401k Plan data: THOMAS PLASTIC MACHINERY, INC. HEALTH AND WELFARE BENEFIT PLAN plan

THOMAS PLASTIC MACHINERY, INC. HEALTH AND WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	THOMAS PLASTIC MACHINERY, INC. HEALTH AND WELFARE BENEFIT PLAN
Plan identification number	501

THOMAS PLASTIC MACHINERY, INC. HEALTH AND WELFARE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Other welfare benefit cover Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

THOMAS PLASTIC MACHINERY INC has sponsored the creation of one or more 401k plans.

Company Name: THOMAS PLASTIC MACHINERY INC

Employer identification number (EIN): 351925080

NAIC Classification: 339900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THOMAS PLASTIC MACHINERY, INC. HEALTH AND WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2020-03-01 KELLY CASTILLO 2021-10-12
501 2020-03-01 KELLY CASTILLO 2022-09-20
501 2019-03-01 MARITA HARDIN 2020-09-30

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2020-03-01	KELLY CASTILLO	2021-10-12
501	2020-03-01	KELLY CASTILLO	2022-09-20
501	2019-03-01	MARITA HARDIN	2020-09-30

Plan Statistics for THOMAS PLASTIC MACHINERY, INC. HEALTH AND WELFARE BENEFIT PLAN

401k plan membership statisitcs for THOMAS PLASTIC MACHINERY, INC. HEALTH AND WELFARE BENEFIT PLAN

Measure Date Value
2020: THOMAS PLASTIC MACHINERY, INC. HEALTH AND WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-03-01 125
Total number of active participants reported on line 7a of the Form 5500 2020-03-01 102
Total of all active and inactive participants 2020-03-01 102
2019: THOMAS PLASTIC MACHINERY, INC. HEALTH AND WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-03-01 114
Total number of active participants reported on line 7a of the Form 5500 2019-03-01 125
Total of all active and inactive participants 2019-03-01 125

Measure	Date	Value
2020: THOMAS PLASTIC MACHINERY, INC. HEALTH AND WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-03-01	125
Total number of active participants reported on line 7a of the Form 5500	2020-03-01	102
Total of all active and inactive participants	2020-03-01	102
2019: THOMAS PLASTIC MACHINERY, INC. HEALTH AND WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-03-01	114
Total number of active participants reported on line 7a of the Form 5500	2019-03-01	125
Total of all active and inactive participants	2019-03-01	125

Form 5500 Responses for THOMAS PLASTIC MACHINERY, INC. HEALTH AND WELFARE BENEFIT PLAN

2020: THOMAS PLASTIC MACHINERY, INC. HEALTH AND WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-03-01	Type of plan entity	Single employer plan
2020-03-01	Submission has been amended	Yes
2020-03-01	Plan funding arrangement – Insurance	Yes
2020-03-01	Plan benefit arrangement – Insurance	Yes
2019: THOMAS PLASTIC MACHINERY, INC. HEALTH AND WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-03-01	Type of plan entity	Single employer plan
2019-03-01	First time form 5500 has been submitted	Yes
2019-03-01	Plan funding arrangement – Insurance	Yes
2019-03-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )

Policy contract number

IN2408

Policy instance

Insurance contract or identification number	IN2408
Number of Individuals Covered	157
Insurance policy start date	2020-03-01
Insurance policy end date	2021-02-28
Total amount of commissions paid to insurance broker	USD $40,984
Total amount of fees paid to insurance company	USD $974
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $805,293
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $31,697
Amount paid for insurance broker fees	974
Additional information about fees paid to insurance broker	FEES
Insurance broker organization code?	3

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G 00618355

Policy instance

Insurance contract or identification number	G 00618355
Number of Individuals Covered	102
Insurance policy start date	2020-03-01
Insurance policy end date	2021-02-28
Total amount of commissions paid to insurance broker	USD $8,274
Total amount of fees paid to insurance company	USD $5,152
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D, VOLUNTARY LIFE
Welfare Benefit Premiums Paid to Carrier	USD $56,957
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,274
Amount paid for insurance broker fees	5152
Insurance broker organization code?	3

ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )

Policy contract number

00244354

Policy instance

Insurance contract or identification number	00244354
Number of Individuals Covered	169
Insurance policy start date	2019-03-01
Insurance policy end date	2020-02-29
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $874,427
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00559632

Policy instance

Insurance contract or identification number	00559632
Number of Individuals Covered	116
Insurance policy start date	2019-03-01
Insurance policy end date	2020-02-29
Total amount of commissions paid to insurance broker	USD $2,383
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $34,045
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,383
Insurance broker organization code?	3

ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )

Policy contract number

IN2408

Policy instance

Insurance contract or identification number	IN2408
Number of Individuals Covered	183
Insurance policy start date	2019-12-01
Insurance policy end date	2020-02-29
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $11,152
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G 00618355

Policy instance

Insurance contract or identification number	G 00618355
Number of Individuals Covered	125
Insurance policy start date	2019-03-01
Insurance policy end date	2020-02-29
Total amount of commissions paid to insurance broker	USD $9,198
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D, VOLUNTARY LIFE
Welfare Benefit Premiums Paid to Carrier	USD $63,323
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,198
Insurance broker organization code?	3

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Company Name:	THOMAS PLASTIC MACHINERY INC
Employer identification number (EIN):	351925080
NAIC Classification:	339900