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IC SECURITY PRINTERS INC. HEALTH & WELFARE PLANS 401k Plan overview

Plan NameIC SECURITY PRINTERS INC. HEALTH & WELFARE PLANS
Plan identification number 501

IC SECURITY PRINTERS INC. HEALTH & WELFARE PLANS Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental

401k Sponsoring company profile

IC SECURITY PRINTERS, INC. has sponsored the creation of one or more 401k plans.

Company Name:IC SECURITY PRINTERS, INC.
Employer identification number (EIN):870402516
NAIC Classification:323100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan IC SECURITY PRINTERS INC. HEALTH & WELFARE PLANS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012012-01-01DAVID JACKSON DAVID JACKSON2013-07-24
5012011-01-01DAVID JACKSON
5012010-01-01DAVID JACKSON DAVID JACKSON2011-09-12

Plan Statistics for IC SECURITY PRINTERS INC. HEALTH & WELFARE PLANS

401k plan membership statisitcs for IC SECURITY PRINTERS INC. HEALTH & WELFARE PLANS

Measure Date Value
2012: IC SECURITY PRINTERS INC. HEALTH & WELFARE PLANS 2012 401k membership
Total participants, beginning-of-year2012-01-01214
Total number of active participants reported on line 7a of the Form 55002012-01-01210
Total of all active and inactive participants2012-01-01210
Total participants2012-01-01210
2011: IC SECURITY PRINTERS INC. HEALTH & WELFARE PLANS 2011 401k membership
Total participants, beginning-of-year2011-01-01223
Total number of active participants reported on line 7a of the Form 55002011-01-01214
Total of all active and inactive participants2011-01-01214
Total participants2011-01-01214
2010: IC SECURITY PRINTERS INC. HEALTH & WELFARE PLANS 2010 401k membership
Total participants, beginning-of-year2010-01-01200
Total number of active participants reported on line 7a of the Form 55002010-01-01223
Total of all active and inactive participants2010-01-01223

Form 5500 Responses for IC SECURITY PRINTERS INC. HEALTH & WELFARE PLANS

2012: IC SECURITY PRINTERS INC. HEALTH & WELFARE PLANS 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01First time form 5500 has been submittedYes
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: IC SECURITY PRINTERS INC. HEALTH & WELFARE PLANS 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01First time form 5500 has been submittedYes
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: IC SECURITY PRINTERS INC. HEALTH & WELFARE PLANS 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01First time form 5500 has been submittedYes
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10037525
Policy instance 1
Insurance contract or identification number10037525
Number of Individuals Covered40
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,466
Total amount of fees paid to insurance companyUSD $322
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,771
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,466
Amount paid for insurance broker fees322
Insurance broker organization code?3
Insurance broker nameGBS BENEFITS INS AGENCY
SELECTHEALTH (National Association of Insurance Commissioners NAIC id number: 95153 )
Policy contract numberG1009766 T002
Policy instance 2
Insurance contract or identification numberG1009766 T002
Number of Individuals Covered23
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $2,875
Total amount of fees paid to insurance companyUSD $978
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $82,219
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,875
Amount paid for insurance broker fees978
Additional information about fees paid to insurance brokerFEES PAID
Insurance broker organization code?3
Insurance broker nameGBS BENEFITS
SELECTHEALTH (National Association of Insurance Commissioners NAIC id number: 95153 )
Policy contract numberG1009766 1001
Policy instance 3
Insurance contract or identification numberG1009766 1001
Number of Individuals Covered187
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $18,673
Total amount of fees paid to insurance companyUSD $6,349
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $521,568
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,673
Amount paid for insurance broker fees6349
Additional information about fees paid to insurance brokerFEES PAID
Insurance broker organization code?3
Insurance broker nameGBS BENEFITS
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberDNR UTX46520
Policy instance 4
Insurance contract or identification numberDNR UTX46520
Number of Individuals Covered256
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $5,794
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $64,510
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,794
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameGBS BENEFITS INC
SELECTHEALTH (National Association of Insurance Commissioners NAIC id number: 95153 )
Policy contract numberG1009766 1001
Policy instance 1
Insurance contract or identification numberG1009766 1001
Number of Individuals Covered214
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $21,022
Total amount of fees paid to insurance companyUSD $7,358
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $567,412
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberDNR UTX46520
Policy instance 2
Insurance contract or identification numberDNR UTX46520
Number of Individuals Covered87
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $5,178
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $62,954
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SELECTHEALTH (National Association of Insurance Commissioners NAIC id number: 95153 )
Policy contract numberG1009766 T001
Policy instance 1
Insurance contract or identification numberG1009766 T001
Number of Individuals Covered25
Insurance policy start date2010-01-01
Insurance policy end date2010-01-01
Total amount of commissions paid to insurance brokerUSD $3,636
Total amount of fees paid to insurance companyUSD $1,366
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $106,461
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees1060
Additional information about fees paid to insurance brokerFEES PAID
Insurance broker organization code?3
Insurance broker nameBENEFITS UNLIMITED INSRUANCE 626 W.
ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 )
Policy contract number12000171
Policy instance 2
Insurance contract or identification number12000171
Number of Individuals Covered90
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $4,217
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $67,157
Commission paid to Insurance BrokerUSD $4,217
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameGBS BENEFITS
SELECTHEALTH (National Association of Insurance Commissioners NAIC id number: 95153 )
Policy contract numberG1009766 1001
Policy instance 3
Insurance contract or identification numberG1009766 1001
Number of Individuals Covered198
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $26,609
Total amount of fees paid to insurance companyUSD $1,742
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $580,548
Commission paid to Insurance BrokerUSD $4,731
Amount paid for insurance broker fees1742
Additional information about fees paid to insurance brokerFEES PAID
Insurance broker organization code?3
Insurance broker nameBENEFITS UNLIMITED INSRUANCE

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