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M SIMON ZOOK CO WELFARE BENEFIT PLAN 401k Plan overview

Plan NameM SIMON ZOOK CO WELFARE BENEFIT PLAN
Plan identification number 501

M SIMON ZOOK CO WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

M SIMON ZOOK CO has sponsored the creation of one or more 401k plans.

Company Name:M SIMON ZOOK CO
Employer identification number (EIN):231496543
NAIC Classification:311900
NAIC Description: Other Food Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan M SIMON ZOOK CO WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-02-01SALLY L MARTIN SALLY L MARTIN2015-06-30
5012014-02-01SALLY L MARTIN SALLY L MARTIN2015-06-30
5012013-02-01SALLY L MARTIN SALLY L MARTIN2014-07-21
5012012-02-01SALLY L MARTIN SALLY L MARTIN2013-08-08
5012011-02-01SALLY L MARTIN SALLY L MARTIN2012-06-25
5012010-02-01SALLY L MARTIN SALLY L MARTIN2011-07-20
5012009-02-01SALLY L MARTIN SALLY L MARTIN2010-08-16

Plan Statistics for M SIMON ZOOK CO WELFARE BENEFIT PLAN

401k plan membership statisitcs for M SIMON ZOOK CO WELFARE BENEFIT PLAN

Measure Date Value
2015: M SIMON ZOOK CO WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-02-01171
Total number of active participants reported on line 7a of the Form 55002015-02-01171
Number of retired or separated participants receiving benefits2015-02-010
Number of other retired or separated participants entitled to future benefits2015-02-010
Total of all active and inactive participants2015-02-01171
2014: M SIMON ZOOK CO WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-02-01156
Total number of active participants reported on line 7a of the Form 55002014-02-01171
Number of retired or separated participants receiving benefits2014-02-010
Number of other retired or separated participants entitled to future benefits2014-02-010
Total of all active and inactive participants2014-02-01171
2013: M SIMON ZOOK CO WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-02-01142
Total number of active participants reported on line 7a of the Form 55002013-02-01156
Total of all active and inactive participants2013-02-01156
2012: M SIMON ZOOK CO WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-02-01135
Total number of active participants reported on line 7a of the Form 55002012-02-01142
Total of all active and inactive participants2012-02-01142
2011: M SIMON ZOOK CO WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-02-01142
Total number of active participants reported on line 7a of the Form 55002011-02-01135
Total of all active and inactive participants2011-02-01135
2010: M SIMON ZOOK CO WELFARE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-02-01131
Total number of active participants reported on line 7a of the Form 55002010-02-01142
Total of all active and inactive participants2010-02-01142
2009: M SIMON ZOOK CO WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-02-01123
Total number of active participants reported on line 7a of the Form 55002009-02-01131
Total of all active and inactive participants2009-02-01131

Form 5500 Responses for M SIMON ZOOK CO WELFARE BENEFIT PLAN

2015: M SIMON ZOOK CO WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-02-01Type of plan entityMulti-employer plan
2015-02-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan funding arrangement – General assets of the sponsorYes
2015-02-01Plan benefit arrangement – InsuranceYes
2015-02-01Plan benefit arrangement – General assets of the sponsorYes
2014: M SIMON ZOOK CO WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-02-01Type of plan entityMulti-employer plan
2014-02-01Plan funding arrangement – InsuranceYes
2014-02-01Plan funding arrangement – General assets of the sponsorYes
2014-02-01Plan benefit arrangement – InsuranceYes
2014-02-01Plan benefit arrangement – General assets of the sponsorYes
2013: M SIMON ZOOK CO WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-02-01Type of plan entitySingle employer plan
2013-02-01Plan funding arrangement – InsuranceYes
2013-02-01Plan funding arrangement – General assets of the sponsorYes
2013-02-01Plan benefit arrangement – InsuranceYes
2013-02-01Plan benefit arrangement – General assets of the sponsorYes
2012: M SIMON ZOOK CO WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-02-01Type of plan entitySingle employer plan
2012-02-01Plan funding arrangement – InsuranceYes
2012-02-01Plan funding arrangement – General assets of the sponsorYes
2012-02-01Plan benefit arrangement – InsuranceYes
2012-02-01Plan benefit arrangement – General assets of the sponsorYes
2011: M SIMON ZOOK CO WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-02-01Type of plan entitySingle employer plan
2011-02-01Plan funding arrangement – InsuranceYes
2011-02-01Plan funding arrangement – General assets of the sponsorYes
2011-02-01Plan benefit arrangement – InsuranceYes
2011-02-01Plan benefit arrangement – General assets of the sponsorYes
2010: M SIMON ZOOK CO WELFARE BENEFIT PLAN 2010 form 5500 responses
2010-02-01Type of plan entitySingle employer plan
2010-02-01Plan funding arrangement – InsuranceYes
2010-02-01Plan funding arrangement – General assets of the sponsorYes
2010-02-01Plan benefit arrangement – InsuranceYes
2010-02-01Plan benefit arrangement – General assets of the sponsorYes
2009: M SIMON ZOOK CO WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-02-01Type of plan entitySingle employer plan
2009-02-01Plan funding arrangement – InsuranceYes
2009-02-01Plan funding arrangement – General assets of the sponsorYes
2009-02-01Plan benefit arrangement – InsuranceYes
2009-02-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number417006411422
Policy instance 1
Insurance contract or identification number417006411422
Number of Individuals Covered171
Insurance policy start date2015-02-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $2,887
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,887
Additional information about fees paid to insurance brokerBROKER MANAGING PRODUCER FEE
Insurance broker organization code?3
Insurance broker nameCHRISTIAN W LANDIS AGENCY INC
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number417006411422
Policy instance 1
Insurance contract or identification number417006411422
Number of Individuals Covered171
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $34,644
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,644
Additional information about fees paid to insurance brokerBROKER MANAGING PRODUCER FEE
Insurance broker organization code?3
Insurance broker nameCHRISTIAN W LANDIS AGENCY INC
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract number417004411422
Policy instance 1
Insurance contract or identification number417004411422
Number of Individuals Covered156
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $30,244
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,244
Additional information about fees paid to insurance brokerBROKER MANAGING PRODUCER FEE
Insurance broker organization code?3
Insurance broker nameCHRISTIAN W LANDIS AGENCY INC
HEALTHAMERICA OF PENNSYLVANIA, INC (National Association of Insurance Commissioners NAIC id number: 95060 )
Policy contract number1802230000
Policy instance 1
Insurance contract or identification number1802230000
Number of Individuals Covered142
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $25,305
Total amount of fees paid to insurance companyUSD $76,528
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees76528
Additional information about fees paid to insurance brokerADMINISTRATION
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $25,305
Insurance broker nameMURRAY INSURANCE ASSOCIATES
HEALTHAMERICA OF PENNSYLVANIA, INC (National Association of Insurance Commissioners NAIC id number: 95060 )
Policy contract number1802230000
Policy instance 1
Insurance contract or identification number1802230000
Number of Individuals Covered135
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $6,797
Total amount of fees paid to insurance companyUSD $60,990
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHAMERICA OF PENNSYLVANIA, INC (National Association of Insurance Commissioners NAIC id number: 95060 )
Policy contract number1802230000
Policy instance 1
Insurance contract or identification number1802230000
Number of Individuals Covered123
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $25,165
Total amount of fees paid to insurance companyUSD $63,098
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees63098
Additional information about fees paid to insurance brokerADMINISTRATION
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $25,165
Insurance broker nameSECURUS GROUP INC

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