401k Plan data: WYMAN GORDON GROUP HEALTH PLAN plan

WYMAN GORDON GROUP HEALTH PLAN 401k Plan overview

Plan Name	WYMAN GORDON GROUP HEALTH PLAN
Plan identification number	505

WYMAN GORDON GROUP HEALTH PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

WYMAN-GORDON COMPANY has sponsored the creation of one or more 401k plans.

Company Name: WYMAN-GORDON COMPANY

Employer identification number (EIN): 041992780

NAIC Classification: 332110

Additional information about WYMAN-GORDON COMPANY

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 1955-04-13

Company Identification Number: 0001660006

Legal Registered Office Address: 4650 S MACADAM AVE STE 300

PORTLAND
United States of America (USA)
97239

More information about WYMAN-GORDON COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WYMAN GORDON GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
505 2021-01-01
505 2018-07-01

Plan Statistics for WYMAN GORDON GROUP HEALTH PLAN

401k plan membership statisitcs for WYMAN GORDON GROUP HEALTH PLAN

Measure Date Value
2021: WYMAN GORDON GROUP HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 187
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 160
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 160
2018: WYMAN GORDON GROUP HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 196
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 249
Number of retired or separated participants receiving benefits 2018-07-01 1
Number of other retired or separated participants entitled to future benefits 2018-07-01 0
Total of all active and inactive participants 2018-07-01 250

Measure	Date	Value
2021: WYMAN GORDON GROUP HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	187
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	160
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	160
2018: WYMAN GORDON GROUP HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	196
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	249
Number of retired or separated participants receiving benefits	2018-07-01	1
Number of other retired or separated participants entitled to future benefits	2018-07-01	0
Total of all active and inactive participants	2018-07-01	250

Form 5500 Responses for WYMAN GORDON GROUP HEALTH PLAN

2021: WYMAN GORDON GROUP HEALTH PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2018: WYMAN GORDON GROUP HEALTH PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Submission has been amended	Yes
2018-07-01	This submission is the final filing	No
2018-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-07-01	Plan is a collectively bargained plan	No
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement – Insurance	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

00626466

Policy instance

Insurance contract or identification number	00626466
Number of Individuals Covered	245
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $26,266
Total amount of fees paid to insurance company	USD $7,740
Are there contracts with allocated funds for individual policies?	0
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	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 $231,110
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $26,026
Insurance broker organization code?	3
Amount paid for insurance broker fees	7740
Additional information about fees paid to insurance broker	INCENTIVE COMPENSATION

BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 )

Policy contract number

03271

Policy instance

Insurance contract or identification number	03271
Number of Individuals Covered	249
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $122,237
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
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	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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $122,237
Insurance broker organization code?	3

Potentially related plans

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Company Name:	WYMAN-GORDON COMPANY
Employer identification number (EIN):	041992780
NAIC Classification:	332110

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	1955-04-13
Company Identification Number:	0001660006
Legal Registered Office Address:	4650 S MACADAM AVE STE 300 PORTLAND United States of America (USA) 97239