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GROUP MEDICAL PLAN FOR EMPLOYEES OF MODERN ITALIAN BAKERY 401k Plan overview

Plan NameGROUP MEDICAL PLAN FOR EMPLOYEES OF MODERN ITALIAN BAKERY
Plan identification number 502

GROUP MEDICAL PLAN FOR EMPLOYEES OF MODERN ITALIAN BAKERY Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

MODERN ITALIAN BAKERY has sponsored the creation of one or more 401k plans.

Company Name:MODERN ITALIAN BAKERY
Employer identification number (EIN):112801225
NAIC Classification:311800
NAIC Description: Bakeries and Tortilla Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP MEDICAL PLAN FOR EMPLOYEES OF MODERN ITALIAN BAKERY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022020-08-01
5022019-08-01
5022018-08-01
5022017-08-01DANA MURPHY
5022016-08-01DANA MURPHY
5022015-08-01DANA MURPHY
5022014-08-01DANA MURPHY
5022013-08-01DANA MURPHY
5022012-08-01KEVIN CONNORS
5022011-08-01KEVIN CONNORS
5022010-08-01KEVIN CONNORS
5022009-08-01KEVIN CONNORS

Plan Statistics for GROUP MEDICAL PLAN FOR EMPLOYEES OF MODERN ITALIAN BAKERY

401k plan membership statisitcs for GROUP MEDICAL PLAN FOR EMPLOYEES OF MODERN ITALIAN BAKERY

Measure Date Value
2020: GROUP MEDICAL PLAN FOR EMPLOYEES OF MODERN ITALIAN BAKERY 2020 401k membership
Total participants, beginning-of-year2020-08-0196
Total number of active participants reported on line 7a of the Form 55002020-08-0189
Total of all active and inactive participants2020-08-0189
2019: GROUP MEDICAL PLAN FOR EMPLOYEES OF MODERN ITALIAN BAKERY 2019 401k membership
Total participants, beginning-of-year2019-08-0191
Total number of active participants reported on line 7a of the Form 55002019-08-0196
Total of all active and inactive participants2019-08-0196
2018: GROUP MEDICAL PLAN FOR EMPLOYEES OF MODERN ITALIAN BAKERY 2018 401k membership
Total participants, beginning-of-year2018-08-0165
Number of retired or separated participants receiving benefits2018-08-0191
Total of all active and inactive participants2018-08-0191
2017: GROUP MEDICAL PLAN FOR EMPLOYEES OF MODERN ITALIAN BAKERY 2017 401k membership
Total participants, beginning-of-year2017-08-0173
Total number of active participants reported on line 7a of the Form 55002017-08-0165
Total of all active and inactive participants2017-08-0165
Total participants2017-08-0165
2016: GROUP MEDICAL PLAN FOR EMPLOYEES OF MODERN ITALIAN BAKERY 2016 401k membership
Total participants, beginning-of-year2016-08-0173
Total number of active participants reported on line 7a of the Form 55002016-08-0173
Total of all active and inactive participants2016-08-0173
Total participants2016-08-0173
2015: GROUP MEDICAL PLAN FOR EMPLOYEES OF MODERN ITALIAN BAKERY 2015 401k membership
Total participants, beginning-of-year2015-08-0171
Total number of active participants reported on line 7a of the Form 55002015-08-0173
Total of all active and inactive participants2015-08-0173
Total participants2015-08-0173
2014: GROUP MEDICAL PLAN FOR EMPLOYEES OF MODERN ITALIAN BAKERY 2014 401k membership
Total participants, beginning-of-year2014-08-0169
Total number of active participants reported on line 7a of the Form 55002014-08-0171
Total of all active and inactive participants2014-08-0171
Total participants2014-08-0171
2013: GROUP MEDICAL PLAN FOR EMPLOYEES OF MODERN ITALIAN BAKERY 2013 401k membership
Total participants, beginning-of-year2013-08-0171
Total number of active participants reported on line 7a of the Form 55002013-08-0169
Total of all active and inactive participants2013-08-0169
Total participants2013-08-0169
2012: GROUP MEDICAL PLAN FOR EMPLOYEES OF MODERN ITALIAN BAKERY 2012 401k membership
Total participants, beginning-of-year2012-08-0175
Total number of active participants reported on line 7a of the Form 55002012-08-0171
Total of all active and inactive participants2012-08-0171
Total participants2012-08-0171
2011: GROUP MEDICAL PLAN FOR EMPLOYEES OF MODERN ITALIAN BAKERY 2011 401k membership
Total participants, beginning-of-year2011-08-0182
Total number of active participants reported on line 7a of the Form 55002011-08-0175
Total of all active and inactive participants2011-08-0175
Total participants2011-08-0175
2010: GROUP MEDICAL PLAN FOR EMPLOYEES OF MODERN ITALIAN BAKERY 2010 401k membership
Total participants, beginning-of-year2010-08-0183
Total number of active participants reported on line 7a of the Form 55002010-08-0182
Total of all active and inactive participants2010-08-0182
Total participants2010-08-0182
2009: GROUP MEDICAL PLAN FOR EMPLOYEES OF MODERN ITALIAN BAKERY 2009 401k membership
Total participants, beginning-of-year2009-08-0184
Total number of active participants reported on line 7a of the Form 55002009-08-0183
Total of all active and inactive participants2009-08-0183
Total participants2009-08-0183

