✓ Q1 Select all of the documents currently on file for the employer: ERISA wrap document and Summary Plan Description (SPD)
✓ Q2 What is the ERISA plan year listed on the ERISA wrap document? ERISA plan year date: Because you answered "ERISA plan year date:" , 7 more questions in this section apply.
✓ Q3 When the wrap was first adopted, was the wrap distributed to plan participants within 120 days? No
✓ Q4 Ongoing: Is the Wrap SPD provided to new plan participants within 90 days of plan enrollment? No
✓ Q5 Does the employer have 100 or more participants (includes active employees, retirees or COBRA QBs) enrolled on any of their current benefit plans as of the first day of the plan year, including employer-paid life or disability? Yes
Q6
Has the employer filed a Form 5500 with the Department of Labor for the health and welfare benefits 7 months following the end of the plan year (or up to 2.5 months on extension)? Yes No Not sure Not currently required for the employer
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✓ Q7 Does the employer distribute the Summary Annual Report (SAR) to all plan participants within 9 months of the end of the plan year or within 2 months of filing Form 5500 on extension? Yes
✓ Q8 Are ERISA recordkeeping rules followed, requiring plan sponsors to maintain ERISA documents for not less than 6 years after the filing date of a Form 5500 (or the date it would be filed but for an exemption)? Yes
✓ Q9 Is the electronic disclosure safe harbor being met for electronic delivery of ERISA documents and required notices? Yes