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BMI NORTH AMERICA, INC. HEALTH AND WELFARE BENEFIT WRAP PLAN 401k Plan overview

Plan NameBMI NORTH AMERICA, INC. HEALTH AND WELFARE BENEFIT WRAP PLAN
Plan identification number 507

BMI NORTH AMERICA, INC. HEALTH AND WELFARE BENEFIT WRAP PLAN Benefits

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

401k Sponsoring company profile

BMI NORTH AMERICA, INC. has sponsored the creation of one or more 401k plans.

Company Name:BMI NORTH AMERICA, INC.
Employer identification number (EIN):823464634
NAIC Classification:327900

Additional information about BMI NORTH AMERICA, INC.

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 2017-11-30
Company Identification Number: 604195545
Legal Registered Office Address: 300 DESCHUTES WAY SW STE 208 MC-CSC1

TUMWATER
United States of America (USA)
98501

More information about BMI NORTH AMERICA, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BMI NORTH AMERICA, INC. HEALTH AND WELFARE BENEFIT WRAP PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5072021-10-01KYLA A MCCAULEY2023-04-19
5072020-10-01KYLA MCCAULEY2022-02-08
5072019-10-01TINA JEFFCOAT2021-03-19
5072018-10-01TINA M. JEFFCOAT2020-02-05
5072017-10-01

Plan Statistics for BMI NORTH AMERICA, INC. HEALTH AND WELFARE BENEFIT WRAP PLAN

401k plan membership statisitcs for BMI NORTH AMERICA, INC. HEALTH AND WELFARE BENEFIT WRAP PLAN

Measure Date Value
2021: BMI NORTH AMERICA, INC. HEALTH AND WELFARE BENEFIT WRAP PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-01195
Total number of active participants reported on line 7a of the Form 55002021-10-01183
Number of retired or separated participants receiving benefits2021-10-011
Number of other retired or separated participants entitled to future benefits2021-10-010
Total of all active and inactive participants2021-10-01184
Number of employers contributing to the scheme2021-10-010
2020: BMI NORTH AMERICA, INC. HEALTH AND WELFARE BENEFIT WRAP PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-01193
Total number of active participants reported on line 7a of the Form 55002020-10-01195
Number of retired or separated participants receiving benefits2020-10-013
Number of other retired or separated participants entitled to future benefits2020-10-010
Total of all active and inactive participants2020-10-01198
Number of employers contributing to the scheme2020-10-010
2019: BMI NORTH AMERICA, INC. HEALTH AND WELFARE BENEFIT WRAP PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01240
Total number of active participants reported on line 7a of the Form 55002019-10-01190
Number of retired or separated participants receiving benefits2019-10-013
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-01193
Number of employers contributing to the scheme2019-10-010
2018: BMI NORTH AMERICA, INC. HEALTH AND WELFARE BENEFIT WRAP PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01241
Total number of active participants reported on line 7a of the Form 55002018-10-01240
Number of retired or separated participants receiving benefits2018-10-010
Number of other retired or separated participants entitled to future benefits2018-10-010
Total of all active and inactive participants2018-10-01240
Number of employers contributing to the scheme2018-10-010
2017: BMI NORTH AMERICA, INC. HEALTH AND WELFARE BENEFIT WRAP PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01204
Total number of active participants reported on line 7a of the Form 55002017-10-01241
Number of retired or separated participants receiving benefits2017-10-010
Number of other retired or separated participants entitled to future benefits2017-10-010
Total of all active and inactive participants2017-10-01241
Number of employers contributing to the scheme2017-10-010

Form 5500 Responses for BMI NORTH AMERICA, INC. HEALTH AND WELFARE BENEFIT WRAP PLAN

2021: BMI NORTH AMERICA, INC. HEALTH AND WELFARE BENEFIT WRAP PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan funding arrangement – General assets of the sponsorYes
2021-10-01Plan benefit arrangement – InsuranceYes
2021-10-01Plan benefit arrangement – General assets of the sponsorYes
2020: BMI NORTH AMERICA, INC. HEALTH AND WELFARE BENEFIT WRAP PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan funding arrangement – General assets of the sponsorYes
2020-10-01Plan benefit arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – General assets of the sponsorYes
2019: BMI NORTH AMERICA, INC. HEALTH AND WELFARE BENEFIT WRAP PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan funding arrangement – General assets of the sponsorYes
2019-10-01Plan benefit arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – General assets of the sponsorYes
2018: BMI NORTH AMERICA, INC. HEALTH AND WELFARE BENEFIT WRAP PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan funding arrangement – General assets of the sponsorYes
2018-10-01Plan benefit arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – General assets of the sponsorYes
2017: BMI NORTH AMERICA, INC. HEALTH AND WELFARE BENEFIT WRAP PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan funding arrangement – General assets of the sponsorYes
2017-10-01Plan benefit arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number70188
Policy instance 1
Insurance contract or identification number70188
Number of Individuals Covered183
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $10,422
Total amount of fees paid to insurance companyUSD $1,936
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $69,356
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,422
Amount paid for insurance broker fees1904
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMMISSIONS
Insurance broker organization code?3
LIFESECURE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77720 )
Policy contract number2007V
Policy instance 2
Insurance contract or identification number2007V
Number of Individuals Covered1
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $147
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $2,046
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $147
Amount paid for insurance broker fees0
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number70188
Policy instance 1
Insurance contract or identification number70188
Number of Individuals Covered195
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $14,197
Total amount of fees paid to insurance companyUSD $34
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $70,173
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,537
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATION FEES
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number246173
Policy instance 1
Insurance contract or identification number246173
Number of Individuals Covered190
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $10,879
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $72,526
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,879
Amount paid for insurance broker fees0
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number246173
Policy instance 1
Insurance contract or identification number246173
Number of Individuals Covered240
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $11,878
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $79,185
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,878
Amount paid for insurance broker fees0
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number246173
Policy instance 1
Insurance contract or identification number246173
Number of Individuals Covered241
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $11,183
Total amount of fees paid to insurance companyUSD $1,359
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $74,554
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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