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MEDICAL INSURANCE PLAN 401k Plan overview

Plan NameMEDICAL INSURANCE PLAN
Plan identification number 501

MEDICAL INSURANCE PLAN Benefits

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

401k Sponsoring company profile

BNZ MATERIALS, INC. has sponsored the creation of one or more 401k plans.

Company Name:BNZ MATERIALS, INC.
Employer identification number (EIN):251560314
NAIC Classification:327100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDICAL INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-12-01
5012021-12-01
5012020-12-01
5012019-12-01
5012018-12-01
5012017-12-01
5012016-12-01LARRY PEDERSON
5012015-12-01LARRY PEDERSON
5012010-01-01LARRY PEDERSON
5012009-01-01LARRY PEDERSON

Financial Data on MEDICAL INSURANCE PLAN

Measure Date Value
2023 : MEDICAL INSURANCE PLAN 2023 401k financial data
Total plan liabilities at end of year2023-11-30$141,411
Total plan liabilities at beginning of year2023-11-30$65,768
Total income from all sources2023-11-30$1,354,469
Expenses. Total of all expenses incurred2023-11-30$1,181,759
Benefits paid (including direct rollovers)2023-11-30$648,875
Total plan assets at end of year2023-11-30$306,363
Total plan assets at beginning of year2023-11-30$58,010
Value of fidelity bond covering the plan2023-11-30$600,000
Total contributions received or receivable from participants2023-11-30$267,647
Expenses. Other expenses not covered elsewhere2023-11-30$481,633
Contributions received from other sources (not participants or employers)2023-11-30$477
Other income received2023-11-30$2,348
Net income (gross income less expenses)2023-11-30$172,710
Net plan assets at end of year (total assets less liabilities)2023-11-30$164,952
Net plan assets at beginning of year (total assets less liabilities)2023-11-30$-7,758
Total contributions received or receivable from employer(s)2023-11-30$1,083,997
Value of corrective distributions2023-11-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2023-11-30$51,251
2022 : MEDICAL INSURANCE PLAN 2022 401k financial data
Total plan liabilities at end of year2022-11-30$65,768
Total plan liabilities at beginning of year2022-11-30$155,352
Total income from all sources2022-11-30$1,148,266
Expenses. Total of all expenses incurred2022-11-30$1,110,450
Benefits paid (including direct rollovers)2022-11-30$655,316
Total plan assets at end of year2022-11-30$58,010
Total plan assets at beginning of year2022-11-30$109,778
Value of fidelity bond covering the plan2022-11-30$600,000
Total contributions received or receivable from participants2022-11-30$237,719
Expenses. Other expenses not covered elsewhere2022-11-30$410,298
Contributions received from other sources (not participants or employers)2022-11-30$0
Other income received2022-11-30$35
Net income (gross income less expenses)2022-11-30$37,816
Net plan assets at end of year (total assets less liabilities)2022-11-30$-7,758
Net plan assets at beginning of year (total assets less liabilities)2022-11-30$-45,574
Total contributions received or receivable from employer(s)2022-11-30$910,512
Value of corrective distributions2022-11-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-11-30$44,836
2021 : MEDICAL INSURANCE PLAN 2021 401k financial data
Total plan liabilities at end of year2021-11-30$155,352
Total plan liabilities at beginning of year2021-11-30$70,926
Total income from all sources2021-11-30$1,028,494
Expenses. Total of all expenses incurred2021-11-30$1,040,895
Benefits paid (including direct rollovers)2021-11-30$555,071
Total plan assets at end of year2021-11-30$109,778
Total plan assets at beginning of year2021-11-30$37,753
Value of fidelity bond covering the plan2021-11-30$600,000
Total contributions received or receivable from participants2021-11-30$219,380
Expenses. Other expenses not covered elsewhere2021-11-30$369,891
Other income received2021-11-30$98
Net income (gross income less expenses)2021-11-30$-12,401
Net plan assets at end of year (total assets less liabilities)2021-11-30$-45,574
Net plan assets at beginning of year (total assets less liabilities)2021-11-30$-33,173
Total contributions received or receivable from employer(s)2021-11-30$809,016
Value of corrective distributions2021-11-30$85,243
Expenses. Administrative service providers (salaries,fees and commissions)2021-11-30$30,690
2020 : MEDICAL INSURANCE PLAN 2020 401k financial data
Total plan liabilities at end of year2020-11-30$70,926
Total plan liabilities at beginning of year2020-11-30$62,195
