401k Plan data: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN plan

WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 401k Plan overview

Plan Name	WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN
Plan identification number	503

WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

WORCESTER ENVELOPE COMPANY has sponsored the creation of one or more 401k plans.

Company Name: WORCESTER ENVELOPE COMPANY

Employer identification number (EIN): 041989150

NAIC Classification: 322200

Additional information about WORCESTER ENVELOPE COMPANY

Jurisdiction of Incorporation: New Jersey Division of Revenue and Enterprise Services

Incorporation Date:

Company Identification Number: 0100902869

More information about WORCESTER ENVELOPE COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2021-10-01
503 2021-10-01 DAVID NADEAU
503 2020-10-01
503 2019-10-01
503 2018-10-01
503 2017-10-01
503 2017-01-01 DAVID NADEAU
503 2016-01-01 DAVID NADEAU
503 2015-01-01 DAVID NADEAU
503 2014-01-01 DAVID NADEAU
503 2013-10-01 DAVID NADEAU
503 2012-10-01 CHRISTOPHER NADEAU CHRISTOPHER NADEAU 2014-07-15
503 2011-10-01 LOUISE PARKER LOUISE PARKER 2013-04-15
503 2009-10-01 LOUISE PARKER

Plan Statistics for WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN

401k plan membership statisitcs for WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN

Measure Date Value
2021: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year 2021-10-01 114
Total number of active participants reported on line 7a of the Form 5500 2021-10-01 114
Number of retired or separated participants receiving benefits 2021-10-01 0
Number of other retired or separated participants entitled to future benefits 2021-10-01 0
Total of all active and inactive participants 2021-10-01 114
Total participants 2021-10-01 114
2020: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year 2020-10-01 108
Total number of active participants reported on line 7a of the Form 5500 2020-10-01 114
Total of all active and inactive participants 2020-10-01 114
Total participants 2020-10-01 114
2019: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year 2019-10-01 116
Total number of active participants reported on line 7a of the Form 5500 2019-10-01 110
Total of all active and inactive participants 2019-10-01 110
Total participants 2019-10-01 110
2018: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year 2018-10-01 124
Total number of active participants reported on line 7a of the Form 5500 2018-10-01 116
Number of retired or separated participants receiving benefits 2018-10-01 0
Number of other retired or separated participants entitled to future benefits 2018-10-01 0
Total of all active and inactive participants 2018-10-01 116
Total participants 2018-10-01 116
2017: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year 2017-10-01 160
Total number of active participants reported on line 7a of the Form 5500 2017-10-01 124
Number of retired or separated participants receiving benefits 2017-10-01 0
Number of other retired or separated participants entitled to future benefits 2017-10-01 0
Total of all active and inactive participants 2017-10-01 124
Total participants 2017-10-01 124
Total participants, beginning-of-year 2017-01-01 151
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 160
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 160
Total participants 2017-01-01 160
2016: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 151
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 151
Total of all active and inactive participants 2016-01-01 151
Total participants 2016-01-01 151
2015: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 151
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 151
Total of all active and inactive participants 2015-01-01 151
Total participants 2015-01-01 151
2014: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 153
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 151
Total of all active and inactive participants 2014-01-01 151
Total participants 2014-01-01 151
2013: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 143
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 153
Total of all active and inactive participants 2013-10-01 153
Total participants 2013-10-01 153
2012: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 287
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 295
Total of all active and inactive participants 2012-10-01 295
2011: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 315
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 287
Total of all active and inactive participants 2011-10-01 287
2009: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 371
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 339
Total of all active and inactive participants 2009-10-01 339

Measure	Date	Value
2021: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year	2021-10-01	114
Total number of active participants reported on line 7a of the Form 5500	2021-10-01	114
Number of retired or separated participants receiving benefits	2021-10-01	0
Number of other retired or separated participants entitled to future benefits	2021-10-01	0
Total of all active and inactive participants	2021-10-01	114
Total participants	2021-10-01	114
2020: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year	2020-10-01	108
Total number of active participants reported on line 7a of the Form 5500	2020-10-01	114
Total of all active and inactive participants	2020-10-01	114
Total participants	2020-10-01	114
2019: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year	2019-10-01	116
Total number of active participants reported on line 7a of the Form 5500	2019-10-01	110
Total of all active and inactive participants	2019-10-01	110
Total participants	2019-10-01	110
2018: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year	2018-10-01	124
Total number of active participants reported on line 7a of the Form 5500	2018-10-01	116
Number of retired or separated participants receiving benefits	2018-10-01	0
Number of other retired or separated participants entitled to future benefits	2018-10-01	0
Total of all active and inactive participants	2018-10-01	116
Total participants	2018-10-01	116
2017: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year	2017-10-01	160
Total number of active participants reported on line 7a of the Form 5500	2017-10-01	124
Number of retired or separated participants receiving benefits	2017-10-01	0
Number of other retired or separated participants entitled to future benefits	2017-10-01	0
Total of all active and inactive participants	2017-10-01	124
Total participants	2017-10-01	124
Total participants, beginning-of-year	2017-01-01	151
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	160
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	160
Total participants	2017-01-01	160
2016: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	151
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	151
Total of all active and inactive participants	2016-01-01	151
Total participants	2016-01-01	151
2015: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	151
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	151
Total of all active and inactive participants	2015-01-01	151
Total participants	2015-01-01	151
2014: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	153
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	151
Total of all active and inactive participants	2014-01-01	151
Total participants	2014-01-01	151
2013: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	143
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	153
Total of all active and inactive participants	2013-10-01	153
Total participants	2013-10-01	153
2012: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	287
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	295
Total of all active and inactive participants	2012-10-01	295
2011: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	315
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	287
Total of all active and inactive participants	2011-10-01	287
2009: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	371
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	339
Total of all active and inactive participants	2009-10-01	339

