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HEALTH AND WELFARE BENEFITS PLAN 401k Plan overview

Plan NameHEALTH AND WELFARE BENEFITS PLAN
Plan identification number 501

HEALTH AND WELFARE BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

MFS SUPPLY, LLC has sponsored the creation of one or more 401k plans.

Company Name:MFS SUPPLY, LLC
Employer identification number (EIN):204935387
NAIC Classification:423990
NAIC Description:Other Miscellaneous Durable Goods Merchant Wholesalers

Additional information about MFS SUPPLY, LLC

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 2006-03-21
Company Identification Number: 1610013
Legal Registered Office Address: 650 W RESOURCE DR
-
BROOKLYN HTS
United States of America (USA)
44131

More information about MFS SUPPLY, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEALTH AND WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01DANIELLE DEVORE2023-05-25
5012021-12-01DANIELLE DEVORE2022-04-19
5012020-12-01DANIELLE DEVORE2022-04-20
5012019-12-01TODD DEVORACE2021-09-14
5012018-12-01TODD DEVORACE2020-06-26
5012017-12-01BRANDON GUZMAN2019-08-26

Plan Statistics for HEALTH AND WELFARE BENEFITS PLAN

401k plan membership statisitcs for HEALTH AND WELFARE BENEFITS PLAN

Measure Date Value
2022: HEALTH AND WELFARE BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01100
Total number of active participants reported on line 7a of the Form 55002022-01-0194
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-011
Total of all active and inactive participants2022-01-0195
Number of employers contributing to the scheme2022-01-010
2021: HEALTH AND WELFARE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-12-01143
Total number of active participants reported on line 7a of the Form 55002021-12-01143
Number of retired or separated participants receiving benefits2021-12-010
Number of other retired or separated participants entitled to future benefits2021-12-010
Total of all active and inactive participants2021-12-01143
Number of employers contributing to the scheme2021-12-010
2020: HEALTH AND WELFARE BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-01143
Total number of active participants reported on line 7a of the Form 55002020-12-01143
Number of retired or separated participants receiving benefits2020-12-010
Number of other retired or separated participants entitled to future benefits2020-12-010
Total of all active and inactive participants2020-12-01143
Number of employers contributing to the scheme2020-12-010
2019: HEALTH AND WELFARE BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-12-01143
Total number of active participants reported on line 7a of the Form 55002019-12-01143
Number of retired or separated participants receiving benefits2019-12-010
Number of other retired or separated participants entitled to future benefits2019-12-010
Total of all active and inactive participants2019-12-01143
Number of employers contributing to the scheme2019-12-010
2018: HEALTH AND WELFARE BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year2018-12-01145
Total number of active participants reported on line 7a of the Form 55002018-12-01143
Number of retired or separated participants receiving benefits2018-12-010
Number of other retired or separated participants entitled to future benefits2018-12-010
Total of all active and inactive participants2018-12-01143
Number of employers contributing to the scheme2018-12-010
2017: HEALTH AND WELFARE BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year2017-12-01117
Total number of active participants reported on line 7a of the Form 55002017-12-01117
Number of retired or separated participants receiving benefits2017-12-017
Number of other retired or separated participants entitled to future benefits2017-12-012
Total of all active and inactive participants2017-12-01126
Number of employers contributing to the scheme2017-12-010

Form 5500 Responses for HEALTH AND WELFARE BENEFITS PLAN

2022: HEALTH AND WELFARE BENEFITS PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: HEALTH AND WELFARE BENEFITS PLAN 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-12-01Plan funding arrangement – General assets of the sponsorYes
2021-12-01Plan benefit arrangement – General assets of the sponsorYes
2020: HEALTH AND WELFARE BENEFITS PLAN 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01Plan funding arrangement – General assets of the sponsorYes
2020-12-01Plan benefit arrangement – General assets of the sponsorYes
2019: HEALTH AND WELFARE BENEFITS PLAN 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Plan funding arrangement – General assets of the sponsorYes
2019-12-01Plan benefit arrangement – General assets of the sponsorYes
2018: HEALTH AND WELFARE BENEFITS PLAN 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01Plan funding arrangement – General assets of the sponsorYes
2018-12-01Plan benefit arrangement – General assets of the sponsorYes
2017: HEALTH AND WELFARE BENEFITS PLAN 2017 form 5500 responses
2017-12-01Type of plan entitySingle employer plan
2017-12-01First time form 5500 has been submittedYes
2017-12-01Plan funding arrangement – General assets of the sponsorYes
2017-12-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract numberGSF-0404
Policy instance 1
Insurance contract or identification numberGSF-0404
Number of Individuals Covered248
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $22,740
Total amount of fees paid to insurance companyUSD $4,746
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $883,985
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,740
Amount paid for insurance broker fees4746
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3

Potentially related plans

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