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CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN 401k Plan overview

Plan NameCORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN
Plan identification number 501

CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

CORRUGATED SUPPLIES COMPANY, LLC has sponsored the creation of one or more 401k plans.

Company Name:CORRUGATED SUPPLIES COMPANY, LLC
Employer identification number (EIN):364300300
NAIC Classification:322200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-08-01MICHAEL RUBINSTEIN2024-02-02
5012021-08-01MICHAEL RUBINSTEIN2023-03-21
5012019-08-01MICHAEL RUBINSTEIN2023-03-21
5012018-08-01MICHAEL RUBINSTEIN2023-03-21
5012017-08-01MICHAEL RUBINSTEIN2023-03-21
5012016-08-01MICHAEL RUBINSTEIN2023-03-21
5012015-08-01MICHAEL RUBINSTEIN2023-03-21
5012014-08-01MICHAEL RUBINSTEIN2023-03-21
5012013-08-01MICHAEL RUBINSTEIN2023-03-21
5012012-08-01MICHAEL RUBINSTEIN2023-03-21
5012011-08-01MICHAEL RUBINSTEIN2023-03-21
5012010-08-01MICHAEL RUBINSTEIN2023-03-21
5012009-08-01MICHAEL RUBINSTEIN2023-03-21

Plan Statistics for CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN

401k plan membership statisitcs for CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN

Measure Date Value
2022: CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-08-01355
Total number of active participants reported on line 7a of the Form 55002022-08-01377
Number of retired or separated participants receiving benefits2022-08-010
Number of other retired or separated participants entitled to future benefits2022-08-010
Total of all active and inactive participants2022-08-01377
Number of employers contributing to the scheme2022-08-010
2021: CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-08-01317
Total number of active participants reported on line 7a of the Form 55002021-08-01355
Number of retired or separated participants receiving benefits2021-08-010
Number of other retired or separated participants entitled to future benefits2021-08-010
Total of all active and inactive participants2021-08-01355
Number of employers contributing to the scheme2021-08-010
2019: CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-08-01206
Total number of active participants reported on line 7a of the Form 55002019-08-01239
Number of retired or separated participants receiving benefits2019-08-010
Number of other retired or separated participants entitled to future benefits2019-08-010
Total of all active and inactive participants2019-08-01239
Number of employers contributing to the scheme2019-08-010
2018: CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-08-01201
Total number of active participants reported on line 7a of the Form 55002018-08-01206
Number of retired or separated participants receiving benefits2018-08-010
Number of other retired or separated participants entitled to future benefits2018-08-010
Total of all active and inactive participants2018-08-01206
Number of employers contributing to the scheme2018-08-010
2017: CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-08-01201
Total number of active participants reported on line 7a of the Form 55002017-08-01201
Number of retired or separated participants receiving benefits2017-08-010
Number of other retired or separated participants entitled to future benefits2017-08-010
Total of all active and inactive participants2017-08-01201
Number of employers contributing to the scheme2017-08-010
2016: CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-08-01204
Total number of active participants reported on line 7a of the Form 55002016-08-01201
Number of retired or separated participants receiving benefits2016-08-010
Number of other retired or separated participants entitled to future benefits2016-08-010
Total of all active and inactive participants2016-08-01201
Number of employers contributing to the scheme2016-08-010
2015: CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-08-01220
Total number of active participants reported on line 7a of the Form 55002015-08-01204
Number of retired or separated participants receiving benefits2015-08-010
Number of other retired or separated participants entitled to future benefits2015-08-010
Total of all active and inactive participants2015-08-01204
Number of employers contributing to the scheme2015-08-010
2014: CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-08-01200
Total number of active participants reported on line 7a of the Form 55002014-08-01220
Number of retired or separated participants receiving benefits2014-08-010
Number of other retired or separated participants entitled to future benefits2014-08-010
Total of all active and inactive participants2014-08-01220
Number of employers contributing to the scheme2014-08-010
2013: CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-08-01195
Total number of active participants reported on line 7a of the Form 55002013-08-01200
Number of retired or separated participants receiving benefits2013-08-010
Number of other retired or separated participants entitled to future benefits2013-08-010
Total of all active and inactive participants2013-08-01200
Number of employers contributing to the scheme2013-08-010
2012: CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-08-01170
Total number of active participants reported on line 7a of the Form 55002012-08-01195
Number of retired or separated participants receiving benefits2012-08-010
Number of other retired or separated participants entitled to future benefits2012-08-010
Total of all active and inactive participants2012-08-01195
Number of employers contributing to the scheme2012-08-010
2011: CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-08-01170
Total number of active participants reported on line 7a of the Form 55002011-08-01170
Number of retired or separated participants receiving benefits2011-08-010
Number of other retired or separated participants entitled to future benefits2011-08-010
Total of all active and inactive participants2011-08-01170
Number of employers contributing to the scheme2011-08-010
2010: CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-08-01158
Total number of active participants reported on line 7a of the Form 55002010-08-01170
Number of retired or separated participants receiving benefits2010-08-010
Number of other retired or separated participants entitled to future benefits2010-08-010
Total of all active and inactive participants2010-08-01170
Number of employers contributing to the scheme2010-08-010
2009: CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-08-01100
Total number of active participants reported on line 7a of the Form 55002009-08-01158
Number of retired or separated participants receiving benefits2009-08-010
Number of other retired or separated participants entitled to future benefits2009-08-010
Total of all active and inactive participants2009-08-01158
Number of employers contributing to the scheme2009-08-010

