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PENN WOOD PRODUCTS, INC. GROUP MEDICAL PLAN 401k Plan overview

Plan NamePENN WOOD PRODUCTS, INC. GROUP MEDICAL PLAN
Plan identification number 502

PENN WOOD PRODUCTS, INC. GROUP MEDICAL PLAN Benefits

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

401k Sponsoring company profile

PENN WOOD PRODUCTS, INC. has sponsored the creation of one or more 401k plans.

Company Name:PENN WOOD PRODUCTS, INC.
Employer identification number (EIN):231609684
NAIC Classification:321900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PENN WOOD PRODUCTS, INC. GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-04-01
5022021-04-01
5022020-04-01
5022019-04-01
5022018-04-01
5022017-04-01STEPHANIE GERLACH

Plan Statistics for PENN WOOD PRODUCTS, INC. GROUP MEDICAL PLAN

401k plan membership statisitcs for PENN WOOD PRODUCTS, INC. GROUP MEDICAL PLAN

Measure Date Value
2022: PENN WOOD PRODUCTS, INC. GROUP MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-04-0194
Total number of active participants reported on line 7a of the Form 55002022-04-0185
Number of retired or separated participants receiving benefits2022-04-010
Number of other retired or separated participants entitled to future benefits2022-04-010
Total of all active and inactive participants2022-04-0185
2021: PENN WOOD PRODUCTS, INC. GROUP MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-04-01103
Total number of active participants reported on line 7a of the Form 55002021-04-0193
Number of retired or separated participants receiving benefits2021-04-011
Number of other retired or separated participants entitled to future benefits2021-04-010
Total of all active and inactive participants2021-04-0194
2020: PENN WOOD PRODUCTS, INC. GROUP MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-04-01114
Total number of active participants reported on line 7a of the Form 55002020-04-0198
Number of retired or separated participants receiving benefits2020-04-010
Number of other retired or separated participants entitled to future benefits2020-04-010
Total of all active and inactive participants2020-04-0198
2019: PENN WOOD PRODUCTS, INC. GROUP MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-01117
Total number of active participants reported on line 7a of the Form 55002019-04-01114
Number of retired or separated participants receiving benefits2019-04-010
Number of other retired or separated participants entitled to future benefits2019-04-010
Total of all active and inactive participants2019-04-01114
2018: PENN WOOD PRODUCTS, INC. GROUP MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-04-01110
Total number of active participants reported on line 7a of the Form 55002018-04-01117
Number of retired or separated participants receiving benefits2018-04-010
Number of other retired or separated participants entitled to future benefits2018-04-010
Total of all active and inactive participants2018-04-01117
2017: PENN WOOD PRODUCTS, INC. GROUP MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-01114
Total number of active participants reported on line 7a of the Form 55002017-04-01110
Number of retired or separated participants receiving benefits2017-04-010
Number of other retired or separated participants entitled to future benefits2017-04-010
Total of all active and inactive participants2017-04-01110

