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W. JOE SHAW, LTD DBA MEDSAFE HEALTH BENEFIT PLAN 401k Plan overview

Plan NameW. JOE SHAW, LTD DBA MEDSAFE HEALTH BENEFIT PLAN
Plan identification number 501

W. JOE SHAW, LTD DBA MEDSAFE HEALTH BENEFIT PLAN Benefits

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

401k Sponsoring company profile

W. JOE SHAW, LTD DBA MEDSAFE has sponsored the creation of one or more 401k plans.

Company Name:W. JOE SHAW, LTD DBA MEDSAFE
Employer identification number (EIN):751672432
NAIC Classification:424990
NAIC Description:Other Miscellaneous Nondurable Goods Merchant Wholesalers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan W. JOE SHAW, LTD DBA MEDSAFE HEALTH BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012016-05-01EVELYN MCILLWAIN ALAN SANKEY2018-01-10
5012015-05-01EVELYN MCILLWAIN ALAN SANKEY2016-10-14
5012011-05-01NANCY SUMNER

Plan Statistics for W. JOE SHAW, LTD DBA MEDSAFE HEALTH BENEFIT PLAN

401k plan membership statisitcs for W. JOE SHAW, LTD DBA MEDSAFE HEALTH BENEFIT PLAN

Measure Date Value
2016: W. JOE SHAW, LTD DBA MEDSAFE HEALTH BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-05-01120
Total number of active participants reported on line 7a of the Form 55002016-05-01115
Total of all active and inactive participants2016-05-01115
Total participants2016-05-01115
2015: W. JOE SHAW, LTD DBA MEDSAFE HEALTH BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-01111
Total number of active participants reported on line 7a of the Form 55002015-05-01111
Total of all active and inactive participants2015-05-01111
Total participants2015-05-01111
2011: W. JOE SHAW, LTD DBA MEDSAFE HEALTH BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-05-0171
Total number of active participants reported on line 7a of the Form 55002011-05-0146
Total of all active and inactive participants2011-05-0146
Total participants2011-05-0146

Financial Data on W. JOE SHAW, LTD DBA MEDSAFE HEALTH BENEFIT PLAN

Measure Date Value
2017 : W. JOE SHAW, LTD DBA MEDSAFE HEALTH BENEFIT PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-04-30$925,743
Total of all expenses incurred2017-04-30$925,743
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-04-30$818,986
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-04-30$925,743
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-04-30$106,757
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-04-30No
Was this plan covered by a fidelity bond2017-04-30Yes
Value of fidelity bond cover2017-04-30$500,000
Were there any nonexempt tranactions with any party-in-interest2017-04-30No
Contributions received from participants2017-04-30$243,199
Administrative expenses (other) incurred2017-04-30$54,680
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-04-30No
Value of net income/loss2017-04-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-04-30No
Were any leases to which the plan was party in default or uncollectible2017-04-30No
Expenses. Payments to insurance carriers foe the provision of benefits2017-04-30$254,754
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-04-30No
Was there a failure to transmit to the plan any participant contributions2017-04-30No
Has the plan failed to provide any benefit when due under the plan2017-04-30No
Contributions received in cash from employer2017-04-30$682,544
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-04-30$564,232
Contract administrator fees2017-04-30$52,077
Did the plan have assets held for investment2017-04-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-04-30Yes
2016 : W. JOE SHAW, LTD DBA MEDSAFE HEALTH BENEFIT PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-04-30$1,175,404
Total of all expenses incurred2016-04-30$1,175,404
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-04-30$1,073,064
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-04-30$1,175,404
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-04-30$102,340
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-04-30No
Was this plan covered by a fidelity bond2016-04-30Yes
Value of fidelity bond cover2016-04-30$500,000
Were there any nonexempt tranactions with any party-in-interest2016-04-30No
Contributions received from participants2016-04-30$205,085
Income. Received or receivable in cash from other sources (including rollovers)2016-04-30$176,690
Administrative expenses (other) incurred2016-04-30$51,425
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-04-30No
Value of net income/loss2016-04-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-04-30No
Were any leases to which the plan was party in default or uncollectible2016-04-30No
Expenses. Payments to insurance carriers foe the provision of benefits2016-04-30$295,705
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-04-30No
Was there a failure to transmit to the plan any participant contributions2016-04-30No
Has the plan failed to provide any benefit when due under the plan2016-04-30No
Contributions received in cash from employer2016-04-30$793,629
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-04-30$777,359
Contract administrator fees2016-04-30$50,915
Did the plan have assets held for investment2016-04-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-04-30Yes

Form 5500 Responses for W. JOE SHAW, LTD DBA MEDSAFE HEALTH BENEFIT PLAN

2016: W. JOE SHAW, LTD DBA MEDSAFE HEALTH BENEFIT PLAN 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan funding arrangement – General assets of the sponsorYes
2016-05-01Plan benefit arrangement – InsuranceYes
2016-05-01Plan benefit arrangement – General assets of the sponsorYes
2015: W. JOE SHAW, LTD DBA MEDSAFE HEALTH BENEFIT PLAN 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan funding arrangement – General assets of the sponsorYes
2015-05-01Plan benefit arrangement – InsuranceYes
2015-05-01Plan benefit arrangement – General assets of the sponsorYes
2011: W. JOE SHAW, LTD DBA MEDSAFE HEALTH BENEFIT PLAN 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan funding arrangement – General assets of the sponsorYes
2011-05-01Plan benefit arrangement – InsuranceYes
2011-05-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

STANDARD SECURITY LIFE (National Association of Insurance Commissioners NAIC id number: 69078 )
Policy contract numberS765765
Policy instance 1
Insurance contract or identification numberS765765
Number of Individuals Covered111
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Total amount of fees paid to insurance companyUSD $31,796
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $288,516
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees31796
Additional information about fees paid to insurance brokerREINSURANCE FEE
Insurance broker organization code?3
Insurance broker nameTFG FINANCIAL GROUP BENEFITS LLC
ALWAYSCARE BENEFITS, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberS765765
Policy instance 2
Insurance contract or identification numberS765765
Number of Individuals Covered110
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,190
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0297846
Policy instance 1
Insurance contract or identification numberR0297846
Number of Individuals Covered48
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $715
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTIAL DEATH AND DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $11,919
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract numberR0297846
Policy instance 1
Insurance contract or identification numberR0297846
Number of Individuals Covered33
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $531
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTIAL DEATH AND DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $6,146
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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