401k Plan data: ASSOCIATION FOR MATERIALS PROTECTION AND PERFORMANCE GROUP HEALTH PLAN plan

ASSOCIATION FOR MATERIALS PROTECTION AND PERFORMANCE GROUP HEALTH PLAN 401k Plan overview

Plan Name	ASSOCIATION FOR MATERIALS PROTECTION AND PERFORMANCE GROUP HEALTH PLAN
Plan identification number	501

ASSOCIATION FOR MATERIALS PROTECTION AND PERFORMANCE GROUP HEALTH PLAN Benefits

401k Plan Type	Welfare 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)

401k Sponsoring company profile

ASSOCIATION FOR MATERIALS PROTECTION AND PERFORMANCE has sponsored the creation of one or more 401k plans.

Company Name: ASSOCIATION FOR MATERIALS PROTECTION AND PERFORMANCE

Employer identification number (EIN): 453527806

NAIC Classification: 611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ASSOCIATION FOR MATERIALS PROTECTION AND PERFORMANCE GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-01-01 PAMELA S. BIRK 2023-05-02
501 2021-01-01 PAMELA S. BIRK 2022-07-19
501 2021-01-01 PAMELA S. BIRK 2022-07-13

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2022-01-01	PAMELA S. BIRK	2023-05-02
501	2021-01-01	PAMELA S. BIRK	2022-07-19
501	2021-01-01	PAMELA S. BIRK	2022-07-13

Plan Statistics for ASSOCIATION FOR MATERIALS PROTECTION AND PERFORMANCE GROUP HEALTH PLAN

401k plan membership statisitcs for ASSOCIATION FOR MATERIALS PROTECTION AND PERFORMANCE GROUP HEALTH PLAN

Measure Date Value
2022: ASSOCIATION FOR MATERIALS PROTECTION AND PERFORMANCE GROUP HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 171
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 160
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 160
Number of employers contributing to the scheme 2022-01-01 0
2021: ASSOCIATION FOR MATERIALS PROTECTION AND PERFORMANCE GROUP HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 149
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 171
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 171
Number of employers contributing to the scheme 2021-01-01 0

Measure	Date	Value
2022: ASSOCIATION FOR MATERIALS PROTECTION AND PERFORMANCE GROUP HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	171
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	160
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	160
Number of employers contributing to the scheme	2022-01-01	0
2021: ASSOCIATION FOR MATERIALS PROTECTION AND PERFORMANCE GROUP HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	149
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	171
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	171
Number of employers contributing to the scheme	2021-01-01	0

Form 5500 Responses for ASSOCIATION FOR MATERIALS PROTECTION AND PERFORMANCE GROUP HEALTH PLAN

2022: ASSOCIATION FOR MATERIALS PROTECTION AND PERFORMANCE GROUP HEALTH PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
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
2021: ASSOCIATION FOR MATERIALS PROTECTION AND PERFORMANCE GROUP HEALTH PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	Yes
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

627744

Policy instance

Insurance contract or identification number	627744
Number of Individuals Covered	246
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $14,339
Total amount of fees paid to insurance company	USD $92,872
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $2,093,644
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $14,331
Amount paid for insurance broker fees	92872
Additional information about fees paid to insurance broker	BENEFIT ADVISOR FEES
Insurance broker organization code?	3

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

SGM612005

Policy instance

Insurance contract or identification number	SGM612005
Number of Individuals Covered	160
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $15,692
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $104,613
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $15,692
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

627744

Policy instance

Insurance contract or identification number	627744
Number of Individuals Covered	218
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $10,661
Total amount of fees paid to insurance company	USD $98,801
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $2,167,310
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,661
Amount paid for insurance broker fees	98801
Additional information about fees paid to insurance broker	BENEFIT ADVISOR FEES, INCENTIVE COMPENSATION
Insurance broker organization code?	3

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

10222362

Policy instance

Insurance contract or identification number	10222362
Number of Individuals Covered	171
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $22,968
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $162,906
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $22,968
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

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Company Name:	ASSOCIATION FOR MATERIALS PROTECTION AND PERFORMANCE
Employer identification number (EIN):	453527806
NAIC Classification:	611000