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| Plan Name | TRUMPET HOLDINGS ANCILLARY BENEFITS |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | TRUMPET HOLDINGS, INC. |
| Employer identification number (EIN): | 208096427 |
| NAIC Classification: | 336100 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2019-10-01 | ||||
| 502 | 2018-10-01 | ||||
| 502 | 2018-04-01 | PATRICIA LAMPIEN |
| Measure | Date | Value |
|---|---|---|
| 2019: TRUMPET HOLDINGS ANCILLARY BENEFITS 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-10-01 | 115 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-10-01 | 115 |
| Total of all active and inactive participants | 2019-10-01 | 115 |
| Total participants | 2019-10-01 | 115 |
| 2018: TRUMPET HOLDINGS ANCILLARY BENEFITS 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-10-01 | 123 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-10-01 | 119 |
| Total of all active and inactive participants | 2018-10-01 | 119 |
| Total participants | 2018-10-01 | 119 |
| Total participants, beginning-of-year | 2018-04-01 | 112 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-04-01 | 128 |
| Total of all active and inactive participants | 2018-04-01 | 128 |
| Total participants | 2018-04-01 | 128 |
| 2019: TRUMPET HOLDINGS ANCILLARY BENEFITS 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: TRUMPET HOLDINGS ANCILLARY BENEFITS 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 |
| 2018-04-01 | Type of plan entity | Single employer plan |
| 2018-04-01 | Submission has been amended | No |
| 2018-04-01 | This submission is the final filing | No |
| 2018-04-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2018-04-01 | Plan is a collectively bargained plan | No |
| 2018-04-01 | Plan funding arrangement – Insurance | Yes |
| 2018-04-01 | Plan benefit arrangement – Insurance | Yes |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 305858 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| HUMANA WISCONSIN HEALTH ORGANIZATION INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 95342 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 831041 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 909266 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | H55823 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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