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GUY CHEMICAL COMPANY INC. WELFARE BENEFITS PLAN 401k Plan overview

Plan NameGUY CHEMICAL COMPANY INC. WELFARE BENEFITS PLAN
Plan identification number 501

GUY CHEMICAL COMPANY INC. WELFARE BENEFITS PLAN Benefits

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

401k Sponsoring company profile

GUY CHEMICAL COMPANY INC. has sponsored the creation of one or more 401k plans.

Company Name:GUY CHEMICAL COMPANY INC.
Employer identification number (EIN):251837072
NAIC Classification:325100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GUY CHEMICAL COMPANY INC. WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-12-01CARA CUSTER2023-08-07

Plan Statistics for GUY CHEMICAL COMPANY INC. WELFARE BENEFITS PLAN

401k plan membership statisitcs for GUY CHEMICAL COMPANY INC. WELFARE BENEFITS PLAN

Measure Date Value
2021: GUY CHEMICAL COMPANY INC. WELFARE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-12-01121
Total number of active participants reported on line 7a of the Form 55002021-12-01114
Number of retired or separated participants receiving benefits2021-12-011
Number of other retired or separated participants entitled to future benefits2021-12-011
Total of all active and inactive participants2021-12-01116
Number of employers contributing to the scheme2021-12-010

Form 5500 Responses for GUY CHEMICAL COMPANY INC. WELFARE BENEFITS PLAN

2021: GUY CHEMICAL COMPANY INC. WELFARE BENEFITS PLAN 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01First time form 5500 has been submittedYes
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number4601800
Policy instance 1
Insurance contract or identification number4601800
Number of Individuals Covered112
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $37,523
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Welfare Benefit Premiums Paid to CarrierUSD $688,370
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $26,622
Amount paid for insurance broker fees0
Insurance broker organization code?3
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number4601NN1
Policy instance 2
Insurance contract or identification number4601NN1
Number of Individuals Covered121
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $3,543
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Welfare Benefit Premiums Paid to CarrierUSD $40,547
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $2,937
Amount paid for insurance broker fees0
Insurance broker organization code?3

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