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MEDTEMPS, INC. HEALTH & WELFARE PLAN 401k Plan overview

Plan NameMEDTEMPS, INC. HEALTH & WELFARE PLAN
Plan identification number 501

MEDTEMPS, INC. HEALTH & WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

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

Company Name:MEDTEMPS, INC.
Employer identification number (EIN):721160453
NAIC Classification:238900

Additional information about MEDTEMPS, INC.

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 1995-04-06
Company Identification Number: 601619975
Legal Registered Office Address: 13010 NE 20TH STE 100 PO BOX 40374

BELLEVUE
United States of America (USA)
98015

More information about MEDTEMPS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDTEMPS, INC. HEALTH & WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-01-01
5012018-01-01JENNIFER RIVA-KIRK2019-10-09 JENNIFER RIVA-KIRK2019-10-09
5012017-01-01
5012016-01-01RICHARD FOX
5012015-04-01

Plan Statistics for MEDTEMPS, INC. HEALTH & WELFARE PLAN

401k plan membership statisitcs for MEDTEMPS, INC. HEALTH & WELFARE PLAN

Measure Date Value
2016: MEDTEMPS, INC. HEALTH & WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01262
Total number of active participants reported on line 7a of the Form 55002016-01-0174
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-0174
2015: MEDTEMPS, INC. HEALTH & WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-01144
Total number of active participants reported on line 7a of the Form 55002015-04-01262
Total of all active and inactive participants2015-04-01262

Financial Data on MEDTEMPS, INC. HEALTH & WELFARE PLAN

Measure Date Value
2016 : MEDTEMPS, INC. HEALTH & WELFARE PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$158,373
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$424,712
Total income from all sources (including contributions)2016-12-31$920,662
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$870,495
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$691,046
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$920,662
Value of total assets at end of year2016-12-31$290,218
Value of total assets at beginning of year2016-12-31$506,390
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$179,449
Total interest from all sources2016-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$10,750
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$80,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$1,445
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$114,841
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$57
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$0
Liabilities. Value of operating payables at end of year2016-12-31$72,640
Liabilities. Value of operating payables at beginning of year2016-12-31$162,271
Total non interest bearing cash at end of year2016-12-31$213,121
Total non interest bearing cash at beginning of year2016-12-31$122,493
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$50,167
Value of net assets at end of year (total assets less liabilities)2016-12-31$131,845
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$81,678
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$50,744
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$250,803
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$919,217
Employer contributions (assets) at end of year2016-12-31$77,040
Employer contributions (assets) at beginning of year2016-12-31$383,897
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$325,402
Contract administrator fees2016-12-31$117,955
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Liabilities. Value of benefit claims payable at end of year2016-12-31$85,733
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$262,441
Did the plan have assets held for investment2016-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2016-12-31410746749
2015 : MEDTEMPS, INC. HEALTH & WELFARE PLAN 2015 401k financial data
Total transfer of assets to this plan2015-12-31$18,812
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$424,712
Total income from all sources (including contributions)2015-12-31$1,109,642
Total of all expenses incurred2015-12-31$1,046,776
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$850,291
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,109,642
Value of total assets at end of year2015-12-31$506,390
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$196,485
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$80,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$932
Administrative expenses (other) incurred2015-12-31$42,625
Liabilities. Value of operating payables at end of year2015-12-31$162,271
Total non interest bearing cash at end of year2015-12-31$122,493
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$62,866
Value of net assets at end of year (total assets less liabilities)2015-12-31$81,678
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$382,166
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$1,108,710
Employer contributions (assets) at end of year2015-12-31$383,897
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$468,125
Contract administrator fees2015-12-31$153,860
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Liabilities. Value of benefit claims payable at end of year2015-12-31$262,441
Did the plan have assets held for investment2015-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31GALLINA LLP
Accountancy firm EIN2015-12-31942147510

Form 5500 Responses for MEDTEMPS, INC. HEALTH & WELFARE PLAN

2016: MEDTEMPS, INC. HEALTH & WELFARE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: MEDTEMPS, INC. HEALTH & WELFARE PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01First time form 5500 has been submittedYes
2015-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-04-01Plan funding arrangement – TrustYes
2015-04-01Plan benefit arrangement – InsuranceYes
2015-04-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVAR 681704
Policy instance 1
Insurance contract or identification numberVAR 681704
Number of Individuals Covered145
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Total amount of commissions paid to insurance brokerUSD $403
Total amount of fees paid to insurance companyUSD $366
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $3,663
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $403
Amount paid for insurance broker fees366
Additional information about fees paid to insurance brokerADMINISTRATIVE AND OTHER POLICY RELATED SERVICE FEES
Insurance broker organization code?3
Insurance broker nameFCE BENEFIT ADMINISTRATORS INC
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 681456
Policy instance 2
Insurance contract or identification numberGL 681456
Number of Individuals Covered145
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Total amount of commissions paid to insurance brokerUSD $2,362
Total amount of fees paid to insurance companyUSD $2,147
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,474
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,362
Amount paid for insurance broker fees2147
Additional information about fees paid to insurance brokerADMINISTRATIVE AND OTHER POLICY RELATED SERVICE FEES
Insurance broker organization code?3
Insurance broker nameFCE BENEFIT ADMINISTRATORS INC
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberPD-337, PD-347
Policy instance 3
Insurance contract or identification numberPD-337, PD-347
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $328
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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