INTERIOR SYSTEMS, INC. HEALTH AND WELFARE PLAN 401k Plan overview
| Plan Name | INTERIOR SYSTEMS, INC. HEALTH AND WELFARE PLAN |
| Plan identification number | 501 |
INTERIOR SYSTEMS, INC. HEALTH AND WELFARE PLAN Benefits
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits | - Health (other than dental or vision)
- Life insurance
- Temporary disability (accident and sickness)
- 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
INTERIOR SYSTEMS INC has sponsored the creation of one or more 401k plans.
Additional information about INTERIOR SYSTEMS INC
| Jurisdiction of Incorporation: | Washington Secretary of State Corporations Division |
| Incorporation Date: | 1983-07-01 |
| Company Identification Number: | 600495158 |
| Legal Registered Office Address: |
1315 N MONROE PO BOX 4656
SPOKANE
United States of America (USA)
99202
|
More information about INTERIOR SYSTEMS INC
Form 5500 Filing Information
Submission information for form 5500 for 401k plan INTERIOR SYSTEMS, INC. HEALTH AND WELFARE PLAN
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 501 | 2017-05-01 | | | | |
| 501 | 2017-05-01 | | | | |
Plan Statistics for INTERIOR SYSTEMS, INC. HEALTH AND WELFARE PLAN
401k plan membership statisitcs for INTERIOR SYSTEMS, INC. HEALTH AND WELFARE PLAN
| Measure | Date | Value |
|---|
| 2017: INTERIOR SYSTEMS, INC. HEALTH AND WELFARE PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-05-01 | 110 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-05-01 | 107 |
| Number of retired or separated participants receiving benefits | 2017-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-05-01 | 0 |
| Total of all active and inactive participants | 2017-05-01 | 107 |
Form 5500 Responses for INTERIOR SYSTEMS, INC. HEALTH AND WELFARE PLAN
| 2017: INTERIOR SYSTEMS, INC. HEALTH AND WELFARE PLAN 2017 form 5500 responses |
|---|
| 2017-05-01 | Type of plan entity | Single employer plan |
| 2017-05-01 | First time form 5500 has been submitted | Yes |
| 2017-05-01 | Submission has been amended | Yes |
| 2017-05-01 | This submission is the final filing | No |
| 2017-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-05-01 | Plan is a collectively bargained plan | No |
| 2017-05-01 | Plan funding arrangement – Insurance | Yes |
| 2017-05-01 | Plan benefit arrangement – Insurance | Yes |
Insurance Providers Used on plan
| UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 ) |
| Policy contract number | 03035 |
| Policy instance | 2 |
| Insurance contract or identification number | 03035 | | Number of Individuals Covered | 106 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Total amount of commissions paid to insurance broker | USD $1,509 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $15,658 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| REGENCE BLUESHIELD OF IDAHO (National Association of Insurance Commissioners NAIC id number: 60131 ) |
| Policy contract number | 10028017 |
| Policy instance | 1 |
| Insurance contract or identification number | 10028017 | | Number of Individuals Covered | 126 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Total amount of commissions paid to insurance broker | USD $25,820 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $514,548 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 ) |
| Policy contract number | 03035 |
| Policy instance | 3 |
| Insurance contract or identification number | 03035 | | Number of Individuals Covered | 107 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Total amount of commissions paid to insurance broker | USD $404 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,378 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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