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GRAFIKA COMMERCIAL PRINTING, INC. GROUP MEDICAL PLAN 401k Plan overview

Plan NameGRAFIKA COMMERCIAL PRINTING, INC. GROUP MEDICAL PLAN
Plan identification number 502

GRAFIKA COMMERCIAL PRINTING, INC. GROUP MEDICAL PLAN Benefits

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

401k Sponsoring company profile

GRAFIKA COMMERCIAL PRINTING, INC. has sponsored the creation of one or more 401k plans.

Company Name:GRAFIKA COMMERCIAL PRINTING, INC.
Employer identification number (EIN):232609807
NAIC Classification:323100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GRAFIKA COMMERCIAL PRINTING, INC. GROUP MEDICAL PLAN

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

Plan Statistics for GRAFIKA COMMERCIAL PRINTING, INC. GROUP MEDICAL PLAN

401k plan membership statisitcs for GRAFIKA COMMERCIAL PRINTING, INC. GROUP MEDICAL PLAN

Measure Date Value
2022: GRAFIKA COMMERCIAL PRINTING, INC. GROUP MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0188
Total number of active participants reported on line 7a of the Form 55002022-01-0198
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 participants2022-01-0198
2021: GRAFIKA COMMERCIAL PRINTING, INC. GROUP MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0179
Total number of active participants reported on line 7a of the Form 55002021-01-0187
Number of retired or separated participants receiving benefits2021-01-011
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-0188
2020: GRAFIKA COMMERCIAL PRINTING, INC. GROUP MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0176
Total number of active participants reported on line 7a of the Form 55002020-01-0179
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-0179
2019: GRAFIKA COMMERCIAL PRINTING, INC. GROUP MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0177
Total number of active participants reported on line 7a of the Form 55002019-01-0176
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-0176
2018: GRAFIKA COMMERCIAL PRINTING, INC. GROUP MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0192
Total number of active participants reported on line 7a of the Form 55002018-01-0176
Number of retired or separated participants receiving benefits2018-01-011
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-0177

