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ROCKY MOUNTAIN INDUSTRIAL SUPPLY EMPLOYEE GROUP HEALTH PLAN 401k Plan overview

Plan NameROCKY MOUNTAIN INDUSTRIAL SUPPLY EMPLOYEE GROUP HEALTH PLAN
Plan identification number 501

ROCKY MOUNTAIN INDUSTRIAL SUPPLY EMPLOYEE GROUP HEALTH PLAN Benefits

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

401k Sponsoring company profile

ROCKY MOUNTAIN INDUSTRIAL SUPPLY, INC. has sponsored the creation of one or more 401k plans.

Company Name:ROCKY MOUNTAIN INDUSTRIAL SUPPLY, INC.
Employer identification number (EIN):208809163
NAIC Classification:452300

Additional information about ROCKY MOUNTAIN INDUSTRIAL SUPPLY, INC.

Jurisdiction of Incorporation: Wyoming Corporations Division
Incorporation Date: 2007-03-26
Company Identification Number: 000535594
Legal Registered Office Address: 1711 English Ave

Casper
United States of America (USA)
82601

More information about ROCKY MOUNTAIN INDUSTRIAL SUPPLY, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROCKY MOUNTAIN INDUSTRIAL SUPPLY EMPLOYEE GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01MICHELLE HALL
5012016-01-01MICHELLE HALL2017-06-14

Plan Statistics for ROCKY MOUNTAIN INDUSTRIAL SUPPLY EMPLOYEE GROUP HEALTH PLAN

401k plan membership statisitcs for ROCKY MOUNTAIN INDUSTRIAL SUPPLY EMPLOYEE GROUP HEALTH PLAN

Measure Date Value
2021: ROCKY MOUNTAIN INDUSTRIAL SUPPLY EMPLOYEE GROUP HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-015
Total number of active participants reported on line 7a of the Form 55002021-01-015
Total of all active and inactive participants2021-01-015
Total participants2021-01-015
2020: ROCKY MOUNTAIN INDUSTRIAL SUPPLY EMPLOYEE GROUP HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-019
Total number of active participants reported on line 7a of the Form 55002020-01-015
Total of all active and inactive participants2020-01-015
Total participants2020-01-015
2019: ROCKY MOUNTAIN INDUSTRIAL SUPPLY EMPLOYEE GROUP HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-019
Total number of active participants reported on line 7a of the Form 55002019-01-0116
Total of all active and inactive participants2019-01-0116
Total participants2019-01-0116
2018: ROCKY MOUNTAIN INDUSTRIAL SUPPLY EMPLOYEE GROUP HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-015
Total number of active participants reported on line 7a of the Form 55002018-01-015
Total of all active and inactive participants2018-01-015
Total participants2018-01-015

Form 5500 Responses for ROCKY MOUNTAIN INDUSTRIAL SUPPLY EMPLOYEE GROUP HEALTH PLAN

2021: ROCKY MOUNTAIN INDUSTRIAL SUPPLY EMPLOYEE GROUP HEALTH PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: ROCKY MOUNTAIN INDUSTRIAL SUPPLY EMPLOYEE GROUP HEALTH PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: ROCKY MOUNTAIN INDUSTRIAL SUPPLY EMPLOYEE GROUP HEALTH PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: ROCKY MOUNTAIN INDUSTRIAL SUPPLY EMPLOYEE GROUP HEALTH PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01First time form 5500 has been submittedYes
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ALLIED BENEFIT SYSTEMS (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberL170194
Policy instance 1
Insurance contract or identification numberL170194
Number of Individuals Covered5
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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?No
Commission paid to Insurance BrokerUSD $5,916
ALLIED BENEFIT SYSTEMS (National Association of Insurance Commissioners NAIC id number: )
Policy contract number
Policy instance 1
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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?No
Commission paid to Insurance BrokerUSD $4,000

Potentially related plans

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