Financial Data on PENN WOOD PRODUCTS, INC. GROUP MEDICAL PLAN

Measure Date Value
2023 : PENN WOOD PRODUCTS, INC. GROUP MEDICAL PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-03-31$112,926
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-03-31$95,985
Total income from all sources (including contributions)2023-03-31$1,025,062
Total loss/gain on sale of assets2023-03-31$0
Total of all expenses incurred2023-03-31$825,044
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-03-31$489,968
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-03-31$1,020,987
Value of total assets at end of year2023-03-31$336,397
Value of total assets at beginning of year2023-03-31$119,438
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-03-31$335,076
Total interest from all sources2023-03-31$4,075
Total dividends received (eg from common stock, registered investment company shares)2023-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-03-31No
Was this plan covered by a fidelity bond2023-03-31Yes
Value of fidelity bond cover2023-03-31$300,000
Were there any nonexempt tranactions with any party-in-interest2023-03-31No
Contributions received from participants2023-03-31$267,511
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-03-31$13,101
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-03-31$33,864
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-03-31$104,655
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-03-31$95,985
Administrative expenses (other) incurred2023-03-31$268,498
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-03-31No
Value of net income/loss2023-03-31$200,018
Value of net assets at end of year (total assets less liabilities)2023-03-31$223,471
Value of net assets at beginning of year (total assets less liabilities)2023-03-31$23,453
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-03-31No
Were any leases to which the plan was party in default or uncollectible2023-03-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-03-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-03-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-03-31$323,296
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-03-31$85,574
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-03-31$85,574
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-03-31$4,075
Expenses. Payments to insurance carriers foe the provision of benefits2023-03-31$489,968
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-03-31No
Was there a failure to transmit to the plan any participant contributions2023-03-31No
Has the plan failed to provide any benefit when due under the plan2023-03-31No
Contributions received in cash from employer2023-03-31$753,476
Contract administrator fees2023-03-31$66,578
Liabilities. Value of benefit claims payable at end of year2023-03-31$8,271
Liabilities. Value of benefit claims payable at beginning of year2023-03-31$0
Did the plan have assets held for investment2023-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-03-31No
Opinion of an independent qualified public accountant for this plan2023-03-31Unqualified
Accountancy firm name2023-03-31YOUNG, OAKES, BROWN & CO., P.C.
Accountancy firm EIN2023-03-31251589048
2022 : PENN WOOD PRODUCTS, INC. GROUP MEDICAL PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-03-31$95,985
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-03-31$29,236
Total income from all sources (including contributions)2022-03-31$870,498
Total loss/gain on sale of assets2022-03-31$0
Total of all expenses incurred2022-03-31$1,060,151
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-03-31$738,119
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-03-31$870,475
Value of total assets at end of year2022-03-31$119,438
Value of total assets at beginning of year2022-03-31$242,342
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-03-31$322,032
Total interest from all sources2022-03-31$23
Total dividends received (eg from common stock, registered investment company shares)2022-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-03-31No
Was this plan covered by a fidelity bond2022-03-31Yes
Value of fidelity bond cover2022-03-31$300,000
Were there any nonexempt tranactions with any party-in-interest2022-03-31No
Contributions received from participants2022-03-31$270,103
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-03-31$33,864
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-03-31$29,236
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-03-31$95,985
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-03-31$29,236
Administrative expenses (other) incurred2022-03-31$258,733
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-03-31No
Value of net income/loss2022-03-31$-189,653
Value of net assets at end of year (total assets less liabilities)2022-03-31$23,453
Value of net assets at beginning of year (total assets less liabilities)2022-03-31$213,106
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-03-31No
Were any leases to which the plan was party in default or uncollectible2022-03-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-03-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-03-31$213,106
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-03-31$85,574
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-03-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-03-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-03-31$23
Expenses. Payments to insurance carriers foe the provision of benefits2022-03-31$738,119
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-03-31No
Was there a failure to transmit to the plan any participant contributions2022-03-31No
Has the plan failed to provide any benefit when due under the plan2022-03-31No
Contributions received in cash from employer2022-03-31$600,372
Contract administrator fees2022-03-31$63,299
Did the plan have assets held for investment2022-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-03-31No
Opinion of an independent qualified public accountant for this plan2022-03-31Unqualified
Accountancy firm name2022-03-31YOUNG, OAKES, BROWN & CO., P.C.
Accountancy firm EIN2022-03-31251589048
2021 : PENN WOOD PRODUCTS, INC. GROUP MEDICAL PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-03-31$29,236
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-03-31$0
Total income from all sources (including contributions)2021-03-31$673,666
Total loss/gain on sale of assets2021-03-31$0
Total of all expenses incurred2021-03-31$1,056,266
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-03-31$705,370
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-03-31$673,501
Value of total assets at end of year2021-03-31$242,342
Value of total assets at beginning of year2021-03-31$595,706
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-03-31$350,896
Total interest from all sources2021-03-31$0
Total dividends received (eg from common stock, registered investment company shares)2021-03-31$165
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-03-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-03-31$165
Was this plan covered by a fidelity bond2021-03-31Yes
