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OHM INTERNATIONAL INC. GROUP HEALTH BENEFIT PLAN 401k Plan overview

Plan NameOHM INTERNATIONAL INC. GROUP HEALTH BENEFIT PLAN
Plan identification number 501

OHM INTERNATIONAL INC. GROUP HEALTH BENEFIT PLAN Benefits

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

401k Sponsoring company profile

OHM INTERNATIONAL INC. has sponsored the creation of one or more 401k plans.

Company Name:OHM INTERNATIONAL INC.
Employer identification number (EIN):222885631
NAIC Classification:423990
NAIC Description:Other Miscellaneous Durable Goods Merchant Wholesalers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OHM INTERNATIONAL INC. GROUP HEALTH BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-07-01
5012021-07-01
5012021-06-01
5012020-06-01

Plan Statistics for OHM INTERNATIONAL INC. GROUP HEALTH BENEFIT PLAN

401k plan membership statisitcs for OHM INTERNATIONAL INC. GROUP HEALTH BENEFIT PLAN

Measure Date Value
2022: OHM INTERNATIONAL INC. GROUP HEALTH BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-0167
Total number of active participants reported on line 7a of the Form 55002022-07-0177
Number of retired or separated participants receiving benefits2022-07-010
Number of other retired or separated participants entitled to future benefits2022-07-010
Total of all active and inactive participants2022-07-0177
2021: OHM INTERNATIONAL INC. GROUP HEALTH BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-0192
Total number of active participants reported on line 7a of the Form 55002021-07-0167
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-0167
Total participants, beginning-of-year2021-06-0189
Total number of active participants reported on line 7a of the Form 55002021-06-0192
Number of retired or separated participants receiving benefits2021-06-010
Number of other retired or separated participants entitled to future benefits2021-06-010
Total of all active and inactive participants2021-06-0192
2020: OHM INTERNATIONAL INC. GROUP HEALTH BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-06-0185
Total number of active participants reported on line 7a of the Form 55002020-06-0189
Number of retired or separated participants receiving benefits2020-06-010
Number of other retired or separated participants entitled to future benefits2020-06-010
Total of all active and inactive participants2020-06-0189

Financial Data on OHM INTERNATIONAL INC. GROUP HEALTH BENEFIT PLAN

Measure Date Value
2023 : OHM INTERNATIONAL INC. GROUP HEALTH BENEFIT PLAN 2023 401k financial data
Total plan liabilities at end of year2023-06-30$92,124
Total plan liabilities at beginning of year2023-06-30$91,888
Total income from all sources2023-06-30$1,466,108
Expenses. Total of all expenses incurred2023-06-30$1,406,944
Benefits paid (including direct rollovers)2023-06-30$854,146
Total plan assets at end of year2023-06-30$366,684
Total plan assets at beginning of year2023-06-30$307,284
Value of fidelity bond covering the plan2023-06-30$109,791
Total contributions received or receivable from participants2023-06-30$97,076
Expenses. Other expenses not covered elsewhere2023-06-30$530,709
Contributions received from other sources (not participants or employers)2023-06-30$0
Other income received2023-06-30$1,438
Net income (gross income less expenses)2023-06-30$59,164
Net plan assets at end of year (total assets less liabilities)2023-06-30$274,560
Net plan assets at beginning of year (total assets less liabilities)2023-06-30$215,396
Total contributions received or receivable from employer(s)2023-06-30$1,367,594
Value of corrective distributions2023-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2023-06-30$22,089
2022 : OHM INTERNATIONAL INC. GROUP HEALTH BENEFIT PLAN 2022 401k financial data
Total plan liabilities at end of year2022-06-30$91,888
Total plan liabilities at beginning of year2022-06-30$153,683
Total income from all sources2022-06-30$1,346,193
Expenses. Total of all expenses incurred2022-06-30$1,200,997
Benefits paid (including direct rollovers)2022-06-30$693,300
Total plan assets at end of year2022-06-30$307,284
Total plan assets at beginning of year2022-06-30$223,883
Value of fidelity bond covering the plan2022-06-30$109,790
Total contributions received or receivable from participants2022-06-30$87,768
Expenses. Other expenses not covered elsewhere2022-06-30$482,682
Contributions received from other sources (not participants or employers)2022-06-30$0
Other income received2022-06-30$729
Net income (gross income less expenses)2022-06-30$145,196
Net plan assets at end of year (total assets less liabilities)2022-06-30$215,396
Net plan assets at beginning of year (total assets less liabilities)2022-06-30$70,200
Total contributions received or receivable from employer(s)2022-06-30$1,257,696
Value of corrective distributions2022-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-06-30$25,015
2021 : OHM INTERNATIONAL INC. GROUP HEALTH BENEFIT PLAN 2021 401k financial data
Total plan liabilities at end of year2021-06-30$153,683
Total plan liabilities at beginning of year2021-06-30$108,355
Total income from all sources2021-06-30$129,414
Expenses. Total of all expenses incurred2021-06-30$129,464
Benefits paid (including direct rollovers)2021-06-30$82,906
Total plan assets at end of year2021-06-30$223,883
Total plan assets at beginning of year2021-06-30$178,605
Value of fidelity bond covering the plan2021-06-30$109,790
Total contributions received or receivable from participants2021-06-30$13,758
Expenses. Other expenses not covered elsewhere2021-06-30$44,018
Contributions received from other sources (not participants or employers)2021-06-30$0
Other income received2021-06-30$54
Net income (gross income less expenses)2021-06-30$-50
Net plan assets at end of year (total assets less liabilities)2021-06-30$70,200
Net plan assets at beginning of year (total assets less liabilities)2021-06-30$70,250
Total contributions received or receivable from employer(s)2021-06-30$115,602
Value of corrective distributions2021-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2021-06-30$2,540
Total plan liabilities at end of year2021-05-31$108,355
Total plan liabilities at beginning of year2021-05-31$0
Total income from all sources2021-05-31$1,456,834
Expenses. Total of all expenses incurred2021-05-31$1,386,584
Benefits paid (including direct rollovers)2021-05-31$868,620
Total plan assets at end of year2021-05-31$178,605
Total plan assets at beginning of year2021-05-31$0
Value of fidelity bond covering the plan2021-05-31$109,790
Total contributions received or receivable from participants2021-05-31$163,667
Expenses. Other expenses not covered elsewhere2021-05-31$496,953
Contributions received from other sources (not participants or employers)2021-05-31$0
Other income received2021-05-31$334
Net income (gross income less expenses)2021-05-31$70,250
Net plan assets at end of year (total assets less liabilities)2021-05-31$70,250
Net plan assets at beginning of year (total assets less liabilities)2021-05-31$0
Total contributions received or receivable from employer(s)2021-05-31$1,292,833
Value of corrective distributions2021-05-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2021-05-31$21,011

