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GRAY MANUFACTURING COMPANY, INC. HEALTH & DENTAL PLAN 401k Plan overview

Plan NameGRAY MANUFACTURING COMPANY, INC. HEALTH & DENTAL PLAN
Plan identification number 503

GRAY MANUFACTURING COMPANY, INC. HEALTH & DENTAL PLAN Benefits

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

401k Sponsoring company profile

GRAY MANUFACTURING COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name:GRAY MANUFACTURING COMPANY, INC.
Employer identification number (EIN):431293208
NAIC Classification:333310

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GRAY MANUFACTURING COMPANY, INC. HEALTH & DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032022-01-01
5032021-01-01
5032020-05-01
5032019-05-01
5032018-05-01
5032017-05-01SALLY SANDERS
5032016-05-01JEANINE RIDDLE

Plan Statistics for GRAY MANUFACTURING COMPANY, INC. HEALTH & DENTAL PLAN

401k plan membership statisitcs for GRAY MANUFACTURING COMPANY, INC. HEALTH & DENTAL PLAN

Measure Date Value
2022: GRAY MANUFACTURING COMPANY, INC. HEALTH & DENTAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01171
Total number of active participants reported on line 7a of the Form 55002022-01-01201
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 participants2022-01-01201
2021: GRAY MANUFACTURING COMPANY, INC. HEALTH & DENTAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01157
Total number of active participants reported on line 7a of the Form 55002021-01-01171
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 participants2021-01-01171
2020: GRAY MANUFACTURING COMPANY, INC. HEALTH & DENTAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-05-01153
Total number of active participants reported on line 7a of the Form 55002020-05-01157
Number of retired or separated participants receiving benefits2020-05-010
Number of other retired or separated participants entitled to future benefits2020-05-010
Total of all active and inactive participants2020-05-01157
2019: GRAY MANUFACTURING COMPANY, INC. HEALTH & DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-05-01145
Total number of active participants reported on line 7a of the Form 55002019-05-01153
Number of retired or separated participants receiving benefits2019-05-010
Number of other retired or separated participants entitled to future benefits2019-05-010
Total of all active and inactive participants2019-05-01153
2018: GRAY MANUFACTURING COMPANY, INC. HEALTH & DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-05-01141
Total number of active participants reported on line 7a of the Form 55002018-05-01145
Number of retired or separated participants receiving benefits2018-05-010
Number of other retired or separated participants entitled to future benefits2018-05-010
Total of all active and inactive participants2018-05-01145
2017: GRAY MANUFACTURING COMPANY, INC. HEALTH & DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-05-01130
Total number of active participants reported on line 7a of the Form 55002017-05-01141
Number of retired or separated participants receiving benefits2017-05-010
Number of other retired or separated participants entitled to future benefits2017-05-010
Total of all active and inactive participants2017-05-01141
2016: GRAY MANUFACTURING COMPANY, INC. HEALTH & DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-05-01124
Total number of active participants reported on line 7a of the Form 55002016-05-01130
Number of retired or separated participants receiving benefits2016-05-010
Number of other retired or separated participants entitled to future benefits2016-05-010
Total of all active and inactive participants2016-05-01130

Form 5500 Responses for GRAY MANUFACTURING COMPANY, INC. HEALTH & DENTAL PLAN

2022: GRAY MANUFACTURING COMPANY, INC. HEALTH & DENTAL 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: GRAY MANUFACTURING COMPANY, INC. HEALTH & DENTAL 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: GRAY MANUFACTURING COMPANY, INC. HEALTH & DENTAL PLAN 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01This return/report is a short plan year return/report (less than 12 months)Yes
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan funding arrangement – General assets of the sponsorYes
2020-05-01Plan benefit arrangement – InsuranceYes
2020-05-01Plan benefit arrangement – General assets of the sponsorYes
2019: GRAY MANUFACTURING COMPANY, INC. HEALTH & DENTAL PLAN 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan funding arrangement – General assets of the sponsorYes
2019-05-01Plan benefit arrangement – InsuranceYes
2019-05-01Plan benefit arrangement – General assets of the sponsorYes
2018: GRAY MANUFACTURING COMPANY, INC. HEALTH & DENTAL PLAN 2018 form 5500 responses
2018-05-01Type of plan entitySingle employer plan
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan funding arrangement – General assets of the sponsorYes
2018-05-01Plan benefit arrangement – InsuranceYes
2018-05-01Plan benefit arrangement – General assets of the sponsorYes
2017: GRAY MANUFACTURING COMPANY, INC. HEALTH & DENTAL PLAN 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan funding arrangement – General assets of the sponsorYes
2017-05-01Plan benefit arrangement – InsuranceYes
2017-05-01Plan benefit arrangement – General assets of the sponsorYes
2016: GRAY MANUFACTURING COMPANY, INC. HEALTH & DENTAL PLAN 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01First time form 5500 has been submittedYes
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan funding arrangement – General assets of the sponsorYes
2016-05-01Plan benefit arrangement – InsuranceYes
2016-05-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10170491001
Policy instance 2
Insurance contract or identification number10170491001
Number of Individuals Covered316
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,552
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 )
Policy contract number42937000
Policy instance 1
Insurance contract or identification number42937000
Number of Individuals Covered402
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $31,028
Total amount of fees paid to insurance companyUSD $23,573
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 $31,028
Amount paid for insurance broker fees23573
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICES
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10170491001
Policy instance 2
Insurance contract or identification number10170491001
Number of Individuals Covered274
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,763
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 )
Policy contract number42937000
Policy instance 1
Insurance contract or identification number42937000
Number of Individuals Covered366
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $28,355
Total amount of fees paid to insurance companyUSD $20,895
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 $28,355
Amount paid for insurance broker fees20895
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICES
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10170491001
Policy instance 2
Insurance contract or identification number10170491001
Number of Individuals Covered242
Insurance policy start date2020-05-01
Insurance policy end date2020-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,917
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 )
Policy contract number42937000
Policy instance 1
Insurance contract or identification number42937000
Number of Individuals Covered351
Insurance policy start date2020-05-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $18,253
Total amount of fees paid to insurance companyUSD $14,532
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 $18,253
Amount paid for insurance broker fees14532
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICES
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10170491001
Policy instance 2
Insurance contract or identification number10170491001
Number of Individuals Covered234
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,688
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 )
Policy contract number42937000
Policy instance 1
Insurance contract or identification number42937000
Number of Individuals Covered337
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $26,479
Total amount of fees paid to insurance companyUSD $19,245
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 $26,479
Amount paid for insurance broker fees19245
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICES
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10170491001
Policy instance 2
Insurance contract or identification number10170491001
Number of Individuals Covered194
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,708
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 )
Policy contract number42937000
Policy instance 1
Insurance contract or identification number42937000
Number of Individuals Covered318
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $26,790
Total amount of fees paid to insurance companyUSD $18,407
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 $26,790
Amount paid for insurance broker fees18407
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICES
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3339846
Policy instance 1
Insurance contract or identification number3339846
Number of Individuals Covered141
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $-40
Total amount of fees paid to insurance companyUSD $42,211
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,874,588
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $-40
Amount paid for insurance broker fees42211
Additional information about fees paid to insurance brokerBENEFIT ADVISOR PAYMENTS GENERAL AGENT PAYMENTS
Insurance broker organization code?3
Insurance broker nameHOLMES MURPHY

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