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MOOSE TOYS HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameMOOSE TOYS HEALTH AND WELFARE PLAN
Plan identification number 501

MOOSE TOYS HEALTH AND WELFARE 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)

401k Sponsoring company profile

MOOSE TOYS LLC has sponsored the creation of one or more 401k plans.

Company Name:MOOSE TOYS LLC
Employer identification number (EIN):824978423
NAIC Classification:423920
NAIC Description:Toy and Hobby Goods and Supplies Merchant Wholesalers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MOOSE TOYS HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-02-01SHARON LOMAX2024-08-15

Form 5500 Responses for MOOSE TOYS HEALTH AND WELFARE PLAN

2023: MOOSE TOYS HEALTH AND WELFARE PLAN 2023 form 5500 responses
2023-02-01Type of plan entitySingle employer plan
2023-02-01First time form 5500 has been submittedYes
2023-02-01Plan funding arrangement – InsuranceYes
2023-02-01Plan funding arrangement – General assets of the sponsorYes
2023-02-01Plan benefit arrangement – InsuranceYes
2023-02-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberL07716
Policy instance 1
Insurance contract or identification numberL07716
Number of Individuals Covered174
Insurance policy start date2023-02-01
Insurance policy end date2024-01-31
Total amount of commissions paid to insurance brokerUSD $48,707
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,065,063
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number344179
Policy instance 2
Insurance contract or identification number344179
Number of Individuals Covered25
Insurance policy start date2023-02-01
Insurance policy end date2024-01-31
Total amount of commissions paid to insurance brokerUSD $7,164
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $155,410
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTS05380130
Policy instance 3
Insurance contract or identification numberTS05380130
Number of Individuals Covered196
Insurance policy start date2023-02-01
Insurance policy end date2024-01-31
Total amount of commissions paid to insurance brokerUSD $28,022
Total amount of fees paid to insurance companyUSD $14,183
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $177,070
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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