Total income from all sources2020-11-30$1,155,388
Expenses. Total of all expenses incurred2020-11-30$1,487,563
Benefits paid (including direct rollovers)2020-11-30$858,947
Total plan assets at end of year2020-11-30$37,753
Total plan assets at beginning of year2020-11-30$361,197
Value of fidelity bond covering the plan2020-11-30$600,000
Total contributions received or receivable from participants2020-11-30$251,305
Expenses. Other expenses not covered elsewhere2020-11-30$392,092
Contributions received from other sources (not participants or employers)2020-11-30$5,782
Other income received2020-11-30$520
Net income (gross income less expenses)2020-11-30$-332,175
Net plan assets at end of year (total assets less liabilities)2020-11-30$-33,173
Net plan assets at beginning of year (total assets less liabilities)2020-11-30$299,002
Total contributions received or receivable from employer(s)2020-11-30$897,781
Value of corrective distributions2020-11-30$201,764
Expenses. Administrative service providers (salaries,fees and commissions)2020-11-30$34,760
2019 : MEDICAL INSURANCE PLAN 2019 401k financial data
Total plan liabilities at end of year2019-11-30$62,195
Total plan liabilities at beginning of year2019-11-30$79,063
Total income from all sources2019-11-30$1,162,364
Expenses. Total of all expenses incurred2019-11-30$1,124,288
Benefits paid (including direct rollovers)2019-11-30$482,506
Total plan assets at end of year2019-11-30$361,197
Total plan assets at beginning of year2019-11-30$339,989
Value of fidelity bond covering the plan2019-11-30$600,000
Total contributions received or receivable from participants2019-11-30$193,626
Expenses. Other expenses not covered elsewhere2019-11-30$352,140
Contributions received from other sources (not participants or employers)2019-11-30$0
Other income received2019-11-30$914
Net income (gross income less expenses)2019-11-30$38,076
Net plan assets at end of year (total assets less liabilities)2019-11-30$299,002
Net plan assets at beginning of year (total assets less liabilities)2019-11-30$260,926
Total contributions received or receivable from employer(s)2019-11-30$967,824
Value of corrective distributions2019-11-30$243,128
Expenses. Administrative service providers (salaries,fees and commissions)2019-11-30$46,514
2017 : MEDICAL INSURANCE PLAN 2017 401k financial data
Total plan liabilities at end of year2017-11-30$59,994
Total plan liabilities at beginning of year2017-11-30$62,943
Total income from all sources2017-11-30$1,037,209
Expenses. Total of all expenses incurred2017-11-30$856,638
Benefits paid (including direct rollovers)2017-11-30$446,850
Total plan assets at end of year2017-11-30$326,079
Total plan assets at beginning of year2017-11-30$148,457
Value of fidelity bond covering the plan2017-11-30$600,000
Expenses. Other expenses not covered elsewhere2017-11-30$274,879
Other income received2017-11-30$562
Net income (gross income less expenses)2017-11-30$180,571
Net plan assets at end of year (total assets less liabilities)2017-11-30$266,085
Net plan assets at beginning of year (total assets less liabilities)2017-11-30$85,514
Total contributions received or receivable from employer(s)2017-11-30$1,036,647
Value of corrective distributions2017-11-30$93,801
Expenses. Administrative service providers (salaries,fees and commissions)2017-11-30$41,108
2016 : MEDICAL INSURANCE PLAN 2016 401k financial data
Total plan liabilities at end of year2016-11-30$62,943
Total plan liabilities at beginning of year2016-11-30$0
Total income from all sources2016-11-30$940,884
Expenses. Total of all expenses incurred2016-11-30$855,370
Benefits paid (including direct rollovers)2016-11-30$565,583
Total plan assets at end of year2016-11-30$148,457
Total plan assets at beginning of year2016-11-30$0
Value of fidelity bond covering the plan2016-11-30$600,000
Total contributions received or receivable from participants2016-11-30$196,027
Expenses. Other expenses not covered elsewhere2016-11-30$246,961
Contributions received from other sources (not participants or employers)2016-11-30$6,276
Other income received2016-11-30$124
Net income (gross income less expenses)2016-11-30$85,514
Net plan assets at end of year (total assets less liabilities)2016-11-30$85,514
Net plan assets at beginning of year (total assets less liabilities)2016-11-30$0
Total contributions received or receivable from employer(s)2016-11-30$738,457
Expenses. Administrative service providers (salaries,fees and commissions)2016-11-30$42,826

