MILLER TIMBER SERVICES, INC. HEALTH & WELFARE BENEFIT PLAN 401k Plan overview
| Plan Name | MILLER TIMBER SERVICES, INC. HEALTH & WELFARE BENEFIT PLAN |
| Plan identification number | 501 |
MILLER TIMBER SERVICES, INC. HEALTH & WELFARE BENEFIT PLAN Benefits
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits | - Health (other than dental or vision)
- Death benefits (include travel accident but not life insurance)
- 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.
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401k Sponsoring company profile
MILLER TIMBER SERVICES, INC. has sponsored the creation of one or more 401k plans.
Additional information about MILLER TIMBER SERVICES, INC.
| Jurisdiction of Incorporation: | Oregon Secretary of State Corporations Division |
| Incorporation Date: | 1982-06-16 |
| Company Identification Number: | 16137515 |
| Legal Registered Office Address: |
555 NW 5TH ST
CORVALLIS
United States of America (USA)
97330
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More information about MILLER TIMBER SERVICES, INC.
Form 5500 Filing Information
Submission information for form 5500 for 401k plan MILLER TIMBER SERVICES, INC. HEALTH & WELFARE BENEFIT PLAN
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 501 | 2023-01-01 | LEE MILLER | 2024-07-18 | | |
Form 5500 Responses for MILLER TIMBER SERVICES, INC. HEALTH & WELFARE BENEFIT PLAN
| 2023: MILLER TIMBER SERVICES, INC. HEALTH & WELFARE BENEFIT PLAN 2023 form 5500 responses |
|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | First time form 5500 has been submitted | Yes |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
Insurance Providers Used on plan
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | KM05399893 |
| Policy instance | 1 |
| Insurance contract or identification number | KM05399893 | | Number of Individuals Covered | 99 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $1,026 | | Total amount of fees paid to insurance company | USD $97 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $10,357 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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