Form 5500 Responses for GROUP MEDICAL PLAN FOR EMPLOYEES OF MODERN ITALIAN BAKERY

2020: GROUP MEDICAL PLAN FOR EMPLOYEES OF MODERN ITALIAN BAKERY 2020 form 5500 responses
2020-08-01Type of plan entitySingle employer plan
2020-08-01Plan funding arrangement – InsuranceYes
2020-08-01Plan benefit arrangement – InsuranceYes
2019: GROUP MEDICAL PLAN FOR EMPLOYEES OF MODERN ITALIAN BAKERY 2019 form 5500 responses
2019-08-01Type of plan entitySingle employer plan
2019-08-01Plan funding arrangement – InsuranceYes
2019-08-01Plan benefit arrangement – InsuranceYes
2018: GROUP MEDICAL PLAN FOR EMPLOYEES OF MODERN ITALIAN BAKERY 2018 form 5500 responses
2018-08-01Type of plan entitySingle employer plan
2018-08-01Plan funding arrangement – InsuranceYes
2018-08-01Plan funding arrangement – General assets of the sponsorYes
2018-08-01Plan benefit arrangement – InsuranceYes
2018-08-01Plan benefit arrangement – General assets of the sponsorYes
2017: GROUP MEDICAL PLAN FOR EMPLOYEES OF MODERN ITALIAN BAKERY 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan funding arrangement – General assets of the sponsorYes
2017-08-01Plan benefit arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – General assets of the sponsorYes
2016: GROUP MEDICAL PLAN FOR EMPLOYEES OF MODERN ITALIAN BAKERY 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – InsuranceYes
2015: GROUP MEDICAL PLAN FOR EMPLOYEES OF MODERN ITALIAN BAKERY 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – InsuranceYes
2014: GROUP MEDICAL PLAN FOR EMPLOYEES OF MODERN ITALIAN BAKERY 2014 form 5500 responses
2014-08-01Type of plan entitySingle employer plan
2014-08-01Plan funding arrangement – InsuranceYes
2014-08-01Plan benefit arrangement – InsuranceYes
2013: GROUP MEDICAL PLAN FOR EMPLOYEES OF MODERN ITALIAN BAKERY 2013 form 5500 responses
2013-08-01Type of plan entitySingle employer plan
2013-08-01Plan funding arrangement – InsuranceYes
2013-08-01Plan benefit arrangement – InsuranceYes
2012: GROUP MEDICAL PLAN FOR EMPLOYEES OF MODERN ITALIAN BAKERY 2012 form 5500 responses
2012-08-01Type of plan entitySingle employer plan
2012-08-01Plan funding arrangement – InsuranceYes
2012-08-01Plan benefit arrangement – InsuranceYes
2011: GROUP MEDICAL PLAN FOR EMPLOYEES OF MODERN ITALIAN BAKERY 2011 form 5500 responses
2011-08-01Type of plan entitySingle employer plan
2011-08-01Plan funding arrangement – InsuranceYes
2011-08-01Plan benefit arrangement – InsuranceYes
2010: GROUP MEDICAL PLAN FOR EMPLOYEES OF MODERN ITALIAN BAKERY 2010 form 5500 responses
2010-08-01Type of plan entitySingle employer plan
2010-08-01Plan funding arrangement – InsuranceYes
2010-08-01Plan benefit arrangement – InsuranceYes
2009: GROUP MEDICAL PLAN FOR EMPLOYEES OF MODERN ITALIAN BAKERY 2009 form 5500 responses
2009-08-01Type of plan entitySingle employer plan
2009-08-01Plan funding arrangement – InsuranceYes
2009-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0246027
Policy instance 2
Insurance contract or identification number0246027
Number of Individuals Covered89
Insurance policy start date2021-03-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $14,215
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $354,125
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,215
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0246027
Policy instance 1
Insurance contract or identification number0246027
Number of Individuals Covered95
Insurance policy start date2020-08-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $18,943
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $482,246
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,943
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0246027
Policy instance 2
Insurance contract or identification number0246027
Number of Individuals Covered96
Insurance policy start date2020-03-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $11,923
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $361,361
