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| Plan Name | ILLINOIS MANUFACTURERS' ASSOCIATION HEALTH PLAN |
| Plan identification number | 505 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | ILLINOIS MANUFACTURERS' ASSOCIATION HEALTH PLAN |
| Employer identification number (EIN): | 361256610 |
| NAIC Classification: | 111100 |
| NAIC Description: | Oilseed and Grain Farming |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 505 | 2021-10-01 | GORDY HULTEN | 2023-05-07 | ||
| 505 | 2020-10-01 | GORDY HULTEN | 2022-04-25 | ||
| 505 | 2019-10-01 | MARK FRECH | 2021-03-25 |
| Measure | Date | Value |
|---|---|---|
| 2021: ILLINOIS MANUFACTURERS' ASSOCIATION HEALTH PLAN 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-10-01 | 709 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-10-01 | 758 |
| Number of retired or separated participants receiving benefits | 2021-10-01 | 4 |
| Total of all active and inactive participants | 2021-10-01 | 762 |
| 2020: ILLINOIS MANUFACTURERS' ASSOCIATION HEALTH PLAN 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-10-01 | 446 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-10-01 | 1,362 |
| Total of all active and inactive participants | 2020-10-01 | 1,362 |
| 2019: ILLINOIS MANUFACTURERS' ASSOCIATION HEALTH PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-10-01 | 446 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-10-01 | 446 |
| Number of retired or separated participants receiving benefits | 2019-10-01 | 1 |
| Total of all active and inactive participants | 2019-10-01 | 447 |
| 2021: ILLINOIS MANUFACTURERS' ASSOCIATION HEALTH PLAN 2021 form 5500 responses | ||
|---|---|---|
| 2021-10-01 | Type of plan entity | Mulitple employer plan |
| 2021-10-01 | Submission has been amended | No |
| 2021-10-01 | This submission is the final filing | No |
| 2021-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-10-01 | Plan is a collectively bargained plan | No |
| 2021-10-01 | Plan funding arrangement – Insurance | Yes |
| 2021-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: ILLINOIS MANUFACTURERS' ASSOCIATION HEALTH PLAN 2020 form 5500 responses | ||
| 2020-10-01 | Type of plan entity | Mulitple employer plan |
| 2020-10-01 | Submission has been amended | No |
| 2020-10-01 | This submission is the final filing | No |
| 2020-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-10-01 | Plan is a collectively bargained plan | No |
| 2020-10-01 | Plan funding arrangement – Insurance | Yes |
| 2020-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: ILLINOIS MANUFACTURERS' ASSOCIATION HEALTH PLAN 2019 form 5500 responses | ||
| 2019-10-01 | Type of plan entity | Mulitple employer plan |
| 2019-10-01 | Submission has been amended | No |
| 2019-10-01 | This submission is the final filing | No |
| 2019-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-10-01 | Plan is a collectively bargained plan | No |
| 2019-10-01 | Plan funding arrangement – Insurance | Yes |
| 2019-10-01 | Plan benefit arrangement – Insurance | Yes |
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 220810 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 0228456 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 220810 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 220810 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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