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| Plan Name | MANTH BROWNELL GROUP HEALTH PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | MANTH-BROWNELL, INCORPORATED |
| Employer identification number (EIN): | 150589628 |
| NAIC Classification: | 332700 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2015-01-01 | ||||
| 501 | 2015-01-01 | ||||
| 501 | 2010-11-01 | HOLLY WRIGHT | |||
| 501 | 2009-11-01 | HOLLY WRIGHT | |||
| 501 | 2008-11-01 | ||||
| 501 | 2008-11-01 |
| Measure | Date | Value |
|---|---|---|
| 2015: MANTH BROWNELL GROUP HEALTH PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-01-01 | 106 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 91 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2015-01-01 | 0 |
| Total of all active and inactive participants | 2015-01-01 | 92 |
| 2010: MANTH BROWNELL GROUP HEALTH PLAN 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-11-01 | 117 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-11-01 | 116 |
| Number of retired or separated participants receiving benefits | 2010-11-01 | 3 |
| Number of other retired or separated participants entitled to future benefits | 2010-11-01 | 0 |
| Total of all active and inactive participants | 2010-11-01 | 119 |
| 2009: MANTH BROWNELL GROUP HEALTH PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-11-01 | 105 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-11-01 | 113 |
| Number of retired or separated participants receiving benefits | 2009-11-01 | 4 |
| Number of other retired or separated participants entitled to future benefits | 2009-11-01 | 0 |
| Total of all active and inactive participants | 2009-11-01 | 117 |
| 2015: MANTH BROWNELL GROUP HEALTH PLAN 2015 form 5500 responses | ||
|---|---|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Submission has been amended | Yes |
| 2015-01-01 | This submission is the final filing | No |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | No |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2010: MANTH BROWNELL GROUP HEALTH PLAN 2010 form 5500 responses | ||
| 2010-11-01 | Type of plan entity | Single employer plan |
| 2010-11-01 | Submission has been amended | No |
| 2010-11-01 | This submission is the final filing | No |
| 2010-11-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2010-11-01 | Plan is a collectively bargained plan | No |
| 2010-11-01 | Plan funding arrangement – Insurance | Yes |
| 2010-11-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2010-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2010-11-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2009: MANTH BROWNELL GROUP HEALTH PLAN 2009 form 5500 responses | ||
| 2009-11-01 | Type of plan entity | Single employer plan |
| 2009-11-01 | Submission has been amended | No |
| 2009-11-01 | This submission is the final filing | No |
| 2009-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-11-01 | Plan is a collectively bargained plan | No |
| 2009-11-01 | Plan funding arrangement – Insurance | Yes |
| 2009-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2008: MANTH BROWNELL GROUP HEALTH PLAN 2008 form 5500 responses | ||
| 2008-11-01 | Type of plan entity | Single employer plan |
| 2008-11-01 | Submission has been amended | No |
| 2008-11-01 | This submission is the final filing | No |
| 2008-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2008-11-01 | Plan is a collectively bargained plan | No |
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 00032083 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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