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MERCHANTS BANCORP GROUP HEALTH INSURANCE PLAN 401k Plan overview

Plan NameMERCHANTS BANCORP GROUP HEALTH INSURANCE PLAN
Plan identification number 506

MERCHANTS BANCORP GROUP HEALTH INSURANCE PLAN Benefits

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

401k Sponsoring company profile

MERCHANTS BANCORP has sponsored the creation of one or more 401k plans.

Company Name:MERCHANTS BANCORP
Employer identification number (EIN):205747400
NAIC Classification:522110
NAIC Description:Commercial Banking

Additional information about MERCHANTS BANCORP

Jurisdiction of Incorporation: Oregon Secretary of State Corporations Division
Incorporation Date: 2000-03-09
Company Identification Number: 74112088
Legal Registered Office Address: 9 SE 3RD AVE STE 100

PORTLAND
United States of America (USA)
97214

More information about MERCHANTS BANCORP

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MERCHANTS BANCORP GROUP HEALTH INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062022-01-01NICOLAS BAUMANN2023-08-18
5062021-01-01NICOLAS BAUMANN2022-06-15
5062020-05-01NIC BAUMANN2021-06-18

Plan Statistics for MERCHANTS BANCORP GROUP HEALTH INSURANCE PLAN

401k plan membership statisitcs for MERCHANTS BANCORP GROUP HEALTH INSURANCE PLAN

Measure Date Value
2022: MERCHANTS BANCORP GROUP HEALTH INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01423
Total number of active participants reported on line 7a of the Form 55002022-01-01423
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01423
Number of employers contributing to the scheme2022-01-010
2021: MERCHANTS BANCORP GROUP HEALTH INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01353
Total number of active participants reported on line 7a of the Form 55002021-01-01423
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01423
Number of employers contributing to the scheme2021-01-010
2020: MERCHANTS BANCORP GROUP HEALTH INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-05-01298
Total number of active participants reported on line 7a of the Form 55002020-05-01353
Number of retired or separated participants receiving benefits2020-05-014
Number of other retired or separated participants entitled to future benefits2020-05-010
Total of all active and inactive participants2020-05-01357
Number of employers contributing to the scheme2020-05-010

Form 5500 Responses for MERCHANTS BANCORP GROUP HEALTH INSURANCE PLAN

2022: MERCHANTS BANCORP GROUP HEALTH INSURANCE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: MERCHANTS BANCORP GROUP HEALTH INSURANCE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: MERCHANTS BANCORP GROUP HEALTH INSURANCE PLAN 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01First time form 5500 has been submittedYes
2020-05-01This return/report is a short plan year return/report (less than 12 months)Yes
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract numberW1311
Policy instance 1
Insurance contract or identification numberW1311
Number of Individuals Covered837
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $112,413
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,596,262
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $83,074
Amount paid for insurance broker fees0
Insurance broker organization code?3
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract numberW1311
Policy instance 1
Insurance contract or identification numberW1311
Number of Individuals Covered733
Insurance policy start date2020-05-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $58,076
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,701,533
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $58,076
Amount paid for insurance broker fees0
Insurance broker organization code?3

Potentially related plans

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