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MERIWETHER-GODSEY, INC. MEDICAL PLAN 401k Plan overview

Plan NameMERIWETHER-GODSEY, INC. MEDICAL PLAN
Plan identification number 501

MERIWETHER-GODSEY, INC. MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

MERIWETHER-GODSEY, INC. has sponsored the creation of one or more 401k plans.

Company Name:MERIWETHER-GODSEY, INC.
Employer identification number (EIN):541319486
NAIC Classification:722300
NAIC Description: Special Food Services

Additional information about MERIWETHER-GODSEY, INC.

Jurisdiction of Incorporation: Virginia Secretary of State
Incorporation Date: 1984-12-06
Company Identification Number: 0264261
Legal Registered Office Address: 4944 OLD BOONSBORO RD
PO BOX 798
LYNCHBURG
United States of America (USA)
24503

More information about MERIWETHER-GODSEY, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MERIWETHER-GODSEY, INC. MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-09-01
5012020-09-01
5012019-09-01
5012018-09-01
5012017-09-01ROBERT LEMON ROBERT LEMON2018-12-20
5012016-09-01ROBERT LEMON ROBERT LEMON2018-01-07
5012015-09-01ROBERT LEMON ROBERT LEMON2017-06-12
5012013-09-01DONALD C BECK DONALD C BECK2014-11-13
5012012-09-01DONALD C BECK DONALD C BECK2014-01-31
5012011-09-01DONALD C BECK DONALD C BECK2013-05-15
5012009-09-01DONALD C BECK DONALD C BECK2011-03-22

Plan Statistics for MERIWETHER-GODSEY, INC. MEDICAL PLAN

401k plan membership statisitcs for MERIWETHER-GODSEY, INC. MEDICAL PLAN

Measure Date Value
2021: MERIWETHER-GODSEY, INC. MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-09-01218
Total number of active participants reported on line 7a of the Form 55002021-09-01234
Total of all active and inactive participants2021-09-01234
2020: MERIWETHER-GODSEY, INC. MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-09-01241
Total number of active participants reported on line 7a of the Form 55002020-09-01218
Total of all active and inactive participants2020-09-01218
2019: MERIWETHER-GODSEY, INC. MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-09-01227
Total number of active participants reported on line 7a of the Form 55002019-09-01241
Total of all active and inactive participants2019-09-01241
2018: MERIWETHER-GODSEY, INC. MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-09-01235
Total number of active participants reported on line 7a of the Form 55002018-09-01227
Total of all active and inactive participants2018-09-01227
2017: MERIWETHER-GODSEY, INC. MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-09-01215
Total number of active participants reported on line 7a of the Form 55002017-09-01235
Total of all active and inactive participants2017-09-01235
2016: MERIWETHER-GODSEY, INC. MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-09-01204
Total number of active participants reported on line 7a of the Form 55002016-09-01215
Total of all active and inactive participants2016-09-01215
2015: MERIWETHER-GODSEY, INC. MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-09-01193
Total number of active participants reported on line 7a of the Form 55002015-09-01204
Total of all active and inactive participants2015-09-01204
2013: MERIWETHER-GODSEY, INC. MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-09-01166
Total number of active participants reported on line 7a of the Form 55002013-09-01176
Total of all active and inactive participants2013-09-01176
2012: MERIWETHER-GODSEY, INC. MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-09-01179
Total number of active participants reported on line 7a of the Form 55002012-09-01166
Total of all active and inactive participants2012-09-01166
2011: MERIWETHER-GODSEY, INC. MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-09-01244
Total number of active participants reported on line 7a of the Form 55002011-09-01179
Total of all active and inactive participants2011-09-01179
2009: MERIWETHER-GODSEY, INC. MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-09-01146
Total number of active participants reported on line 7a of the Form 55002009-09-01184
Total of all active and inactive participants2009-09-01184

