MILAN TN OPCO LLC has sponsored the creation of one or more 401k plans.
| Measure | Date | Value |
|---|
| 2021: MILAN TN OPCO 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-09-01 | 341 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-09-01 | 1,022 |
| Number of retired or separated participants receiving benefits | 2021-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-09-01 | 0 |
| Total of all active and inactive participants | 2021-09-01 | 1,022 |
| Number of employers contributing to the scheme | 2021-09-01 | 0 |
| 2020: MILAN TN OPCO 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-09-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-09-01 | 760 |
| Number of retired or separated participants receiving benefits | 2020-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-09-01 | 0 |
| Total of all active and inactive participants | 2020-09-01 | 760 |
| Number of employers contributing to the scheme | 2020-09-01 | 0 |
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 ) |
| Policy contract number | 141235 |
| Policy instance | 1 |
| Insurance contract or identification number | 141235 | | Number of Individuals Covered | 828 | | Insurance policy start date | 2021-09-01 | | Insurance policy end date | 2022-08-31 | | Total amount of commissions paid to insurance broker | USD $112,177 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $112,177 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 552422 |
| Policy instance | 2 |
| Insurance contract or identification number | 552422 | | Number of Individuals Covered | 1022 | | Insurance policy start date | 2021-09-01 | | Insurance policy end date | 2022-08-31 | | Total amount of commissions paid to insurance broker | USD $18,506 | | Total amount of fees paid to insurance company | USD $8,315 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $336,345 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $18,506 | | Amount paid for insurance broker fees | 8315 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 |
|
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 ) |
| Policy contract number | 141235 |
| Policy instance | 1 |
| Insurance contract or identification number | 141235 | | Number of Individuals Covered | 554 | | Insurance policy start date | 2020-09-01 | | Insurance policy end date | 2021-08-31 | | Total amount of commissions paid to insurance broker | USD $73,207 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $73,207 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 552422 |
| Policy instance | 2 |
| Insurance contract or identification number | 552422 | | Number of Individuals Covered | 760 | | Insurance policy start date | 2020-09-01 | | Insurance policy end date | 2021-08-31 | | Total amount of commissions paid to insurance broker | USD $13,997 | | Total amount of fees paid to insurance company | USD $4,609 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $205,244 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $13,997 | | Amount paid for insurance broker fees | 4609 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 |
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