401k Plan data: GAP SERVICES, INC. MEDICAL PLAN plan

GAP SERVICES, INC. MEDICAL PLAN 401k Plan overview

Plan Name	GAP SERVICES, INC. MEDICAL PLAN
Plan identification number	501

GAP SERVICES, INC. MEDICAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

GAP SERVICES, INC has sponsored the creation of one or more 401k plans.

Company Name: GAP SERVICES, INC

Employer identification number (EIN): 200070351

NAIC Classification: 483000
NAIC Description: Water Transportation

Additional information about GAP SERVICES, INC

Jurisdiction of Incorporation: Idaho Secretary Of State

Incorporation Date:

Company Identification Number: C149891

More information about GAP SERVICES, INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GAP SERVICES, INC. MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2021-01-01 GREG PAULSON 2022-06-10
501 2020-01-01 GREG PAULSON 2021-07-22
501 2019-01-01 GREG PAULSON 2020-09-30

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2021-01-01	GREG PAULSON	2022-06-10
501	2020-01-01	GREG PAULSON	2021-07-22
501	2019-01-01	GREG PAULSON	2020-09-30

Plan Statistics for GAP SERVICES, INC. MEDICAL PLAN

401k plan membership statisitcs for GAP SERVICES, INC. MEDICAL PLAN

Measure Date Value
2021: GAP SERVICES, INC. MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 170
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 0
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 0
Number of employers contributing to the scheme 2021-01-01 0
2020: GAP SERVICES, INC. MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 161
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 168
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 168
Number of employers contributing to the scheme 2020-01-01 0
2019: GAP SERVICES, INC. MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 159
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 159
Number of retired or separated participants receiving benefits 2019-01-01 2
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 161
Number of employers contributing to the scheme 2019-01-01 0

Measure	Date	Value
2021: GAP SERVICES, INC. MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	170
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	0
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	0
Number of employers contributing to the scheme	2021-01-01	0
2020: GAP SERVICES, INC. MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	161
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	168
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	168
Number of employers contributing to the scheme	2020-01-01	0
2019: GAP SERVICES, INC. MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	159
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	159
Number of retired or separated participants receiving benefits	2019-01-01	2
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	161
Number of employers contributing to the scheme	2019-01-01	0

Form 5500 Responses for GAP SERVICES, INC. MEDICAL PLAN

2021: GAP SERVICES, INC. MEDICAL PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	This submission is the final filing	Yes
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: GAP SERVICES, INC. MEDICAL PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: GAP SERVICES, INC. MEDICAL PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	First time form 5500 has been submitted	Yes
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

BLUE CROSS OF IDAHO HEALTH SERVICE INC. (National Association of Insurance Commissioners NAIC id number: 60095 )

Policy contract number

10036054

Policy instance

Insurance contract or identification number	10036054
Number of Individuals Covered	229
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $31,359
Total amount of fees paid to insurance company	USD $4,740
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $31,359
Amount paid for insurance broker fees	4740
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3

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Company Name:	GAP SERVICES, INC
Employer identification number (EIN):	200070351
NAIC Classification:	483000
NAIC Description:	Water Transportation

Jurisdiction of Incorporation:	Idaho Secretary Of State
Incorporation Date:
Company Identification Number:	C149891