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AMAIN HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameAMAIN HEALTH AND WELFARE PLAN
Plan identification number 501

AMAIN HEALTH AND WELFARE PLAN Benefits

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

401k Sponsoring company profile

AMAIN.COM, INC has sponsored the creation of one or more 401k plans.

Company Name:AMAIN.COM, INC
Employer identification number (EIN):204273782
NAIC Classification:451120
NAIC Description:Hobby, Toy, and Game Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMAIN HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-09-01SHANA FRAZIER2023-12-12
5012021-09-01KEVIN KISER2023-03-01
5012020-09-01SHANA FRAZIER2023-03-14

Plan Statistics for AMAIN HEALTH AND WELFARE PLAN

401k plan membership statisitcs for AMAIN HEALTH AND WELFARE PLAN

Measure Date Value
2022: AMAIN HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-09-01152
Total number of active participants reported on line 7a of the Form 55002022-09-01143
Number of retired or separated participants receiving benefits2022-09-010
Number of other retired or separated participants entitled to future benefits2022-09-010
Total of all active and inactive participants2022-09-01143
Number of employers contributing to the scheme2022-09-010
2021: AMAIN HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-09-01147
Total number of active participants reported on line 7a of the Form 55002021-09-01167
Number of retired or separated participants receiving benefits2021-09-010
Number of other retired or separated participants entitled to future benefits2021-09-010
Total of all active and inactive participants2021-09-01167
Number of employers contributing to the scheme2021-09-010
2020: AMAIN HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-09-01110
Total number of active participants reported on line 7a of the Form 55002020-09-01147
Number of retired or separated participants receiving benefits2020-09-010
Number of other retired or separated participants entitled to future benefits2020-09-010
Total of all active and inactive participants2020-09-01147
Number of employers contributing to the scheme2020-09-010

Form 5500 Responses for AMAIN HEALTH AND WELFARE PLAN

2022: AMAIN HEALTH AND WELFARE PLAN 2022 form 5500 responses
2022-09-01Type of plan entitySingle employer plan
2022-09-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-09-01Plan funding arrangement – InsuranceYes
2022-09-01Plan funding arrangement – General assets of the sponsorYes
2022-09-01Plan benefit arrangement – InsuranceYes
2022-09-01Plan benefit arrangement – General assets of the sponsorYes
2021: AMAIN HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-09-01Type of plan entitySingle employer plan
2021-09-01Plan funding arrangement – InsuranceYes
2021-09-01Plan benefit arrangement – InsuranceYes
2020: AMAIN HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-09-01Type of plan entitySingle employer plan
2020-09-01First time form 5500 has been submittedYes
2020-09-01Submission has been amendedYes
2020-09-01Plan funding arrangement – InsuranceYes
2020-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1161491
Policy instance 1
Insurance contract or identification number1161491
Number of Individuals Covered208
Insurance policy start date2022-09-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $8,662
Total amount of fees paid to insurance companyUSD $2,658
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $84,189
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,662
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBONUS
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberKCR67
Policy instance 2
Insurance contract or identification numberKCR67
Number of Individuals Covered48
Insurance policy start date2022-09-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $5,865
Total amount of fees paid to insurance companyUSD $141
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, HOSPITAL, CANCER
Welfare Benefit Premiums Paid to CarrierUSD $31,766
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,049
Amount paid for insurance broker fees96
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberL03579
Policy instance 1
Insurance contract or identification numberL03579
Number of Individuals Covered167
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Total amount of commissions paid to insurance brokerUSD $36,904
Total amount of fees paid to insurance companyUSD $14,761
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $801,069
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,904
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES

Potentially related plans

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