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HEALTH INSURANCE PLAN 401k Plan overview

Plan NameHEALTH INSURANCE PLAN
Plan identification number 514

HEALTH INSURANCE PLAN Benefits

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

401k Sponsoring company profile

FEDERAL SCREW WORKS has sponsored the creation of one or more 401k plans.

Company Name:FEDERAL SCREW WORKS
Employer identification number (EIN):380533740
NAIC Classification:332700

Additional information about FEDERAL SCREW WORKS

Jurisdiction of Incorporation: Michigan Secretary of State
Incorporation Date: 0000-00-00
Company Identification Number: 153176
Legal Registered Office Address: GODDARD RD ROMULUS 48174


United States of America (USA)
34846

More information about FEDERAL SCREW WORKS

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEALTH INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5142023-01-01
5142022-01-01
5142021-01-01
5142020-01-01
5142019-01-01
5142018-01-01J. BUCKLER J. BUCKLER2019-06-10
5142017-01-01J. BUCKLER J. BUCKLER2018-05-30
5142016-01-01J. BUCKLER J. BUCKLER2017-06-08
5142015-01-01J. BUCKLER J. BUCKLER2016-03-30
5142014-01-01JAN BUCKLER JAN BUCKLER2015-06-15
5142013-01-01JAN BUCKLER JAN BUCKLER2014-07-10

Plan Statistics for HEALTH INSURANCE PLAN

401k plan membership statisitcs for HEALTH INSURANCE PLAN

Measure Date Value
2023: HEALTH INSURANCE PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01192
Total number of active participants reported on line 7a of the Form 55002023-01-01169
Number of retired or separated participants receiving benefits2023-01-012
Total of all active and inactive participants2023-01-01171
Total participants2023-01-01171
2022: HEALTH INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01185
Total number of active participants reported on line 7a of the Form 55002022-01-01191
Number of retired or separated participants receiving benefits2022-01-011
Total of all active and inactive participants2022-01-01192
Total participants2022-01-01192
2021: HEALTH INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01174
Total number of active participants reported on line 7a of the Form 55002021-01-01184
Number of retired or separated participants receiving benefits2021-01-011
Total of all active and inactive participants2021-01-01185
Total participants2021-01-01185
2020: HEALTH INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01167
Total number of active participants reported on line 7a of the Form 55002020-01-01172
Number of retired or separated participants receiving benefits2020-01-012
Total of all active and inactive participants2020-01-01174
Total participants2020-01-01174
2019: HEALTH INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01198
Total number of active participants reported on line 7a of the Form 55002019-01-01163
Number of retired or separated participants receiving benefits2019-01-014
Total of all active and inactive participants2019-01-01167
Total participants2019-01-01167
2018: HEALTH INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01187
Total number of active participants reported on line 7a of the Form 55002018-01-01197
Number of retired or separated participants receiving benefits2018-01-011
Total of all active and inactive participants2018-01-01198
Total participants2018-01-01198
2017: HEALTH INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01209
Total number of active participants reported on line 7a of the Form 55002017-01-01185
Number of retired or separated participants receiving benefits2017-01-012
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01187
Total participants2017-01-01187
2016: HEALTH INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01198
Total number of active participants reported on line 7a of the Form 55002016-01-01205
Number of retired or separated participants receiving benefits2016-01-014
Total of all active and inactive participants2016-01-01209
Total participants2016-01-01209
2015: HEALTH INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01190
Total number of active participants reported on line 7a of the Form 55002015-01-01192
Number of retired or separated participants receiving benefits2015-01-016
Total of all active and inactive participants2015-01-01198
Total participants2015-01-01198
2014: HEALTH INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01125
Total number of active participants reported on line 7a of the Form 55002014-01-01183
Number of retired or separated participants receiving benefits2014-01-017
Total of all active and inactive participants2014-01-01190
Total participants2014-01-01190
2013: HEALTH INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01120
Total number of active participants reported on line 7a of the Form 55002013-01-01123
Number of retired or separated participants receiving benefits2013-01-012
Total of all active and inactive participants2013-01-01125
Total participants2013-01-01125

Form 5500 Responses for HEALTH INSURANCE PLAN

2023: HEALTH INSURANCE PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: HEALTH INSURANCE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: HEALTH INSURANCE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: HEALTH INSURANCE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: HEALTH INSURANCE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: HEALTH INSURANCE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: HEALTH INSURANCE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: HEALTH INSURANCE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: HEALTH INSURANCE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: HEALTH INSURANCE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: HEALTH INSURANCE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01First time form 5500 has been submittedYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number116622
Policy instance 1
Insurance contract or identification number116622
Number of Individuals Covered368
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $48,881
Total amount of fees paid to insurance companyUSD $493
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number116622
Policy instance 1
Insurance contract or identification number116622
Number of Individuals Covered388
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $44,828
Total amount of fees paid to insurance companyUSD $2,342
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees2342
Additional information about fees paid to insurance brokerSALES AND SERVICE
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $44,828
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number116622
Policy instance 1
Insurance contract or identification number116622
Number of Individuals Covered399
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $40,532
Total amount of fees paid to insurance companyUSD $2,124
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees2124
Additional information about fees paid to insurance brokerSALES AND SERVICE
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $40,619
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number116622
Policy instance 1
Insurance contract or identification number116622
Number of Individuals Covered329
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $34,638
Total amount of fees paid to insurance companyUSD $1,050
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1050
Additional information about fees paid to insurance brokerSALES AND SERVICE
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $32,626
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number116622
Policy instance 1
Insurance contract or identification number116622
Number of Individuals Covered317
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $33,820
Total amount of fees paid to insurance companyUSD $1,134
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1134
Additional information about fees paid to insurance brokerSALES AND SERVICE
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $33,820
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number116622
Policy instance 1
Insurance contract or identification number116622
Number of Individuals Covered421
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $33,514
Total amount of fees paid to insurance companyUSD $1,159
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1159
Additional information about fees paid to insurance brokerSALES AND SERVICE
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $33,514
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number66843
Policy instance 1
Insurance contract or identification number66843
Number of Individuals Covered414
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $33,199
Total amount of fees paid to insurance companyUSD $2,952
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees2952
Additional information about fees paid to insurance brokerSALES AND SERVICE
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $23,748
Insurance broker nameREBECCA MCLAUGHLAN
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number789002 S001
Policy instance 1
Insurance contract or identification number789002 S001
Number of Individuals Covered387
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $35,949
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,214,975
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,949
Additional information about fees paid to insurance brokerSALES AND SERVICE
Insurance broker organization code?3
Insurance broker nameMARSH & MCLENNAN AGENCY
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number789002 S001
Policy instance 1
Insurance contract or identification number789002 S001
Number of Individuals Covered350
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $31,602
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,075,952
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,602
Additional information about fees paid to insurance brokerSALES AND SERVICE
Insurance broker organization code?3
Insurance broker nameMCGRAW WENTWORTH
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number789002 S001
Policy instance 1
Insurance contract or identification number789002 S001
Number of Individuals Covered257
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $26,740
Welfare Benefit Premiums Paid to CarrierUSD $534,793
Commission paid to Insurance BrokerUSD $26,740
Additional information about fees paid to insurance brokerSALES AND SERVICE
Insurance broker organization code?3
Insurance broker nameMCGRAW WENTWORTH

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