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WI HOLDINGS INC. GROUP MEDICAL PLAN 401k Plan overview

Plan NameWI HOLDINGS INC. GROUP MEDICAL PLAN
Plan identification number 502

WI HOLDINGS INC. GROUP MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

WI HOLDINGS INC. has sponsored the creation of one or more 401k plans.

Company Name:WI HOLDINGS INC.
Employer identification number (EIN):201770400
NAIC Classification:333900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WI HOLDINGS INC. GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01
5022021-01-01
5022020-01-01

Plan Statistics for WI HOLDINGS INC. GROUP MEDICAL PLAN

401k plan membership statisitcs for WI HOLDINGS INC. GROUP MEDICAL PLAN

Measure Date Value
2022: WI HOLDINGS INC. GROUP MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0178
Total number of active participants reported on line 7a of the Form 55002022-01-0180
Number of retired or separated participants receiving benefits2022-01-011
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-0181
2021: WI HOLDINGS INC. GROUP MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0187
Total number of active participants reported on line 7a of the Form 55002021-01-0187
Number of retired or separated participants receiving benefits2021-01-011
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-0188
2020: WI HOLDINGS INC. GROUP MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0191
Total number of active participants reported on line 7a of the Form 55002020-01-0186
Number of retired or separated participants receiving benefits2020-01-011
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-0187

Financial Data on WI HOLDINGS INC. GROUP MEDICAL PLAN

Measure Date Value
2022 : WI HOLDINGS INC. GROUP MEDICAL PLAN 2022 401k financial data
Total plan liabilities at end of year2022-12-31$292,999
Total plan liabilities at beginning of year2022-12-31$120,237
Total income from all sources2022-12-31$1,228,461
Expenses. Total of all expenses incurred2022-12-31$1,312,895
Benefits paid (including direct rollovers)2022-12-31$949,858
Total plan assets at end of year2022-12-31$96,365
Total plan assets at beginning of year2022-12-31$8,037
Value of fidelity bond covering the plan2022-12-31$500,000
Total contributions received or receivable from participants2022-12-31$358,167
Expenses. Other expenses not covered elsewhere2022-12-31$349,869
Contributions received from other sources (not participants or employers)2022-12-31$10,098
Other income received2022-12-31$119
Net income (gross income less expenses)2022-12-31$-84,434
Net plan assets at end of year (total assets less liabilities)2022-12-31$-196,634
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$-112,200
Total contributions received or receivable from employer(s)2022-12-31$860,077
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$13,168
2021 : WI HOLDINGS INC. GROUP MEDICAL PLAN 2021 401k financial data
Total plan liabilities at end of year2021-12-31$120,237
Total plan liabilities at beginning of year2021-12-31$83,661
Total income from all sources2021-12-31$1,250,802
Expenses. Total of all expenses incurred2021-12-31$1,304,863
Benefits paid (including direct rollovers)2021-12-31$788,402
Total plan assets at end of year2021-12-31$8,037
Total plan assets at beginning of year2021-12-31$25,522
Value of fidelity bond covering the plan2021-12-31$500,000
Total contributions received or receivable from participants2021-12-31$188,427
Expenses. Other expenses not covered elsewhere2021-12-31$424,087
Contributions received from other sources (not participants or employers)2021-12-31$5,234
Other income received2021-12-31$94
Net income (gross income less expenses)2021-12-31$-54,061
Net plan assets at end of year (total assets less liabilities)2021-12-31$-112,200
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$-58,139
Total contributions received or receivable from employer(s)2021-12-31$1,057,047
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$92,374
2020 : WI HOLDINGS INC. GROUP MEDICAL PLAN 2020 401k financial data
Total plan liabilities at end of year2020-12-31$83,661
Total plan liabilities at beginning of year2020-12-31$297,825
Total income from all sources2020-12-31$1,319,635
Expenses. Total of all expenses incurred2020-12-31$1,254,609
Benefits paid (including direct rollovers)2020-12-31$690,509
Total plan assets at end of year2020-12-31$25,522
Total plan assets at beginning of year2020-12-31$174,660
Value of fidelity bond covering the plan2020-12-31$500,000
Total contributions received or receivable from participants2020-12-31$418,673
Expenses. Other expenses not covered elsewhere2020-12-31$417,551
Contributions received from other sources (not participants or employers)2020-12-31$8,557
Other income received2020-12-31$309
Net income (gross income less expenses)2020-12-31$65,026
Net plan assets at end of year (total assets less liabilities)2020-12-31$-58,139
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$-123,165
Total contributions received or receivable from employer(s)2020-12-31$892,096
Value of corrective distributions2020-12-31$49,482
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$97,067

Form 5500 Responses for WI HOLDINGS INC. GROUP MEDICAL PLAN

2022: WI HOLDINGS INC. GROUP MEDICAL PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: WI HOLDINGS INC. GROUP MEDICAL PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: WI HOLDINGS INC. GROUP MEDICAL PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500350
Policy instance 1
Insurance contract or identification number30500350
Number of Individuals Covered83
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $273,272
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500350
Policy instance 1
Insurance contract or identification number30500350
Number of Individuals Covered88
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $318,227
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500350
Policy instance 1
Insurance contract or identification number30500350
Number of Individuals Covered87
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $319,921
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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