401k Plan data: HAMILTON METALS, INC. HEALTH AND WELFARE PLAN plan

HAMILTON METALS, INC. HEALTH AND WELFARE PLAN 401k Plan overview

Plan Name	HAMILTON METALS, INC. HEALTH AND WELFARE PLAN
Plan identification number	501

HAMILTON METALS, INC. HEALTH AND WELFARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

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

Company Name: HAMILTON METALS, INC.

Employer identification number (EIN): 742198447

NAIC Classification: 423930
NAIC Description: Recyclable Material Merchant Wholesalers

Additional information about HAMILTON METALS, INC.

Jurisdiction of Incorporation: Oregon Secretary of State Corporations Division

Incorporation Date: 2005-10-24

Company Identification Number: 31864192

More information about HAMILTON METALS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HAMILTON METALS, INC. HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2015-07-01

Plan Statistics for HAMILTON METALS, INC. HEALTH AND WELFARE PLAN

401k plan membership statisitcs for HAMILTON METALS, INC. HEALTH AND WELFARE PLAN

Measure Date Value
2015: HAMILTON METALS, INC. HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 125
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 143
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 0
Total of all active and inactive participants 2015-07-01 143

Measure	Date	Value
2015: HAMILTON METALS, INC. HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	125
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	143
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	0
Total of all active and inactive participants	2015-07-01	143

Form 5500 Responses for HAMILTON METALS, INC. HEALTH AND WELFARE PLAN

2015: HAMILTON METALS, INC. HEALTH AND WELFARE PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	First time form 5500 has been submitted	Yes
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	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

00416612

Policy instance

Insurance contract or identification number	00416612
Number of Individuals Covered	73
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $10,669
Total amount of fees paid to insurance company	USD $7,191
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	AD&D,OPTIONAL AD&D,OPTIONAL LIFE
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $91,124
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,669
Amount paid for insurance broker fees	7191
Additional information about fees paid to insurance broker	FEES PAID
Insurance broker organization code?	3
Insurance broker name	BRADY CHAMPIAN HOLLAND & ASSOC

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

126389

Policy instance

Insurance contract or identification number	126389
Number of Individuals Covered	143
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $25,189
Total amount of fees paid to insurance company	USD $3,039
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $505,335
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $25,189
Amount paid for insurance broker fees	3039
Additional information about fees paid to insurance broker	OTHER COMMISSIONS
Insurance broker organization code?	3
Insurance broker name	BRADY CHAPMAN HOLLAND

Potentially related plans

HAMILTON METALS, INC. 401(K) PLAN [EIN = 203587730]

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Company Name:	HAMILTON METALS, INC.
Employer identification number (EIN):	742198447
NAIC Classification:	423930
NAIC Description:	Recyclable Material Merchant Wholesalers

Jurisdiction of Incorporation:	Oregon Secretary of State Corporations Division
Incorporation Date:	2005-10-24
Company Identification Number:	31864192