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MIDSTATES PRINTING, INC. VISION PLAN 401k Plan overview

Plan NameMIDSTATES PRINTING, INC. VISION PLAN
Plan identification number 502

MIDSTATES PRINTING, INC. VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Vision
  • 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.

401k Sponsoring company profile

MIDSTATES, INC. PRINT & MEDIA SOLUTIONS HEALTHCARE PLAN has sponsored the creation of one or more 401k plans.

Company Name:MIDSTATES, INC. PRINT & MEDIA SOLUTIONS HEALTHCARE PLAN
Employer identification number (EIN):460392061
NAIC Classification:323100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MIDSTATES PRINTING, INC. VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01
5022021-01-01
5022020-01-01
5022019-01-01
5022018-10-01
5022017-10-01DAVE BURGARD
5022016-10-01DAVE BURGARD
5022015-10-01DAVE BURGARD
5022014-10-01DAVE BURGARD
5022013-10-01DAVE BURGARD
5022012-10-01DAVE BURGARD
5022011-10-01DAVE BURGARD
5022009-10-01DAVE BURGARD

Plan Statistics for MIDSTATES PRINTING, INC. VISION PLAN

401k plan membership statisitcs for MIDSTATES PRINTING, INC. VISION PLAN

Measure Date Value
2022: MIDSTATES PRINTING, INC. VISION PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01126
Total number of active participants reported on line 7a of the Form 55002022-01-01138
Total of all active and inactive participants2022-01-01138
2021: MIDSTATES PRINTING, INC. VISION PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01126
Total number of active participants reported on line 7a of the Form 55002021-01-01126
Total of all active and inactive participants2021-01-01126
2020: MIDSTATES PRINTING, INC. VISION PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01133
Total number of active participants reported on line 7a of the Form 55002020-01-01126
Total of all active and inactive participants2020-01-01126
2019: MIDSTATES PRINTING, INC. VISION PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01149
Total number of active participants reported on line 7a of the Form 55002019-01-01133
Total of all active and inactive participants2019-01-01133
2018: MIDSTATES PRINTING, INC. VISION PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01149
Total number of active participants reported on line 7a of the Form 55002018-10-01149
Total of all active and inactive participants2018-10-01149
2017: MIDSTATES PRINTING, INC. VISION PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01156
Total number of active participants reported on line 7a of the Form 55002017-10-01149
Total of all active and inactive participants2017-10-01149
2016: MIDSTATES PRINTING, INC. VISION PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-01171
Total number of active participants reported on line 7a of the Form 55002016-10-01156
Total of all active and inactive participants2016-10-01156
2015: MIDSTATES PRINTING, INC. VISION PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-01176
Total number of active participants reported on line 7a of the Form 55002015-10-010
Total of all active and inactive participants2015-10-010
2014: MIDSTATES PRINTING, INC. VISION PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-01177
Total number of active participants reported on line 7a of the Form 55002014-10-010
Total of all active and inactive participants2014-10-010
2013: MIDSTATES PRINTING, INC. VISION PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-01164
Total number of active participants reported on line 7a of the Form 55002013-10-01177
Number of retired or separated participants receiving benefits2013-10-010
Number of other retired or separated participants entitled to future benefits2013-10-010
Total of all active and inactive participants2013-10-01177
2012: MIDSTATES PRINTING, INC. VISION PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-01126
Total number of active participants reported on line 7a of the Form 55002012-10-01164
Number of retired or separated participants receiving benefits2012-10-010
Number of other retired or separated participants entitled to future benefits2012-10-010
Total of all active and inactive participants2012-10-01164
2011: MIDSTATES PRINTING, INC. VISION PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-0196
Total number of active participants reported on line 7a of the Form 55002011-10-01126
Number of retired or separated participants receiving benefits2011-10-010
Number of other retired or separated participants entitled to future benefits2011-10-010
Total of all active and inactive participants2011-10-01126
2009: MIDSTATES PRINTING, INC. VISION PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-01101
Total number of active participants reported on line 7a of the Form 55002009-10-0198
Total of all active and inactive participants2009-10-0198

Form 5500 Responses for MIDSTATES PRINTING, INC. VISION PLAN

2022: MIDSTATES PRINTING, INC. VISION PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: MIDSTATES PRINTING, INC. VISION 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
2020: MIDSTATES PRINTING, INC. VISION PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: MIDSTATES PRINTING, INC. VISION PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: MIDSTATES PRINTING, INC. VISION PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – InsuranceYes
2017: MIDSTATES PRINTING, INC. VISION PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – InsuranceYes
2016: MIDSTATES PRINTING, INC. VISION PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – InsuranceYes
2015: MIDSTATES PRINTING, INC. VISION PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – InsuranceYes
2014: MIDSTATES PRINTING, INC. VISION PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – InsuranceYes
2013: MIDSTATES PRINTING, INC. VISION PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan benefit arrangement – InsuranceYes
2012: MIDSTATES PRINTING, INC. VISION PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan benefit arrangement – InsuranceYes
2011: MIDSTATES PRINTING, INC. VISION PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan benefit arrangement – InsuranceYes
2009: MIDSTATES PRINTING, INC. VISION PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01This submission is the final filingNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number60790-2048
Policy instance 1
Insurance contract or identification number60790-2048
Number of Individuals Covered275
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $6,962
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $33,149
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,647
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number60790-2048
Policy instance 1
Insurance contract or identification number60790-2048
Number of Individuals Covered245
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $6,777
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $32,276
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,550
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number60790-2048
Policy instance 1
Insurance contract or identification number60790-2048
Number of Individuals Covered270
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $6,510
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $31,001
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,410
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number60790-2048
Policy instance 1
Insurance contract or identification number60790-2048
Number of Individuals Covered291
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $7,199
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $34,279
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,771
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30000942
Policy instance 1
Insurance contract or identification number30000942
Number of Individuals Covered0
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $619
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,378
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $619
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30000942
Policy instance 1
Insurance contract or identification number30000942
Number of Individuals Covered149
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $1,422
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $30,701
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,422
Insurance broker organization code?3
Insurance broker nameFREIMARK & ASSOCIATES

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