401k Plan data: GROUP INSURANCE TRUST (DELAWARE)

GROUP INSURANCE TRUST (DELAWARE) - DREW MARINE GROUP, INC. 401k Plan overview

Plan Name	GROUP INSURANCE TRUST (DELAWARE) - DREW MARINE GROUP, INC.
Plan identification number	502

GROUP INSURANCE TRUST (DELAWARE) - DREW MARINE GROUP, INC. Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Temporary disability (accident and sickness)

401k Sponsoring company profile

DREW MARINE USA, INC. has sponsored the creation of one or more 401k plans.

Company Name: DREW MARINE USA, INC.

Employer identification number (EIN): 270440420

NAIC Classification: 424990
NAIC Description: Other Miscellaneous Nondurable Goods Merchant Wholesalers

Additional information about DREW MARINE USA, INC.

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 4702514

More information about DREW MARINE USA, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP INSURANCE TRUST (DELAWARE) - DREW MARINE GROUP, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2017-09-01 JENNIFER LEAL JENNIFER LEAL 2019-02-04
502 2016-09-01 JENNIFER LEAL JENNIFER LEAL 2018-03-13

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
502	2017-09-01	JENNIFER LEAL		JENNIFER LEAL	2019-02-04
502	2016-09-01	JENNIFER LEAL		JENNIFER LEAL	2018-03-13

Plan Statistics for GROUP INSURANCE TRUST (DELAWARE) - DREW MARINE GROUP, INC.

401k plan membership statisitcs for GROUP INSURANCE TRUST (DELAWARE) - DREW MARINE GROUP, INC.

Measure Date Value
2017: GROUP INSURANCE TRUST (DELAWARE) - DREW MARINE GROUP, INC. 2017 401k membership
Total participants, beginning-of-year 2017-09-01 750
Total number of active participants reported on line 7a of the Form 5500 2017-09-01 750
Total of all active and inactive participants 2017-09-01 750
Total participants 2017-09-01 750
2016: GROUP INSURANCE TRUST (DELAWARE) - DREW MARINE GROUP, INC. 2016 401k membership
Total participants, beginning-of-year 2016-09-01 750
Total number of active participants reported on line 7a of the Form 5500 2016-09-01 750
Total of all active and inactive participants 2016-09-01 750
Total participants 2016-09-01 750

Measure	Date	Value
2017: GROUP INSURANCE TRUST (DELAWARE) - DREW MARINE GROUP, INC. 2017 401k membership
Total participants, beginning-of-year	2017-09-01	750
Total number of active participants reported on line 7a of the Form 5500	2017-09-01	750
Total of all active and inactive participants	2017-09-01	750
Total participants	2017-09-01	750
2016: GROUP INSURANCE TRUST (DELAWARE) - DREW MARINE GROUP, INC. 2016 401k membership
Total participants, beginning-of-year	2016-09-01	750
Total number of active participants reported on line 7a of the Form 5500	2016-09-01	750
Total of all active and inactive participants	2016-09-01	750
Total participants	2016-09-01	750

Form 5500 Responses for GROUP INSURANCE TRUST (DELAWARE) - DREW MARINE GROUP, INC.

2017: GROUP INSURANCE TRUST (DELAWARE) - DREW MARINE GROUP, INC. 2017 form 5500 responses
2017-09-01	Type of plan entity	Single employer plan
2017-09-01	Submission has been amended	No
2017-09-01	This submission is the final filing	No
2017-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-09-01	Plan is a collectively bargained plan	No
2017-09-01	Plan funding arrangement – Insurance	Yes
2017-09-01	Plan benefit arrangement – Insurance	Yes
2016: GROUP INSURANCE TRUST (DELAWARE) - DREW MARINE GROUP, INC. 2016 form 5500 responses
2016-09-01	Type of plan entity	Single employer plan
2016-09-01	Submission has been amended	No
2016-09-01	This submission is the final filing	No
2016-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-09-01	Plan is a collectively bargained plan	No
2016-09-01	Plan funding arrangement – Insurance	Yes
2016-09-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )

Policy contract number

009151976

Policy instance

Insurance contract or identification number	009151976
Number of Individuals Covered	750
Insurance policy start date	2017-09-01
Insurance policy end date	2018-08-31
Total amount of commissions paid to insurance broker	USD $2,113
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT - BUSINESS TRAVEL ACCIDENT
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $10,566
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

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Company Name:	DREW MARINE USA, INC.
Employer identification number (EIN):	270440420
NAIC Classification:	424990
NAIC Description:	Other Miscellaneous Nondurable Goods Merchant Wholesalers

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	4702514