Form 5500 Responses for CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN

2022: CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN 2022 form 5500 responses
2022-08-01Type of plan entitySingle employer plan
2022-08-01Plan funding arrangement – InsuranceYes
2022-08-01Plan benefit arrangement – InsuranceYes
2021: CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN 2021 form 5500 responses
2021-08-01Type of plan entitySingle employer plan
2021-08-01Plan funding arrangement – InsuranceYes
2021-08-01Plan benefit arrangement – InsuranceYes
2019: CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN 2019 form 5500 responses
2019-08-01Type of plan entitySingle employer plan
2019-08-01Plan funding arrangement – InsuranceYes
2019-08-01Plan benefit arrangement – InsuranceYes
2018: CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN 2018 form 5500 responses
2018-08-01Type of plan entitySingle employer plan
2018-08-01Plan funding arrangement – InsuranceYes
2018-08-01Plan benefit arrangement – InsuranceYes
2017: CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – InsuranceYes
2016: CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – InsuranceYes
2015: CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – InsuranceYes
2014: CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN 2014 form 5500 responses
2014-08-01Type of plan entitySingle employer plan
2014-08-01Plan funding arrangement – InsuranceYes
2014-08-01Plan benefit arrangement – InsuranceYes
2013: CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN 2013 form 5500 responses
2013-08-01Type of plan entitySingle employer plan
2013-08-01Plan funding arrangement – InsuranceYes
2013-08-01Plan benefit arrangement – InsuranceYes
2012: CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN 2012 form 5500 responses
2012-08-01Type of plan entitySingle employer plan
2012-08-01Plan funding arrangement – InsuranceYes
2012-08-01Plan benefit arrangement – InsuranceYes
2011: CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN 2011 form 5500 responses
2011-08-01Type of plan entitySingle employer plan
2011-08-01Plan funding arrangement – InsuranceYes
2011-08-01Plan benefit arrangement – InsuranceYes
2010: CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN 2010 form 5500 responses
2010-08-01Type of plan entitySingle employer plan
2010-08-01Plan funding arrangement – InsuranceYes
2010-08-01Plan benefit arrangement – InsuranceYes
2009: CORRUGATED SUPPLIES COMPANY MEDICAL BENEFIT PLAN 2009 form 5500 responses
2009-08-01Type of plan entitySingle employer plan
2009-08-01Plan funding arrangement – InsuranceYes
2009-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number50977
Policy instance 1
Insurance contract or identification number50977
Number of Individuals Covered886
Insurance policy start date2022-08-01
Insurance policy end date2023-07-31
Total amount of commissions paid to insurance brokerUSD $187,499
Total amount of fees paid to insurance companyUSD $2,870
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,884,067
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $187,499
Amount paid for insurance broker fees2870
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number050977
Policy instance 1
Insurance contract or identification number050977
Number of Individuals Covered835
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $216,834
Total amount of fees paid to insurance companyUSD $2,750
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,509,864
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $216,834
Amount paid for insurance broker fees2750
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberB50977
Policy instance 1
Insurance contract or identification numberB50977
Number of Individuals Covered561
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $122,186
Total amount of fees paid to insurance companyUSD $3,900
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,482,572
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $122,186
Amount paid for insurance broker fees3900
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberB50977
Policy instance 1
Insurance contract or identification numberB50977
Number of Individuals Covered485
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $102,412
Total amount of fees paid to insurance companyUSD $2,295
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,689,202
