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AMERITI MANUFACTURING COMPANY SPD WRAP FKA GLOBAL TITANIUM, INC. WELFARE BENEFIT PLAN 401k Plan overview

Plan NameAMERITI MANUFACTURING COMPANY SPD WRAP FKA GLOBAL TITANIUM, INC. WELFARE BENEFIT PLAN
Plan identification number 510

AMERITI MANUFACTURING COMPANY SPD WRAP FKA GLOBAL TITANIUM, INC. WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

AMERITI MANUFACTURING COMPANY has sponsored the creation of one or more 401k plans.

Company Name:AMERITI MANUFACTURING COMPANY
Employer identification number (EIN):382513566
NAIC Classification:339900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERITI MANUFACTURING COMPANY SPD WRAP FKA GLOBAL TITANIUM, INC. WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5102021-01-01ROBERT VROOMAN2022-09-26

Plan Statistics for AMERITI MANUFACTURING COMPANY SPD WRAP FKA GLOBAL TITANIUM, INC. WELFARE BENEFIT PLAN

401k plan membership statisitcs for AMERITI MANUFACTURING COMPANY SPD WRAP FKA GLOBAL TITANIUM, INC. WELFARE BENEFIT PLAN

Measure Date Value
2021: AMERITI MANUFACTURING COMPANY SPD WRAP FKA GLOBAL TITANIUM, INC. WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01109
Total number of active participants reported on line 7a of the Form 55002021-01-01115
Total of all active and inactive participants2021-01-01115

Form 5500 Responses for AMERITI MANUFACTURING COMPANY SPD WRAP FKA GLOBAL TITANIUM, INC. WELFARE BENEFIT PLAN

2021: AMERITI MANUFACTURING COMPANY SPD WRAP FKA GLOBAL TITANIUM, INC. WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number135382
Policy instance 1
Insurance contract or identification number135382
Number of Individuals Covered83
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $12,872
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?No
Commission paid to Insurance BrokerUSD $12,872
Insurance broker organization code?3
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number135382
Policy instance 2
Insurance contract or identification number135382
Number of Individuals Covered208
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $24,161
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?No
Commission paid to Insurance BrokerUSD $24,161
Insurance broker organization code?3
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number0002966
Policy instance 3
Insurance contract or identification number0002966
Number of Individuals Covered297
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $4,544
Total amount of fees paid to insurance companyUSD $0
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 $4,544
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1132915
Policy instance 4
Insurance contract or identification number1132915
Number of Individuals Covered123
Insurance policy start date2021-01-01
Insurance policy end date2022-01-01
Total amount of commissions paid to insurance brokerUSD $12,929
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $86,235
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,929
Insurance broker organization code?3

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