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ELEMENTIA USA LLC 401k Plan overview

Plan NameELEMENTIA USA LLC
Plan identification number 501

ELEMENTIA USA LLC Benefits

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

401k Sponsoring company profile

ELEMENTIA USA LLC has sponsored the creation of one or more 401k plans.

Company Name:ELEMENTIA USA LLC
Employer identification number (EIN):981148924
NAIC Classification:327300

Additional information about ELEMENTIA USA LLC

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2015-02-11
Company Identification Number: 0802153988
Legal Registered Office Address: 396 W GREENS RD STE 300

HOUSTON
United States of America (USA)
77067

More information about ELEMENTIA USA LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ELEMENTIA USA LLC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-02-01ANGELA YOUNG2021-10-13
5012019-02-01ROBERT GRAY2020-08-20
5012018-02-01CHRISTINA MERCADO2019-10-24
5012017-02-01
5012016-02-01
5012015-02-01CHRISTINA DAMPIER

Plan Statistics for ELEMENTIA USA LLC

401k plan membership statisitcs for ELEMENTIA USA LLC

Measure Date Value
2020: ELEMENTIA USA LLC 2020 401k membership
Total participants, beginning-of-year2020-02-01374
Total number of active participants reported on line 7a of the Form 55002020-02-01265
Number of retired or separated participants receiving benefits2020-02-010
Number of other retired or separated participants entitled to future benefits2020-02-010
Total of all active and inactive participants2020-02-01265
Number of employers contributing to the scheme2020-02-010
2019: ELEMENTIA USA LLC 2019 401k membership
Total participants, beginning-of-year2019-02-01360
Total number of active participants reported on line 7a of the Form 55002019-02-01403
Number of retired or separated participants receiving benefits2019-02-014
Number of other retired or separated participants entitled to future benefits2019-02-010
Total of all active and inactive participants2019-02-01407
Number of employers contributing to the scheme2019-02-010
2018: ELEMENTIA USA LLC 2018 401k membership
Total participants, beginning-of-year2018-02-01331
Total number of active participants reported on line 7a of the Form 55002018-02-01353
Number of retired or separated participants receiving benefits2018-02-010
Number of other retired or separated participants entitled to future benefits2018-02-010
Total of all active and inactive participants2018-02-01353
Number of employers contributing to the scheme2018-02-010
2017: ELEMENTIA USA LLC 2017 401k membership
Total participants, beginning-of-year2017-02-01256
Total number of active participants reported on line 7a of the Form 55002017-02-01318
Number of retired or separated participants receiving benefits2017-02-010
Number of other retired or separated participants entitled to future benefits2017-02-010
Total of all active and inactive participants2017-02-01318
2016: ELEMENTIA USA LLC 2016 401k membership
Total participants, beginning-of-year2016-02-01256
Total number of active participants reported on line 7a of the Form 55002016-02-01253
Number of retired or separated participants receiving benefits2016-02-010
Number of other retired or separated participants entitled to future benefits2016-02-010
Total of all active and inactive participants2016-02-01253
2015: ELEMENTIA USA LLC 2015 401k membership
Total participants, beginning-of-year2015-02-01240
Total number of active participants reported on line 7a of the Form 55002015-02-01248
Number of retired or separated participants receiving benefits2015-02-010
Number of other retired or separated participants entitled to future benefits2015-02-010
Total of all active and inactive participants2015-02-01248

Form 5500 Responses for ELEMENTIA USA LLC

2020: ELEMENTIA USA LLC 2020 form 5500 responses
2020-02-01Type of plan entitySingle employer plan
2020-02-01This return/report is a short plan year return/report (less than 12 months)Yes
2020-02-01Plan funding arrangement – General assets of the sponsorYes
2020-02-01Plan benefit arrangement – General assets of the sponsorYes
2019: ELEMENTIA USA LLC 2019 form 5500 responses
2019-02-01Type of plan entitySingle employer plan
2019-02-01Plan funding arrangement – General assets of the sponsorYes
2019-02-01Plan benefit arrangement – General assets of the sponsorYes
2018: ELEMENTIA USA LLC 2018 form 5500 responses
2018-02-01Type of plan entitySingle employer plan
2018-02-01Plan funding arrangement – General assets of the sponsorYes
2018-02-01Plan benefit arrangement – General assets of the sponsorYes
2017: ELEMENTIA USA LLC 2017 form 5500 responses
2017-02-01Type of plan entitySingle employer plan
2017-02-01Plan funding arrangement – InsuranceYes
2017-02-01Plan benefit arrangement – InsuranceYes
2016: ELEMENTIA USA LLC 2016 form 5500 responses
2016-02-01Type of plan entitySingle employer plan
2016-02-01Submission has been amendedNo
2016-02-01This submission is the final filingNo
2016-02-01This return/report is a short plan year return/report (less than 12 months)No
2016-02-01Plan is a collectively bargained planNo
2016-02-01Plan funding arrangement – InsuranceYes
2016-02-01Plan benefit arrangement – InsuranceYes
2015: ELEMENTIA USA LLC 2015 form 5500 responses
2015-02-01Type of plan entitySingle employer plan
2015-02-01First time form 5500 has been submittedYes
2015-02-01Submission has been amendedNo
2015-02-01This submission is the final filingNo
2015-02-01This return/report is a short plan year return/report (less than 12 months)No
2015-02-01Plan is a collectively bargained planNo
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number158082
Policy instance 1
Insurance contract or identification number158082
Number of Individuals Covered775
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $2,775
Total amount of fees paid to insurance companyUSD $2,275
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,613,913
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $2,775
Amount paid for insurance broker fees2275
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICES, INC.

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