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AMERICAN INSTITUTE HOLDINGS HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameAMERICAN INSTITUTE HOLDINGS HEALTH AND WELFARE PLAN
Plan identification number 501

AMERICAN INSTITUTE HOLDINGS HEALTH AND WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Long-term disability cover
  • 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.

401k Sponsoring company profile

AI HOLDINGS, INC. has sponsored the creation of one or more 401k plans.

Company Name:AI HOLDINGS, INC.
Employer identification number (EIN):450577939
NAIC Classification:611000

Additional information about AI HOLDINGS, INC.

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 1956-07-23
Company Identification Number: 278033111
Legal Registered Office Address: 801 E 25TH ST

TACOMA
United States of America (USA)
984212101

More information about AI HOLDINGS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICAN INSTITUTE HOLDINGS HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-01-01BRIAN COUTTS2021-06-23

Plan Statistics for AMERICAN INSTITUTE HOLDINGS HEALTH AND WELFARE PLAN

401k plan membership statisitcs for AMERICAN INSTITUTE HOLDINGS HEALTH AND WELFARE PLAN

Measure Date Value
2020: AMERICAN INSTITUTE HOLDINGS HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01100
Total number of active participants reported on line 7a of the Form 55002020-01-0197
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-0197
Number of employers contributing to the scheme2020-01-010

Form 5500 Responses for AMERICAN INSTITUTE HOLDINGS HEALTH AND WELFARE PLAN

2020: AMERICAN INSTITUTE HOLDINGS HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01First time form 5500 has been submittedYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 )
Policy contract number763556
Policy instance 1
Insurance contract or identification number763556
Number of Individuals Covered89
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $30,774
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $796,995
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,774
Amount paid for insurance broker fees0
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number474812
Policy instance 2
Insurance contract or identification number474812
Number of Individuals Covered97
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $6,964
Total amount of fees paid to insurance companyUSD $4,532
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $73,389
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,964
Amount paid for insurance broker fees4532
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3

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