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GT SALES & MANUFACTURING, INC. DBA GT MIDWEST MEDICAL BENEFIT PLAN 401k Plan overview

Plan NameGT SALES & MANUFACTURING, INC. DBA GT MIDWEST MEDICAL BENEFIT PLAN
Plan identification number 503

GT SALES & MANUFACTURING, INC. DBA GT MIDWEST MEDICAL BENEFIT PLAN Benefits

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

401k Sponsoring company profile

GT SALES & MANUFACTURING, INC. has sponsored the creation of one or more 401k plans.

Company Name:GT SALES & MANUFACTURING, INC.
Employer identification number (EIN):480636242
NAIC Classification:423800

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GT SALES & MANUFACTURING, INC. DBA GT MIDWEST MEDICAL BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032014-06-01M. MATTHEW ONOFRIO AMBER CHATWELL2015-12-31
5032013-06-01M. MATTHEW ONOFRIO
5032012-06-01M. MATTHEW ONOFRIO
5032011-06-01M. MATTHEW ONOFRIO
5032009-06-01MATT ONOFRIO

Plan Statistics for GT SALES & MANUFACTURING, INC. DBA GT MIDWEST MEDICAL BENEFIT PLAN

401k plan membership statisitcs for GT SALES & MANUFACTURING, INC. DBA GT MIDWEST MEDICAL BENEFIT PLAN

Measure Date Value
2014: GT SALES & MANUFACTURING, INC. DBA GT MIDWEST MEDICAL BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-06-01100
Total number of active participants reported on line 7a of the Form 55002014-06-010
Total of all active and inactive participants2014-06-010
2013: GT SALES & MANUFACTURING, INC. DBA GT MIDWEST MEDICAL BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-06-01207
Total number of active participants reported on line 7a of the Form 55002013-06-01100
Total of all active and inactive participants2013-06-01100
2012: GT SALES & MANUFACTURING, INC. DBA GT MIDWEST MEDICAL BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-06-01227
Total number of active participants reported on line 7a of the Form 55002012-06-01207
Total of all active and inactive participants2012-06-01207
2011: GT SALES & MANUFACTURING, INC. DBA GT MIDWEST MEDICAL BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-06-01208
Total number of active participants reported on line 7a of the Form 55002011-06-01227
Total of all active and inactive participants2011-06-01227
2009: GT SALES & MANUFACTURING, INC. DBA GT MIDWEST MEDICAL BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-06-01213
Total number of active participants reported on line 7a of the Form 55002009-06-01202
Total of all active and inactive participants2009-06-01202

Form 5500 Responses for GT SALES & MANUFACTURING, INC. DBA GT MIDWEST MEDICAL BENEFIT PLAN