Value of fidelity bond cover2021-03-31$300,000
Were there any nonexempt tranactions with any party-in-interest2021-03-31No
Contributions received from participants2021-03-31$300,539
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-03-31$29,236
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-03-31$29,236
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-03-31$0
Administrative expenses (other) incurred2021-03-31$275,847
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-03-31No
Value of net income/loss2021-03-31$-382,600
Value of net assets at end of year (total assets less liabilities)2021-03-31$213,106
Value of net assets at beginning of year (total assets less liabilities)2021-03-31$595,706
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-03-31No
Were any leases to which the plan was party in default or uncollectible2021-03-31No
Investment advisory and management fees2021-03-31$900
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-03-31$213,106
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-03-31$595,706
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-03-31Yes
Was there a failure to transmit to the plan any participant contributions2021-03-31No
Has the plan failed to provide any benefit when due under the plan2021-03-31No
Contributions received in cash from employer2021-03-31$372,962
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-03-31$705,370
Contract administrator fees2021-03-31$74,149
Did the plan have assets held for investment2021-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-03-31No
Opinion of an independent qualified public accountant for this plan2021-03-31Unqualified
Accountancy firm name2021-03-31TROUT CPA
Accountancy firm EIN2021-03-31231551315
2020 : PENN WOOD PRODUCTS, INC. GROUP MEDICAL PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-03-31$0
Total income from all sources (including contributions)2020-03-31$869,681
Total loss/gain on sale of assets2020-03-31$0
Total of all expenses incurred2020-03-31$920,405
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-03-31$540,446
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-03-31$855,675
Value of total assets at end of year2020-03-31$595,706
Value of total assets at beginning of year2020-03-31$646,430
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-03-31$379,959
Total interest from all sources2020-03-31$0
Total dividends received (eg from common stock, registered investment company shares)2020-03-31$14,006
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-03-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-03-31$14,006
Was this plan covered by a fidelity bond2020-03-31Yes
Value of fidelity bond cover2020-03-31$300,000
Were there any nonexempt tranactions with any party-in-interest2020-03-31No
Contributions received from participants2020-03-31$328,694
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-03-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-03-31$0
Administrative expenses (other) incurred2020-03-31$295,918
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-03-31No
Value of net income/loss2020-03-31$-50,724
Value of net assets at end of year (total assets less liabilities)2020-03-31$595,706
Value of net assets at beginning of year (total assets less liabilities)2020-03-31$646,430
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-03-31No
Were any leases to which the plan was party in default or uncollectible2020-03-31No
Investment advisory and management fees2020-03-31$900
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-03-31$595,706
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-03-31$646,430
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-03-31Yes
Was there a failure to transmit to the plan any participant contributions2020-03-31No
Has the plan failed to provide any benefit when due under the plan2020-03-31No
Contributions received in cash from employer2020-03-31$526,981
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-03-31$540,446
Contract administrator fees2020-03-31$83,141
Did the plan have assets held for investment2020-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-03-31Yes
Opinion of an independent qualified public accountant for this plan2020-03-31Disclaimer
Accountancy firm name2020-03-31TROUT CPA
Accountancy firm EIN2020-03-31231551315
2018 : PENN WOOD PRODUCTS, INC. GROUP MEDICAL PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-03-31$0
Total transfer of assets to this plan2018-03-31$316,453
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-03-31$43,127
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-03-31$0
Total income from all sources (including contributions)2018-03-31$1,044,474
Total loss/gain on sale of assets2018-03-31$0
Total of all expenses incurred2018-03-31$1,092,878
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-03-31$725,849
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-03-31$1,042,591
Value of total assets at end of year2018-03-31$311,176
Value of total assets at beginning of year2018-03-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-03-31$367,029
Total interest from all sources2018-03-31$0
Total dividends received (eg from common stock, registered investment company shares)2018-03-31$1,883
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-03-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-03-31$1,883
Was this plan covered by a fidelity bond2018-03-31Yes
Value of fidelity bond cover2018-03-31$300,000
Were there any nonexempt tranactions with any party-in-interest2018-03-31No
Contributions received from participants2018-03-31$306,888
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-03-31$43,127
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-03-31$43,127
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-03-31$0
Administrative expenses (other) incurred2018-03-31$262,833
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-03-31No
Value of net income/loss2018-03-31$-48,404
Value of net assets at end of year (total assets less liabilities)2018-03-31$268,049
Value of net assets at beginning of year (total assets less liabilities)2018-03-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-03-31No
Were any leases to which the plan was party in default or uncollectible2018-03-31No
Investment advisory and management fees2018-03-31$750
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-03-31$268,049
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-03-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-03-31Yes
Was there a failure to transmit to the plan any participant contributions2018-03-31No
Has the plan failed to provide any benefit when due under the plan2018-03-31No
Contributions received in cash from employer2018-03-31$735,703
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-03-31$725,849
Contract administrator fees2018-03-31$103,446
Did the plan have assets held for investment2018-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-03-31Yes
Opinion of an independent qualified public accountant for this plan2018-03-31Disclaimer
Accountancy firm name2018-03-31TROUT, EBERSOLE & GROFF, LLP
Accountancy firm EIN2018-03-31231551315

