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SCA TISSUE MEDICAL PLAN 401k Plan overview

Plan NameSCA TISSUE MEDICAL PLAN
Plan identification number 501

SCA TISSUE MEDICAL PLAN Benefits

401k Plan Type
Plan Features/Benefits

    401k Sponsoring company profile

    SCA TISSUE NORTH AMERICA, LLC has sponsored the creation of one or more 401k plans.

    Company Name:SCA TISSUE NORTH AMERICA, LLC
    Employer identification number (EIN):582494137
    NAIC Classification:322100

    Additional information about SCA TISSUE NORTH AMERICA, LLC

    Jurisdiction of Incorporation: State of Delaware Division of Corporations
    Incorporation Date:
    Company Identification Number: 3090858

    More information about SCA TISSUE NORTH AMERICA, LLC

    Form 5500 Filing Information

    Submission information for form 5500 for 401k plan SCA TISSUE MEDICAL PLAN

    Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
    5012017-01-01
    5012016-01-01KATHY HAMMOND
    5012015-01-01KATHY HAMMOND
    5012014-01-01KATHY HAMMOND
    5012013-01-01KATHY HAMMOND
    5012012-01-01KATHY HAMMOND
    5012011-01-01KATHY HAMMOND
    5012009-01-01KATHY HAMMOND

    Plan Statistics for SCA TISSUE MEDICAL PLAN

    401k plan membership statisitcs for SCA TISSUE MEDICAL PLAN

    Measure Date Value
    2017: SCA TISSUE MEDICAL PLAN 2017 401k membership
    Total participants, beginning-of-year2017-01-01330
    Total number of active participants reported on line 7a of the Form 55002017-01-010
    Number of retired or separated participants receiving benefits2017-01-010
    Number of other retired or separated participants entitled to future benefits2017-01-010
    Total of all active and inactive participants2017-01-010
    2016: SCA TISSUE MEDICAL PLAN 2016 401k membership
    Total participants, beginning-of-year2016-01-01330
    Total number of active participants reported on line 7a of the Form 55002016-01-01293
    Number of retired or separated participants receiving benefits2016-01-0137
    Number of other retired or separated participants entitled to future benefits2016-01-010
    Total of all active and inactive participants2016-01-01330
    2015: SCA TISSUE MEDICAL PLAN 2015 401k membership
    Total participants, beginning-of-year2015-01-01304
    Total number of active participants reported on line 7a of the Form 55002015-01-01293
    Number of retired or separated participants receiving benefits2015-01-0137
    Number of other retired or separated participants entitled to future benefits2015-01-010
    Total of all active and inactive participants2015-01-01330
    2014: SCA TISSUE MEDICAL PLAN 2014 401k membership
    Total participants, beginning-of-year2014-01-01275
    Total number of active participants reported on line 7a of the Form 55002014-01-01290
    Number of retired or separated participants receiving benefits2014-01-0114
    Number of other retired or separated participants entitled to future benefits2014-01-010
    Total of all active and inactive participants2014-01-01304
    2013: SCA TISSUE MEDICAL PLAN 2013 401k membership
    Total participants, beginning-of-year2013-01-01390
    Total number of active participants reported on line 7a of the Form 55002013-01-01243
    Number of retired or separated participants receiving benefits2013-01-0132
    Number of other retired or separated participants entitled to future benefits2013-01-010
    Total of all active and inactive participants2013-01-01275
    2012: SCA TISSUE MEDICAL PLAN 2012 401k membership
    Total participants, beginning-of-year2012-01-01346
    Total number of active participants reported on line 7a of the Form 55002012-01-01350
    Number of retired or separated participants receiving benefits2012-01-0140
    Number of other retired or separated participants entitled to future benefits2012-01-010
    Total of all active and inactive participants2012-01-01390
    2011: SCA TISSUE MEDICAL PLAN 2011 401k membership
    Total participants, beginning-of-year2011-01-01413
    Total number of active participants reported on line 7a of the Form 55002011-01-01329
    Number of retired or separated participants receiving benefits2011-01-0117
    Number of other retired or separated participants entitled to future benefits2011-01-010
    Total of all active and inactive participants2011-01-01346
    2009: SCA TISSUE MEDICAL PLAN 2009 401k membership
    Total participants, beginning-of-year2009-01-01354
    Total number of active participants reported on line 7a of the Form 55002009-01-01356
    Number of retired or separated participants receiving benefits2009-01-0167
    Number of other retired or separated participants entitled to future benefits2009-01-011
    Total of all active and inactive participants2009-01-01424

