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GREAT LAKES MANUFACTURING HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameGREAT LAKES MANUFACTURING HEALTH AND WELFARE PLAN
Plan identification number 502

GREAT LAKES MANUFACTURING HEALTH AND WELFARE PLAN Benefits

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

GREAT LAKES MANUFACTURING, INC. has sponsored the creation of one or more 401k plans.

Company Name:GREAT LAKES MANUFACTURING, INC.
Employer identification number (EIN):232922556
NAIC Classification:332900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GREAT LAKES MANUFACTURING HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022023-01-01TOM PAKULSKI2024-07-12

Form 5500 Responses for GREAT LAKES MANUFACTURING HEALTH AND WELFARE PLAN

2023: GREAT LAKES MANUFACTURING HEALTH AND WELFARE PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01First time form 5500 has been submittedYes
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – General assets of the sponsorYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract numberE5846175
Policy instance 2
Insurance contract or identification numberE5846175
Number of Individuals Covered29
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $15,151
Total amount of fees paid to insurance companyUSD $2,351
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $24,308
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number297893
Policy instance 1
Insurance contract or identification number297893
Number of Individuals Covered158
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $26,549
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $805,339
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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