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BENTLEY WORLD-PACKAGING, LTD MEDICAL AND PRESCRIPTION DRUG PLAN 401k Plan overview

Plan NameBENTLEY WORLD-PACKAGING, LTD MEDICAL AND PRESCRIPTION DRUG PLAN
Plan identification number 502

BENTLEY WORLD-PACKAGING, LTD MEDICAL AND PRESCRIPTION DRUG PLAN Benefits

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

401k Sponsoring company profile

BENTLEY WORLD PACKAGING, LTD. has sponsored the creation of one or more 401k plans.

Company Name:BENTLEY WORLD PACKAGING, LTD.
Employer identification number (EIN):391628642
NAIC Classification:236200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BENTLEY WORLD-PACKAGING, LTD MEDICAL AND PRESCRIPTION DRUG PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022016-09-01MICHELLE DIXON
5022015-09-01ANGELA DAMON
5022014-09-01THOMAS BENTLEY III
5022013-09-01THOMAS BENTLEY III
5022012-09-01THOMAS BENTLEY III
5022011-09-01THOMAS BENTLEY
5022009-09-01THOMAS BENTLEY

Plan Statistics for BENTLEY WORLD-PACKAGING, LTD MEDICAL AND PRESCRIPTION DRUG PLAN

401k plan membership statisitcs for BENTLEY WORLD-PACKAGING, LTD MEDICAL AND PRESCRIPTION DRUG PLAN

Measure Date Value
2016: BENTLEY WORLD-PACKAGING, LTD MEDICAL AND PRESCRIPTION DRUG PLAN 2016 401k membership
Total participants, beginning-of-year2016-09-01107
Total number of active participants reported on line 7a of the Form 55002016-09-0156
Number of retired or separated participants receiving benefits2016-09-010
Number of other retired or separated participants entitled to future benefits2016-09-010
Total of all active and inactive participants2016-09-0156
2015: BENTLEY WORLD-PACKAGING, LTD MEDICAL AND PRESCRIPTION DRUG PLAN 2015 401k membership
Total participants, beginning-of-year2015-09-01114
Total number of active participants reported on line 7a of the Form 55002015-09-01107
Number of retired or separated participants receiving benefits2015-09-010
Number of other retired or separated participants entitled to future benefits2015-09-010
Total of all active and inactive participants2015-09-01107
2014: BENTLEY WORLD-PACKAGING, LTD MEDICAL AND PRESCRIPTION DRUG PLAN 2014 401k membership
Total participants, beginning-of-year2014-09-01132
Total number of active participants reported on line 7a of the Form 55002014-09-01239
Number of retired or separated participants receiving benefits2014-09-010
Number of other retired or separated participants entitled to future benefits2014-09-010
Total of all active and inactive participants2014-09-01239
2013: BENTLEY WORLD-PACKAGING, LTD MEDICAL AND PRESCRIPTION DRUG PLAN 2013 401k membership
Total participants, beginning-of-year2013-09-01141
Total number of active participants reported on line 7a of the Form 55002013-09-01132
Total of all active and inactive participants2013-09-01132
2012: BENTLEY WORLD-PACKAGING, LTD MEDICAL AND PRESCRIPTION DRUG PLAN 2012 401k membership
Total participants, beginning-of-year2012-09-01226
Total number of active participants reported on line 7a of the Form 55002012-09-01141
Total of all active and inactive participants2012-09-01141
2011: BENTLEY WORLD-PACKAGING, LTD MEDICAL AND PRESCRIPTION DRUG PLAN 2011 401k membership
Total participants, beginning-of-year2011-09-01200
Total number of active participants reported on line 7a of the Form 55002011-09-01226
Total of all active and inactive participants2011-09-01226
2009: BENTLEY WORLD-PACKAGING, LTD MEDICAL AND PRESCRIPTION DRUG PLAN 2009 401k membership
Total participants, beginning-of-year2009-09-01185
Total number of active participants reported on line 7a of the Form 55002009-09-01199
Total of all active and inactive participants2009-09-01199

Form 5500 Responses for BENTLEY WORLD-PACKAGING, LTD MEDICAL AND PRESCRIPTION DRUG PLAN

