401k Plan data: THE BARCODE GROUP HEALTH AND WELFARE PLAN plan

THE BARCODE GROUP HEALTH AND WELFARE PLAN 401k Plan overview

Plan Name	THE BARCODE GROUP HEALTH AND WELFARE PLAN
Plan identification number	501

THE BARCODE GROUP HEALTH AND WELFARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Prepaid legal Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

THE BARCODE GROUP has sponsored the creation of one or more 401k plans.

Company Name: THE BARCODE GROUP

Employer identification number (EIN): 870898562

NAIC Classification: 541600

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE BARCODE GROUP HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-01-01 CATHERINE KANYUSIK OCONNELL 2024-08-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2023-01-01	CATHERINE KANYUSIK OCONNELL	2024-08-01

Plan Statistics for THE BARCODE GROUP HEALTH AND WELFARE PLAN

401k plan membership statisitcs for THE BARCODE GROUP HEALTH AND WELFARE PLAN

Measure Date Value
2023: THE BARCODE GROUP HEALTH AND WELFARE PLAN 2023 401k membership
Total participants, beginning-of-year 2023-01-01 170
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 181
Number of retired or separated participants receiving benefits 2023-01-01 5
Number of other retired or separated participants entitled to future benefits 2023-01-01 0
Total of all active and inactive participants 2023-01-01 186
Number of employers contributing to the scheme 2023-01-01 0

Measure	Date	Value
2023: THE BARCODE GROUP HEALTH AND WELFARE PLAN 2023 401k membership
Total participants, beginning-of-year	2023-01-01	170
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	181
Number of retired or separated participants receiving benefits	2023-01-01	5
Number of other retired or separated participants entitled to future benefits	2023-01-01	0
Total of all active and inactive participants	2023-01-01	186
Number of employers contributing to the scheme	2023-01-01	0

Form 5500 Responses for THE BARCODE GROUP HEALTH AND WELFARE PLAN

2023: THE BARCODE GROUP HEALTH AND WELFARE PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	First time form 5500 has been submitted	Yes
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – General assets of the sponsor	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

637729

Policy instance

Insurance contract or identification number	637729
Number of Individuals Covered	214
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $12,766
Total amount of fees paid to insurance company	USD $49,836
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $698,483
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

71477

Policy instance

Insurance contract or identification number	71477
Number of Individuals Covered	177
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $3,292
Total amount of fees paid to insurance company	USD $574
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT, ACCIDENT, CRITICAL ILLNESS, HOSPITAL
Welfare Benefit Premiums Paid to Carrier	USD $40,404
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )

Policy contract number

10422701001

Policy instance

Insurance contract or identification number	10422701001
Number of Individuals Covered	208
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $1,285
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $14,025
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRE-PAID LEGAL SERVICES DBA LEGAL SHIELD (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

303318

Policy instance

Insurance contract or identification number	303318
Number of Individuals Covered	19
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $1,054
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	LEGAL
Welfare Benefit Premiums Paid to Carrier	USD $5,231
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	THE BARCODE GROUP
Employer identification number (EIN):	870898562
NAIC Classification:	541600