Form 5500 Responses for MERIWETHER-GODSEY, INC. MEDICAL PLAN

2021: MERIWETHER-GODSEY, INC. MEDICAL PLAN 2021 form 5500 responses
2021-09-01Type of plan entitySingle employer plan
2021-09-01Plan funding arrangement – InsuranceYes
2021-09-01Plan benefit arrangement – InsuranceYes
2020: MERIWETHER-GODSEY, INC. MEDICAL PLAN 2020 form 5500 responses
2020-09-01Type of plan entitySingle employer plan
2020-09-01Plan funding arrangement – InsuranceYes
2020-09-01Plan benefit arrangement – InsuranceYes
2019: MERIWETHER-GODSEY, INC. MEDICAL PLAN 2019 form 5500 responses
2019-09-01Type of plan entitySingle employer plan
2019-09-01Plan funding arrangement – InsuranceYes
2019-09-01Plan benefit arrangement – InsuranceYes
2018: MERIWETHER-GODSEY, INC. MEDICAL PLAN 2018 form 5500 responses
2018-09-01Type of plan entitySingle employer plan
2018-09-01Plan funding arrangement – InsuranceYes
2018-09-01Plan benefit arrangement – InsuranceYes
2017: MERIWETHER-GODSEY, INC. MEDICAL PLAN 2017 form 5500 responses
2017-09-01Type of plan entitySingle employer plan
2017-09-01Plan funding arrangement – InsuranceYes
2017-09-01Plan benefit arrangement – InsuranceYes
2016: MERIWETHER-GODSEY, INC. MEDICAL PLAN 2016 form 5500 responses
2016-09-01Type of plan entitySingle employer plan
2016-09-01Plan funding arrangement – InsuranceYes
2016-09-01Plan benefit arrangement – InsuranceYes
2015: MERIWETHER-GODSEY, INC. MEDICAL PLAN 2015 form 5500 responses
2015-09-01Type of plan entitySingle employer plan
2015-09-01Plan funding arrangement – InsuranceYes
2015-09-01Plan benefit arrangement – InsuranceYes
2013: MERIWETHER-GODSEY, INC. MEDICAL PLAN 2013 form 5500 responses
2013-09-01Type of plan entitySingle employer plan
2013-09-01Plan funding arrangement – InsuranceYes
2013-09-01Plan benefit arrangement – InsuranceYes
2012: MERIWETHER-GODSEY, INC. MEDICAL PLAN 2012 form 5500 responses
2012-09-01Type of plan entitySingle employer plan
2012-09-01Plan funding arrangement – InsuranceYes
2012-09-01Plan benefit arrangement – InsuranceYes
2011: MERIWETHER-GODSEY, INC. MEDICAL PLAN 2011 form 5500 responses
2011-09-01Type of plan entitySingle employer plan
2011-09-01Plan funding arrangement – InsuranceYes
2011-09-01Plan benefit arrangement – InsuranceYes
2009: MERIWETHER-GODSEY, INC. MEDICAL 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 benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract numberVA3215
Policy instance 3
Insurance contract or identification numberVA3215
Number of Individuals Covered234
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Total amount of commissions paid to insurance brokerUSD $47,788
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,767,035
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $47,788
Insurance broker organization code?3
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number9072543749
Policy instance 2
Insurance contract or identification number9072543749
Number of Individuals Covered26
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Total amount of commissions paid to insurance brokerUSD $4,916
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,772
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,277
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG00047L4
Policy instance 1
Insurance contract or identification numberG00047L4
Number of Individuals Covered73
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Total amount of commissions paid to insurance brokerUSD $1,090
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,805
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,090
Insurance broker organization code?3
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract numberVA3215
Policy instance 3
Insurance contract or identification numberVA3215
Number of Individuals Covered218
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $47,302
Total amount of fees paid to insurance companyUSD $917
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,623,583
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $47,302
Amount paid for insurance broker fees917
Additional information about fees paid to insurance brokerINCENTIVES, EDUCATION, COMMUNICATION, & TRAINING
Insurance broker organization code?3
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number9072543749
Policy instance 2
Insurance contract or identification number9072543749
Number of Individuals Covered26
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $4,866
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,561
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,244
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG00047L4
Policy instance 1
Insurance contract or identification numberG00047L4
Number of Individuals Covered66
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $1,106
Total amount of fees paid to insurance companyUSD $687
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,129
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,106
Amount paid for insurance broker fees687
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract numberVA3215
Policy instance 4
Insurance contract or identification numberVA3215
Number of Individuals Covered241
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $51,499
Total amount of fees paid to insurance companyUSD $2,738
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,602,685