Form 5500 Responses for MEDICAL INSURANCE PLAN

2022: MEDICAL INSURANCE PLAN 2022 form 5500 responses
2022-12-01Type of plan entitySingle employer plan
2022-12-01Submission has been amendedNo
2022-12-01This submission is the final filingNo
2022-12-01This return/report is a short plan year return/report (less than 12 months)No
2022-12-01Plan is a collectively bargained planNo
2022-12-01Plan funding arrangement – InsuranceYes
2022-12-01Plan funding arrangement – TrustYes
2022-12-01Plan funding arrangement – General assets of the sponsorYes
2022-12-01Plan benefit arrangement – InsuranceYes
2022-12-01Plan benefit arrangement - TrustYes
2022-12-01Plan benefit arrangement – General assets of the sponsorYes
2021: MEDICAL INSURANCE PLAN 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01Submission has been amendedNo
2021-12-01This submission is the final filingNo
2021-12-01This return/report is a short plan year return/report (less than 12 months)No
2021-12-01Plan is a collectively bargained planNo
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan funding arrangement – TrustYes
2021-12-01Plan funding arrangement – General assets of the sponsorYes
2021-12-01Plan benefit arrangement – InsuranceYes
2021-12-01Plan benefit arrangement - TrustYes
2021-12-01Plan benefit arrangement – General assets of the sponsorYes
2020: MEDICAL INSURANCE PLAN 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01Submission has been amendedNo
2020-12-01This submission is the final filingNo
2020-12-01This return/report is a short plan year return/report (less than 12 months)No
2020-12-01Plan is a collectively bargained planNo
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan funding arrangement – TrustYes
2020-12-01Plan benefit arrangement – InsuranceYes
2020-12-01Plan benefit arrangement - TrustYes
2019: MEDICAL INSURANCE PLAN 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Submission has been amendedNo
2019-12-01This submission is the final filingNo
2019-12-01This return/report is a short plan year return/report (less than 12 months)No
2019-12-01Plan is a collectively bargained planNo
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan funding arrangement – TrustYes
2019-12-01Plan benefit arrangement – InsuranceYes
2019-12-01Plan benefit arrangement - TrustYes
2018: MEDICAL INSURANCE PLAN 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01Submission has been amendedNo
2018-12-01This submission is the final filingNo
2018-12-01This return/report is a short plan year return/report (less than 12 months)No
2018-12-01Plan is a collectively bargained planNo
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan funding arrangement – TrustYes
2018-12-01Plan benefit arrangement – InsuranceYes
2018-12-01Plan benefit arrangement - TrustYes
2017: MEDICAL INSURANCE PLAN 2017 form 5500 responses
2017-12-01Type of plan entitySingle employer plan
2017-12-01Submission has been amendedNo
2017-12-01This submission is the final filingNo
2017-12-01This return/report is a short plan year return/report (less than 12 months)No
2017-12-01Plan is a collectively bargained planNo
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan funding arrangement – TrustYes
2017-12-01Plan benefit arrangement – InsuranceYes
2017-12-01Plan benefit arrangement - TrustYes
2016: MEDICAL INSURANCE PLAN 2016 form 5500 responses
2016-12-01Type of plan entitySingle employer plan
2016-12-01Submission has been amendedNo
2016-12-01This submission is the final filingNo
2016-12-01This return/report is a short plan year return/report (less than 12 months)No
2016-12-01Plan is a collectively bargained planNo
2016-12-01Plan funding arrangement – InsuranceYes
2016-12-01Plan funding arrangement – TrustYes
2016-12-01Plan benefit arrangement – InsuranceYes
2016-12-01Plan benefit arrangement - TrustYes
2015: MEDICAL INSURANCE PLAN 2015 form 5500 responses
2015-12-01Type of plan entitySingle employer plan
2015-12-01First time form 5500 has been submittedYes
2015-12-01Submission has been amendedNo
2015-12-01This submission is the final filingNo
2015-12-01This return/report is a short plan year return/report (less than 12 months)No
2015-12-01Plan is a collectively bargained planNo
2015-12-01Plan funding arrangement – InsuranceYes
2015-12-01Plan funding arrangement – TrustYes
2015-12-01Plan benefit arrangement – InsuranceYes
2015-12-01Plan benefit arrangement - TrustYes
2010: MEDICAL INSURANCE PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedYes
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: MEDICAL INSURANCE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract number203211
Policy instance 1
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract number203211
Policy instance 1
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number30500159
Policy instance 2
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number30500159
Policy instance 1
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number30500159
Policy instance 1
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract numberVERIS
Policy instance 1
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract numberVERIS
Policy instance 1

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