Form 5500 Responses for OHM INTERNATIONAL INC. GROUP HEALTH BENEFIT PLAN

2022: OHM INTERNATIONAL INC. GROUP HEALTH BENEFIT PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Submission has been amendedNo
2022-07-01This submission is the final filingNo
2022-07-01This return/report is a short plan year return/report (less than 12 months)No
2022-07-01Plan is a collectively bargained planNo
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan funding arrangement – TrustYes
2022-07-01Plan benefit arrangement – InsuranceYes
2022-07-01Plan benefit arrangement - TrustYes
2021: OHM INTERNATIONAL INC. GROUP HEALTH BENEFIT PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2021-06-01Type of plan entitySingle employer plan
2021-06-01Submission has been amendedNo
2021-06-01This submission is the final filingNo
2021-06-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-06-01Plan is a collectively bargained planNo
2021-06-01Plan funding arrangement – InsuranceYes
2021-06-01Plan funding arrangement – TrustYes
2021-06-01Plan benefit arrangement – InsuranceYes
2021-06-01Plan benefit arrangement - TrustYes
2020: OHM INTERNATIONAL INC. GROUP HEALTH BENEFIT PLAN 2020 form 5500 responses
2020-06-01Type of plan entitySingle employer plan
2020-06-01First time form 5500 has been submittedYes
2020-06-01Submission has been amendedNo
2020-06-01This submission is the final filingNo
2020-06-01This return/report is a short plan year return/report (less than 12 months)No
2020-06-01Plan is a collectively bargained planNo
2020-06-01Plan funding arrangement – InsuranceYes
2020-06-01Plan funding arrangement – TrustYes
2020-06-01Plan benefit arrangement – InsuranceYes
2020-06-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number31000129
Policy instance 1
Insurance contract or identification number31000129
Number of Individuals Covered77
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
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 $464,697
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 number31000129
Policy instance 1
Insurance contract or identification number31000129
Number of Individuals Covered67
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
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 $416,873
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 number31000129
Policy instance 1
Insurance contract or identification number31000129
Number of Individuals Covered92
Insurance policy start date2021-06-01
Insurance policy end date2021-06-30
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 $37,378
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 number31000129
Policy instance 1
Insurance contract or identification number31000129
Number of Individuals Covered89
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
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 $423,609
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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