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GROUP MEDICAL, DENTAL AND VISION PLAN 401k Plan overview

Plan NameGROUP MEDICAL, DENTAL AND VISION PLAN
Plan identification number 501

GROUP MEDICAL, DENTAL AND VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

BUNGIE, INC. has sponsored the creation of one or more 401k plans.

Company Name:BUNGIE, INC.
Employer identification number (EIN):274411168
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP MEDICAL, DENTAL AND VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-10-01HOLLY BARBACOVI2024-01-31
5012021-10-01HOLLY BARBACOVI2023-02-13
5012020-10-01ADAM GLOGOWER2022-02-23
5012019-10-01JOE WELCH2021-03-11
5012017-10-01
5012016-10-01
5012015-10-01GAYLE L HUNDT
5012014-10-01SHAUNA SPERRY
5012014-10-01GAYLE L HUNDT
5012013-10-01SHAUNA SPERRY
5012012-10-01GAYLE D'HONDT GAYLE D'HONDT2014-04-28
5012011-10-01GAYLE D'HONDT GAYLE D'HONDT2013-04-29
5012009-10-01GAYLE D'HONDT GAYLE D'HONDT2011-05-25

Plan Statistics for GROUP MEDICAL, DENTAL AND VISION PLAN

401k plan membership statisitcs for GROUP MEDICAL, DENTAL AND VISION PLAN

Measure Date Value
2022: GROUP MEDICAL, DENTAL AND VISION PLAN 2022 401k membership
Total participants, beginning-of-year2022-10-011,214
Total number of active participants reported on line 7a of the Form 55002022-10-011,422
Number of retired or separated participants receiving benefits2022-10-010
Number of other retired or separated participants entitled to future benefits2022-10-010
Total of all active and inactive participants2022-10-011,422
Number of employers contributing to the scheme2022-10-010
2021: GROUP MEDICAL, DENTAL AND VISION PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-01845
Total number of active participants reported on line 7a of the Form 55002021-10-011,186
Number of retired or separated participants receiving benefits2021-10-010
Number of other retired or separated participants entitled to future benefits2021-10-010
Total of all active and inactive participants2021-10-011,186
Number of employers contributing to the scheme2021-10-010
2020: GROUP MEDICAL, DENTAL AND VISION PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-01735
Total number of active participants reported on line 7a of the Form 55002020-10-01811
Number of retired or separated participants receiving benefits2020-10-010
Number of other retired or separated participants entitled to future benefits2020-10-010
Total of all active and inactive participants2020-10-01811
Number of employers contributing to the scheme2020-10-010
2019: GROUP MEDICAL, DENTAL AND VISION PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01639
Total number of active participants reported on line 7a of the Form 55002019-10-01670
Number of retired or separated participants receiving benefits2019-10-010
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-01670
Number of employers contributing to the scheme2019-10-010
2017: GROUP MEDICAL, DENTAL AND VISION PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01692
Total number of active participants reported on line 7a of the Form 55002017-10-01689
Number of retired or separated participants receiving benefits2017-10-010
Number of other retired or separated participants entitled to future benefits2017-10-010
Total of all active and inactive participants2017-10-01689
Number of employers contributing to the scheme2017-10-010
2016: GROUP MEDICAL, DENTAL AND VISION PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-01643
Total number of active participants reported on line 7a of the Form 55002016-10-01702
Number of retired or separated participants receiving benefits2016-10-010
Number of other retired or separated participants entitled to future benefits2016-10-010
Total of all active and inactive participants2016-10-01702
2015: GROUP MEDICAL, DENTAL AND VISION PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-01569
Total number of active participants reported on line 7a of the Form 55002015-10-01643
Number of retired or separated participants receiving benefits2015-10-010
Number of other retired or separated participants entitled to future benefits2015-10-010
Total of all active and inactive participants2015-10-01643
2014: GROUP MEDICAL, DENTAL AND VISION PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-01520
Total number of active participants reported on line 7a of the Form 55002014-10-01569
Number of retired or separated participants receiving benefits2014-10-010
Number of other retired or separated participants entitled to future benefits2014-10-010
Total of all active and inactive participants2014-10-01569
2013: GROUP MEDICAL, DENTAL AND VISION PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-01451
Total number of active participants reported on line 7a of the Form 55002013-10-01514
Number of retired or separated participants receiving benefits2013-10-016
Number of other retired or separated participants entitled to future benefits2013-10-010
Total of all active and inactive participants2013-10-01520
2012: GROUP MEDICAL, DENTAL AND VISION PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-01337
Total number of active participants reported on line 7a of the Form 55002012-10-01451
Number of retired or separated participants receiving benefits2012-10-010
Number of other retired or separated participants entitled to future benefits2012-10-010
Total of all active and inactive participants2012-10-01451
2011: GROUP MEDICAL, DENTAL AND VISION PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-01232
Total number of active participants reported on line 7a of the Form 55002011-10-01337
Total of all active and inactive participants2011-10-01337
2009: GROUP MEDICAL, DENTAL AND VISION PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-01168
Total number of active participants reported on line 7a of the Form 55002009-10-01196
Number of retired or separated participants receiving benefits2009-10-010
Number of other retired or separated participants entitled to future benefits2009-10-010
Total of all active and inactive participants2009-10-01196

