401k Plan data: DIAMOND GRAPHICS, INC. ERISA WRAP PLAN plan

DIAMOND GRAPHICS, INC. ERISA WRAP PLAN 401k Plan overview

Plan Name	DIAMOND GRAPHICS, INC. ERISA WRAP PLAN
Plan identification number	520

DIAMOND GRAPHICS, INC. ERISA WRAP PLAN Benefits

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

401k Sponsoring company profile

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

Company Name: DIAMOND GRAPHICS, INC.

Employer identification number (EIN): 411863774

NAIC Classification: 323100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DIAMOND GRAPHICS, INC. ERISA WRAP PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
520 2021-01-01
520 2020-01-01
520 2019-01-01

Plan Statistics for DIAMOND GRAPHICS, INC. ERISA WRAP PLAN

401k plan membership statisitcs for DIAMOND GRAPHICS, INC. ERISA WRAP PLAN

Measure Date Value
2021: DIAMOND GRAPHICS, INC. ERISA WRAP PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 116
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 122
Total of all active and inactive participants 2021-01-01 122
Total participants 2021-01-01 122
2020: DIAMOND GRAPHICS, INC. ERISA WRAP PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 109
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 114
Number of retired or separated participants receiving benefits 2020-01-01 2
Total of all active and inactive participants 2020-01-01 116
Total participants 2020-01-01 116
2019: DIAMOND GRAPHICS, INC. ERISA WRAP PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 119
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 107
Number of retired or separated participants receiving benefits 2019-01-01 2
Total of all active and inactive participants 2019-01-01 109
Total participants 2019-01-01 109
Number of participants with account balances 2019-01-01 0

Measure	Date	Value
2021: DIAMOND GRAPHICS, INC. ERISA WRAP PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	116
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	122
Total of all active and inactive participants	2021-01-01	122
Total participants	2021-01-01	122
2020: DIAMOND GRAPHICS, INC. ERISA WRAP PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	109
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	114
Number of retired or separated participants receiving benefits	2020-01-01	2
Total of all active and inactive participants	2020-01-01	116
Total participants	2020-01-01	116
2019: DIAMOND GRAPHICS, INC. ERISA WRAP PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	119
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	107
Number of retired or separated participants receiving benefits	2019-01-01	2
Total of all active and inactive participants	2019-01-01	109
Total participants	2019-01-01	109
Number of participants with account balances	2019-01-01	0

Form 5500 Responses for DIAMOND GRAPHICS, INC. ERISA WRAP PLAN

2021: DIAMOND GRAPHICS, INC. ERISA WRAP PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	This submission is the final filing	Yes
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2020: DIAMOND GRAPHICS, INC. ERISA WRAP PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: DIAMOND GRAPHICS, INC. ERISA WRAP PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	First time form 5500 has been submitted	Yes
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HEALTHPARTNERS (National Association of Insurance Commissioners NAIC id number: 95766 )

Policy contract number

17259

Policy instance

Insurance contract or identification number	17259
Number of Individuals Covered	100
Total amount of commissions paid to insurance broker	USD $9,211
Total amount of fees paid to insurance company	USD $52
Dental Insurance Welfare Benefit	Yes
Other welfare benefits provided	EAP
Welfare Benefit Premiums Paid to Carrier	USD $92,924
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,211
Amount paid for insurance broker fees	52
Additional information about fees paid to insurance broker	HEALTHPARTNERS AGENCY REWARADS PROGRAM (HARP) BONUS
Insurance broker organization code?	3

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )

Policy contract number

10147091001

Policy instance

Insurance contract or identification number	10147091001
Number of Individuals Covered	73
Total amount of commissions paid to insurance broker	USD $679
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $6,314
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $679
Insurance broker organization code?	3

PREFERREDONE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 11817 )

Policy contract number

PCH10676

Policy instance

Insurance contract or identification number	PCH10676
Number of Individuals Covered	122
Total amount of commissions paid to insurance broker	USD $28,308
Welfare Benefit Premiums Paid to Carrier	USD $944,716
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $28,308
Insurance broker organization code?	3

HEALTHPARTNERS INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 44547 )

Policy contract number

17259

Policy instance

Insurance contract or identification number	17259
Number of Individuals Covered	114
Total amount of commissions paid to insurance broker	USD $25,853
Health Insurance Welfare Benefit	Yes
Other welfare benefits provided	EAP
Welfare Benefit Premiums Paid to Carrier	USD $794,040
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $25,853
Insurance broker organization code?	3

HEALTHPARTNERS (National Association of Insurance Commissioners NAIC id number: 95766 )

Policy contract number

17259

Policy instance

Insurance contract or identification number	17259
Number of Individuals Covered	90
Total amount of commissions paid to insurance broker	USD $7,908
Total amount of fees paid to insurance company	USD $54
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $72,543
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,908
Amount paid for insurance broker fees	54
Additional information about fees paid to insurance broker	INDIRECT COMPENSATION
Insurance broker organization code?	3

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )

Policy contract number

10147091001

Policy instance

Insurance contract or identification number	10147091001
Number of Individuals Covered	63
Total amount of commissions paid to insurance broker	USD $567
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $5,397
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $567
Insurance broker organization code?	3

HEALTHPARTNERS INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 44547 )

Policy contract number

17259

Policy instance

Insurance contract or identification number	17259
Number of Individuals Covered	107
Total amount of commissions paid to insurance broker	USD $23,838
Health Insurance Welfare Benefit	Yes
Other welfare benefits provided	EAP
Welfare Benefit Premiums Paid to Carrier	USD $804,251
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $23,838
Insurance broker organization code?	3

HEALTHPARTNERS (National Association of Insurance Commissioners NAIC id number: 95766 )

Policy contract number

17259

Policy instance

Insurance contract or identification number	17259
Number of Individuals Covered	87
Total amount of commissions paid to insurance broker	USD $7,051
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $70,756
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,051
Insurance broker organization code?	3

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )

Policy contract number

10147091001

Policy instance

Insurance contract or identification number	10147091001
Number of Individuals Covered	63
Total amount of commissions paid to insurance broker	USD $486
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $4,922
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $486
Insurance broker organization code?	3

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Company Name:	DIAMOND GRAPHICS, INC.
Employer identification number (EIN):	411863774
NAIC Classification:	323100