401k Plan data: CICON ENGINEERING, INC. WELFARE BENEFIT PLAN plan

CICON ENGINEERING, INC. WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	CICON ENGINEERING, INC. WELFARE BENEFIT PLAN
Plan identification number	501

CICON ENGINEERING, INC. WELFARE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Long-term disability cover

401k Sponsoring company profile

CICON ENGINEERING INC has sponsored the creation of one or more 401k plans.

Company Name: CICON ENGINEERING INC

Employer identification number (EIN): 954337304

NAIC Classification: 336410

Additional information about CICON ENGINEERING INC

Jurisdiction of Incorporation: California Department of State

Incorporation Date:

Company Identification Number: C1485553

More information about CICON ENGINEERING INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CICON ENGINEERING, INC. WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2016-07-01 LAURIE KERTENIAN LAURIE KERTENIAN 2017-12-12
501 2015-07-01 LAURIE KERTENIAN LAURIE KERTENIAN 2016-12-31

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2016-07-01	LAURIE KERTENIAN		LAURIE KERTENIAN	2017-12-12
501	2015-07-01	LAURIE KERTENIAN		LAURIE KERTENIAN	2016-12-31

Plan Statistics for CICON ENGINEERING, INC. WELFARE BENEFIT PLAN

401k plan membership statisitcs for CICON ENGINEERING, INC. WELFARE BENEFIT PLAN

Measure Date Value
2016: CICON ENGINEERING, INC. WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 288
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 370
Number of retired or separated participants receiving benefits 2016-07-01 0
Number of other retired or separated participants entitled to future benefits 2016-07-01 0
Total of all active and inactive participants 2016-07-01 370
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-07-01 0
Total participants 2016-07-01 370
2015: CICON ENGINEERING, INC. WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 295
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 288
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 0
Total of all active and inactive participants 2015-07-01 288
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 288

Measure	Date	Value
2016: CICON ENGINEERING, INC. WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	288
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	370
Number of retired or separated participants receiving benefits	2016-07-01	0
Number of other retired or separated participants entitled to future benefits	2016-07-01	0
Total of all active and inactive participants	2016-07-01	370
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-07-01	0
Total participants	2016-07-01	370
2015: CICON ENGINEERING, INC. WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	295
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	288
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	0
Total of all active and inactive participants	2015-07-01	288
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	288

Form 5500 Responses for CICON ENGINEERING, INC. WELFARE BENEFIT PLAN

2016: CICON ENGINEERING, INC. WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2015: CICON ENGINEERING, INC. WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement – Insurance	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

279602

Policy instance

Insurance contract or identification number	279602
Number of Individuals Covered	288
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Total amount of commissions paid to insurance broker	USD $53,177
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	Yes
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 $953,458
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $53,177
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSION
Insurance broker organization code?	3
Insurance broker name	PEGASUS FINANCIAL GROUP, INC.

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00501058

Policy instance

Insurance contract or identification number	00501058
Number of Individuals Covered	294
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Total amount of commissions paid to insurance broker	USD $10,120
Total amount of fees paid to insurance company	USD $4,067
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	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	SHORT TERM DISABILITY, VOLUNTARY AD&D, ACCIDENT, CANCER, VOLUNTARY LIFE, BASIC AD&D
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 $94,305
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,120
Amount paid for insurance broker fees	4067
Additional information about fees paid to insurance broker	COMMSSION
Insurance broker organization code?	3
Insurance broker name	PEGASUS FINANCIAL GROUP, INC.

Was this data useful?

If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us. Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer

The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Company Name:	CICON ENGINEERING INC
Employer identification number (EIN):	954337304
NAIC Classification:	336410

Jurisdiction of Incorporation:	California Department of State
Incorporation Date:
Company Identification Number:	C1485553