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| Plan Name | BURKERT GROUP HEALTH PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | BURKERT USA CORPORATION |
| Employer identification number (EIN): | 330070281 |
| NAIC Classification: | 339900 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2022-08-01 | LORI DORCIK | 2023-12-12 |
| Measure | Date | Value |
|---|---|---|
| 2022: BURKERT GROUP HEALTH PLAN 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-08-01 | 150 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-08-01 | 179 |
| Number of retired or separated participants receiving benefits | 2022-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-08-01 | 4 |
| Total of all active and inactive participants | 2022-08-01 | 183 |
| Number of employers contributing to the scheme | 2022-08-01 | 0 |
| 2022: BURKERT GROUP HEALTH PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-08-01 | Type of plan entity | Single employer plan |
| 2022-08-01 | First time form 5500 has been submitted | Yes |
| 2022-08-01 | Plan funding arrangement – Insurance | Yes |
| 2022-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-08-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) | |||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 9908-9685 | ||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||
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| EMPLOYEE NETWORK INC. (National Association of Insurance Commissioners NAIC id number: 52429 ) | |||||||||||||||||||||||||||||||||||||||||
| Policy contract number | BUR11152 | ||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||
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| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 5396637 | ||||||||||||||||||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||||||||||||||||||
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