401k Plan data: WISCONSIN FUNERAL DIRECTORS ASSOCIATION plan

WISCONSIN FUNERAL DIRECTORS ASSOCIATION 401k Plan overview

Plan Name	WISCONSIN FUNERAL DIRECTORS ASSOCIATION
Plan identification number	502

WISCONSIN FUNERAL DIRECTORS ASSOCIATION Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

WISCONSIN FUNERAL DIRECTORS ASSOCIATION, INC. has sponsored the creation of one or more 401k plans.

Company Name: WISCONSIN FUNERAL DIRECTORS ASSOCIATION, INC.

Employer identification number (EIN): 390713192

NAIC Classification: 812210
NAIC Description: Funeral Homes and Funeral Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WISCONSIN FUNERAL DIRECTORS ASSOCIATION

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2023-01-01

Plan Statistics for WISCONSIN FUNERAL DIRECTORS ASSOCIATION

401k plan membership statisitcs for WISCONSIN FUNERAL DIRECTORS ASSOCIATION

Measure Date Value
2023: WISCONSIN FUNERAL DIRECTORS ASSOCIATION 2023 401k membership
Total participants, beginning-of-year 2023-01-01 53
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 77
Total of all active and inactive participants 2023-01-01 77
Total participants 2023-01-01 77
Number of employers contributing to the scheme 2023-01-01 0

Measure	Date	Value
2023: WISCONSIN FUNERAL DIRECTORS ASSOCIATION 2023 401k membership
Total participants, beginning-of-year	2023-01-01	53
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	77
Total of all active and inactive participants	2023-01-01	77
Total participants	2023-01-01	77
Number of employers contributing to the scheme	2023-01-01	0

Form 5500 Responses for WISCONSIN FUNERAL DIRECTORS ASSOCIATION

2023: WISCONSIN FUNERAL DIRECTORS ASSOCIATION 2023 form 5500 responses
2023-01-01	Type of plan entity	Multi-employer plan
2023-01-01	First time form 5500 has been submitted	Yes
2023-01-01	Submission has been amended	No
2023-01-01	This submission is the final filing	No
2023-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2023-01-01	Plan is a collectively bargained plan	Yes
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 53139 )

Policy contract number

100000061

Policy instance

Insurance contract or identification number	100000061
Number of Individuals Covered	77
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $11,350
Total amount of fees paid to insurance company	USD $11,350
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

WPS HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 10159 )

Policy contract number

100000061

Policy instance

Insurance contract or identification number	100000061
Number of Individuals Covered	2
Insurance policy start date	2023-01-01
Insurance policy end date	2023-07-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	WISCONSIN FUNERAL DIRECTORS ASSOCIATION, INC.
Employer identification number (EIN):	390713192
NAIC Classification:	812210
NAIC Description:	Funeral Homes and Funeral Services