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,923
Insurance broker organization code?3
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberMI24896
Policy instance 1
Insurance contract or identification numberMI24896
Number of Individuals Covered101
Insurance policy start date2019-08-01
Insurance policy end date2020-02-29
Total amount of commissions paid to insurance brokerUSD $17,130
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $439,414
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,130
Insurance broker organization code?3
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberMI24896
Policy instance 1
Insurance contract or identification numberMI24896
Number of Individuals Covered91
Insurance policy start date2019-03-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $9,969
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $247,737
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,969
Amount paid for insurance broker fees0
Insurance broker organization code?3
NORTH SHORE LIJ CARECONNECT HEALTH INSURANCE INC. (National Association of Insurance Commissioners NAIC id number: 15309 )
Policy contract numberL00240
Policy instance 1
Insurance contract or identification numberL00240
Number of Individuals Covered69
Insurance policy start date2017-08-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $13,563
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $339,076
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number4163606/4660068
Policy instance 1
Insurance contract or identification number4163606/4660068
Number of Individuals Covered73
Insurance policy start date2015-08-01
Insurance policy end date2016-07-31
Total amount of commissions paid to insurance brokerUSD $33,205
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $834,863
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33,205
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number4163606/4660068
Policy instance 1
Insurance contract or identification number4163606/4660068
Number of Individuals Covered71
Insurance policy start date2014-08-01
Insurance policy end date2015-07-31
Total amount of commissions paid to insurance brokerUSD $29,432
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $738,180
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,432
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number4163606/4660068
Policy instance 1
Insurance contract or identification number4163606/4660068
Number of Individuals Covered69
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
Total amount of commissions paid to insurance brokerUSD $27,548
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $700,112
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,548
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number4163606/4660068
Policy instance 1
Insurance contract or identification number4163606/4660068
Number of Individuals Covered71
Insurance policy start date2012-08-01
Insurance policy end date2013-07-31
Total amount of commissions paid to insurance brokerUSD $22,321
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $744,018
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,321
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number4163606/4660068
Policy instance 1
Insurance contract or identification number4163606/4660068
Number of Individuals Covered75
Insurance policy start date2011-08-01
Insurance policy end date2012-07-31
Total amount of commissions paid to insurance brokerUSD $22,194
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $739,794
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number4163606/4660068
Policy instance 1
Insurance contract or identification number4163606/4660068
Number of Individuals Covered82
Insurance policy start date2010-08-01
Insurance policy end date2011-07-31
Total amount of commissions paid to insurance brokerUSD $18,216
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $607,213

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