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PROFORM POWDERED METALS INC WELFARE BENEFIT PLAN 401k Plan overview

Plan NamePROFORM POWDERED METALS INC WELFARE BENEFIT PLAN
Plan identification number 501

PROFORM POWDERED METALS INC WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

PROFORM POWDERED METALS, LLC. has sponsored the creation of one or more 401k plans.

Company Name:PROFORM POWDERED METALS, LLC.
Employer identification number (EIN):232940714
NAIC Classification:332900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PROFORM POWDERED METALS INC WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-10-01APRIL DILTS2023-03-08
5012020-10-01APRIL DILTS2022-08-02
5012019-10-01APRIL DILTS2022-08-02
5012018-10-01APRIL DILTS2022-08-02
5012017-10-01APRIL DILTS2022-08-02
5012016-10-01APRIL DILTS2022-08-02

Plan Statistics for PROFORM POWDERED METALS INC WELFARE BENEFIT PLAN

401k plan membership statisitcs for PROFORM POWDERED METALS INC WELFARE BENEFIT PLAN

Measure Date Value
2021: PROFORM POWDERED METALS INC WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-01144
Total number of active participants reported on line 7a of the Form 55002021-10-010
Number of retired or separated participants receiving benefits2021-10-010
Number of other retired or separated participants entitled to future benefits2021-10-010
Total of all active and inactive participants2021-10-010
Number of employers contributing to the scheme2021-10-010
2020: PROFORM POWDERED METALS INC WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-01135
Total number of active participants reported on line 7a of the Form 55002020-10-01103
Number of retired or separated participants receiving benefits2020-10-010
Number of other retired or separated participants entitled to future benefits2020-10-010
Total of all active and inactive participants2020-10-01103
Number of employers contributing to the scheme2020-10-010
2019: PROFORM POWDERED METALS INC WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01127
Total number of active participants reported on line 7a of the Form 55002019-10-01132
Number of retired or separated participants receiving benefits2019-10-010
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-01132
Number of employers contributing to the scheme2019-10-010
2018: PROFORM POWDERED METALS INC WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01112
Total number of active participants reported on line 7a of the Form 55002018-10-01126
Number of retired or separated participants receiving benefits2018-10-010
Number of other retired or separated participants entitled to future benefits2018-10-010
Total of all active and inactive participants2018-10-01126
Number of employers contributing to the scheme2018-10-010
2017: PROFORM POWDERED METALS INC WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01121
Total number of active participants reported on line 7a of the Form 55002017-10-01115
Number of retired or separated participants receiving benefits2017-10-010
Number of other retired or separated participants entitled to future benefits2017-10-010
Total of all active and inactive participants2017-10-01115
Number of employers contributing to the scheme2017-10-010
2016: PROFORM POWDERED METALS INC WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-01113
Total number of active participants reported on line 7a of the Form 55002016-10-01120
Number of retired or separated participants receiving benefits2016-10-010
Number of other retired or separated participants entitled to future benefits2016-10-010
Total of all active and inactive participants2016-10-01120
Number of employers contributing to the scheme2016-10-010

Form 5500 Responses for PROFORM POWDERED METALS INC WELFARE BENEFIT PLAN

2021: PROFORM POWDERED METALS INC WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01This submission is the final filingYes
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan benefit arrangement – InsuranceYes
2020: PROFORM POWDERED METALS INC WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – InsuranceYes
2019: PROFORM POWDERED METALS INC WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – InsuranceYes
2018: PROFORM POWDERED METALS INC WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – InsuranceYes
2017: PROFORM POWDERED METALS INC WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – InsuranceYes
2016: PROFORM POWDERED METALS INC WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01First time form 5500 has been submittedYes
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number6943 ET AL
Policy instance 1
Insurance contract or identification number6943 ET AL
Number of Individuals Covered147
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $29,924
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $995,845
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,985
Amount paid for insurance broker fees0
Insurance broker organization code?3
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number6943 ET AL
Policy instance 1
Insurance contract or identification number6943 ET AL
Number of Individuals Covered152
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $25,209
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $837,879
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,209
Amount paid for insurance broker fees0
Insurance broker organization code?3
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number6943 ET AL
Policy instance 1
Insurance contract or identification number6943 ET AL
Number of Individuals Covered161
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $25,570
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $857,727
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,570
Amount paid for insurance broker fees0
Insurance broker organization code?3
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number6943 ET AL
Policy instance 1
Insurance contract or identification number6943 ET AL
Number of Individuals Covered158
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $19,624
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $838,442
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,624
Amount paid for insurance broker fees0
Insurance broker organization code?3
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number6943 ET AL
Policy instance 1
Insurance contract or identification number6943 ET AL
Number of Individuals Covered137
Insurance policy start date2016-10-01
Insurance policy end date2017-09-30
Total amount of commissions paid to insurance brokerUSD $30,030
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $729,650
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,030
Amount paid for insurance broker fees0
Insurance broker organization code?3

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