401k Plan data: LINEAR LLC CAFETERIA PLAN plan

LINEAR LLC CAFETERIA PLAN 401k Plan overview

Plan Name	LINEAR LLC CAFETERIA PLAN
Plan identification number	505

LINEAR LLC CAFETERIA PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Other welfare benefit cover

401k Sponsoring company profile

NICE NORTH AMERICA LLC has sponsored the creation of one or more 401k plans.

Company Name: NICE NORTH AMERICA LLC

Employer identification number (EIN): 952159070

NAIC Classification: 339900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LINEAR LLC CAFETERIA PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
505 2013-10-01 WILLIAM G. LEUNIS II
505 2012-10-01 CHARLES MONTS
505 2012-10-01 WILLIAM G. LEUNIS II
505 2011-10-01 CHARLES MONTS
505 2009-10-01 CHARLES MONTS
505 2009-10-01 CHARLES MONTS 2011-04-19
505 2009-10-01 CHARLES MONTS

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
505	2013-10-01	WILLIAM G. LEUNIS II
505	2012-10-01	CHARLES MONTS
505	2012-10-01	WILLIAM G. LEUNIS II
505	2011-10-01	CHARLES MONTS
505	2009-10-01	CHARLES MONTS
505	2009-10-01		CHARLES MONTS	2011-04-19
505	2009-10-01	CHARLES MONTS

Plan Statistics for LINEAR LLC CAFETERIA PLAN

401k plan membership statisitcs for LINEAR LLC CAFETERIA PLAN

Measure Date Value
2013: LINEAR LLC CAFETERIA PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 596
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 0
Number of retired or separated participants receiving benefits 2013-10-01 0
Number of other retired or separated participants entitled to future benefits 2013-10-01 0
Total of all active and inactive participants 2013-10-01 0
2012: LINEAR LLC CAFETERIA PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 257
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 225
Number of retired or separated participants receiving benefits 2012-10-01 2
Total of all active and inactive participants 2012-10-01 227
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-10-01 1
Total participants 2012-10-01 228
Number of other retired or separated participants entitled to future benefits 2012-10-01 0
2011: LINEAR LLC CAFETERIA PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 179
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 160
Number of retired or separated participants receiving benefits 2011-10-01 2
Total of all active and inactive participants 2011-10-01 162
Total participants 2011-10-01 162
2009: LINEAR LLC CAFETERIA PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 163
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 153
Number of retired or separated participants receiving benefits 2009-10-01 8
Total of all active and inactive participants 2009-10-01 161
Total participants 2009-10-01 161

Measure	Date	Value
2013: LINEAR LLC CAFETERIA PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	596
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	0
Number of retired or separated participants receiving benefits	2013-10-01	0
Number of other retired or separated participants entitled to future benefits	2013-10-01	0
Total of all active and inactive participants	2013-10-01	0
2012: LINEAR LLC CAFETERIA PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	257
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	225
Number of retired or separated participants receiving benefits	2012-10-01	2
Total of all active and inactive participants	2012-10-01	227
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-10-01	1
Total participants	2012-10-01	228
Number of other retired or separated participants entitled to future benefits	2012-10-01	0
2011: LINEAR LLC CAFETERIA PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	179
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	160
Number of retired or separated participants receiving benefits	2011-10-01	2
Total of all active and inactive participants	2011-10-01	162
Total participants	2011-10-01	162
2009: LINEAR LLC CAFETERIA PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	163
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	153
Number of retired or separated participants receiving benefits	2009-10-01	8
Total of all active and inactive participants	2009-10-01	161
Total participants	2009-10-01	161

Form 5500 Responses for LINEAR LLC CAFETERIA PLAN

2013: LINEAR LLC CAFETERIA PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Submission has been amended	No
2013-10-01	This submission is the final filing	Yes
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2013-10-01	Plan is a collectively bargained plan	No
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan benefit arrangement – Insurance	Yes
2012: LINEAR LLC CAFETERIA PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Submission has been amended	No
2012-10-01	This submission is the final filing	No
2012-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-10-01	Plan is a collectively bargained plan	No
2012-10-01	Plan funding arrangement – Insurance	Yes
2012-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-10-01	Plan benefit arrangement – Insurance	Yes
2012-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: LINEAR LLC CAFETERIA PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Submission has been amended	No
2011-10-01	This submission is the final filing	No
2011-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-10-01	Plan is a collectively bargained plan	No
2011-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: LINEAR LLC CAFETERIA PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Submission has been amended	Yes
2009-10-01	This submission is the final filing	No
2009-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-10-01	Plan is a collectively bargained plan	No
2009-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-10-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )

Policy contract number

277173

Policy instance

Insurance contract or identification number	277173
Number of Individuals Covered	596
Insurance policy start date	2013-10-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $36,568
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $1,741,685
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $36,568
Insurance broker organization code?	3
Insurance broker name	LOCKTON COMPANIES, LLC

DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )

Policy contract number

5527-1,5527-2

Policy instance

Insurance contract or identification number	5527-1,5527-2
Number of Individuals Covered	189
Insurance policy start date	2013-10-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $625
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $17,243
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $625
Insurance broker organization code?	3
Insurance broker name	FERDINANDO INSURANCE AGENCY

DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )

Policy contract number

5527-1,5527-2

Policy instance

Insurance contract or identification number	5527-1,5527-2
Number of Individuals Covered	219
Insurance policy start date	2012-10-01
Insurance policy end date	2013-09-30
Total amount of commissions paid to insurance broker	USD $2,954
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $93,243
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,954
Insurance broker organization code?	3
Insurance broker name	FERDINANDO INSURANCE AGENCY

ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )

Policy contract number

277173

Policy instance

Insurance contract or identification number	277173
Number of Individuals Covered	1316
Insurance policy start date	2012-10-01
Insurance policy end date	2013-09-30
Total amount of commissions paid to insurance broker	USD $141,526
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $6,728,369
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $141,526
Insurance broker organization code?	3
Insurance broker name	LOCKTON COMPANIES, LLC

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Company Name:	NICE NORTH AMERICA LLC
Employer identification number (EIN):	952159070
NAIC Classification:	339900