GOODWILL INDUSTRIES INTERNATIONAL, INC. has sponsored the creation of one or more 401k plans.
Additional information about GOODWILL INDUSTRIES INTERNATIONAL, INC.
Submission information for form 5500 for 401k plan GOODWILL INDUSTRIES INTERNATIONAL MEDICAL PLAN
401k plan membership statisitcs for GOODWILL INDUSTRIES INTERNATIONAL MEDICAL PLAN
| Measure | Date | Value |
|---|
| 2016: GOODWILL INDUSTRIES INTERNATIONAL MEDICAL PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 122 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-01-01 | 0 |
| Total of all active and inactive participants | 2016-01-01 | 0 |
| 2015: GOODWILL INDUSTRIES INTERNATIONAL MEDICAL PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 120 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 122 |
| Total of all active and inactive participants | 2015-01-01 | 122 |
| Total participants | 2015-01-01 | 122 |
| 2014: GOODWILL INDUSTRIES INTERNATIONAL MEDICAL PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 114 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 120 |
| Total of all active and inactive participants | 2014-01-01 | 120 |
| Total participants | 2014-01-01 | 120 |
| 2013: GOODWILL INDUSTRIES INTERNATIONAL MEDICAL PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 97 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 114 |
| Total of all active and inactive participants | 2013-01-01 | 114 |
| Total participants | 2013-01-01 | 114 |
| 2012: GOODWILL INDUSTRIES INTERNATIONAL MEDICAL PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 110 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 97 |
| Total of all active and inactive participants | 2012-01-01 | 97 |
| Total participants | 2012-01-01 | 97 |
| 2011: GOODWILL INDUSTRIES INTERNATIONAL MEDICAL PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 101 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 110 |
| Total of all active and inactive participants | 2011-01-01 | 110 |
| Total participants | 2011-01-01 | 110 |
| 2016: GOODWILL INDUSTRIES INTERNATIONAL MEDICAL PLAN 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Submission has been amended | No |
| 2016-01-01 | This submission is the final filing | Yes |
| 2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-01-01 | Plan is a collectively bargained plan | No |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: GOODWILL INDUSTRIES INTERNATIONAL MEDICAL PLAN 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: GOODWILL INDUSTRIES INTERNATIONAL MEDICAL PLAN 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: GOODWILL INDUSTRIES INTERNATIONAL MEDICAL PLAN 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: GOODWILL INDUSTRIES INTERNATIONAL MEDICAL PLAN 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: GOODWILL INDUSTRIES INTERNATIONAL MEDICAL PLAN 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | First time form 5500 has been submitted | Yes |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| GHMSI (National Association of Insurance Commissioners NAIC id number: 53007 ) |
| Policy contract number | 198R |
| Policy instance | 1 |
| Insurance contract or identification number | 198R | | Number of Individuals Covered | 297 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $83,982 | | Total amount of fees paid to insurance company | USD $13,514 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,397,096 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $83,982 | | Amount paid for insurance broker fees | 50 | | Additional information about fees paid to insurance broker | NON-MONETARY INCENTIVE | | Insurance broker organization code? | 3 | | Insurance broker name | EMPLOYEE BENEFITS CORP OF AMERICA |
|
| GHMSI (National Association of Insurance Commissioners NAIC id number: 53007 ) |
| Policy contract number | 198R |
| Policy instance | 1 |
| Insurance contract or identification number | 198R | | Number of Individuals Covered | 282 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $60,861 | | Total amount of fees paid to insurance company | USD $20,143 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,737,597 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $60,861 | | Amount paid for insurance broker fees | 10703 | | Additional information about fees paid to insurance broker | MEDICAL CONTRACTS X PCPM, NON-MONETARY INCENTIVE | | Insurance broker organization code? | 3 | | Insurance broker name | EBCA |
|
| GHMSI (National Association of Insurance Commissioners NAIC id number: 53007 ) |
| Policy contract number | 198R |
| Policy instance | 1 |
| Insurance contract or identification number | 198R | | Number of Individuals Covered | 114 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $49,124 | | Total amount of fees paid to insurance company | USD $17,443 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Other welfare benefits provided | HEALTHY BLUE CONTRACT | | Welfare Benefit Premiums Paid to Carrier | USD $1,402,033 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $49,124 | | Amount paid for insurance broker fees | 8517 | | Additional information about fees paid to insurance broker | MEDICAL CONTRACTS X PCPM AND NON-MONETARY INCENTIVES | | Insurance broker organization code? | 3 | | Insurance broker name | EBCA |
|
| GHMSI (National Association of Insurance Commissioners NAIC id number: 53007 ) |
| Policy contract number | 198R |
| Policy instance | 1 |
| Insurance contract or identification number | 198R | | Number of Individuals Covered | 97 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $41,541 | | Total amount of fees paid to insurance company | USD $18,008 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,185,403 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $41,541 | | Amount paid for insurance broker fees | 9759 | | Additional information about fees paid to insurance broker | MEDICAL CONTRACTS X PCPM AND NON-MONETARY INCENTIVES | | Insurance broker organization code? | 3 | | Insurance broker name | EBCA |
|
| GHMSI (National Association of Insurance Commissioners NAIC id number: 53007 ) |
| Policy contract number | 198R |
| Policy instance | 1 |
| Insurance contract or identification number | 198R | | Number of Individuals Covered | 110 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $71,057 | | Total amount of fees paid to insurance company | USD $18,559 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,421,138 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
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