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| Plan Name | THE MASON COMPANIES INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN |
| Plan identification number | 512 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | MASON COMPANIES, INC. |
| Employer identification number (EIN): | 390455220 |
| NAIC Classification: | 316210 |
| NAIC Description: | Footwear Manufacturing |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 512 | 2022-01-01 |
| Measure | Date | Value |
|---|---|---|
| 2022: THE MASON COMPANIES INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-01-01 | 538 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 422 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 24 |
| Total of all active and inactive participants | 2022-01-01 | 446 |
| 2022: THE MASON COMPANIES INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | First time form 5500 has been submitted | Yes |
| 2022-01-01 | Submission has been amended | No |
| 2022-01-01 | This submission is the final filing | No |
| 2022-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-01-01 | Plan is a collectively bargained plan | No |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |||||||||||||||||||||||||||||||
| Policy contract number | 295316 | ||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||
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| WYSSTA INSURANCE COMPANY INC. (National Association of Insurance Commissioners NAIC id number: 12352 ) | |||||||||||||||||||||||||||||||
| Policy contract number | 43449 00000 | ||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||
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