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FABSCO'S MEDICAL PLAN 401k Plan overview

Plan NameFABSCO'S MEDICAL PLAN
Plan identification number 502

FABSCO'S MEDICAL PLAN Benefits

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

401k Sponsoring company profile

FABSCO SHELL & TUBE, LLC has sponsored the creation of one or more 401k plans.

Company Name:FABSCO SHELL & TUBE, LLC
Employer identification number (EIN):731516707
NAIC Classification:332900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FABSCO'S MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022017-10-01
5022016-10-01DAVID LAMB2019-03-05
5022015-10-01DAVID LAMB2019-03-05
5022014-10-01
5022013-10-01

Plan Statistics for FABSCO'S MEDICAL PLAN

401k plan membership statisitcs for FABSCO'S MEDICAL PLAN

Measure Date Value
2017: FABSCO'S MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01114
Total number of active participants reported on line 7a of the Form 55002017-10-010
Number of retired or separated participants receiving benefits2017-10-010
Number of other retired or separated participants entitled to future benefits2017-10-010
Total of all active and inactive participants2017-10-010
Number of employers contributing to the scheme2017-10-010
2016: FABSCO'S MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-01114
Total number of active participants reported on line 7a of the Form 55002016-10-01114
Number of retired or separated participants receiving benefits2016-10-010
Number of other retired or separated participants entitled to future benefits2016-10-010
Total of all active and inactive participants2016-10-01114
Number of employers contributing to the scheme2016-10-010
2015: FABSCO'S MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-01122
Total number of active participants reported on line 7a of the Form 55002015-10-01114
Number of retired or separated participants receiving benefits2015-10-010
Number of other retired or separated participants entitled to future benefits2015-10-010
Total of all active and inactive participants2015-10-01114
Number of employers contributing to the scheme2015-10-010
2014: FABSCO'S MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-01110
Total number of active participants reported on line 7a of the Form 55002014-10-01122
Number of retired or separated participants receiving benefits2014-10-010
Number of other retired or separated participants entitled to future benefits2014-10-010
Total of all active and inactive participants2014-10-01122
Number of employers contributing to the scheme2014-10-010
2013: FABSCO'S MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-01103
Total number of active participants reported on line 7a of the Form 55002013-10-01110
Number of retired or separated participants receiving benefits2013-10-010
Number of other retired or separated participants entitled to future benefits2013-10-010
Total of all active and inactive participants2013-10-01110
Number of employers contributing to the scheme2013-10-010

Form 5500 Responses for FABSCO'S MEDICAL PLAN

2017: FABSCO'S MEDICAL PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01This submission is the final filingYes
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – InsuranceYes
2016: FABSCO'S MEDICAL PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – InsuranceYes
2015: FABSCO'S MEDICAL PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – InsuranceYes
2014: FABSCO'S MEDICAL PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – InsuranceYes
2013: FABSCO'S MEDICAL PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01First time form 5500 has been submittedYes
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

COMMUNITY CARE (National Association of Insurance Commissioners NAIC id number: 10001 )
Policy contract numberD10200
Policy instance 1
Insurance contract or identification numberD10200
Number of Individuals Covered204
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $37,350
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,013,906
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMMUNITY CARE (National Association of Insurance Commissioners NAIC id number: 10001 )
Policy contract numberD10200
Policy instance 1
Insurance contract or identification numberD10200
Number of Individuals Covered197
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $31,600
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,056,544
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,600
Amount paid for insurance broker fees0
Insurance broker organization code?3
COMMUNITY CARE (National Association of Insurance Commissioners NAIC id number: 10001 )
Policy contract numberD10200
Policy instance 1
Insurance contract or identification numberD10200
Number of Individuals Covered189
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $85,864
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $994,903
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $63,717
Amount paid for insurance broker fees0
Insurance broker organization code?3

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