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BUSCHE PERFORMANCE GROUP, INC. SHORT TERM DISABILITY PLAN 401k Plan overview

Plan NameBUSCHE PERFORMANCE GROUP, INC. SHORT TERM DISABILITY PLAN
Plan identification number 502

BUSCHE PERFORMANCE GROUP, INC. SHORT TERM DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

MOBEX GLOBAL has sponsored the creation of one or more 401k plans.

Company Name:MOBEX GLOBAL
Employer identification number (EIN):352064606
NAIC Classification:332700

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BUSCHE PERFORMANCE GROUP, INC. SHORT TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022019-03-01KAYLA BROWN2020-10-29
5022019-03-01KAYLA BROWN2021-06-10
5022018-03-01KAYLA BROWN2020-10-29
5022017-03-01DONALD KAWIECKI
5022016-03-01DONALD KAWIECKI

Plan Statistics for BUSCHE PERFORMANCE GROUP, INC. SHORT TERM DISABILITY PLAN

401k plan membership statisitcs for BUSCHE PERFORMANCE GROUP, INC. SHORT TERM DISABILITY PLAN

Measure Date Value
2019: BUSCHE PERFORMANCE GROUP, INC. SHORT TERM DISABILITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-03-01340
Total number of active participants reported on line 7a of the Form 55002019-03-01435
Number of retired or separated participants receiving benefits2019-03-010
Number of other retired or separated participants entitled to future benefits2019-03-010
Total of all active and inactive participants2019-03-01435
Number of employers contributing to the scheme2019-03-010
2018: BUSCHE PERFORMANCE GROUP, INC. SHORT TERM DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-03-01353
Total number of active participants reported on line 7a of the Form 55002018-03-01340
Number of retired or separated participants receiving benefits2018-03-010
Number of other retired or separated participants entitled to future benefits2018-03-010
Total of all active and inactive participants2018-03-01340
Number of employers contributing to the scheme2018-03-010
2017: BUSCHE PERFORMANCE GROUP, INC. SHORT TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-03-01353
Total number of active participants reported on line 7a of the Form 55002017-03-01340
Number of retired or separated participants receiving benefits2017-03-010
Number of other retired or separated participants entitled to future benefits2017-03-010
Total of all active and inactive participants2017-03-01340
2016: BUSCHE PERFORMANCE GROUP, INC. SHORT TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-03-01353
Total number of active participants reported on line 7a of the Form 55002016-03-01353
Number of retired or separated participants receiving benefits2016-03-010
Number of other retired or separated participants entitled to future benefits2016-03-010
Total of all active and inactive participants2016-03-01353

Form 5500 Responses for BUSCHE PERFORMANCE GROUP, INC. SHORT TERM DISABILITY PLAN

2019: BUSCHE PERFORMANCE GROUP, INC. SHORT TERM DISABILITY PLAN 2019 form 5500 responses
2019-03-01Type of plan entitySingle employer plan
2019-03-01Submission has been amendedYes
2019-03-01This submission is the final filingYes
2019-03-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-03-01Plan funding arrangement – InsuranceYes
2019-03-01Plan benefit arrangement – InsuranceYes
2018: BUSCHE PERFORMANCE GROUP, INC. SHORT TERM DISABILITY PLAN 2018 form 5500 responses
2018-03-01Type of plan entitySingle employer plan
2018-03-01Plan funding arrangement – InsuranceYes
2018-03-01Plan benefit arrangement – InsuranceYes
2017: BUSCHE PERFORMANCE GROUP, INC. SHORT TERM DISABILITY PLAN 2017 form 5500 responses
2017-03-01Type of plan entitySingle employer plan
2017-03-01Submission has been amendedNo
2017-03-01This submission is the final filingNo
2017-03-01This return/report is a short plan year return/report (less than 12 months)No
2017-03-01Plan is a collectively bargained planNo
2017-03-01Plan funding arrangement – InsuranceYes
2017-03-01Plan benefit arrangement – InsuranceYes
2016: BUSCHE PERFORMANCE GROUP, INC. SHORT TERM DISABILITY PLAN 2016 form 5500 responses
2016-03-01Type of plan entitySingle employer plan
2016-03-01First time form 5500 has been submittedYes
2016-03-01Submission has been amendedNo
2016-03-01This submission is the final filingNo
2016-03-01This return/report is a short plan year return/report (less than 12 months)No
2016-03-01Plan is a collectively bargained planNo
2016-03-01Plan funding arrangement – InsuranceYes
2016-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10206926
Policy instance 1
Insurance contract or identification number10206926
Number of Individuals Covered403
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $16,688
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $166,878
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,420
Amount paid for insurance broker fees0
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10206926
Policy instance 2
Insurance contract or identification number10206926
Number of Individuals Covered435
Insurance policy start date2019-09-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $4,739
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $47,391
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,739
Amount paid for insurance broker fees0
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10206926
Policy instance 1
Insurance contract or identification number10206926
Number of Individuals Covered356
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $14,715
Total amount of fees paid to insurance companyUSD $725
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $147,146
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,715
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBROKER BONUS
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10206926
Policy instance 1
Insurance contract or identification number10206926
Number of Individuals Covered340
Insurance policy start date2016-09-01
Insurance policy end date2017-08-31
Total amount of commissions paid to insurance brokerUSD $14,653
Total amount of fees paid to insurance companyUSD $714
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $146,525
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,653
Insurance broker organization code?3
Amount paid for insurance broker fees714
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker nameWILLIS OF ARIZONA INC.

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