401k Plan data: HEATH & WELFARE PLAN plan

HEATH & WELFARE PLAN 401k Plan overview

Plan Name	HEATH & WELFARE PLAN
Plan identification number	501

HEATH & WELFARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

BITE SQUAD has sponsored the creation of one or more 401k plans.

Company Name: BITE SQUAD

Employer identification number (EIN): 455284510

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEATH & WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2017-10-01 EVELYN HERMANN 2019-05-22

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2017-10-01	EVELYN HERMANN	2019-05-22

Plan Statistics for HEATH & WELFARE PLAN

401k plan membership statisitcs for HEATH & WELFARE PLAN

Measure Date Value
2017: HEATH & WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-10-01 400
Total number of active participants reported on line 7a of the Form 5500 2017-10-01 500
Number of retired or separated participants receiving benefits 2017-10-01 5
Number of other retired or separated participants entitled to future benefits 2017-10-01 0
Total of all active and inactive participants 2017-10-01 505
Number of employers contributing to the scheme 2017-10-01 0

Measure	Date	Value
2017: HEATH & WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-10-01	400
Total number of active participants reported on line 7a of the Form 5500	2017-10-01	500
Number of retired or separated participants receiving benefits	2017-10-01	5
Number of other retired or separated participants entitled to future benefits	2017-10-01	0
Total of all active and inactive participants	2017-10-01	505
Number of employers contributing to the scheme	2017-10-01	0

Form 5500 Responses for HEATH & WELFARE PLAN

2017: HEATH & WELFARE PLAN 2017 form 5500 responses
2017-10-01	Type of plan entity	Single employer plan
2017-10-01	First time form 5500 has been submitted	Yes
2017-10-01	Plan funding arrangement – Insurance	Yes
2017-10-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

542953

Policy instance

Insurance contract or identification number	542953
Number of Individuals Covered	113
Insurance policy start date	2017-10-01
Insurance policy end date	2018-09-30
Total amount of commissions paid to insurance broker	USD $3,460
Total amount of fees paid to insurance company	USD $509
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $41,821
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 )

Policy contract number

179837

Policy instance

Insurance contract or identification number	179837
Number of Individuals Covered	157
Insurance policy start date	2017-10-01
Insurance policy end date	2018-09-30
Total amount of commissions paid to insurance broker	USD $24,452
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $823,880
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNIVERSITY HEALTH ALLIANCE (National Association of Insurance Commissioners NAIC id number: 47953 )

Policy contract number

1685

Policy instance

Insurance contract or identification number	1685
Number of Individuals Covered	27
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $3,316
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $80,500
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

Was this data useful?

If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us. Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer

The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Company Name:	BITE SQUAD
Employer identification number (EIN):	455284510