401k Plan data: FLEMISH MASTER WEAVERS, INC. MEDICAL PLAN plan

FLEMISH MASTER WEAVERS, INC. MEDICAL PLAN 401k Plan overview

Plan Name	FLEMISH MASTER WEAVERS, INC. MEDICAL PLAN
Plan identification number	503

FLEMISH MASTER WEAVERS, INC. MEDICAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Vision 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

FLEMISH MASTER WEAVERS, INC. has sponsored the creation of one or more 401k plans.

Company Name: FLEMISH MASTER WEAVERS, INC.

Employer identification number (EIN): 010438729

NAIC Classification: 339900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FLEMISH MASTER WEAVERS, INC. MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2021-09-01 MIRIAM ECHEVARRIA 2023-02-16
503 2018-09-01 MIRIAM ECHEVARRIA 2022-07-12
503 2017-09-01 MIRIAM ECHEVARRIA 2022-07-12

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
503	2021-09-01	MIRIAM ECHEVARRIA	2023-02-16
503	2018-09-01	MIRIAM ECHEVARRIA	2022-07-12
503	2017-09-01	MIRIAM ECHEVARRIA	2022-07-12

Plan Statistics for FLEMISH MASTER WEAVERS, INC. MEDICAL PLAN

401k plan membership statisitcs for FLEMISH MASTER WEAVERS, INC. MEDICAL PLAN

Measure Date Value
2021: FLEMISH MASTER WEAVERS, INC. MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year 2021-09-01 130
Total number of active participants reported on line 7a of the Form 5500 2021-09-01 0
Number of retired or separated participants receiving benefits 2021-09-01 0
Number of other retired or separated participants entitled to future benefits 2021-09-01 0
Total of all active and inactive participants 2021-09-01 0
2018: FLEMISH MASTER WEAVERS, INC. MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year 2018-09-01 133
Total number of active participants reported on line 7a of the Form 5500 2018-09-01 109
Number of retired or separated participants receiving benefits 2018-09-01 0
Number of other retired or separated participants entitled to future benefits 2018-09-01 0
Total of all active and inactive participants 2018-09-01 109
2017: FLEMISH MASTER WEAVERS, INC. MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year 2017-09-01 119
Total number of active participants reported on line 7a of the Form 5500 2017-09-01 118
Number of retired or separated participants receiving benefits 2017-09-01 0
Number of other retired or separated participants entitled to future benefits 2017-09-01 0
Total of all active and inactive participants 2017-09-01 118

Measure	Date	Value
2021: FLEMISH MASTER WEAVERS, INC. MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year	2021-09-01	130
Total number of active participants reported on line 7a of the Form 5500	2021-09-01	0
Number of retired or separated participants receiving benefits	2021-09-01	0
Number of other retired or separated participants entitled to future benefits	2021-09-01	0
Total of all active and inactive participants	2021-09-01	0
2018: FLEMISH MASTER WEAVERS, INC. MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year	2018-09-01	133
Total number of active participants reported on line 7a of the Form 5500	2018-09-01	109
Number of retired or separated participants receiving benefits	2018-09-01	0
Number of other retired or separated participants entitled to future benefits	2018-09-01	0
Total of all active and inactive participants	2018-09-01	109
2017: FLEMISH MASTER WEAVERS, INC. MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year	2017-09-01	119
Total number of active participants reported on line 7a of the Form 5500	2017-09-01	118
Number of retired or separated participants receiving benefits	2017-09-01	0
Number of other retired or separated participants entitled to future benefits	2017-09-01	0
Total of all active and inactive participants	2017-09-01	118

Form 5500 Responses for FLEMISH MASTER WEAVERS, INC. MEDICAL PLAN

2021: FLEMISH MASTER WEAVERS, INC. MEDICAL PLAN 2021 form 5500 responses
2021-09-01	Type of plan entity	Single employer plan
2021-09-01	Submission has been amended	No
2021-09-01	This submission is the final filing	Yes
2021-09-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2021-09-01	Plan is a collectively bargained plan	No
2021-09-01	Plan funding arrangement – Insurance	Yes
2021-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-09-01	Plan benefit arrangement – Insurance	Yes
2021-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: FLEMISH MASTER WEAVERS, INC. MEDICAL PLAN 2018 form 5500 responses
2018-09-01	Type of plan entity	Single employer plan
2018-09-01	Submission has been amended	No
2018-09-01	This submission is the final filing	No
2018-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-09-01	Plan is a collectively bargained plan	No
2018-09-01	Plan funding arrangement – Insurance	Yes
2018-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-09-01	Plan benefit arrangement – Insurance	Yes
2018-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: FLEMISH MASTER WEAVERS, INC. MEDICAL PLAN 2017 form 5500 responses
2017-09-01	Type of plan entity	Single employer plan
2017-09-01	First time form 5500 has been submitted	Yes
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 funding arrangement – General assets of the sponsor	Yes
2017-09-01	Plan benefit arrangement – Insurance	Yes
2017-09-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )

Policy contract number

001002721

Policy instance

Insurance contract or identification number	001002721
Number of Individuals Covered	324
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $1,670
Total amount of fees paid to insurance company	USD $57,140
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 $2,529,019
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $1,670
Amount paid for insurance broker fees	42080
Additional information about fees paid to insurance broker	FEES PAID
Insurance broker organization code?	3

ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )

Policy contract number

00B756

Policy instance

Insurance contract or identification number	00B756
Number of Individuals Covered	109
Insurance policy start date	2018-09-01
Insurance policy end date	2019-08-31
Total amount of commissions paid to insurance broker	USD $34,951
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	Yes
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 $792,984
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $34,951
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3

ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )

Policy contract number

00B756

Policy instance

Insurance contract or identification number	00B756
Number of Individuals Covered	118
Insurance policy start date	2017-09-01
Insurance policy end date	2018-08-31
Total amount of commissions paid to insurance broker	USD $32,575
Total amount of fees paid to insurance company	USD $0
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 $681,852
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $32,575
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3

Was this data useful?

If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us. Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer

The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Company Name:	FLEMISH MASTER WEAVERS, INC.
Employer identification number (EIN):	010438729
NAIC Classification:	339900