARE BENEFITS PLAN
Plan identification number	501

GENASYS, INC. HEALTH & WELFARE BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

GENASYS, INC. has sponsored the creation of one or more 401k plans.

Company Name: GENASYS, INC.

Employer identification number (EIN): 870361799

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

Additional information about GENASYS, INC.

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date: 1992-03-05

Company Identification Number: 2290119

Legal Registered Office Address: Corporation Trust Center
1209 Orange St
Wilmington
United States of America (USA)
19801

More information about GENASYS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GENASYS, INC. HEALTH & WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-06-01 NORMA BERRY 2025-01-15

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2023-06-01	NORMA BERRY	2025-01-15

Form 5500 Responses for GENASYS, INC. HEALTH & WELFARE BENEFITS PLAN

2023: GENASYS, INC. HEALTH & WELFARE BENEFITS PLAN 2023 form 5500 responses
2023-06-01	Type of plan entity	Single employer plan
2023-06-01	First time form 5500 has been submitted	Yes
2023-06-01	Plan funding arrangement – Insurance	Yes
2023-06-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HEALTH NET (National Association of Insurance Commissioners NAIC id number: 95567 )

Policy contract number

F7013A

Policy instance

Insurance contract or identification number	F7013A
Number of Individuals Covered	82
Insurance policy start date	2023-06-01
Insurance policy end date	2024-05-31
Total amount of commissions paid to insurance broker	USD $62,987
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,298,518
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

358471

Policy instance

Insurance contract or identification number	358471
Number of Individuals Covered	8
Insurance policy start date	2023-06-01
Insurance policy end date	2024-05-31
Total amount of commissions paid to insurance broker	USD $2,946
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $57,770
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

136-420139

Policy instance

Insurance contract or identification number	136-420139
Number of Individuals Covered	217
Insurance policy start date	2023-06-01
Insurance policy end date	2024-05-31
Total amount of commissions paid to insurance broker	USD $27,117
Total amount of fees paid to insurance company	USD $1,895
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $271,161
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	GENASYS, INC.
Employer identification number (EIN):	870361799
NAIC Classification:	541990
NAIC Description:	All Other Professional, Scientific, and Technical Services

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:	1992-03-05
Company Identification Number:	2290119
Legal Registered Office Address:	Corporation Trust Center 1209 Orange St Wilmington United States of America (USA) 19801