401k Plan data: UNIVERSAL STEEL AMERICA INC HEALTH AND WELFARE PLAN plan

UNIVERSAL STEEL AMERICA INC HEALTH AND WELFARE PLAN 401k Plan overview

Plan Name	UNIVERSAL STEEL AMERICA INC HEALTH AND WELFARE PLAN
Plan identification number	502

UNIVERSAL STEEL AMERICA INC HEALTH AND WELFARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) 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. Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

UNIVERSAL STEEL AMERICA, INC. has sponsored the creation of one or more 401k plans.

Company Name: UNIVERSAL STEEL AMERICA, INC.

Employer identification number (EIN): 760663332

NAIC Classification: 332900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UNIVERSAL STEEL AMERICA INC HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2020-01-01 MELANIE MADDEN 2021-07-08
502 2018-01-01 MELANIE MADDEN 2019-09-06

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
502	2020-01-01	MELANIE MADDEN	2021-07-08
502	2018-01-01	MELANIE MADDEN	2019-09-06

Plan Statistics for UNIVERSAL STEEL AMERICA INC HEALTH AND WELFARE PLAN

401k plan membership statisitcs for UNIVERSAL STEEL AMERICA INC HEALTH AND WELFARE PLAN

Measure Date Value
2020: UNIVERSAL STEEL AMERICA INC HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 100
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 100
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 100
Number of employers contributing to the scheme 2020-01-01 0
2018: UNIVERSAL STEEL AMERICA INC HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 108
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 109
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 109
Number of employers contributing to the scheme 2018-01-01 0

Measure	Date	Value
2020: UNIVERSAL STEEL AMERICA INC HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	100
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	100
Number of employers contributing to the scheme	2020-01-01	0
2018: UNIVERSAL STEEL AMERICA INC HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	108
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	109
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	109
Number of employers contributing to the scheme	2018-01-01	0

Form 5500 Responses for UNIVERSAL STEEL AMERICA INC HEALTH AND WELFARE PLAN

2020: UNIVERSAL STEEL AMERICA INC HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2018: UNIVERSAL STEEL AMERICA INC HEALTH AND WELFARE PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	First time form 5500 has been submitted	Yes
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

SGM610616

Policy instance

Insurance contract or identification number	SGM610616
Number of Individuals Covered	100
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $2,036
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $14,888
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $2,036
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )

Policy contract number

10237637

Policy instance

Insurance contract or identification number	10237637
Number of Individuals Covered	109
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $1,850
Total amount of fees paid to insurance company	USD $125
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $12,334
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,850
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	BROKER BONUS

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Company Name:	UNIVERSAL STEEL AMERICA, INC.
Employer identification number (EIN):	760663332
NAIC Classification:	332900