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PHOENIX LITHOGRAPHING MEDICAL INSURANCE PLAN 401k Plan overview

Plan NamePHOENIX LITHOGRAPHING MEDICAL INSURANCE PLAN
Plan identification number 501

PHOENIX LITHOGRAPHING MEDICAL INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Vision
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

PHOENIX LITHOGRAPHING CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:PHOENIX LITHOGRAPHING CORPORATION
Employer identification number (EIN):020629371
NAIC Classification:531210
NAIC Description:Offices of Real Estate Agents and Brokers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PHOENIX LITHOGRAPHING MEDICAL INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-12-01GIUSEPPE IANNUCCI2024-07-16
5012021-12-01JOE LANNUCCI2023-07-12
5012020-12-01GIUSEPPE LANNUCCI2022-08-17
5012019-12-01GIUSEPPE LANNUCCI2021-04-20
5012018-12-01GIUSEPPE LANNUCCI2021-04-20
5012015-12-01JOE IANNUCCI2020-06-23
5012014-12-01JOE IANNUCCI2020-06-23
5012013-12-01JOE IANNUCCI2020-06-23

Plan Statistics for PHOENIX LITHOGRAPHING MEDICAL INSURANCE PLAN

401k plan membership statisitcs for PHOENIX LITHOGRAPHING MEDICAL INSURANCE PLAN

Measure Date Value
2022: PHOENIX LITHOGRAPHING MEDICAL INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year2022-12-01100
Total number of active participants reported on line 7a of the Form 55002022-12-0175
Number of retired or separated participants receiving benefits2022-12-010
Number of other retired or separated participants entitled to future benefits2022-12-010
Total of all active and inactive participants2022-12-0175
Number of employers contributing to the scheme2022-12-010
2021: PHOENIX LITHOGRAPHING MEDICAL INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-12-01199
Total number of active participants reported on line 7a of the Form 55002021-12-0178
Number of retired or separated participants receiving benefits2021-12-010
Number of other retired or separated participants entitled to future benefits2021-12-010
Total of all active and inactive participants2021-12-0178
Number of employers contributing to the scheme2021-12-010
2020: PHOENIX LITHOGRAPHING MEDICAL INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-01196
Total number of active participants reported on line 7a of the Form 55002020-12-01199
Number of retired or separated participants receiving benefits2020-12-010
Number of other retired or separated participants entitled to future benefits2020-12-010
Total of all active and inactive participants2020-12-01199
Number of employers contributing to the scheme2020-12-011
2019: PHOENIX LITHOGRAPHING MEDICAL INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-12-01194
Total number of active participants reported on line 7a of the Form 55002019-12-01196
Number of retired or separated participants receiving benefits2019-12-010
Number of other retired or separated participants entitled to future benefits2019-12-010
Total of all active and inactive participants2019-12-01196
Number of employers contributing to the scheme2019-12-010
2015: PHOENIX LITHOGRAPHING MEDICAL INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-12-01197
Total number of active participants reported on line 7a of the Form 55002015-12-01200
Number of retired or separated participants receiving benefits2015-12-010
Number of other retired or separated participants entitled to future benefits2015-12-010
Total of all active and inactive participants2015-12-01200
Number of employers contributing to the scheme2015-12-010
2014: PHOENIX LITHOGRAPHING MEDICAL INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-12-01191
Total number of active participants reported on line 7a of the Form 55002014-12-01197
Number of retired or separated participants receiving benefits2014-12-010
Number of other retired or separated participants entitled to future benefits2014-12-010
Total of all active and inactive participants2014-12-01197
Number of employers contributing to the scheme2014-12-010
2013: PHOENIX LITHOGRAPHING MEDICAL INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-12-01100
Total number of active participants reported on line 7a of the Form 55002013-12-01191
Number of retired or separated participants receiving benefits2013-12-010
Number of other retired or separated participants entitled to future benefits2013-12-010
Total of all active and inactive participants2013-12-01191
Number of employers contributing to the scheme2013-12-010

Form 5500 Responses for PHOENIX LITHOGRAPHING MEDICAL INSURANCE PLAN

2022: PHOENIX LITHOGRAPHING MEDICAL INSURANCE PLAN 2022 form 5500 responses
2022-12-01Type of plan entitySingle employer plan
2022-12-01Plan funding arrangement – InsuranceYes
2022-12-01Plan funding arrangement – General assets of the sponsorYes
2022-12-01Plan benefit arrangement – InsuranceYes
2022-12-01Plan benefit arrangement – General assets of the sponsorYes
2021: PHOENIX LITHOGRAPHING MEDICAL INSURANCE PLAN 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan funding arrangement – General assets of the sponsorYes
2021-12-01Plan benefit arrangement – InsuranceYes
2021-12-01Plan benefit arrangement – General assets of the sponsorYes
2020: PHOENIX LITHOGRAPHING MEDICAL INSURANCE PLAN 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan funding arrangement – General assets of the sponsorYes
2020-12-01Plan benefit arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – General assets of the sponsorYes
2019: PHOENIX LITHOGRAPHING MEDICAL INSURANCE PLAN 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan funding arrangement – General assets of the sponsorYes
2019-12-01Plan benefit arrangement – InsuranceYes
2019-12-01Plan benefit arrangement – General assets of the sponsorYes
2018: PHOENIX LITHOGRAPHING MEDICAL INSURANCE PLAN 2018 form 5500 responses
2018-12-01Submission has been amendedYes
2015: PHOENIX LITHOGRAPHING MEDICAL INSURANCE PLAN 2015 form 5500 responses
2015-12-01Type of plan entitySingle employer plan
2015-12-01Plan funding arrangement – InsuranceYes
2015-12-01Plan benefit arrangement – InsuranceYes
2014: PHOENIX LITHOGRAPHING MEDICAL INSURANCE PLAN 2014 form 5500 responses
2014-12-01Type of plan entitySingle employer plan
2014-12-01Plan funding arrangement – InsuranceYes
2014-12-01Plan benefit arrangement – InsuranceYes
2013: PHOENIX LITHOGRAPHING MEDICAL INSURANCE PLAN 2013 form 5500 responses
2013-12-01Type of plan entitySingle employer plan
2013-12-01First time form 5500 has been submittedYes
2013-12-01Plan funding arrangement – InsuranceYes
2013-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract numberAG000512
Policy instance 1
Insurance contract or identification numberAG000512
Number of Individuals Covered184
Insurance policy start date2022-12-01
Insurance policy end date2023-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,653,662
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract numberAG000512
Policy instance 1
Insurance contract or identification numberAG000512
Number of Individuals Covered184
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,653,662
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number388514
Policy instance 1
Insurance contract or identification number388514
Number of Individuals Covered364
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $91,145
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $91,145
Amount paid for insurance broker fees0
Insurance broker organization code?3
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number388514
Policy instance 1
Insurance contract or identification number388514
Number of Individuals Covered372
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $94,907
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $94,907
Amount paid for insurance broker fees0
Insurance broker organization code?3

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