401k Plan data: EXPRESS COURIER INTERNATIONAL HEALTH AND WELFARE PLAN plan

EXPRESS COURIER INTERNATIONAL HEALTH AND WELFARE PLAN 401k Plan overview

Plan Name	EXPRESS COURIER INTERNATIONAL HEALTH AND WELFARE PLAN
Plan identification number	502

EXPRESS COURIER INTERNATIONAL HEALTH AND WELFARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover 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

EXPRESS COURIER INTERNATIONAL, I has sponsored the creation of one or more 401k plans.

Company Name: EXPRESS COURIER INTERNATIONAL, I

Employer identification number (EIN): 621083947

NAIC Classification: 492110
NAIC Description: Couriers and Express Delivery Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EXPRESS COURIER INTERNATIONAL HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2021-01-01 DAWN VESEY 2022-08-24

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
502	2021-01-01	DAWN VESEY	2022-08-24

Plan Statistics for EXPRESS COURIER INTERNATIONAL HEALTH AND WELFARE PLAN

401k plan membership statisitcs for EXPRESS COURIER INTERNATIONAL HEALTH AND WELFARE PLAN

Measure Date Value
2021: EXPRESS COURIER INTERNATIONAL HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 100
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 131
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 131
Number of employers contributing to the scheme 2021-01-01 0

Measure	Date	Value
2021: EXPRESS COURIER INTERNATIONAL HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	131
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	131
Number of employers contributing to the scheme	2021-01-01	0

Form 5500 Responses for EXPRESS COURIER INTERNATIONAL HEALTH AND WELFARE PLAN

2021: EXPRESS COURIER INTERNATIONAL HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	First time form 5500 has been submitted	Yes
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

113078

Policy instance

Insurance contract or identification number	113078
Number of Individuals Covered	170
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $243
Total amount of fees paid to insurance company	USD $223
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $14,782
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $243
Amount paid for insurance broker fees	71
Additional information about fees paid to insurance broker	NON-MONETARY COMPENSATION
Insurance broker organization code?	3

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

923773

Policy instance

Insurance contract or identification number	923773
Number of Individuals Covered	308
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $5,932
Total amount of fees paid to insurance company	USD $35,664
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	TELEHEALTH,WELLNESS,EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $1,008,440
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,921
Amount paid for insurance broker fees	35664
Additional information about fees paid to insurance broker	SERVICE FEE AGREEMENT
Insurance broker organization code?	3

Potentially related plans

EXPRESS COURIER SYSTEMS INC 401 K PROFIT SHARING PLAN TRUST [EIN = 753250830]

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Company Name:	EXPRESS COURIER INTERNATIONAL, I
Employer identification number (EIN):	621083947
NAIC Classification:	492110
NAIC Description:	Couriers and Express Delivery Services