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| Plan Name | MIDWESTERN INDUSTRIES, INC. MEDICAL PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | MIDWESTERN INDUSTRIES, INC. |
| Employer identification number (EIN): | 340895545 |
| NAIC Classification: | 333200 |
Additional information about MIDWESTERN INDUSTRIES, INC.
| Jurisdiction of Incorporation: | Ohio Secretary of State Business Services Division |
| Incorporation Date: | 1961-12-26 |
| Company Identification Number: | 306398 |
| Legal Registered Office Address: |
915 OBERLIN ROAD SOUTHWEST MASSILLON United States of America (USA) 44647 |
More information about MIDWESTERN INDUSTRIES, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2020-08-01 | ||||
| 501 | 2020-08-01 | ||||
| 501 | 2019-08-01 |
| Measure | Date | Value |
|---|---|---|
| 2020: MIDWESTERN INDUSTRIES, INC. MEDICAL PLAN 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-08-01 | 102 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-08-01 | 102 |
| Number of retired or separated participants receiving benefits | 2020-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-08-01 | 0 |
| Total of all active and inactive participants | 2020-08-01 | 102 |
| 2019: MIDWESTERN INDUSTRIES, INC. MEDICAL PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-08-01 | 101 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-08-01 | 102 |
| Number of retired or separated participants receiving benefits | 2019-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-08-01 | 0 |
| Total of all active and inactive participants | 2019-08-01 | 102 |
| 2020: MIDWESTERN INDUSTRIES, INC. MEDICAL PLAN 2020 form 5500 responses | ||
|---|---|---|
| 2020-08-01 | Type of plan entity | Single employer plan |
| 2020-08-01 | Submission has been amended | No |
| 2020-08-01 | This submission is the final filing | No |
| 2020-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-08-01 | Plan is a collectively bargained plan | No |
| 2020-08-01 | Plan funding arrangement – Insurance | Yes |
| 2020-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: MIDWESTERN INDUSTRIES, INC. MEDICAL PLAN 2019 form 5500 responses | ||
| 2019-08-01 | Type of plan entity | Single employer plan |
| 2019-08-01 | First time form 5500 has been submitted | Yes |
| 2019-08-01 | Submission has been amended | No |
| 2019-08-01 | This submission is the final filing | No |
| 2019-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-08-01 | Plan is a collectively bargained plan | No |
| 2019-08-01 | Plan funding arrangement – Insurance | Yes |
| 2019-08-01 | Plan benefit arrangement – Insurance | Yes |
| SUMMACARE (National Association of Insurance Commissioners NAIC id number: 95202 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | G06614 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| HEALTH PLAN UPPER OHIO VALLEY (National Association of Insurance Commissioners NAIC id number: 95677 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 1011854/1272534 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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