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G&S MEDICAL PLAN 401k Plan overview

Plan NameG&S MEDICAL PLAN
Plan identification number 501

G&S MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

G & S FOODS, LLC has sponsored the creation of one or more 401k plans.

Company Name:G & S FOODS, LLC
Employer identification number (EIN):825300257
NAIC Classification:561900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan G&S MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012018-09-01JOE SIEROTOWICZ2020-05-28

Plan Statistics for G&S MEDICAL PLAN

401k plan membership statisitcs for G&S MEDICAL PLAN

Measure Date Value
2018: G&S MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-09-01104
Total number of active participants reported on line 7a of the Form 55002018-09-01104
Number of retired or separated participants receiving benefits2018-09-010
Number of other retired or separated participants entitled to future benefits2018-09-010
Total of all active and inactive participants2018-09-01104
Number of employers contributing to the scheme2018-09-010

Form 5500 Responses for G&S MEDICAL PLAN

2018: G&S MEDICAL PLAN 2018 form 5500 responses
2018-09-01Type of plan entitySingle employer plan
2018-09-01First time form 5500 has been submittedYes
2018-09-01Plan funding arrangement – InsuranceYes
2018-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number196262
Policy instance 1
Insurance contract or identification number196262
Number of Individuals Covered153
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $41,256
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $866,107
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $41,256
Amount paid for insurance broker fees0
Insurance broker organization code?3

Potentially related plans

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