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ITT BELL & GOSSETT RETIREE MEDICAL PLAN 401k Plan overview

Plan NameITT BELL & GOSSETT RETIREE MEDICAL PLAN
Plan identification number 505

ITT BELL & GOSSETT RETIREE MEDICAL PLAN Benefits

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

401k Sponsoring company profile

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

Company Name:XYLEM INC.
Employer identification number (EIN):452080495
NAIC Classification:333200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ITT BELL & GOSSETT RETIREE MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052023-01-01TARANDA FROST2024-07-30
5052022-01-01TARANDA M. FROST2023-10-06
5052021-01-01CHRISTOPHER M LOGAN2022-10-12
5052020-01-01CHRISTOPHER M. LOGAN2021-10-05
5052019-01-01CHRISTOPHER M. LOGAN2020-09-30
5052017-01-01CHRIS LOGAN
5052016-01-01CHRIS LOGAN GERI MCSHANE2017-08-24
5052015-01-01COLLEEN FRANKE GERI MCSHANE2016-10-13
5052015-01-01COLLEEN FRANKE GERI MCSHANE2017-03-23
5052014-01-01MABLE THOMAS JOHN P. CONNOLLY2015-10-12
5052014-01-01CHRISTOPHER LOGAN GERI MCSHANE2017-05-18
5052013-01-01CHRISTOPHER LOGAN GERI MCSHANE2017-05-18
5052012-01-01CHRISTOPHER LOGAN GERI MCSHANE2017-05-18
5052011-01-01GLORIA WALSH

Plan Statistics for ITT BELL & GOSSETT RETIREE MEDICAL PLAN

401k plan membership statisitcs for ITT BELL & GOSSETT RETIREE MEDICAL PLAN

Measure Date Value
2023: ITT BELL & GOSSETT RETIREE MEDICAL PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01198
Total number of active participants reported on line 7a of the Form 55002023-01-010
Number of retired or separated participants receiving benefits2023-01-01200
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-01200
Number of employers contributing to the scheme2023-01-010
2022: ITT BELL & GOSSETT RETIREE MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01215
Total number of active participants reported on line 7a of the Form 55002022-01-01198
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 participants2022-01-01198
Number of employers contributing to the scheme2022-01-010
2021: ITT BELL & GOSSETT RETIREE MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01222
Total number of active participants reported on line 7a of the Form 55002021-01-010
Number of retired or separated participants receiving benefits2021-01-01214
Number of other retired or separated participants entitled to future benefits2021-01-011
Total of all active and inactive participants2021-01-01215
Number of employers contributing to the scheme2021-01-010
2020: ITT BELL & GOSSETT RETIREE MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01241
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-01221
Number of other retired or separated participants entitled to future benefits2020-01-011
Total of all active and inactive participants2020-01-01222
Number of employers contributing to the scheme2020-01-010
2019: ITT BELL & GOSSETT RETIREE MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01255
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-01240
Number of other retired or separated participants entitled to future benefits2019-01-011
Total of all active and inactive participants2019-01-01241
Number of employers contributing to the scheme2019-01-010
2017: ITT BELL & GOSSETT RETIREE MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01280
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of retired or separated participants receiving benefits2017-01-01309
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01309
2016: ITT BELL & GOSSETT RETIREE MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01279
Total number of active participants reported on line 7a of the Form 55002016-01-010
Number of retired or separated participants receiving benefits2016-01-01285
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01285
2015: ITT BELL & GOSSETT RETIREE MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01258
Total number of active participants reported on line 7a of the Form 55002015-01-010
Number of retired or separated participants receiving benefits2015-01-01277
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01277
2014: ITT BELL & GOSSETT RETIREE MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01258
Total number of active participants reported on line 7a of the Form 55002014-01-010
Number of retired or separated participants receiving benefits2014-01-01258
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01258
Total participants2014-01-01258
2013: ITT BELL & GOSSETT RETIREE MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01258
Total number of active participants reported on line 7a of the Form 55002013-01-010
Number of retired or separated participants receiving benefits2013-01-01260
Total of all active and inactive participants2013-01-01260
Total participants2013-01-01260
2012: ITT BELL & GOSSETT RETIREE MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01277
Total number of active participants reported on line 7a of the Form 55002012-01-010
Number of retired or separated participants receiving benefits2012-01-01258
Total of all active and inactive participants2012-01-01258
Total participants2012-01-01258
2011: ITT BELL & GOSSETT RETIREE MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01256
Total number of active participants reported on line 7a of the Form 55002011-01-010
Number of retired or separated participants receiving benefits2011-01-01232
Number of other retired or separated participants entitled to future benefits2011-01-0145
Total of all active and inactive participants2011-01-01277

Form 5500 Responses for ITT BELL & GOSSETT RETIREE MEDICAL PLAN

2023: ITT BELL & GOSSETT RETIREE MEDICAL PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – General assets of the sponsorYes
2023-01-01Plan benefit arrangement – General assets of the sponsorYes
2022: ITT BELL & GOSSETT RETIREE MEDICAL PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: ITT BELL & GOSSETT RETIREE MEDICAL PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: ITT BELL & GOSSETT RETIREE MEDICAL PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: ITT BELL & GOSSETT RETIREE MEDICAL PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: ITT BELL & GOSSETT RETIREE MEDICAL PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: ITT BELL & GOSSETT RETIREE MEDICAL PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: ITT BELL & GOSSETT RETIREE MEDICAL PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: ITT BELL & GOSSETT RETIREE MEDICAL PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedYes
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: ITT BELL & GOSSETT RETIREE MEDICAL PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: ITT BELL & GOSSETT RETIREE MEDICAL PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedYes
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: ITT BELL & GOSSETT RETIREE MEDICAL PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberB,H10027 P12917
Policy instance 1
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number10033-0100
Policy instance 1
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number10033-0100
Policy instance 1
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number10033-0100
Policy instance 1

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