401k Plan data: QUALITY METALCRAFT, INC. EMPLOYEES BLUE CARE NETWORK HEALTH PLAN plan

QUALITY METALCRAFT, INC. EMPLOYEES BLUE CARE NETWORK HEALTH PLAN 401k Plan overview

Plan Name	QUALITY METALCRAFT, INC. EMPLOYEES BLUE CARE NETWORK HEALTH PLAN
Plan identification number	503

QUALITY METALCRAFT, INC. EMPLOYEES BLUE CARE NETWORK HEALTH PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Other welfare benefit cover

401k Sponsoring company profile

QUALITY METALCRAFT, INC. has sponsored the creation of one or more 401k plans.

Company Name: QUALITY METALCRAFT, INC.

Employer identification number (EIN): 381743919

NAIC Classification: 336300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan QUALITY METALCRAFT, INC. EMPLOYEES BLUE CARE NETWORK HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2015-04-01 MATTHEW PULLIMAN
503 2015-04-01
503 2014-04-01 MICHAEL CHETCUTI
503 2013-04-01 MICHAEL CHETCUTI
503 2012-04-01 MICHAEL CHETCUTI
503 2011-04-01 MICHAEL CHETCUTI
503 2009-04-01 MICHAEL CHETCUTI

Plan Statistics for QUALITY METALCRAFT, INC. EMPLOYEES BLUE CARE NETWORK HEALTH PLAN

401k plan membership statisitcs for QUALITY METALCRAFT, INC. EMPLOYEES BLUE CARE NETWORK HEALTH PLAN

Measure Date Value
2015: QUALITY METALCRAFT, INC. EMPLOYEES BLUE CARE NETWORK HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year 2015-04-01 285
Total number of active participants reported on line 7a of the Form 5500 2015-04-01 285
Number of retired or separated participants receiving benefits 2015-04-01 0
Number of other retired or separated participants entitled to future benefits 2015-04-01 0
Total of all active and inactive participants 2015-04-01 285
2014: QUALITY METALCRAFT, INC. EMPLOYEES BLUE CARE NETWORK HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year 2014-04-01 281
Total number of active participants reported on line 7a of the Form 5500 2014-04-01 285
Number of retired or separated participants receiving benefits 2014-04-01 0
Number of other retired or separated participants entitled to future benefits 2014-04-01 0
Total of all active and inactive participants 2014-04-01 285
2013: QUALITY METALCRAFT, INC. EMPLOYEES BLUE CARE NETWORK HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year 2013-04-01 271
Total number of active participants reported on line 7a of the Form 5500 2013-04-01 281
Number of retired or separated participants receiving benefits 2013-04-01 0
Number of other retired or separated participants entitled to future benefits 2013-04-01 0
Total of all active and inactive participants 2013-04-01 281
2012: QUALITY METALCRAFT, INC. EMPLOYEES BLUE CARE NETWORK HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year 2012-04-01 245
Total number of active participants reported on line 7a of the Form 5500 2012-04-01 271
Number of retired or separated participants receiving benefits 2012-04-01 0
Number of other retired or separated participants entitled to future benefits 2012-04-01 0
Total of all active and inactive participants 2012-04-01 271
2011: QUALITY METALCRAFT, INC. EMPLOYEES BLUE CARE NETWORK HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year 2011-04-01 169
Total number of active participants reported on line 7a of the Form 5500 2011-04-01 245
Number of retired or separated participants receiving benefits 2011-04-01 0
Number of other retired or separated participants entitled to future benefits 2011-04-01 0
Total of all active and inactive participants 2011-04-01 245
2009: QUALITY METALCRAFT, INC. EMPLOYEES BLUE CARE NETWORK HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year 2009-04-01 132
Total number of active participants reported on line 7a of the Form 5500 2009-04-01 169
Number of retired or separated participants receiving benefits 2009-04-01 0
Number of other retired or separated participants entitled to future benefits 2009-04-01 0
Total of all active and inactive participants 2009-04-01 169