Form 5500 Responses for WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN

2021: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2021 form 5500 responses
2021-10-01	Type of plan entity	Single employer plan
2021-10-01	Submission has been amended	No
2021-10-01	This submission is the final filing	Yes
2021-10-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2021-10-01	Plan is a collectively bargained plan	No
2021-10-01	Plan funding arrangement – Insurance	Yes
2021-10-01	Plan benefit arrangement – Insurance	Yes
2020: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2020 form 5500 responses
2020-10-01	Type of plan entity	Single employer plan
2020-10-01	Submission has been amended	No
2020-10-01	This submission is the final filing	No
2020-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-10-01	Plan is a collectively bargained plan	No
2020-10-01	Plan funding arrangement – Insurance	Yes
2020-10-01	Plan benefit arrangement – Insurance	Yes
2019: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2019 form 5500 responses
2019-10-01	Type of plan entity	Single employer plan
2019-10-01	Submission has been amended	No
2019-10-01	This submission is the final filing	No
2019-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-10-01	Plan is a collectively bargained plan	No
2019-10-01	Plan funding arrangement – Insurance	Yes
2019-10-01	Plan benefit arrangement – Insurance	Yes
2018: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2018 form 5500 responses
2018-10-01	Type of plan entity	Single employer plan
2018-10-01	Submission has been amended	No
2018-10-01	This submission is the final filing	No
2018-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-10-01	Plan is a collectively bargained plan	No
2018-10-01	Plan funding arrangement – Insurance	Yes
2018-10-01	Plan benefit arrangement – Insurance	Yes
2017: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2017 form 5500 responses
2017-10-01	Type of plan entity	Single employer plan
2017-10-01	Submission has been amended	No
2017-10-01	This submission is the final filing	No
2017-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-10-01	Plan is a collectively bargained plan	No
2017-10-01	Plan funding arrangement – Insurance	Yes
2017-10-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Submission has been amended	No
2013-10-01	This submission is the final filing	No
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2013-10-01	Plan is a collectively bargained plan	No
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan benefit arrangement – Insurance	Yes
2012: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Plan funding arrangement – Insurance	Yes
2012-10-01	Plan benefit arrangement – Insurance	Yes
2011: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Plan funding arrangement – Insurance	Yes
2011-10-01	Plan benefit arrangement – Insurance	Yes
2009: WORCESTER ENVELOPE COMPANY GROUP MEDICAL PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	This submission is the final filing	No
2009-10-01	Plan funding arrangement – Insurance	Yes
2009-10-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

FALLON COMMUNITY HEALTH PLAN -MEDICARE (National Association of Insurance Commissioners NAIC id number: 95541 )
Policy contract number	C004441843C01
Policy instance	1
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	755803
Policy instance	3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	882129G
Policy instance	2
FALLON COMMUNITY HEALTH PLAN -MEDICARE (National Association of Insurance Commissioners NAIC id number: 95541 )
Policy contract number	C00441843C01
Policy instance	1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	882129G
Policy instance	3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	755803
Policy instance	2
FALLON COMMUNITY HEALTH PLAN -MEDICARE (National Association of Insurance Commissioners NAIC id number: 95541 )
Policy contract number	C004441843C01
Policy instance	1
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number	4958776
Policy instance	4
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	88219G
Policy instance	3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	755803
Policy instance	2
FALLON COMMUNITY HEALTH PLAN -MEDICARE (National Association of Insurance Commissioners NAIC id number: 95541 )
Policy contract number	C004441843C01
Policy instance	1
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	755803
Policy instance	4
TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
Policy contract number	58168000
Policy instance	3
TUFTS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60117 )
Policy contract number	49283000
Policy instance	2
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	882129G
Policy instance	1
FALLON HEALTH AND LIFE INSURANCE COMPANY - FHLAC (National Association of Insurance Commissioners NAIC id number: 66828 )
Policy contract number	C04441843C01
Policy instance	4
FALLON COMMUNITY HEALTH PLAN -MEDICARE (National Association of Insurance Commissioners NAIC id number: 95541 )
Policy contract number	C004441843C01
Policy instance	3
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number	004855
Policy instance	2
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	579118
Policy instance	1

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Company Name:	WORCESTER ENVELOPE COMPANY
Employer identification number (EIN):	041989150
NAIC Classification:	322200

Jurisdiction of Incorporation:	New Jersey Division of Revenue and Enterprise Services
Incorporation Date:
Company Identification Number:	0100902869

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
503	2021-10-01
503	2021-10-01	DAVID NADEAU
503	2020-10-01
503	2019-10-01
503	2018-10-01
503	2017-10-01
503	2017-01-01	DAVID NADEAU
503	2016-01-01	DAVID NADEAU
503	2015-01-01	DAVID NADEAU
503	2014-01-01	DAVID NADEAU
503	2013-10-01	DAVID NADEAU
503	2012-10-01	CHRISTOPHER NADEAU	CHRISTOPHER NADEAU	2014-07-15
503	2011-10-01	LOUISE PARKER	LOUISE PARKER	2013-04-15
503	2009-10-01	LOUISE PARKER