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

RME, INC. HEALTH AND WELFARE PLAN 401k Plan overview

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

RME, 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 Death benefits (include travel accident but not life insurance) Other welfare benefit cover Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

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

Company Name: RME, INC.

Employer identification number (EIN): 820463158

NAIC Classification: 238210
NAIC Description: Electrical Contractors and Other Wiring Installation Contractors

Form 5500 Filing Information

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

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2021-11-01 MICHELLE DELACY 2023-02-24

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2021-11-01	MICHELLE DELACY	2023-02-24

Plan Statistics for RME, INC. HEALTH AND WELFARE PLAN

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

Measure Date Value
2021: RME, INC. HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year 2021-11-01 100
Total number of active participants reported on line 7a of the Form 5500 2021-11-01 94
Number of retired or separated participants receiving benefits 2021-11-01 0
Number of other retired or separated participants entitled to future benefits 2021-11-01 0
Total of all active and inactive participants 2021-11-01 94
Number of employers contributing to the scheme 2021-11-01 0

Measure	Date	Value
2021: RME, INC. HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year	2021-11-01	100
Total number of active participants reported on line 7a of the Form 5500	2021-11-01	94
Number of retired or separated participants receiving benefits	2021-11-01	0
Number of other retired or separated participants entitled to future benefits	2021-11-01	0
Total of all active and inactive participants	2021-11-01	94
Number of employers contributing to the scheme	2021-11-01	0

Form 5500 Responses for RME, INC. HEALTH AND WELFARE PLAN

2021: RME, INC. HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-11-01	Type of plan entity	Single employer plan
2021-11-01	First time form 5500 has been submitted	Yes
2021-11-01	Plan funding arrangement – Insurance	Yes
2021-11-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

REGENCE BLUESHIELD OF IDAHO (National Association of Insurance Commissioners NAIC id number: 60131 )

Policy contract number

10044259

Policy instance

Insurance contract or identification number	10044259
Number of Individuals Covered	190
Insurance policy start date	2021-11-01
Insurance policy end date	2022-10-31
Total amount of commissions paid to insurance broker	USD $38,960
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $781,539
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $38,960
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

WILLAMETTE DENTAL OF IDAHO, INC. (National Association of Insurance Commissioners NAIC id number: 95819 )

Policy contract number

ID448

Policy instance

Insurance contract or identification number	ID448
Number of Individuals Covered	64
Insurance policy start date	2021-11-01
Insurance policy end date	2022-10-31
Total amount of commissions paid to insurance broker	USD $1,061
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $1,061
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )

Policy contract number

GRP00006397

Policy instance

Insurance contract or identification number	GRP00006397
Number of Individuals Covered	94
Insurance policy start date	2021-11-01
Insurance policy end date	2022-10-31
Total amount of commissions paid to insurance broker	USD $6,500
Total amount of fees paid to insurance company	USD $2,699
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
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM, ACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to Carrier	USD $85,142
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,500
Amount paid for insurance broker fees	2699
Additional information about fees paid to insurance broker	BROKER BONUS
Insurance broker organization code?	3

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Company Name:	RME, INC.
Employer identification number (EIN):	820463158
NAIC Classification:	238210
NAIC Description:	Electrical Contractors and Other Wiring Installation Contractors