Financial Data on GRAFIKA COMMERCIAL PRINTING, INC. GROUP MEDICAL PLAN

Measure Date Value
2022 : GRAFIKA COMMERCIAL PRINTING, INC. GROUP MEDICAL PLAN 2022 401k financial data
Total plan liabilities at end of year2022-12-31$106,285
Total plan liabilities at beginning of year2022-12-31$82,981
Total income from all sources2022-12-31$1,557,326
Expenses. Total of all expenses incurred2022-12-31$1,865,758
Benefits paid (including direct rollovers)2022-12-31$1,108,133
Total plan assets at end of year2022-12-31$149,081
Total plan assets at beginning of year2022-12-31$434,209
Value of fidelity bond covering the plan2022-12-31$500,000
Total contributions received or receivable from participants2022-12-31$204,906
Expenses. Other expenses not covered elsewhere2022-12-31$500,735
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$1,126
Net income (gross income less expenses)2022-12-31$-308,432
Net plan assets at end of year (total assets less liabilities)2022-12-31$42,796
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$351,228
Total contributions received or receivable from employer(s)2022-12-31$1,351,294
Value of corrective distributions2022-12-31$244,570
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$12,320
2021 : GRAFIKA COMMERCIAL PRINTING, INC. GROUP MEDICAL PLAN 2021 401k financial data
Total plan liabilities at end of year2021-12-31$82,981
Total plan liabilities at beginning of year2021-12-31$-119,086
Total income from all sources2021-12-31$1,197,167
Expenses. Total of all expenses incurred2021-12-31$1,373,386
Benefits paid (including direct rollovers)2021-12-31$928,667
Total plan assets at end of year2021-12-31$434,209
Total plan assets at beginning of year2021-12-31$408,361
Value of fidelity bond covering the plan2021-12-31$500,000
Total contributions received or receivable from participants2021-12-31$184,976
Expenses. Other expenses not covered elsewhere2021-12-31$393,492
Contributions received from other sources (not participants or employers)2021-12-31$844
Other income received2021-12-31$1,085
Net income (gross income less expenses)2021-12-31$-176,219
Net plan assets at end of year (total assets less liabilities)2021-12-31$351,228
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$527,447
Total contributions received or receivable from employer(s)2021-12-31$1,010,262
Value of corrective distributions2021-12-31$25,000
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$26,227
2020 : GRAFIKA COMMERCIAL PRINTING, INC. GROUP MEDICAL PLAN 2020 401k financial data
Total plan liabilities at end of year2020-12-31$-119,086
Total plan liabilities at beginning of year2020-12-31$127,830
Total income from all sources2020-12-31$1,120,874
Expenses. Total of all expenses incurred2020-12-31$540,847
Benefits paid (including direct rollovers)2020-12-31$176,200
Total plan assets at end of year2020-12-31$408,361
Total plan assets at beginning of year2020-12-31$75,250
Value of fidelity bond covering the plan2020-12-31$500,000
Total contributions received or receivable from participants2020-12-31$174,169
Expenses. Other expenses not covered elsewhere2020-12-31$340,732
Contributions received from other sources (not participants or employers)2020-12-31$1,454
Other income received2020-12-31$724
Net income (gross income less expenses)2020-12-31$580,027
Net plan assets at end of year (total assets less liabilities)2020-12-31$527,447
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$-52,580
Total contributions received or receivable from employer(s)2020-12-31$944,527
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$23,915
2019 : GRAFIKA COMMERCIAL PRINTING, INC. GROUP MEDICAL PLAN 2019 401k financial data
Total plan liabilities at end of year2019-12-31$127,830
Total plan liabilities at beginning of year2019-12-31$328,894
Total income from all sources2019-12-31$1,028,387
Expenses. Total of all expenses incurred2019-12-31$877,185
Benefits paid (including direct rollovers)2019-12-31$529,935
Total plan assets at end of year2019-12-31$75,250
Total plan assets at beginning of year2019-12-31$125,112
Value of fidelity bond covering the plan2019-12-31$500,000
Total contributions received or receivable from participants2019-12-31$166,357
Expenses. Other expenses not covered elsewhere2019-12-31$323,820
Contributions received from other sources (not participants or employers)2019-12-31$7,624
Other income received2019-12-31$272
Net income (gross income less expenses)2019-12-31$151,202
Net plan assets at end of year (total assets less liabilities)2019-12-31$-52,580
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$-203,782
Total contributions received or receivable from employer(s)2019-12-31$854,134
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$23,430
2018 : GRAFIKA COMMERCIAL PRINTING, INC. GROUP MEDICAL PLAN 2018 401k financial data
Total plan liabilities at end of year2018-12-31$328,894
Total plan liabilities at beginning of year2018-12-31$0
Total income from all sources2018-12-31$973,364
Expenses. Total of all expenses incurred2018-12-31$1,177,146
Benefits paid (including direct rollovers)2018-12-31$815,819
Total plan assets at end of year2018-12-31$125,112
Total plan assets at beginning of year2018-12-31$0
Value of fidelity bond covering the plan2018-12-31$500,000
Total contributions received or receivable from participants2018-12-31$169,604
Expenses. Other expenses not covered elsewhere2018-12-31$326,263
Contributions received from other sources (not participants or employers)2018-12-31$2,778
Other income received2018-12-31$228
Net income (gross income less expenses)2018-12-31$-203,782
Net plan assets at end of year (total assets less liabilities)2018-12-31$-203,782
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$0
Total contributions received or receivable from employer(s)2018-12-31$800,754
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$35,064

Form 5500 Responses for GRAFIKA COMMERCIAL PRINTING, INC. GROUP MEDICAL PLAN

2022: GRAFIKA COMMERCIAL PRINTING, INC. GROUP MEDICAL PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: GRAFIKA COMMERCIAL PRINTING, INC. GROUP MEDICAL PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: GRAFIKA COMMERCIAL PRINTING, INC. GROUP MEDICAL PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: GRAFIKA COMMERCIAL PRINTING, INC. GROUP MEDICAL PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: GRAFIKA COMMERCIAL PRINTING, INC. GROUP MEDICAL PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01First time form 5500 has been submittedYes
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number407374
Policy instance 1
Insurance contract or identification number407374
Number of Individuals Covered96
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 $427,379
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number407374
Policy instance 1
Insurance contract or identification number407374
Number of Individuals Covered87
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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 $331,944
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number407374
Policy instance 1
Insurance contract or identification number407374
Number of Individuals Covered79
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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 $284,818
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 number30500328
Policy instance 2
Insurance contract or identification number30500328
Number of Individuals Covered0
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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 $600
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 numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered79
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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 $267,293
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 numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered76
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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 $269,229
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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