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RSB TRANSMISSIONS NA, INC. HEALTH BENEFITS PLAN 401k Plan overview

Plan NameRSB TRANSMISSIONS NA, INC. HEALTH BENEFITS PLAN
Plan identification number 501

RSB TRANSMISSIONS NA, INC. HEALTH BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • 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.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

RSB TRANSMISSIONS NA, INC. has sponsored the creation of one or more 401k plans.

Company Name:RSB TRANSMISSIONS NA, INC.
Employer identification number (EIN):382976190
NAIC Classification:333510

Additional information about RSB TRANSMISSIONS NA, INC.

Jurisdiction of Incorporation: Michigan Secretary of State
Incorporation Date: 0000-00-00
Company Identification Number: 517015
Legal Registered Office Address: M-60 WEST HOMER 49245


United States of America (USA)
24425

More information about RSB TRANSMISSIONS NA, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RSB TRANSMISSIONS NA, INC. HEALTH BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-07-01PAUL METZGAR
5012014-07-01PAUL METZGAR
5012013-07-01MICHAEL CUNNINGHAM
5012012-07-01MICHAEL CUNNINGHAM
5012011-07-01MICHAEL CUNNINGHAM
5012008-07-01

Plan Statistics for RSB TRANSMISSIONS NA, INC. HEALTH BENEFITS PLAN

401k plan membership statisitcs for RSB TRANSMISSIONS NA, INC. HEALTH BENEFITS PLAN

Measure Date Value
2015: RSB TRANSMISSIONS NA, INC. HEALTH BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01120
Total number of active participants reported on line 7a of the Form 55002015-07-0161
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-010
Total of all active and inactive participants2015-07-0161
2014: RSB TRANSMISSIONS NA, INC. HEALTH BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01138
Total number of active participants reported on line 7a of the Form 55002014-07-01120
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-010
Total of all active and inactive participants2014-07-01120
2013: RSB TRANSMISSIONS NA, INC. HEALTH BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01132
Total number of active participants reported on line 7a of the Form 55002013-07-01138
Number of retired or separated participants receiving benefits2013-07-011
Total of all active and inactive participants2013-07-01139
2012: RSB TRANSMISSIONS NA, INC. HEALTH BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01141
Total number of active participants reported on line 7a of the Form 55002012-07-01132
Number of retired or separated participants receiving benefits2012-07-011
Total of all active and inactive participants2012-07-01133
2011: RSB TRANSMISSIONS NA, INC. HEALTH BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01129
Total number of active participants reported on line 7a of the Form 55002011-07-01141
Number of retired or separated participants receiving benefits2011-07-011
Total of all active and inactive participants2011-07-01142

Form 5500 Responses for RSB TRANSMISSIONS NA, INC. HEALTH BENEFITS PLAN

2015: RSB TRANSMISSIONS NA, INC. HEALTH BENEFITS PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – General assets of the sponsorYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: RSB TRANSMISSIONS NA, INC. HEALTH BENEFITS PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – General assets of the sponsorYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: RSB TRANSMISSIONS NA, INC. HEALTH BENEFITS PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – General assets of the sponsorYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: RSB TRANSMISSIONS NA, INC. HEALTH BENEFITS PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – General assets of the sponsorYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: RSB TRANSMISSIONS NA, INC. HEALTH BENEFITS PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2008: RSB TRANSMISSIONS NA, INC. HEALTH BENEFITS PLAN 2008 form 5500 responses
2008-07-01Type of plan entitySingle employer plan
2008-07-01Submission has been amendedNo
2008-07-01This submission is the final filingNo
2008-07-01This return/report is a short plan year return/report (less than 12 months)No
2008-07-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number52774
Policy instance 1
Insurance contract or identification number52774
Number of Individuals Covered255
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $31,027
Total amount of fees paid to insurance companyUSD $2,956
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 $31,027
Amount paid for insurance broker fees2956
Additional information about fees paid to insurance brokerFEES AND OTHER COMMISSIONS
Insurance broker organization code?3
Insurance broker nameRICHARD M. CRAFT
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number52774
Policy instance 1
Insurance contract or identification number52774
Number of Individuals Covered291
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $33,005
Total amount of fees paid to insurance companyUSD $2,691
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 $33,005
Amount paid for insurance broker fees2691
Additional information about fees paid to insurance brokerFEES AND OTHER COMMISSIONS
Insurance broker organization code?3
Insurance broker nameRICHARD M. CRAFT
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number52774
Policy instance 1
Insurance contract or identification number52774
Number of Individuals Covered311
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $40,829
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 $40,829
Insurance broker organization code?3
Insurance broker nameRICHARD M. CRAFT
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0742116
Policy instance 1
Insurance contract or identification number0742116
Number of Individuals Covered326
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $42,173
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $958,639
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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