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J H ROUTH PACKING COMPANY MEDICAL PLAN 401k Plan overview

Plan NameJ H ROUTH PACKING COMPANY MEDICAL PLAN
Plan identification number 503

J H ROUTH PACKING COMPANY MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

J H ROUTH PACKING COMPANY has sponsored the creation of one or more 401k plans.

Company Name:J H ROUTH PACKING COMPANY
Employer identification number (EIN):344415178
NAIC Classification:311610
NAIC Description: Animal Slaughtering and Processing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan J H ROUTH PACKING COMPANY MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032018-01-01
5032017-01-01FRANK J MOSCIONI
5032016-01-01FRANK J MOSCIONI
5032015-01-01FRANK J MOSCIONI
5032014-01-01FRANK J MOSCIONI
5032013-01-01FRANK J MOSCIONI
5032012-01-01FRANK J MOSCIONI
5032011-01-01FRANK J MOSCIONI
5032010-01-01FRANK J MOSCIONI
5032009-01-01FRANK J. MOSCIONI

Plan Statistics for J H ROUTH PACKING COMPANY MEDICAL PLAN

401k plan membership statisitcs for J H ROUTH PACKING COMPANY MEDICAL PLAN

Measure Date Value
2018: J H ROUTH PACKING COMPANY MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01199
Total number of active participants reported on line 7a of the Form 55002018-01-01170
Number of retired or separated participants receiving benefits2018-01-011
Total of all active and inactive participants2018-01-01171
Total participants2018-01-01171
2017: J H ROUTH PACKING COMPANY MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01206
Total number of active participants reported on line 7a of the Form 55002017-01-01195
Number of retired or separated participants receiving benefits2017-01-014
Total of all active and inactive participants2017-01-01199
Total participants2017-01-01199
2016: J H ROUTH PACKING COMPANY MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01234
Total number of active participants reported on line 7a of the Form 55002016-01-01204
Number of retired or separated participants receiving benefits2016-01-014
Total of all active and inactive participants2016-01-01208
Total participants2016-01-01208
2015: J H ROUTH PACKING COMPANY MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01230
Total number of active participants reported on line 7a of the Form 55002015-01-01232
Number of retired or separated participants receiving benefits2015-01-012
Total of all active and inactive participants2015-01-01234
Total participants2015-01-01234
2014: J H ROUTH PACKING COMPANY MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01241
Total number of active participants reported on line 7a of the Form 55002014-01-01226
Number of retired or separated participants receiving benefits2014-01-013
Total of all active and inactive participants2014-01-01229
Total participants2014-01-01229
2013: J H ROUTH PACKING COMPANY MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01263
Total number of active participants reported on line 7a of the Form 55002013-01-01240
Number of retired or separated participants receiving benefits2013-01-013
Total of all active and inactive participants2013-01-01243
Total participants2013-01-01243
Number of participants with account balances2013-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: J H ROUTH PACKING COMPANY MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01258
Total number of active participants reported on line 7a of the Form 55002012-01-01263
Number of retired or separated participants receiving benefits2012-01-012
Total of all active and inactive participants2012-01-01265
Total participants2012-01-01265
Number of participants with account balances2012-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: J H ROUTH PACKING COMPANY MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01260
Total number of active participants reported on line 7a of the Form 55002011-01-01258
Number of retired or separated participants receiving benefits2011-01-011
Total of all active and inactive participants2011-01-01259
Total participants2011-01-01259
Number of participants with account balances2011-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: J H ROUTH PACKING COMPANY MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01268
Total number of active participants reported on line 7a of the Form 55002010-01-01254
Number of retired or separated participants receiving benefits2010-01-014
Total of all active and inactive participants2010-01-01258
Total participants2010-01-01258
Number of participants with account balances2010-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: J H ROUTH PACKING COMPANY MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01251
Total number of active participants reported on line 7a of the Form 55002009-01-01257
Number of retired or separated participants receiving benefits2009-01-016
Total of all active and inactive participants2009-01-01263
Total participants2009-01-01263
Number of participants with account balances2009-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Form 5500 Responses for J H ROUTH PACKING COMPANY MEDICAL PLAN