2014: GT SALES & MANUFACTURING, INC. DBA GT MIDWEST MEDICAL BENEFIT PLAN 2014 form 5500 responses
2014-06-01Type of plan entitySingle employer plan
2014-06-01This submission is the final filingYes
2014-06-01Plan funding arrangement – InsuranceYes
2014-06-01Plan benefit arrangement – InsuranceYes
2013: GT SALES & MANUFACTURING, INC. DBA GT MIDWEST MEDICAL BENEFIT PLAN 2013 form 5500 responses
2013-06-01Type of plan entitySingle employer plan
2013-06-01Plan funding arrangement – InsuranceYes
2013-06-01Plan benefit arrangement – InsuranceYes
2012: GT SALES & MANUFACTURING, INC. DBA GT MIDWEST MEDICAL BENEFIT PLAN 2012 form 5500 responses
2012-06-01Type of plan entitySingle employer plan
2012-06-01Plan funding arrangement – InsuranceYes
2012-06-01Plan benefit arrangement – InsuranceYes
2011: GT SALES & MANUFACTURING, INC. DBA GT MIDWEST MEDICAL BENEFIT PLAN 2011 form 5500 responses
2011-06-01Type of plan entitySingle employer plan
2011-06-01Plan funding arrangement – InsuranceYes
2011-06-01Plan benefit arrangement – InsuranceYes
2009: GT SALES & MANUFACTURING, INC. DBA GT MIDWEST MEDICAL BENEFIT PLAN 2009 form 5500 responses
2009-06-01Type of plan entitySingle employer plan
2009-06-01This submission is the final filingNo
2009-06-01Plan funding arrangement – InsuranceYes
2009-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 )
Policy contract number02305-000-00001
Policy instance 1
Insurance contract or identification number02305-000-00001
Number of Individuals Covered102
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Total amount of commissions paid to insurance brokerUSD $1,538
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $61,873
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,538
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameRIDGE CONSULTING GROUP INC
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number09410
Policy instance 2
Insurance contract or identification number09410
Number of Individuals Covered209
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Total amount of commissions paid to insurance brokerUSD $14,077
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $757,796
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,077
Insurance broker organization code?3
Insurance broker nameROBERT LANGHOFER-HARRINGTON HEALTH
DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 )
Policy contract number02305-000-00001
Policy instance 1
Insurance contract or identification number02305-000-00001
Number of Individuals Covered99
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
Total amount of commissions paid to insurance brokerUSD $1,416
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $57,201
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,416
Insurance broker organization code?3
Insurance broker nameRIDGE CONSULTING GROUP INC
COVENTRY HEALTH CARE OF KANSAS, INC. (National Association of Insurance Commissioners NAIC id number: 95489 )
Policy contract number3402220000
Policy instance 2
Insurance contract or identification number3402220000
Number of Individuals Covered100
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
Total amount of commissions paid to insurance brokerUSD $7,299
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $456,209
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,299
Insurance broker organization code?3
Insurance broker nameRIDGE CONSULTING GROUP INC
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number09128
Policy instance 1
Insurance contract or identification number09128
Number of Individuals Covered207
Insurance policy start date2012-06-01
Insurance policy end date2013-05-31
Total amount of commissions paid to insurance brokerUSD $13,203
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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 $13,203
Insurance broker organization code?3
Insurance broker nameHARRINGTON HEALTH
DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 )
Policy contract number02305-000-00001
Policy instance 2
Insurance contract or identification number02305-000-00001
Number of Individuals Covered101
Insurance policy start date2012-06-01
Insurance policy end date2013-05-31
Total amount of commissions paid to insurance brokerUSD $1,480
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $57,181
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,233
Insurance broker organization code?3
Insurance broker nameRIDGE CONSULTING GROUP INC
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number02324
Policy instance 3
Insurance contract or identification number02324
Number of Individuals Covered73
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $2,769
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,801
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 )
Policy contract number02305-000-00001
Policy instance 2
Insurance contract or identification number02305-000-00001
Number of Individuals Covered104
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $1,447
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $54,560
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number09128
Policy instance 1
Insurance contract or identification number09128
Number of Individuals Covered227
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $12,480
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract numberA4460
Policy instance 4
Insurance contract or identification numberA4460
Number of Individuals Covered1
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $146
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $857
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract numberA4460
Policy instance 4
Insurance contract or identification numberA4460
Number of Individuals Covered1
Insurance policy start date2010-06-01
Insurance policy end date2011-05-31
Total amount of commissions paid to insurance brokerUSD $146
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $857
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $146
Insurance broker organization code?3
Insurance broker nameHARRINGTON BENEFIT SERVICES
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number02324
Policy instance 3
Insurance contract or identification number02324
Number of Individuals Covered76
Insurance policy start date2010-06-01
Insurance policy end date2011-05-31
Total amount of commissions paid to insurance brokerUSD $2,948
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $25,382
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,948
Insurance broker organization code?3
Insurance broker nameHARRINGTON BENEFIT SERVICES
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number09128
Policy instance 1
Insurance contract or identification number09128
Number of Individuals Covered208
Insurance policy start date2010-06-01
Insurance policy end date2011-05-31
Total amount of commissions paid to insurance brokerUSD $11,486
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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 $11,486
Insurance broker organization code?3
Insurance broker nameHARRINGTON HEALTH
DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 )
Policy contract number02305-000-00001
Policy instance 2
Insurance contract or identification number02305-000-00001
Number of Individuals Covered99
Insurance policy start date2010-06-01
Insurance policy end date2011-05-31
Total amount of commissions paid to insurance brokerUSD $1,570
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $47,016
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,570
Insurance broker organization code?3
Insurance broker nameHARRINGTON BENEFIT SERVICES

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