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $102,412
Amount paid for insurance broker fees2295
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberB50977
Policy instance 1
Insurance contract or identification numberB50977
Number of Individuals Covered472
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $96,190
Total amount of fees paid to insurance companyUSD $3,900
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,532,226
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $96,190
Amount paid for insurance broker fees3900
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberB50977
Policy instance 1
Insurance contract or identification numberB50977
Number of Individuals Covered472
Insurance policy start date2016-08-01
Insurance policy end date2017-07-31
Total amount of commissions paid to insurance brokerUSD $98,276
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,474,838
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $98,276
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberB50977
Policy instance 1
Insurance contract or identification numberB50977
Number of Individuals Covered480
Insurance policy start date2015-08-01
Insurance policy end date2016-07-31
Total amount of commissions paid to insurance brokerUSD $99,492
Total amount of fees paid to insurance companyUSD $4,000
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,882,877
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $99,492
Amount paid for insurance broker fees4000
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberB50977
Policy instance 1
Insurance contract or identification numberB50977
Number of Individuals Covered516
Insurance policy start date2014-08-01
Insurance policy end date2015-07-31
Total amount of commissions paid to insurance brokerUSD $95,277
Total amount of fees paid to insurance companyUSD $3,120
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,372,926
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $95,277
Amount paid for insurance broker fees3120
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberB50977
Policy instance 1
Insurance contract or identification numberB50977
Number of Individuals Covered469
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
Total amount of commissions paid to insurance brokerUSD $75,630
Total amount of fees paid to insurance companyUSD $3,400
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,160,590
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $75,630
Amount paid for insurance broker fees3400
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberB50977
Policy instance 1
Insurance contract or identification numberB50977
Number of Individuals Covered195
Insurance policy start date2012-08-01
Insurance policy end date2013-07-31
Total amount of commissions paid to insurance brokerUSD $72,047
Total amount of fees paid to insurance companyUSD $1,295
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,854,349
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $72,047
Amount paid for insurance broker fees1295
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberB50977
Policy instance 1
Insurance contract or identification numberB50977
Number of Individuals Covered170
Insurance policy start date2011-08-01
Insurance policy end date2012-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberB50977
Policy instance 1
Insurance contract or identification numberB50977
Number of Individuals Covered400
Insurance policy start date2010-08-01
Insurance policy end date2011-07-31
Total amount of commissions paid to insurance brokerUSD $66,166
Total amount of fees paid to insurance companyUSD $938
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,699,246
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $66,166
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberB50977
Policy instance 1
Insurance contract or identification numberB50977
Number of Individuals Covered371
Insurance policy start date2009-08-01
Insurance policy end date2010-07-31
Total amount of commissions paid to insurance brokerUSD $57,586
Total amount of fees paid to insurance companyUSD $988
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,455,033
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $34,471
Amount paid for insurance broker fees988
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3

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