Measure	Date	Value
2015: QUALITY METALCRAFT, INC. EMPLOYEES BLUE CARE NETWORK HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year	2015-04-01	285
Total number of active participants reported on line 7a of the Form 5500	2015-04-01	285
Number of retired or separated participants receiving benefits	2015-04-01	0
Number of other retired or separated participants entitled to future benefits	2015-04-01	0
Total of all active and inactive participants	2015-04-01	285
2014: QUALITY METALCRAFT, INC. EMPLOYEES BLUE CARE NETWORK HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year	2014-04-01	281
Total number of active participants reported on line 7a of the Form 5500	2014-04-01	285
Number of retired or separated participants receiving benefits	2014-04-01	0
Number of other retired or separated participants entitled to future benefits	2014-04-01	0
Total of all active and inactive participants	2014-04-01	285
2013: QUALITY METALCRAFT, INC. EMPLOYEES BLUE CARE NETWORK HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year	2013-04-01	271
Total number of active participants reported on line 7a of the Form 5500	2013-04-01	281
Number of retired or separated participants receiving benefits	2013-04-01	0
Number of other retired or separated participants entitled to future benefits	2013-04-01	0
Total of all active and inactive participants	2013-04-01	281
2012: QUALITY METALCRAFT, INC. EMPLOYEES BLUE CARE NETWORK HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year	2012-04-01	245
Total number of active participants reported on line 7a of the Form 5500	2012-04-01	271
Number of retired or separated participants receiving benefits	2012-04-01	0
Number of other retired or separated participants entitled to future benefits	2012-04-01	0
Total of all active and inactive participants	2012-04-01	271
2011: QUALITY METALCRAFT, INC. EMPLOYEES BLUE CARE NETWORK HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year	2011-04-01	169
Total number of active participants reported on line 7a of the Form 5500	2011-04-01	245
Number of retired or separated participants receiving benefits	2011-04-01	0
Number of other retired or separated participants entitled to future benefits	2011-04-01	0
Total of all active and inactive participants	2011-04-01	245
2009: QUALITY METALCRAFT, INC. EMPLOYEES BLUE CARE NETWORK HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year	2009-04-01	132
Total number of active participants reported on line 7a of the Form 5500	2009-04-01	169
Number of retired or separated participants receiving benefits	2009-04-01	0
Number of other retired or separated participants entitled to future benefits	2009-04-01	0
Total of all active and inactive participants	2009-04-01	169

Form 5500 Responses for QUALITY METALCRAFT, INC. EMPLOYEES BLUE CARE NETWORK HEALTH PLAN

2015: QUALITY METALCRAFT, INC. EMPLOYEES BLUE CARE NETWORK HEALTH PLAN 2015 form 5500 responses
2015-04-01	Type of plan entity	Single employer plan
2015-04-01	Submission has been amended	No
2015-04-01	This submission is the final filing	No
2015-04-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-04-01	Plan is a collectively bargained plan	No
2015-04-01	Plan funding arrangement – Insurance	Yes
2015-04-01	Plan benefit arrangement – Insurance	Yes
2014: QUALITY METALCRAFT, INC. EMPLOYEES BLUE CARE NETWORK HEALTH PLAN 2014 form 5500 responses
2014-04-01	Type of plan entity	Single employer plan
2014-04-01	Plan funding arrangement – Insurance	Yes
2014-04-01	Plan benefit arrangement – Insurance	Yes
2013: QUALITY METALCRAFT, INC. EMPLOYEES BLUE CARE NETWORK HEALTH PLAN 2013 form 5500 responses
2013-04-01	Type of plan entity	Single employer plan
2013-04-01	Plan funding arrangement – Insurance	Yes
2013-04-01	Plan benefit arrangement – Insurance	Yes
2012: QUALITY METALCRAFT, INC. EMPLOYEES BLUE CARE NETWORK HEALTH PLAN 2012 form 5500 responses
2012-04-01	Type of plan entity	Single employer plan
2012-04-01	Plan funding arrangement – Insurance	Yes
2012-04-01	Plan benefit arrangement – Insurance	Yes
2011: QUALITY METALCRAFT, INC. EMPLOYEES BLUE CARE NETWORK HEALTH PLAN 2011 form 5500 responses
2011-04-01	Type of plan entity	Single employer plan
2011-04-01	Plan funding arrangement – Insurance	Yes
2011-04-01	Plan benefit arrangement – Insurance	Yes
2009: QUALITY METALCRAFT, INC. EMPLOYEES BLUE CARE NETWORK HEALTH PLAN 2009 form 5500 responses
2009-04-01	Type of plan entity	Single employer plan
2009-04-01	Plan funding arrangement – Insurance	Yes
2009-04-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )

Policy contract number

00152326

Policy instance

Insurance contract or identification number	00152326
Number of Individuals Covered	752
Insurance policy start date	2015-04-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $31,774
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	Yes
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
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 $970,628
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $31,774
Insurance broker organization code?	3

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Company Name:	QUALITY METALCRAFT, INC.
Employer identification number (EIN):	381743919
NAIC Classification:	336300

Plan id#	Filing Submission Date	Name of Administrator
503	2015-04-01	MATTHEW PULLIMAN
503	2015-04-01
503	2014-04-01	MICHAEL CHETCUTI
503	2013-04-01	MICHAEL CHETCUTI
503	2012-04-01	MICHAEL CHETCUTI
503	2011-04-01	MICHAEL CHETCUTI
503	2009-04-01	MICHAEL CHETCUTI