    Form 5500 Responses for SCA TISSUE MEDICAL PLAN

    2017: SCA TISSUE MEDICAL PLAN 2017 form 5500 responses
    2017-01-01Type of plan entitySingle employer plan
    2017-01-01This submission is the final filingYes
    2017-01-01Plan funding arrangement – InsuranceYes
    2017-01-01Plan benefit arrangement – InsuranceYes
    2016: SCA TISSUE MEDICAL PLAN 2016 form 5500 responses
    2016-01-01Type of plan entitySingle employer plan
    2016-01-01Submission has been amendedNo
    2016-01-01This submission is the final filingNo
    2016-01-01This return/report is a short plan year return/report (less than 12 months)No
    2016-01-01Plan is a collectively bargained planNo
    2016-01-01Plan funding arrangement – InsuranceYes
    2016-01-01Plan benefit arrangement – InsuranceYes
    2015: SCA TISSUE MEDICAL PLAN 2015 form 5500 responses
    2015-01-01Type of plan entitySingle employer plan
    2015-01-01Submission has been amendedNo
    2015-01-01This submission is the final filingNo
    2015-01-01This return/report is a short plan year return/report (less than 12 months)No
    2015-01-01Plan is a collectively bargained planNo
    2015-01-01Plan funding arrangement – InsuranceYes
    2015-01-01Plan benefit arrangement – InsuranceYes
    2014: SCA TISSUE MEDICAL PLAN 2014 form 5500 responses
    2014-01-01Type of plan entitySingle employer plan
    2014-01-01Submission has been amendedNo
    2014-01-01This submission is the final filingNo
    2014-01-01This return/report is a short plan year return/report (less than 12 months)No
    2014-01-01Plan is a collectively bargained planNo
    2014-01-01Plan funding arrangement – InsuranceYes
    2014-01-01Plan benefit arrangement – InsuranceYes
    2013: SCA TISSUE MEDICAL PLAN 2013 form 5500 responses
    2013-01-01Type of plan entitySingle employer plan
    2013-01-01Submission has been amendedNo
    2013-01-01This submission is the final filingNo
    2013-01-01This return/report is a short plan year return/report (less than 12 months)No
    2013-01-01Plan is a collectively bargained planNo
    2013-01-01Plan funding arrangement – InsuranceYes
    2013-01-01Plan benefit arrangement – InsuranceYes
    2012: SCA TISSUE MEDICAL PLAN 2012 form 5500 responses
    2012-01-01Type of plan entitySingle employer plan
    2012-01-01Submission has been amendedNo
    2012-01-01This submission is the final filingNo
    2012-01-01This return/report is a short plan year return/report (less than 12 months)No
    2012-01-01Plan is a collectively bargained planNo
    2012-01-01Plan funding arrangement – InsuranceYes
    2012-01-01Plan benefit arrangement – InsuranceYes
    2011: SCA TISSUE MEDICAL PLAN 2011 form 5500 responses
    2011-01-01Type of plan entitySingle employer plan
    2011-01-01Submission has been amendedNo
    2011-01-01This submission is the final filingNo
    2011-01-01This return/report is a short plan year return/report (less than 12 months)No
    2011-01-01Plan is a collectively bargained planNo
    2011-01-01Plan funding arrangement – InsuranceYes
    2011-01-01Plan benefit arrangement – InsuranceYes
    2009: SCA TISSUE MEDICAL PLAN 2009 form 5500 responses
    2009-01-01Type of plan entitySingle employer plan
    2009-01-01Submission has been amendedNo
    2009-01-01This submission is the final filingNo
    2009-01-01This return/report is a short plan year return/report (less than 12 months)No
    2009-01-01Plan is a collectively bargained planNo
    2009-01-01Plan funding arrangement – InsuranceYes
    2009-01-01Plan benefit arrangement – InsuranceYes