2018: J H ROUTH PACKING COMPANY MEDICAL PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: J H ROUTH PACKING COMPANY MEDICAL PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: J H ROUTH PACKING COMPANY MEDICAL PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: J H ROUTH PACKING COMPANY MEDICAL PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: J H ROUTH PACKING COMPANY MEDICAL PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: J H ROUTH PACKING COMPANY MEDICAL PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: J H ROUTH PACKING COMPANY MEDICAL PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: J H ROUTH PACKING COMPANY MEDICAL PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: J H ROUTH PACKING COMPANY MEDICAL PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: J H ROUTH PACKING COMPANY MEDICAL PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 )
Policy contract numberEMC L 171002290
Policy instance 1
Insurance contract or identification numberEMC L 171002290
Number of Individuals Covered171
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $20,292
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $202,920
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,292
Insurance broker organization code?3
BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 )
Policy contract numberEMC L 171002290
Policy instance 1
Insurance contract or identification numberEMC L 171002290
Number of Individuals Covered199
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $21,802
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $196,149
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,802
Insurance broker organization code?3
Insurance broker nameHYLANT GROUP
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number204095
Policy instance 1
Insurance contract or identification number204095
Number of Individuals Covered230
Insurance policy start date2015-01-01
Insurance policy end date2015-02-28
Total amount of fees paid to insurance companyUSD $2,869
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $32,975
Amount paid for insurance broker fees2869
Insurance broker organization code?3
Insurance broker nameTHE FEDELI GROUP
BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 )
Policy contract numberEMC L 151002290
Policy instance 2
Insurance contract or identification numberEMC L 151002290
Number of Individuals Covered234
Insurance policy start date2015-03-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $8,125
Total amount of fees paid to insurance companyUSD $4,817
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $154,490
Commission paid to Insurance BrokerUSD $5,728
Amount paid for insurance broker fees4817
Additional information about fees paid to insurance brokerLGO
Insurance broker organization code?3
Insurance broker nameHYLANT GROUP
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number204095
Policy instance 1
Insurance contract or identification number204095
Number of Individuals Covered229
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of fees paid to insurance companyUSD $231,027
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $231,027
Amount paid for insurance broker fees17125
Insurance broker organization code?3
Additional information about fees paid to insurance brokerSTOP LOSS INSURANCE PREMIUM
Insurance broker nameMEDICAL MUTUAL OF OHIO
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number204095
Policy instance 1
Insurance contract or identification number204095
Number of Individuals Covered249
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of fees paid to insurance companyUSD $316,748
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $316,748
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees23571
Insurance broker organization code?3
Additional information about fees paid to insurance brokerSTOP LOSS INSURANCE PREMUIM
Insurance broker nameMEDICAL MUTUAL OF OHIO
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number204095
Policy instance 1
Insurance contract or identification number204095
Number of Individuals Covered260
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $22,582
Total amount of fees paid to insurance companyUSD $297,938
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $297,938
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees297938
Additional information about fees paid to insurance brokerSTOP LOSS INSURANCE PREMIUM
Insurance broker organization code?0
Commission paid to Insurance BrokerUSD $22,582
Insurance broker nameTHE FEDELI GROUP
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number204095
Policy instance 1
Insurance contract or identification number204095
Number of Individuals Covered259
Insurance policy start date2011-03-01
Insurance policy end date2012-02-29
Total amount of commissions paid to insurance brokerUSD $21,092
Total amount of fees paid to insurance companyUSD $270,441
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $270,441
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract number00169737
Policy instance 1
Insurance contract or identification number00169737
Number of Individuals Covered267
Insurance policy start date2009-03-01
Insurance policy end date2010-02-28
Total amount of commissions paid to insurance brokerUSD $29,775
Total amount of fees paid to insurance companyUSD $182,654
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $182,654
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees182654
Additional information about fees paid to insurance brokerSTOP LOSS INSURANCE PREMIUMS
Insurance broker organization code?0
Commission paid to Insurance BrokerUSD $29,775
Insurance broker nameFEDELI GROUP INC

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