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MICROPLASTICS, INC. GROUP HEALTH PLAN 401k Plan overview

Plan NameMICROPLASTICS, INC. GROUP HEALTH PLAN
Plan identification number 501

MICROPLASTICS, INC. GROUP HEALTH PLAN Benefits

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

MICROPLASTICS, INC. has sponsored the creation of one or more 401k plans.

Company Name:MICROPLASTICS, INC.
Employer identification number (EIN):363628136
NAIC Classification:326100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MICROPLASTICS, INC. GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01PATRICIA A. ZEYEN2023-03-14
5012021-08-01PATRICIA A. ZEYEN2022-04-14
5012020-08-01PATRICIA A. ZEYEN2022-02-07
5012019-08-01
5012018-08-01
5012017-08-01PATRICIA ZEYEN PATRICIA ZEYEN2019-02-27
5012016-08-01PATTY ZEYEN PATTY ZEYEN2018-02-22

Plan Statistics for MICROPLASTICS, INC. GROUP HEALTH PLAN

401k plan membership statisitcs for MICROPLASTICS, INC. GROUP HEALTH PLAN

Measure Date Value
2022: MICROPLASTICS, INC. GROUP HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0184
Total number of active participants reported on line 7a of the Form 55002022-01-01145
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01145
Number of employers contributing to the scheme2022-01-010
2021: MICROPLASTICS, INC. GROUP HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-08-01100
Total number of active participants reported on line 7a of the Form 55002021-08-0184
Number of retired or separated participants receiving benefits2021-08-010
Number of other retired or separated participants entitled to future benefits2021-08-010
Total of all active and inactive participants2021-08-0184
Number of employers contributing to the scheme2021-08-010
2020: MICROPLASTICS, INC. GROUP HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-08-01103
Total number of active participants reported on line 7a of the Form 55002020-08-01100
Number of retired or separated participants receiving benefits2020-08-010
Number of other retired or separated participants entitled to future benefits2020-08-010
Total of all active and inactive participants2020-08-01100
Number of employers contributing to the scheme2020-08-010
2019: MICROPLASTICS, INC. GROUP HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-08-01119
Total number of active participants reported on line 7a of the Form 55002019-08-01103
Number of retired or separated participants receiving benefits2019-08-010
Number of other retired or separated participants entitled to future benefits2019-08-010
Total of all active and inactive participants2019-08-01103
2018: MICROPLASTICS, INC. GROUP HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-08-01143
Total number of active participants reported on line 7a of the Form 55002018-08-01119
Number of retired or separated participants receiving benefits2018-08-010
Number of other retired or separated participants entitled to future benefits2018-08-010
Total of all active and inactive participants2018-08-01119
2017: MICROPLASTICS, INC. GROUP HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-08-01147
Total number of active participants reported on line 7a of the Form 55002017-08-01143
Number of retired or separated participants receiving benefits2017-08-010
Number of other retired or separated participants entitled to future benefits2017-08-010
Total of all active and inactive participants2017-08-01143
2016: MICROPLASTICS, INC. GROUP HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-08-01147
Total number of active participants reported on line 7a of the Form 55002016-08-01147
Number of retired or separated participants receiving benefits2016-08-010
Number of other retired or separated participants entitled to future benefits2016-08-010
Total of all active and inactive participants2016-08-01147

Form 5500 Responses for MICROPLASTICS, INC. GROUP HEALTH PLAN

2022: MICROPLASTICS, INC. GROUP HEALTH PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: MICROPLASTICS, INC. GROUP HEALTH PLAN 2021 form 5500 responses
2021-08-01Type of plan entitySingle employer plan
2021-08-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-08-01Plan funding arrangement – InsuranceYes
2021-08-01Plan benefit arrangement – InsuranceYes
2020: MICROPLASTICS, INC. GROUP HEALTH PLAN 2020 form 5500 responses
2020-08-01Type of plan entitySingle employer plan
2020-08-01Plan funding arrangement – InsuranceYes
2020-08-01Plan benefit arrangement – InsuranceYes
2019: MICROPLASTICS, INC. GROUP HEALTH PLAN 2019 form 5500 responses
2019-08-01Type of plan entitySingle employer plan
2019-08-01Submission has been amendedNo
2019-08-01This submission is the final filingNo
2019-08-01This return/report is a short plan year return/report (less than 12 months)No
2019-08-01Plan is a collectively bargained planNo
2019-08-01Plan funding arrangement – InsuranceYes
2019-08-01Plan benefit arrangement – InsuranceYes
2018: MICROPLASTICS, INC. GROUP HEALTH PLAN 2018 form 5500 responses
2018-08-01Type of plan entitySingle employer plan
2018-08-01Submission has been amendedNo
2018-08-01This submission is the final filingNo
2018-08-01This return/report is a short plan year return/report (less than 12 months)No
2018-08-01Plan is a collectively bargained planNo
2018-08-01Plan funding arrangement – InsuranceYes
2018-08-01Plan benefit arrangement – InsuranceYes
2017: MICROPLASTICS, INC. GROUP HEALTH PLAN 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Submission has been amendedNo
2017-08-01This submission is the final filingNo
2017-08-01This return/report is a short plan year return/report (less than 12 months)No
2017-08-01Plan is a collectively bargained planNo
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – InsuranceYes
2016: MICROPLASTICS, INC. GROUP HEALTH PLAN 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01First time form 5500 has been submittedYes
2016-08-01Submission has been amendedNo
2016-08-01This submission is the final filingNo
2016-08-01This return/report is a short plan year return/report (less than 12 months)No
2016-08-01Plan is a collectively bargained planNo
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number290674
Policy instance 1
Insurance contract or identification number290674
Number of Individuals Covered145
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $41,601
Total amount of fees paid to insurance companyUSD $5,205
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,101,633
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $41,601
Amount paid for insurance broker fees5205
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number170026-SHORT
Policy instance 1
Insurance contract or identification number170026-SHORT
Number of Individuals Covered84
Insurance policy start date2021-08-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $6,084
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $182,660
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees6084
Additional information about fees paid to insurance brokerDIRECT COMPENSATION
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberB98003, P98003
Policy instance 1
Insurance contract or identification numberB98003, P98003
Number of Individuals Covered185
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $41,909
Total amount of fees paid to insurance companyUSD $3,025
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,059,991
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $32,513
Amount paid for insurance broker fees3025
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberB98003, P98003
Policy instance 1
Insurance contract or identification numberB98003, P98003
Number of Individuals Covered207
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $45,875
Total amount of fees paid to insurance companyUSD $3,650
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,182,546
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $45,875
Amount paid for insurance broker fees3650
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberB98003, P98003
Policy instance 1
Insurance contract or identification numberB98003, P98003
Number of Individuals Covered217
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $50,199
Total amount of fees paid to insurance companyUSD $3,750
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,278,958
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $50,199
Amount paid for insurance broker fees3750
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberB98003, P98003
Policy instance 1
Insurance contract or identification numberB98003, P98003
Number of Individuals Covered254
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $51,253
Total amount of fees paid to insurance companyUSD $3,900
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,314,606
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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