Form 5500 Responses for PENN WOOD PRODUCTS, INC. GROUP MEDICAL PLAN

2022: PENN WOOD PRODUCTS, INC. GROUP MEDICAL PLAN 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01Submission has been amendedNo
2022-04-01This submission is the final filingNo
2022-04-01This return/report is a short plan year return/report (less than 12 months)No
2022-04-01Plan is a collectively bargained planNo
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan funding arrangement – TrustYes
2022-04-01Plan funding arrangement – General assets of the sponsorYes
2022-04-01Plan benefit arrangement – InsuranceYes
2022-04-01Plan benefit arrangement - TrustYes
2022-04-01Plan benefit arrangement – General assets of the sponsorYes
2021: PENN WOOD PRODUCTS, INC. GROUP MEDICAL PLAN 2021 form 5500 responses
2021-04-01Type of plan entitySingle employer plan
2021-04-01Submission has been amendedNo
2021-04-01This submission is the final filingNo
2021-04-01This return/report is a short plan year return/report (less than 12 months)No
2021-04-01Plan is a collectively bargained planNo
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan funding arrangement – TrustYes
2021-04-01Plan benefit arrangement – InsuranceYes
2021-04-01Plan benefit arrangement - TrustYes
2020: PENN WOOD PRODUCTS, INC. GROUP MEDICAL PLAN 2020 form 5500 responses
2020-04-01Type of plan entitySingle employer plan
2020-04-01Submission has been amendedNo
2020-04-01This submission is the final filingNo
2020-04-01This return/report is a short plan year return/report (less than 12 months)No
2020-04-01Plan is a collectively bargained planNo
2020-04-01Plan funding arrangement – TrustYes
2020-04-01Plan funding arrangement – General assets of the sponsorYes
2020-04-01Plan benefit arrangement - TrustYes
2020-04-01Plan benefit arrangement – General assets of the sponsorYes
2019: PENN WOOD PRODUCTS, INC. GROUP MEDICAL PLAN 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Submission has been amendedNo
2019-04-01This submission is the final filingNo
2019-04-01This return/report is a short plan year return/report (less than 12 months)No
2019-04-01Plan is a collectively bargained planNo
2019-04-01Plan funding arrangement – TrustYes
2019-04-01Plan funding arrangement – General assets of the sponsorYes
2019-04-01Plan benefit arrangement - TrustYes
2019-04-01Plan benefit arrangement – General assets of the sponsorYes
2018: PENN WOOD PRODUCTS, INC. GROUP MEDICAL PLAN 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Submission has been amendedNo
2018-04-01This submission is the final filingNo
2018-04-01This return/report is a short plan year return/report (less than 12 months)No
2018-04-01Plan is a collectively bargained planNo
2018-04-01Plan funding arrangement – TrustYes
2018-04-01Plan funding arrangement – General assets of the sponsorYes
2018-04-01Plan benefit arrangement - TrustYes
2018-04-01Plan benefit arrangement – General assets of the sponsorYes
2017: PENN WOOD PRODUCTS, INC. GROUP MEDICAL PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01First time form 5500 has been submittedYes
2017-04-01Submission has been amendedNo
2017-04-01This submission is the final filingNo
2017-04-01This return/report is a short plan year return/report (less than 12 months)No
2017-04-01Plan is a collectively bargained planNo
2017-04-01Plan funding arrangement – TrustYes
2017-04-01Plan funding arrangement – General assets of the sponsorYes
2017-04-01Plan benefit arrangement - TrustYes
2017-04-01Plan 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 number30400042
Policy instance 1
Insurance contract or identification number30400042
Number of Individuals Covered85
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
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 $267,598
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 number30400042
Policy instance 1
Insurance contract or identification number30400042
Number of Individuals Covered94
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
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 $258,159
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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