INDEPENDENT PACKERS MEDICAL 401k Plan overview
| Plan Name | INDEPENDENT PACKERS MEDICAL |
| Plan identification number | 501 |
INDEPENDENT PACKERS MEDICAL Benefits
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits | - Health (other than dental or vision)
- 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
INDEPENDENT PACKERS, LLC has sponsored the creation of one or more 401k plans.
| Company Name: | INDEPENDENT PACKERS, LLC |
| Employer identification number (EIN): | 911268151 |
| NAIC Classification: | 311710 |
| NAIC Description: | Seafood Product Preparation and Packaging |
Additional information about INDEPENDENT PACKERS, LLC
| Jurisdiction of Incorporation: | Washington Secretary of State Corporations Division |
| Incorporation Date: | 1984-09-06 |
| Company Identification Number: | 600548126 |
| Legal Registered Office Address: |
2001 W GARFIELD ST PIER 91 BLDG 40, SUITE C-102
SEATTLE
United States of America (USA)
981193121
|
More information about INDEPENDENT PACKERS, LLC
Form 5500 Filing Information
Submission information for form 5500 for 401k plan INDEPENDENT PACKERS MEDICAL
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 501 | 2021-10-01 | JOANNA COOMES | 2023-01-17 | | |
| 501 | 2020-10-01 | JOANNA COOMES | 2022-03-02 | | |
Plan Statistics for INDEPENDENT PACKERS MEDICAL
401k plan membership statisitcs for INDEPENDENT PACKERS MEDICAL
| Measure | Date | Value |
|---|
| 2021: INDEPENDENT PACKERS MEDICAL 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-10-01 | 115 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-10-01 | 95 |
| Number of retired or separated participants receiving benefits | 2021-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-10-01 | 0 |
| Total of all active and inactive participants | 2021-10-01 | 95 |
| Number of employers contributing to the scheme | 2021-10-01 | 0 |
| 2020: INDEPENDENT PACKERS MEDICAL 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-10-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-10-01 | 115 |
| Number of retired or separated participants receiving benefits | 2020-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-10-01 | 0 |
| Total of all active and inactive participants | 2020-10-01 | 115 |
| Number of employers contributing to the scheme | 2020-10-01 | 0 |
Form 5500 Responses for INDEPENDENT PACKERS MEDICAL
| 2021: INDEPENDENT PACKERS MEDICAL 2021 form 5500 responses |
|---|
| 2021-10-01 | Type of plan entity | Single employer plan |
| 2021-10-01 | Plan funding arrangement – Insurance | Yes |
| 2021-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: INDEPENDENT PACKERS MEDICAL 2020 form 5500 responses |
|---|
| 2020-10-01 | Type of plan entity | Single employer plan |
| 2020-10-01 | First time form 5500 has been submitted | Yes |
| 2020-10-01 | Plan funding arrangement – Insurance | Yes |
| 2020-10-01 | Plan benefit arrangement – Insurance | Yes |
Insurance Providers Used on plan
| GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 ) |
| Policy contract number | 8799300 |
| Policy instance | 1 |
| Insurance contract or identification number | 8799300 | | Number of Individuals Covered | 93 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-09-30 | | Total amount of commissions paid to insurance broker | USD $26,037 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $617,991 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $26,037 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 ) |
| Policy contract number | 2303000 |
| Policy instance | 2 |
| Insurance contract or identification number | 2303000 | | Number of Individuals Covered | 3 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-09-30 | | Total amount of commissions paid to insurance broker | USD $989 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $19,783 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $989 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 ) |
| Policy contract number | 8799300 |
| Policy instance | 1 |
| Insurance contract or identification number | 8799300 | | Number of Individuals Covered | 111 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-09-30 | | Total amount of commissions paid to insurance broker | USD $32,563 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $710,615 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $32,563 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
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