401k Plan data: GRAND TRAVERSE PLASTICS CORPORATION HEALTH PLAN plan

GRAND TRAVERSE PLASTICS CORPORATION HEALTH PLAN 401k Plan overview

Plan Name	GRAND TRAVERSE PLASTICS CORPORATION HEALTH PLAN
Plan identification number	501

GRAND TRAVERSE PLASTICS CORPORATION HEALTH PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Vision

401k Sponsoring company profile

GRAND TRAVERSE PLASTICS CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: GRAND TRAVERSE PLASTICS CORPORATION

Employer identification number (EIN): 382336459

NAIC Classification: 326100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GRAND TRAVERSE PLASTICS CORPORATION HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-09-01 JULIE SCHLECKER 2024-02-22
501 2021-09-01 JULIE SCHEKLER 2023-02-06

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2022-09-01	JULIE SCHLECKER	2024-02-22
501	2021-09-01	JULIE SCHEKLER	2023-02-06

Plan Statistics for GRAND TRAVERSE PLASTICS CORPORATION HEALTH PLAN

401k plan membership statisitcs for GRAND TRAVERSE PLASTICS CORPORATION HEALTH PLAN

Measure Date Value
2022: GRAND TRAVERSE PLASTICS CORPORATION HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year 2022-09-01 117
Total number of active participants reported on line 7a of the Form 5500 2022-09-01 132
Total of all active and inactive participants 2022-09-01 132
2021: GRAND TRAVERSE PLASTICS CORPORATION HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year 2021-09-01 117
Total number of active participants reported on line 7a of the Form 5500 2021-09-01 116
Total of all active and inactive participants 2021-09-01 116

Measure	Date	Value
2022: GRAND TRAVERSE PLASTICS CORPORATION HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year	2022-09-01	117
Total number of active participants reported on line 7a of the Form 5500	2022-09-01	132
Total of all active and inactive participants	2022-09-01	132
2021: GRAND TRAVERSE PLASTICS CORPORATION HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year	2021-09-01	117
Total number of active participants reported on line 7a of the Form 5500	2021-09-01	116
Total of all active and inactive participants	2021-09-01	116

Form 5500 Responses for GRAND TRAVERSE PLASTICS CORPORATION HEALTH PLAN

2022: GRAND TRAVERSE PLASTICS CORPORATION HEALTH PLAN 2022 form 5500 responses
2022-09-01	Type of plan entity	Single employer plan
2022-09-01	Plan funding arrangement – Insurance	Yes
2022-09-01	Plan benefit arrangement – Insurance	Yes
2021: GRAND TRAVERSE PLASTICS CORPORATION HEALTH PLAN 2021 form 5500 responses
2021-09-01	Type of plan entity	Single employer plan
2021-09-01	First time form 5500 has been submitted	Yes
2021-09-01	Plan funding arrangement – Insurance	Yes
2021-09-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )

Policy contract number

165639

Policy instance

Insurance contract or identification number	165639
Number of Individuals Covered	153
Insurance policy start date	2022-09-01
Insurance policy end date	2023-08-31
Total amount of commissions paid to insurance broker	USD $2,358
Total amount of fees paid to insurance company	USD $1,475
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,580
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	BROKER BONUS

BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )

Policy contract number

165639

Policy instance

Insurance contract or identification number	165639
Number of Individuals Covered	143
Insurance policy start date	2022-09-01
Insurance policy end date	2023-08-31
Total amount of commissions paid to insurance broker	USD $22,995
Total amount of fees paid to insurance company	USD $1,656
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $16,303
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	BROKER BONUS

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )

Policy contract number

165639

Policy instance

Insurance contract or identification number	165639
Number of Individuals Covered	150
Insurance policy start date	2021-09-01
Insurance policy end date	2022-08-31
Total amount of commissions paid to insurance broker	USD $2,610
Total amount of fees paid to insurance company	USD $763
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,610
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	ADMINISTRATION SVCS

BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )

Policy contract number

165639

Policy instance

Insurance contract or identification number	165639
Number of Individuals Covered	137
Insurance policy start date	2021-09-01
Insurance policy end date	2022-08-31
Total amount of commissions paid to insurance broker	USD $19,820
Total amount of fees paid to insurance company	USD $1,533
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $19,820
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	ADMINISTRATION SVCS

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Company Name:	GRAND TRAVERSE PLASTICS CORPORATION
Employer identification number (EIN):	382336459
NAIC Classification:	326100