2016: BENTLEY WORLD-PACKAGING, LTD MEDICAL AND PRESCRIPTION DRUG PLAN 2016 form 5500 responses
2016-09-01Type of plan entitySingle employer plan
2016-09-01Submission has been amendedNo
2016-09-01This submission is the final filingNo
2016-09-01This return/report is a short plan year return/report (less than 12 months)No
2016-09-01Plan is a collectively bargained planNo
2016-09-01Plan funding arrangement – General assets of the sponsorYes
2016-09-01Plan benefit arrangement – General assets of the sponsorYes
2015: BENTLEY WORLD-PACKAGING, LTD MEDICAL AND PRESCRIPTION DRUG PLAN 2015 form 5500 responses
2015-09-01Type of plan entitySingle employer plan
2015-09-01Submission has been amendedNo
2015-09-01This submission is the final filingNo
2015-09-01This return/report is a short plan year return/report (less than 12 months)No
2015-09-01Plan is a collectively bargained planNo
2015-09-01Plan funding arrangement – InsuranceYes
2015-09-01Plan funding arrangement – General assets of the sponsorYes
2015-09-01Plan benefit arrangement – InsuranceYes
2015-09-01Plan benefit arrangement – General assets of the sponsorYes
2014: BENTLEY WORLD-PACKAGING, LTD MEDICAL AND PRESCRIPTION DRUG PLAN 2014 form 5500 responses
2014-09-01Type of plan entitySingle employer plan
2014-09-01Plan funding arrangement – InsuranceYes
2014-09-01Plan funding arrangement – General assets of the sponsorYes
2014-09-01Plan benefit arrangement – InsuranceYes
2014-09-01Plan benefit arrangement – General assets of the sponsorYes
2013: BENTLEY WORLD-PACKAGING, LTD MEDICAL AND PRESCRIPTION DRUG PLAN 2013 form 5500 responses
2013-09-01Type of plan entitySingle employer plan
2013-09-01Plan funding arrangement – InsuranceYes
2013-09-01Plan funding arrangement – General assets of the sponsorYes
2013-09-01Plan benefit arrangement – InsuranceYes
2013-09-01Plan benefit arrangement – General assets of the sponsorYes
2012: BENTLEY WORLD-PACKAGING, LTD MEDICAL AND PRESCRIPTION DRUG PLAN 2012 form 5500 responses
2012-09-01Type of plan entitySingle employer plan
2012-09-01Plan funding arrangement – InsuranceYes
2012-09-01Plan funding arrangement – General assets of the sponsorYes
2012-09-01Plan benefit arrangement – InsuranceYes
2012-09-01Plan benefit arrangement – General assets of the sponsorYes
2011: BENTLEY WORLD-PACKAGING, LTD MEDICAL AND PRESCRIPTION DRUG PLAN 2011 form 5500 responses
2011-09-01Type of plan entitySingle employer plan
2011-09-01Plan funding arrangement – InsuranceYes
2011-09-01Plan funding arrangement – General assets of the sponsorYes
2011-09-01Plan benefit arrangement – InsuranceYes
2011-09-01Plan benefit arrangement – General assets of the sponsorYes
2009: BENTLEY WORLD-PACKAGING, LTD MEDICAL AND PRESCRIPTION DRUG PLAN 2009 form 5500 responses
2009-09-01Type of plan entitySingle employer plan
2009-09-01This submission is the final filingNo
2009-09-01Plan funding arrangement – InsuranceYes
2009-09-01Plan funding arrangement – General assets of the sponsorYes
2009-09-01Plan benefit arrangement – InsuranceYes
2009-09-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number752174
Policy instance 1
Insurance contract or identification number752174
Number of Individuals Covered106
Insurance policy start date2015-09-01
Insurance policy end date2016-08-31
Are there contracts with allocated funds for individual policies?No
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 BenefitNo
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 $180,835
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUPERIOR VISION INSURANCE PLAN OF WISCONSIN, INC (National Association of Insurance Commissioners NAIC id number: 52005 )
Policy contract number221150
Policy instance 2
Insurance contract or identification number221150
Number of Individuals Covered146
Insurance policy start date2015-09-01
Insurance policy end date2016-08-31
Total amount of commissions paid to insurance brokerUSD $1,341
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
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 $13,255
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,341
Insurance broker organization code?3
Insurance broker nameFRETT BARRINGTON LTD.
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number752174
Policy instance 1
Insurance contract or identification number752174
Number of Individuals Covered239
Insurance policy start date2014-09-01
Insurance policy end date2015-08-31
Welfare Benefit Premiums Paid to CarrierUSD $198,756
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameFRETT-BARRINGTON LTD
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number752174
Policy instance 1
Insurance contract or identification number752174
Number of Individuals Covered132
Insurance policy start date2013-09-01
Insurance policy end date2014-08-31
Welfare Benefit Premiums Paid to CarrierUSD $207,510
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number752174
Policy instance 1
Insurance contract or identification number752174
Number of Individuals Covered141
Insurance policy start date2012-09-01
Insurance policy end date2013-08-31
Welfare Benefit Premiums Paid to CarrierUSD $261,318
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberB777
Policy instance 1
Insurance contract or identification numberB777
Number of Individuals Covered226
Insurance policy start date2011-09-01
Insurance policy end date2012-08-31
Total amount of commissions paid to insurance brokerUSD $84,416
Total amount of fees paid to insurance companyUSD $5,178
Welfare Benefit Premiums Paid to CarrierUSD $675,267
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberB777-1
Policy instance 1
Insurance contract or identification numberB777-1
Number of Individuals Covered200
Insurance policy start date2010-09-01
Insurance policy end date2011-08-31
Total amount of commissions paid to insurance brokerUSD $51,546
Total amount of fees paid to insurance companyUSD $4,514
Welfare Benefit Premiums Paid to CarrierUSD $607,157
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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