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CONSOLIDATED BISCUIT COMPANY GROUP INSURANCE PLAN 401k Plan overview

Plan NameCONSOLIDATED BISCUIT COMPANY GROUP INSURANCE PLAN
Plan identification number 501

CONSOLIDATED BISCUIT COMPANY GROUP INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

PATJIM HOLDINGS COMPANY has sponsored the creation of one or more 401k plans.

Company Name:PATJIM HOLDINGS COMPANY
Employer identification number (EIN):341142793
NAIC Classification:561110
NAIC Description:Office Administrative Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CONSOLIDATED BISCUIT COMPANY GROUP INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012010-01-01GARY HASKINS
5012009-01-01WILLIAM VARNEY
5012009-01-01WILLIAM VARNEY WILLIAM VARNEY2010-10-14

Plan Statistics for CONSOLIDATED BISCUIT COMPANY GROUP INSURANCE PLAN

401k plan membership statisitcs for CONSOLIDATED BISCUIT COMPANY GROUP INSURANCE PLAN

Measure Date Value
2010: CONSOLIDATED BISCUIT COMPANY GROUP INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-011,966
Total number of active participants reported on line 7a of the Form 55002010-01-010
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-010
2009: CONSOLIDATED BISCUIT COMPANY GROUP INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,976
Total number of active participants reported on line 7a of the Form 55002009-01-011,950
Number of retired or separated participants receiving benefits2009-01-0116
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-011,966

Form 5500 Responses for CONSOLIDATED BISCUIT COMPANY GROUP INSURANCE PLAN

2010: CONSOLIDATED BISCUIT COMPANY GROUP INSURANCE PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01This submission is the final filingYes
2010-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: CONSOLIDATED BISCUIT COMPANY GROUP 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 funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number0005200
Policy instance 1
Insurance contract or identification number0005200
Insurance policy start date2010-01-01
Insurance policy end date2010-05-10
Total amount of commissions paid to insurance brokerUSD $3,785
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,614
Insurance broker organization code?3
Insurance broker nameHYLANT GROUP, INC.
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number063468
Policy instance 2
Insurance contract or identification number063468
Insurance policy start date2010-01-01
Insurance policy end date2010-05-10
Total amount of commissions paid to insurance brokerUSD $5,333
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,503
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,333
Insurance broker organization code?3
Insurance broker nameHUNTINGTON INSURANCE, INC.
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number063468
Policy instance 3
Insurance contract or identification number063468
Insurance policy start date2010-01-01
Insurance policy end date2010-05-10
Total amount of commissions paid to insurance brokerUSD $27,061
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $225,562
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,513
Insurance broker organization code?3
Insurance broker nameHUNTINGTON INSURANCE, INC.
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number063468
Policy instance 4
Insurance contract or identification number063468
Insurance policy start date2010-01-01
Insurance policy end date2010-05-10
Total amount of commissions paid to insurance brokerUSD $19,748
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $98,738
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,748
Insurance broker organization code?3
Insurance broker nameHUNTINGTON INSURANCE, INC.
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12032380
Policy instance 5
Insurance contract or identification number12032380
Insurance policy start date2010-01-01
Insurance policy end date2010-05-10
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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