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METROPOLITAN FAMILY SERVICE EMPLOYEE BENEFITS PLAN 401k Plan overview

Plan NameMETROPOLITAN FAMILY SERVICE EMPLOYEE BENEFITS PLAN
Plan identification number 501

METROPOLITAN FAMILY SERVICE EMPLOYEE BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

METROPOLITAN FAMILY SERVICE, INC. has sponsored the creation of one or more 401k plans.

Company Name:METROPOLITAN FAMILY SERVICE, INC.
Employer identification number (EIN):930397825
NAIC Classification:624100
NAIC Description: Individual and Family Services

Additional information about METROPOLITAN FAMILY SERVICE, INC.

Jurisdiction of Incorporation: Oregon Secretary of State Corporations Division
Incorporation Date: 2050-09-06
Company Identification Number: 4946315
Legal Registered Office Address: 1808 SE BELMONT

PORTLAND
United States of America (USA)
97214

More information about METROPOLITAN FAMILY SERVICE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan METROPOLITAN FAMILY SERVICE EMPLOYEE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-07-01SUSAN POSNER2023-10-12

Plan Statistics for METROPOLITAN FAMILY SERVICE EMPLOYEE BENEFITS PLAN

401k plan membership statisitcs for METROPOLITAN FAMILY SERVICE EMPLOYEE BENEFITS PLAN

Measure Date Value
2022: METROPOLITAN FAMILY SERVICE EMPLOYEE BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-01247
Total number of active participants reported on line 7a of the Form 55002022-07-01221
Number of retired or separated participants receiving benefits2022-07-010
Number of other retired or separated participants entitled to future benefits2022-07-010
Total of all active and inactive participants2022-07-01221
Number of employers contributing to the scheme2022-07-010

Form 5500 Responses for METROPOLITAN FAMILY SERVICE EMPLOYEE BENEFITS PLAN

2022: METROPOLITAN FAMILY SERVICE EMPLOYEE BENEFITS PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01First time form 5500 has been submittedYes
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan funding arrangement – General assets of the sponsorYes
2022-07-01Plan benefit arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1542
Policy instance 1
Insurance contract or identification number1542
Number of Individuals Covered112
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $24,017
Total amount of fees paid to insurance companyUSD $431
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $804,248
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,017
Amount paid for insurance broker fees431
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5944600
Policy instance 2
Insurance contract or identification number5944600
Number of Individuals Covered92
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $2,156
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $33,977
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,156
Amount paid for insurance broker fees0
Insurance broker organization code?3
CASCADE CENTERS INC. (National Association of Insurance Commissioners NAIC id number: 62133 )
Policy contract number5759
Policy instance 3
Insurance contract or identification number5759
Number of Individuals Covered221
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $6,677
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0BQH4
Policy instance 4
Insurance contract or identification numberGLUG0BQH4
Number of Individuals Covered128
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $11,941
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT,CRITICAL ILLNESS,ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $100,814
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,941
Amount paid for insurance broker fees0
Insurance broker organization code?3

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