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ROUSSEAU MANAGEMENT INC - WELFARE BENEFIT PLAN GROUP INSURANCES 401k Plan overview

Plan NameROUSSEAU MANAGEMENT INC - WELFARE BENEFIT PLAN GROUP INSURANCES
Plan identification number 501

ROUSSEAU MANAGEMENT INC - WELFARE BENEFIT PLAN GROUP INSURANCES Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

ROUSSEAU MANAGEMENT, INC has sponsored the creation of one or more 401k plans.

Company Name:ROUSSEAU MANAGEMENT, INC
Employer identification number (EIN):261157371
NAIC Classification:561110
NAIC Description:Office Administrative Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROUSSEAU MANAGEMENT INC - WELFARE BENEFIT PLAN GROUP INSURANCES

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-07-01MITCHELL ROUSSEAU2023-02-03
5012020-07-01MITCHELL ROUSSEAU2022-01-24
5012019-07-01MITCHELL ROUSSEAU2021-01-29

Plan Statistics for ROUSSEAU MANAGEMENT INC - WELFARE BENEFIT PLAN GROUP INSURANCES

401k plan membership statisitcs for ROUSSEAU MANAGEMENT INC - WELFARE BENEFIT PLAN GROUP INSURANCES

Measure Date Value
2021: ROUSSEAU MANAGEMENT INC - WELFARE BENEFIT PLAN GROUP INSURANCES 2021 401k membership
Total participants, beginning-of-year2021-07-01141
Total number of active participants reported on line 7a of the Form 55002021-07-01137
Total of all active and inactive participants2021-07-01137
Total participants2021-07-01137
2020: ROUSSEAU MANAGEMENT INC - WELFARE BENEFIT PLAN GROUP INSURANCES 2020 401k membership
Total participants, beginning-of-year2020-07-01140
Total number of active participants reported on line 7a of the Form 55002020-07-01141
Total of all active and inactive participants2020-07-01141
2019: ROUSSEAU MANAGEMENT INC - WELFARE BENEFIT PLAN GROUP INSURANCES 2019 401k membership
Total participants, beginning-of-year2019-07-0194
Total number of active participants reported on line 7a of the Form 55002019-07-01140
Total of all active and inactive participants2019-07-01140

Form 5500 Responses for ROUSSEAU MANAGEMENT INC - WELFARE BENEFIT PLAN GROUP INSURANCES

2021: ROUSSEAU MANAGEMENT INC - WELFARE BENEFIT PLAN GROUP INSURANCES 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes
2020: ROUSSEAU MANAGEMENT INC - WELFARE BENEFIT PLAN GROUP INSURANCES 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes
2019: ROUSSEAU MANAGEMENT INC - WELFARE BENEFIT PLAN GROUP INSURANCES 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01First time form 5500 has been submittedYes
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00550759
Policy instance 1
Insurance contract or identification number00550759
Number of Individuals Covered137
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $16,060
Total amount of fees paid to insurance companyUSD $3,301
Welfare Benefit Premiums Paid to CarrierUSD $115,866
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,108
Insurance broker organization code?3
Amount paid for insurance broker fees3301
HPHC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18975 )
Policy contract number074955
Policy instance 2
Insurance contract or identification number074955
Number of Individuals Covered102
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $36,937
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $684,895
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,008
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00550759
Policy instance 1
Insurance contract or identification number00550759
Number of Individuals Covered141
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $15,188
Total amount of fees paid to insurance companyUSD $7,229
Welfare Benefit Premiums Paid to CarrierUSD $107,400
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,744
Insurance broker organization code?3
Amount paid for insurance broker fees7229
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00550759
Policy instance 1
Insurance contract or identification number00550759
Number of Individuals Covered140
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $14,858
Total amount of fees paid to insurance companyUSD $5,540
Welfare Benefit Premiums Paid to CarrierUSD $107,256
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,781
Insurance broker organization code?3
Amount paid for insurance broker fees5540

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