401k Plan data: AMETROS FINANCIAL CORPORATION HEALTH AND WELFARE BENEFITS PLAN plan

AMETROS FINANCIAL CORPORATION HEALTH AND WELFARE BENEFITS PLAN 401k Plan overview

Plan Name	AMETROS FINANCIAL CORPORATION HEALTH AND WELFARE BENEFITS PLAN
Plan identification number	501

AMETROS FINANCIAL CORPORATION HEALTH AND WELFARE BENEFITS 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
Death benefits (include travel accident but not 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

AMETROS FINANCIAL CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: AMETROS FINANCIAL CORPORATION

Employer identification number (EIN): 273328821

NAIC Classification: 524290

Additional information about AMETROS FINANCIAL CORPORATION

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 4864781

More information about AMETROS FINANCIAL CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMETROS FINANCIAL CORPORATION HEALTH AND WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2024-01-01 MICHAEL GLISCI
501 2022-01-01 DIANE KILADIS 2023-05-24
501 2021-01-01 DIANE KILADIS 2022-07-14
501 2020-01-01 AMANDA GILBERT 2021-07-20

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2024-01-01	MICHAEL GLISCI
501	2022-01-01	DIANE KILADIS	2023-05-24
501	2021-01-01	DIANE KILADIS	2022-07-14
501	2020-01-01	AMANDA GILBERT	2021-07-20

Form 5500 Responses for AMETROS FINANCIAL CORPORATION HEALTH AND WELFARE BENEFITS PLAN

2022: AMETROS FINANCIAL CORPORATION HEALTH AND WELFARE BENEFITS PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: AMETROS FINANCIAL CORPORATION HEALTH AND WELFARE BENEFITS PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: AMETROS FINANCIAL CORPORATION HEALTH AND WELFARE BENEFITS PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	First time form 5500 has been submitted	Yes
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )

Policy contract number

8055728

Policy instance

Insurance contract or identification number	8055728
Number of Individuals Covered	538
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $37,398
Total amount of fees paid to insurance company	USD $6,510
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1086379

Policy instance

Insurance contract or identification number	1086379
Number of Individuals Covered	145
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $7,488
Total amount of fees paid to insurance company	USD $1,925
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $62,247
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )

Policy contract number

8055728

Policy instance

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1086379

Policy instance

BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )

Policy contract number

8055728

Policy instance

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1086379

Policy instance

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Company Name:	AMETROS FINANCIAL CORPORATION
Employer identification number (EIN):	273328821
NAIC Classification:	524290

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	4864781