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WESTERN SALES & TESTING HEALTH BENEFITS PLAN 401k Plan overview

Plan NameWESTERN SALES & TESTING HEALTH BENEFITS PLAN
Plan identification number 501

WESTERN SALES & TESTING HEALTH BENEFITS PLAN Benefits

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

401k Sponsoring company profile

WESTERN SALES & TESTING has sponsored the creation of one or more 401k plans.

Company Name:WESTERN SALES & TESTING
Employer identification number (EIN):751903521
NAIC Classification:336990

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WESTERN SALES & TESTING HEALTH BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-06-01HELEN PIEHL
5012012-06-01HELEN PIEHL
5012011-06-01HELEN PIEHL

Plan Statistics for WESTERN SALES & TESTING HEALTH BENEFITS PLAN

401k plan membership statisitcs for WESTERN SALES & TESTING HEALTH BENEFITS PLAN

Measure Date Value
2015: WESTERN SALES & TESTING HEALTH BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-06-0152
Total number of active participants reported on line 7a of the Form 55002015-06-0151
Total of all active and inactive participants2015-06-0151
Total participants2015-06-0151
2012: WESTERN SALES & TESTING HEALTH BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year2012-06-0142
Total number of active participants reported on line 7a of the Form 55002012-06-0144
Total of all active and inactive participants2012-06-0144
Total participants2012-06-0144
2011: WESTERN SALES & TESTING HEALTH BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year2011-06-0139
Total number of active participants reported on line 7a of the Form 55002011-06-0141
Total of all active and inactive participants2011-06-0141
Total participants2011-06-0141

Financial Data on WESTERN SALES & TESTING HEALTH BENEFITS PLAN

Measure Date Value
2016 : WESTERN SALES & TESTING HEALTH BENEFITS PLAN 2016 401k financial data
Total income from all sources2016-05-31$909,695
Expenses. Total of all expenses incurred2016-05-31$909,695
Benefits paid (including direct rollovers)2016-05-31$875,584
Total contributions received or receivable from participants2016-05-31$99,173
Expenses. Other expenses not covered elsewhere2016-05-31$14,383
Contributions received from other sources (not participants or employers)2016-05-31$403,067
Net income (gross income less expenses)2016-05-31$0
Total contributions received or receivable from employer(s)2016-05-31$407,455
Expenses. Administrative service providers (salaries,fees and commissions)2016-05-31$19,728
2013 : WESTERN SALES & TESTING HEALTH BENEFITS PLAN 2013 401k financial data
Total income from all sources2013-05-31$384,963
Expenses. Total of all expenses incurred2013-05-31$384,963
Benefits paid (including direct rollovers)2013-05-31$228,891
Value of fidelity bond covering the plan2013-05-31$500,000
Total contributions received or receivable from participants2013-05-31$98,815
Contributions received from other sources (not participants or employers)2013-05-31$4,380
Net income (gross income less expenses)2013-05-31$0
Total contributions received or receivable from employer(s)2013-05-31$281,768
Expenses. Administrative service providers (salaries,fees and commissions)2013-05-31$156,072
2012 : WESTERN SALES & TESTING HEALTH BENEFITS PLAN 2012 401k financial data
Total income from all sources2012-05-31$498,555
Expenses. Total of all expenses incurred2012-05-31$498,555
Benefits paid (including direct rollovers)2012-05-31$366,515
Value of fidelity bond covering the plan2012-05-31$500,000
Total contributions received or receivable from participants2012-05-31$129,439
Contributions received from other sources (not participants or employers)2012-05-31$171,138
Net income (gross income less expenses)2012-05-31$0
Total contributions received or receivable from employer(s)2012-05-31$197,978
Expenses. Administrative service providers (salaries,fees and commissions)2012-05-31$132,040

Form 5500 Responses for WESTERN SALES & TESTING HEALTH BENEFITS PLAN

2015: WESTERN SALES & TESTING HEALTH BENEFITS PLAN 2015 form 5500 responses
2015-06-01Type of plan entitySingle employer plan
2015-06-01Plan funding arrangement – InsuranceYes
2015-06-01Plan funding arrangement – General assets of the sponsorYes
2015-06-01Plan benefit arrangement – InsuranceYes
2015-06-01Plan benefit arrangement – General assets of the sponsorYes
2012: WESTERN SALES & TESTING HEALTH BENEFITS PLAN 2012 form 5500 responses
2012-06-01Type of plan entitySingle employer plan
2012-06-01Plan funding arrangement – InsuranceYes
2012-06-01Plan funding arrangement – General assets of the sponsorYes
2012-06-01Plan benefit arrangement – InsuranceYes
2012-06-01Plan benefit arrangement – General assets of the sponsorYes
2011: WESTERN SALES & TESTING HEALTH BENEFITS PLAN 2011 form 5500 responses
2011-06-01Type of plan entitySingle employer plan
2011-06-01Plan funding arrangement – InsuranceYes
2011-06-01Plan funding arrangement – General assets of the sponsorYes
2011-06-01Plan benefit arrangement – InsuranceYes
2011-06-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract numberS009009
Policy instance 1
Insurance contract or identification numberS009009
Number of Individuals Covered51
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
Other welfare benefits providedTRANSPLANT POLICY
Welfare Benefit Premiums Paid to CarrierUSD $4,329
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SPECTRUM UNDERWRITING MANAGERS, INC. (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberS009009
Policy instance 2
Insurance contract or identification numberS009009
Number of Individuals Covered51
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
Total amount of fees paid to insurance companyUSD $21,503
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $152,466
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees14407
Additional information about fees paid to insurance brokerREINSURANCE FEE
Insurance broker organization code?3
Insurance broker nameINSURANCE MANAGEMENT SERVICE
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberS009009
Policy instance 3
Insurance contract or identification numberS009009
Number of Individuals Covered51
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
Total amount of commissions paid to insurance brokerUSD $1,168
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,825
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $584
Insurance broker organization code?3
Insurance broker nameINSURANCE MANAGEMENT SERVICES
SPECTRUM UNDERWRITING MANAGERS, INC. (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberS009009
Policy instance 1
Insurance contract or identification numberS009009
Number of Individuals Covered44
Insurance policy start date2012-06-01
Insurance policy end date2013-05-31
Total amount of commissions paid to insurance brokerUSD $20,406
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $136,046
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,604
Insurance broker organization code?3
Insurance broker nameINSURANCE MANAGEMENT SERVICES
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberS009009
Policy instance 2
Insurance contract or identification numberS009009
Number of Individuals Covered44
Insurance policy start date2012-06-01
Insurance policy end date2013-05-31
Total amount of commissions paid to insurance brokerUSD $918
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,592
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $459
Insurance broker organization code?3
Insurance broker nameINSURANCE MANAGEMENT SERVICES
SPECTRUM UNDERWRITING MANAGERS, INC. (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberS009009
Policy instance 1
Insurance contract or identification numberS009009
Number of Individuals Covered41
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $16,939
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $112,929
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberS009009
Policy instance 2
Insurance contract or identification numberS009009
Number of Individuals Covered41
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $890
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,453
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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