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DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN 401k Plan overview

Plan NameDOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN
Plan identification number 501

DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN Benefits

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

401k Sponsoring company profile

DOMESTIC LINEN SUPPLY & LAUNDRY CO has sponsored the creation of one or more 401k plans.

Company Name:DOMESTIC LINEN SUPPLY & LAUNDRY CO
Employer identification number (EIN):380492080
NAIC Classification:812330
NAIC Description: Linen and Uniform Supply

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01COREY STRAM2022-10-16
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01EVAN LACROSS
5012016-01-01GEORGE COLLET
5012015-01-01GEORGE COLLET
5012014-01-01GEORGE COLLET BRUCE COLTON
5012014-01-01GEORGE COLLET
5012013-01-01GEORGE COLLET BRUCE COLTON2014-10-15
5012012-01-01GEORGE COLLET BRUCE COLTON2013-10-12
5012011-01-01GEORGE COLLET BRUCE COLTON2012-10-15
5012009-01-01GEORGE COLLET BRUCE COLTON2010-10-15
5012009-01-01GEORGE COLLET BRUCE COLTON2010-10-15

Plan Statistics for DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN

401k plan membership statisitcs for DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN

Measure Date Value
2022: DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01393
Total number of active participants reported on line 7a of the Form 55002022-01-01402
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01402
2021: DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01432
Total number of active participants reported on line 7a of the Form 55002021-01-01393
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01393
2020: DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01457
Total number of active participants reported on line 7a of the Form 55002020-01-01432
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01432
2019: DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01472
Total number of active participants reported on line 7a of the Form 55002019-01-01457
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01457
2018: DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01475
Total number of active participants reported on line 7a of the Form 55002018-01-01472
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01472
2017: DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01506
Total number of active participants reported on line 7a of the Form 55002017-01-01475
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01475
2016: DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01524
Total number of active participants reported on line 7a of the Form 55002016-01-01506
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01506
2015: DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01520
Total number of active participants reported on line 7a of the Form 55002015-01-01524
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01524
2014: DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01495
Total number of active participants reported on line 7a of the Form 55002014-01-01520
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01520
2013: DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01514
Total number of active participants reported on line 7a of the Form 55002013-01-01495
Number of retired or separated participants receiving benefits2013-01-015
Total of all active and inactive participants2013-01-01500
2012: DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01502
Total number of active participants reported on line 7a of the Form 55002012-01-01514
Number of retired or separated participants receiving benefits2012-01-016
Total of all active and inactive participants2012-01-01520
2011: DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01477
Total number of active participants reported on line 7a of the Form 55002011-01-01502
Number of retired or separated participants receiving benefits2011-01-013
Total of all active and inactive participants2011-01-01505
2009: DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01497
Total number of active participants reported on line 7a of the Form 55002009-01-01494
Number of retired or separated participants receiving benefits2009-01-016
Total of all active and inactive participants2009-01-01500

Form 5500 Responses for DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN

2022: DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: DOMESTIC LINEN SUPPLY AND LAUNDRY COMPANY MEDICAL BENEFIT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
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

EMPLOYEE HEALTH INSURANCE MANAGEMENT (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number
Policy instance 2
Number of Individuals Covered422
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number132406
Policy instance 1
Insurance contract or identification number132406
Number of Individuals Covered680
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $4,430
Total amount of fees paid to insurance companyUSD $81,654
Health Insurance Welfare BenefitYes
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 $4,430
Amount paid for insurance broker fees76668
Additional information about fees paid to insurance brokerAMOUNT OF SALES & BASE COMMISSIONS AMOUNT OF AGENT FEE PAID
Insurance broker organization code?3
ENVISION PHARMACEUTICAL SERVICES, LLC (National Association of Insurance Commissioners NAIC id number: )
Policy contract number
Policy instance 2
Number of Individuals Covered754
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number132406
Policy instance 1
Insurance contract or identification number132406
Number of Individuals Covered717
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $4,398
Total amount of fees paid to insurance companyUSD $72,443
Health Insurance Welfare BenefitYes
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 $4,398
Amount paid for insurance broker fees70279
Additional information about fees paid to insurance brokerAMOUNT OF SALES & BASE COMMISSIONS AMOUNT OF AGENT FEE PAID
Insurance broker organization code?3
ENVISION PHARMACEUTICAL SERVICES, LLC (National Association of Insurance Commissioners NAIC id number: )
Policy contract number
Policy instance 2
Number of Individuals Covered848
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number132406
Policy instance 1
Insurance contract or identification number132406
Number of Individuals Covered432
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $4,134
Total amount of fees paid to insurance companyUSD $78,588
Health Insurance Welfare BenefitYes
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 $4,134
Amount paid for insurance broker fees76668
Additional information about fees paid to insurance brokerAMOUNT OF SALES & BASE COMMISSIONS AMOUNT OF AGENT FEE PAID
Insurance broker organization code?3
ENVISION PHARMACEUTICAL SERVICES, LLC (National Association of Insurance Commissioners NAIC id number: )
Policy contract number
Policy instance 2
Number of Individuals Covered876
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number64394
Policy instance 1
Insurance contract or identification number64394
Number of Individuals Covered457
Insurance policy start date2019-03-01
Insurance policy end date2020-02-28
Total amount of commissions paid to insurance brokerUSD $6,936
Total amount of fees paid to insurance companyUSD $76,668
Health Insurance Welfare BenefitYes
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 $2,832
Amount paid for insurance broker fees76668
Additional information about fees paid to insurance brokerAMOUNT OF SALES & BASE COMMISSIONS AMOUNT OF AGENT FEE PAID
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number64394
Policy instance 1
Insurance contract or identification number64394
Number of Individuals Covered934
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Total amount of commissions paid to insurance brokerUSD $1,655
Total amount of fees paid to insurance companyUSD $80,043
Health Insurance Welfare BenefitYes
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 $1,655
Amount paid for insurance broker fees76668
Additional information about fees paid to insurance brokerAMOUNT OF SALES & BASE COMMISSIONS AMOUNT OF AGENT FEE PAID
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number64394
Policy instance 1
Insurance contract or identification number64394
Number of Individuals Covered936
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $1,025
Total amount of fees paid to insurance companyUSD $86,410
Health Insurance Welfare BenefitYes
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 $1,025
Amount paid for insurance broker fees76668
Additional information about fees paid to insurance brokerAMOUNT OF SALES & BASE COMMISSIONS AMOUNT OF AGENT FEE PAID
Insurance broker organization code?3
Insurance broker nameLSG INSURANCE PARTNERS DBA

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