    Insurance Providers Used on plan

    NETWORK HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95737 )
    Policy contract number101332
    Policy instance 1
    Insurance contract or identification number101332
    Number of Individuals Covered271
    Insurance policy start date2017-01-01
    Insurance policy end date2017-12-31
    Total amount of commissions paid to insurance brokerUSD $68,440
    Total amount of fees paid to insurance companyUSD $0
    Health Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $6,247,088
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $68,440
    Amount paid for insurance broker fees0
    Insurance broker organization code?3
    Insurance broker nameGALLAGHER BENEFIT SERVICES, INC.
    NETWORK HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95737 )
    Policy contract number101332
    Policy instance 1
    Insurance contract or identification number101332
    Number of Individuals Covered330
    Insurance policy start date2015-01-01
    Insurance policy end date2015-12-31
    Total amount of commissions paid to insurance brokerUSD $81,180
    Total amount of fees paid to insurance companyUSD $15,084
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitYes
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Welfare Benefit Premiums Paid to CarrierUSD $7,076,730
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $81,180
    Amount paid for insurance broker fees15084
    Additional information about fees paid to insurance brokerRETENTION BONUS
    Insurance broker organization code?3
    Insurance broker nameGALLAGHER BENEFIT SERVICES, INC.
    NETWORK HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95737 )
    Policy contract number101332
    Policy instance 1
    Insurance contract or identification number101332
    Number of Individuals Covered304
    Insurance policy start date2014-01-01
    Insurance policy end date2014-12-31
    Total amount of commissions paid to insurance brokerUSD $74,980
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitYes
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Welfare Benefit Premiums Paid to CarrierUSD $6,545,478
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $74,980
    Insurance broker organization code?3
    Insurance broker nameGALLAGHER BENEFIT SERVICES, INC.
    NETWORK HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95737 )
    Policy contract number101332
    Policy instance 1
    Insurance contract or identification number101332
    Number of Individuals Covered275
    Insurance policy start date2013-01-01
    Insurance policy end date2013-12-31
    Total amount of commissions paid to insurance brokerUSD $71,520
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitYes
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Welfare Benefit Premiums Paid to CarrierUSD $6,110,842
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $71,520
    Insurance broker organization code?3
    Insurance broker nameGALLAGHER BENEFIT SERVICES, INC.
    NETWORK HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95737 )
    Policy contract number101332
    Policy instance 1
    Insurance contract or identification number101332
    Number of Individuals Covered390
    Insurance policy start date2012-01-01
    Insurance policy end date2012-12-31
    Total amount of commissions paid to insurance brokerUSD $92,490
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitYes
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Welfare Benefit Premiums Paid to CarrierUSD $7,593,620
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $92,490
    Insurance broker organization code?3
    Insurance broker nameGALLAGHER BENEFIT SERVICES, INC.
    NETWORK HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95737 )
    Policy contract number101332
    Policy instance 1
    Insurance contract or identification number101332
    Number of Individuals Covered341
    Insurance policy start date2011-01-01
    Insurance policy end date2011-12-31
    Total amount of commissions paid to insurance brokerUSD $84,280
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitYes
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Welfare Benefit Premiums Paid to CarrierUSD $6,346,054
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    NETWORK HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95737 )
    Policy contract number101332
    Policy instance 1
    Insurance contract or identification number101332
    Number of Individuals Covered354
    Insurance policy start date2010-01-01
    Insurance policy end date2010-12-31
    Total amount of commissions paid to insurance brokerUSD $86,180
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitYes
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Welfare Benefit Premiums Paid to CarrierUSD $5,421,335
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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