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WAHOO FITNESS MEDICAL PLAN 401k Plan overview

Plan NameWAHOO FITNESS MEDICAL PLAN
Plan identification number 501

WAHOO FITNESS MEDICAL PLAN Benefits

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

401k Sponsoring company profile

WAHOO FITNESS has sponsored the creation of one or more 401k plans.

Company Name:WAHOO FITNESS
Employer identification number (EIN):271598318
NAIC Classification:541600

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WAHOO FITNESS MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-11-01AMY HOFSTETTER2023-08-04
5012020-11-01
5012019-11-01

Plan Statistics for WAHOO FITNESS MEDICAL PLAN

401k plan membership statisitcs for WAHOO FITNESS MEDICAL PLAN

Measure Date Value
2021: WAHOO FITNESS MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-11-01104
Total number of active participants reported on line 7a of the Form 55002021-11-01155
Number of retired or separated participants receiving benefits2021-11-010
Number of other retired or separated participants entitled to future benefits2021-11-010
Total of all active and inactive participants2021-11-01155
Number of employers contributing to the scheme2021-11-010
2020: WAHOO FITNESS MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-11-01104
Total number of active participants reported on line 7a of the Form 55002020-11-01189
Total of all active and inactive participants2020-11-01189
2019: WAHOO FITNESS MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-11-01104
Total number of active participants reported on line 7a of the Form 55002019-11-01152
Total of all active and inactive participants2019-11-01152

Form 5500 Responses for WAHOO FITNESS MEDICAL PLAN

2021: WAHOO FITNESS MEDICAL PLAN 2021 form 5500 responses
2021-11-01Type of plan entitySingle employer plan
2021-11-01Plan funding arrangement – InsuranceYes
2021-11-01Plan benefit arrangement – InsuranceYes
2020: WAHOO FITNESS MEDICAL PLAN 2020 form 5500 responses
2020-11-01Type of plan entitySingle employer plan
2020-11-01Submission has been amendedNo
2020-11-01This submission is the final filingNo
2020-11-01This return/report is a short plan year return/report (less than 12 months)No
2020-11-01Plan is a collectively bargained planNo
2020-11-01Plan funding arrangement – InsuranceYes
2020-11-01Plan benefit arrangement – InsuranceYes
2019: WAHOO FITNESS MEDICAL PLAN 2019 form 5500 responses
2019-11-01Type of plan entitySingle employer plan
2019-11-01First time form 5500 has been submittedYes
2019-11-01Submission has been amendedNo
2019-11-01This submission is the final filingNo
2019-11-01This return/report is a short plan year return/report (less than 12 months)No
2019-11-01Plan is a collectively bargained planNo
2019-11-01Plan funding arrangement – InsuranceYes
2019-11-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number630852
Policy instance 1
Insurance contract or identification number630852
Number of Individuals Covered227
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $635,678
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number630852
Policy instance 1
Insurance contract or identification number630852
Number of Individuals Covered274
Insurance policy start date2020-11-12
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $1,530
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $588,883
Commission paid to Insurance BrokerUSD $1,530
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number623538
Policy instance 1
Insurance contract or identification number623538
Number of Individuals Covered217
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $7,014
Total amount of fees paid to insurance companyUSD $53,734
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,112,832

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