Form 5500 Responses for GROUP MEDICAL, DENTAL AND VISION PLAN

2022: GROUP MEDICAL, DENTAL AND VISION PLAN 2022 form 5500 responses
2022-10-01Type of plan entitySingle employer plan
2022-10-01Plan funding arrangement – InsuranceYes
2022-10-01Plan funding arrangement – General assets of the sponsorYes
2022-10-01Plan benefit arrangement – InsuranceYes
2022-10-01Plan benefit arrangement – General assets of the sponsorYes
2021: GROUP MEDICAL, DENTAL AND VISION PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan funding arrangement – General assets of the sponsorYes
2021-10-01Plan benefit arrangement – InsuranceYes
2021-10-01Plan benefit arrangement – General assets of the sponsorYes
2020: GROUP MEDICAL, DENTAL AND VISION PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan funding arrangement – General assets of the sponsorYes
2020-10-01Plan benefit arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – General assets of the sponsorYes
2019: GROUP MEDICAL, DENTAL AND VISION PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan funding arrangement – General assets of the sponsorYes
2019-10-01Plan benefit arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – General assets of the sponsorYes
2017: GROUP MEDICAL, DENTAL AND VISION PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan funding arrangement – General assets of the sponsorYes
2017-10-01Plan benefit arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – General assets of the sponsorYes
2016: GROUP MEDICAL, DENTAL AND VISION PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan funding arrangement – General assets of the sponsorYes
2016-10-01Plan benefit arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – General assets of the sponsorYes
2015: GROUP MEDICAL, DENTAL AND VISION PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan funding arrangement – General assets of the sponsorYes
2015-10-01Plan benefit arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – General assets of the sponsorYes
2014: GROUP MEDICAL, DENTAL AND VISION PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedYes
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – General assets of the sponsorYes
2014-10-01Plan benefit arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – General assets of the sponsorYes
2013: GROUP MEDICAL, DENTAL AND VISION PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan funding arrangement – General assets of the sponsorYes
2013-10-01Plan benefit arrangement – InsuranceYes
2013-10-01Plan benefit arrangement – General assets of the sponsorYes
2012: GROUP MEDICAL, DENTAL AND VISION PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan benefit arrangement – InsuranceYes
2011: GROUP MEDICAL, DENTAL AND VISION PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Submission has been amendedNo
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan benefit arrangement – InsuranceYes
2009: GROUP MEDICAL, DENTAL AND VISION PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberSA2890LF088901
Policy instance 3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30015876
Policy instance 2
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number4015706
Policy instance 1
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number232406
Policy instance 3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30015876
Policy instance 2
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number4015706
Policy instance 1
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number232406
Policy instance 3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30015876
Policy instance 2
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number4015706
Policy instance 1
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number232406
Policy instance 3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30015876
Policy instance 2
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number4015706
Policy instance 1

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