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $51,499
Amount paid for insurance broker fees2738
Additional information about fees paid to insurance brokerINCENTIVES, EDUCATION, COMMUNICATION, & TRAINING
Insurance broker organization code?3
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract number181053
Policy instance 3
Insurance contract or identification number181053
Number of Individuals Covered183
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number9072543749
Policy instance 2
Insurance contract or identification number9072543749
Number of Individuals Covered37
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $4,819
Total amount of fees paid to insurance companyUSD $63
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,406
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,213
Amount paid for insurance broker fees63
Additional information about fees paid to insurance brokerCOMPENSATION IN THE FORM OF TRAVEL/GIFT OR OTHER
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG00047L4
Policy instance 1
Insurance contract or identification numberG00047L4
Number of Individuals Covered75
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $1,140
Total amount of fees paid to insurance companyUSD $684
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,798
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,140
Amount paid for insurance broker fees684
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
PIEDMONT COMMUNITY HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 95811 )
Policy contract number087617
Policy instance 4
Insurance contract or identification number087617
Number of Individuals Covered227
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $47,055
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,568,510
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $47,055
Insurance broker organization code?3
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract number181053
Policy instance 3
Insurance contract or identification number181053
Number of Individuals Covered168
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $2,621
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $74,890
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,621
Insurance broker organization code?3
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number9072543749
Policy instance 2
Insurance contract or identification number9072543749
Number of Individuals Covered28
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $5,192
Total amount of fees paid to insurance companyUSD $42
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $25,248
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,461
Amount paid for insurance broker fees42
Additional information about fees paid to insurance brokerCOMPENSATION IN THE FORM OF TRAVEL/GIFT OR OTHER
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG00047L4
Policy instance 1
Insurance contract or identification numberG00047L4
Number of Individuals Covered75
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $1,171
Total amount of fees paid to insurance companyUSD $709
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $23,427
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,171
Amount paid for insurance broker fees709
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
PIEDMONT COMMUNITY HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 95811 )
Policy contract number087617
Policy instance 4
Insurance contract or identification number087617
Number of Individuals Covered235
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $46,471
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,528,581
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $46,471
Insurance broker organization code?3
Insurance broker namePIEDMONT COMMUNITY HEALTHCARE INC
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract number181053
Policy instance 3
Insurance contract or identification number181053
Number of Individuals Covered160
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $2,667
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $76,212
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,667
Insurance broker organization code?3
Insurance broker nameJAMES A SCOTT & SON INC
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number9072543749
Policy instance 2
Insurance contract or identification number9072543749
Number of Individuals Covered34
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $5,625
Total amount of fees paid to insurance companyUSD $42
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,998
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,750
Amount paid for insurance broker fees42
Additional information about fees paid to insurance brokerCOMPENSATION IN THE FORM OF TRAVEL/GIFT OR OTHER
Insurance broker organization code?3
Insurance broker nameBENEFITS BY CHOICE
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG00047L4
Policy instance 1
Insurance contract or identification numberG00047L4
Number of Individuals Covered75
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $1,150
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,996
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,150
Insurance broker organization code?3
Insurance broker nameJAMES A SCOTT & SON INC

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