401k Plan data: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN plan

RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 401k Plan overview

Plan Name	RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN
Plan identification number	501

RICHARDS PACKAGING, INC. HEALTH AND LIFE 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)
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.
Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

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

Company Name: RICHARDS PACKAGING, INC.

Employer identification number (EIN): 911148903

NAIC Classification: 423990
NAIC Description: Other Miscellaneous Durable Goods Merchant Wholesalers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-04-01 LINDSAY WINKLE 2025-01-13
501 2022-04-01 TERRY EDWARDS 2023-10-26
501 2021-04-01 TERRY EDWARDS 2022-10-26
501 2020-04-01 EVELINE MCCARTY 2021-09-17
501 2019-04-01 TERRY EDWARDS 2021-07-21
501 2017-04-01
501 2016-04-01
501 2015-04-01 EVELINE MCCARTY
501 2015-04-01 EVELINE MCCARTY
501 2014-04-01 EVELINE MCCARTY
501 2014-04-01 EVELINE MCCARTY
501 2013-04-01 EVELINE MCCARTY
501 2012-04-01 EVELINE MCCARTY
501 2011-04-01 EVELINE MCCARTY
501 2009-04-01 MIKE STOFKO

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2023-04-01	LINDSAY WINKLE	2025-01-13
501	2022-04-01	TERRY EDWARDS	2023-10-26
501	2021-04-01	TERRY EDWARDS	2022-10-26
501	2020-04-01	EVELINE MCCARTY	2021-09-17
501	2019-04-01	TERRY EDWARDS	2021-07-21
501	2017-04-01
501	2016-04-01
501	2015-04-01	EVELINE MCCARTY
501	2015-04-01	EVELINE MCCARTY
501	2014-04-01	EVELINE MCCARTY
501	2014-04-01	EVELINE MCCARTY
501	2013-04-01	EVELINE MCCARTY
501	2012-04-01	EVELINE MCCARTY
501	2011-04-01	EVELINE MCCARTY
501	2009-04-01	MIKE STOFKO

Plan Statistics for RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN

401k plan membership statisitcs for RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN

Measure Date Value
2023: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2023 401k membership
Total participants, beginning-of-year 2023-04-01 130
Total number of active participants reported on line 7a of the Form 5500 2023-04-01 130
Number of retired or separated participants receiving benefits 2023-04-01 0
Number of other retired or separated participants entitled to future benefits 2023-04-01 0
Total of all active and inactive participants 2023-04-01 130
Number of employers contributing to the scheme 2023-04-01 0
2022: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2022 401k membership
Total participants, beginning-of-year 2022-04-01 105
Total number of active participants reported on line 7a of the Form 5500 2022-04-01 94
Number of retired or separated participants receiving benefits 2022-04-01 0
Number of other retired or separated participants entitled to future benefits 2022-04-01 0
Total of all active and inactive participants 2022-04-01 94
Number of employers contributing to the scheme 2022-04-01 0
2021: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2021 401k membership
Total participants, beginning-of-year 2021-04-01 122
Total number of active participants reported on line 7a of the Form 5500 2021-04-01 105
Number of retired or separated participants receiving benefits 2021-04-01 0
Number of other retired or separated participants entitled to future benefits 2021-04-01 0
Total of all active and inactive participants 2021-04-01 105
Number of employers contributing to the scheme 2021-04-01 0
2020: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2020 401k membership
Total participants, beginning-of-year 2020-04-01 106
Total number of active participants reported on line 7a of the Form 5500 2020-04-01 122
Number of retired or separated participants receiving benefits 2020-04-01 0
Number of other retired or separated participants entitled to future benefits 2020-04-01 0
Total of all active and inactive participants 2020-04-01 122
Number of employers contributing to the scheme 2020-04-01 0
2017: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-04-01 120
Total number of active participants reported on line 7a of the Form 5500 2017-04-01 127
Number of retired or separated participants receiving benefits 2017-04-01 0
Number of other retired or separated participants entitled to future benefits 2017-04-01 0
Total of all active and inactive participants 2017-04-01 127
Number of employers contributing to the scheme 2017-04-01 0
2016: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2016 401k membership
Total participants, beginning-of-year 2016-04-01 160
Total number of active participants reported on line 7a of the Form 5500 2016-04-01 120
Number of retired or separated participants receiving benefits 2016-04-01 0
Number of other retired or separated participants entitled to future benefits 2016-04-01 0
Total of all active and inactive participants 2016-04-01 120
2015: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-04-01 152
Total number of active participants reported on line 7a of the Form 5500 2015-04-01 91
Number of retired or separated participants receiving benefits 2015-04-01 3
Number of other retired or separated participants entitled to future benefits 2015-04-01 0
Total of all active and inactive participants 2015-04-01 94
2014: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-04-01 156
Total number of active participants reported on line 7a of the Form 5500 2014-04-01 151
Number of retired or separated participants receiving benefits 2014-04-01 1
Number of other retired or separated participants entitled to future benefits 2014-04-01 0
Total of all active and inactive participants 2014-04-01 152
2013: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-04-01 154
Total number of active participants reported on line 7a of the Form 5500 2013-04-01 155
Number of retired or separated participants receiving benefits 2013-04-01 1
Number of other retired or separated participants entitled to future benefits 2013-04-01 0
Total of all active and inactive participants 2013-04-01 156
2012: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-04-01 166
Total number of active participants reported on line 7a of the Form 5500 2012-04-01 110
Number of retired or separated participants receiving benefits 2012-04-01 1
Number of other retired or separated participants entitled to future benefits 2012-04-01 0
Total of all active and inactive participants 2012-04-01 111
2011: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-04-01 176
Total number of active participants reported on line 7a of the Form 5500 2011-04-01 165
Number of retired or separated participants receiving benefits 2011-04-01 1
Number of other retired or separated participants entitled to future benefits 2011-04-01 0
Total of all active and inactive participants 2011-04-01 166
2009: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-04-01 164
Total number of active participants reported on line 7a of the Form 5500 2009-04-01 150
Number of retired or separated participants receiving benefits 2009-04-01 0
Number of other retired or separated participants entitled to future benefits 2009-04-01 0
Total of all active and inactive participants 2009-04-01 150

Measure	Date	Value
2023: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2023 401k membership
Total participants, beginning-of-year	2023-04-01	130
Total number of active participants reported on line 7a of the Form 5500	2023-04-01	130
Number of retired or separated participants receiving benefits	2023-04-01	0
Number of other retired or separated participants entitled to future benefits	2023-04-01	0
Total of all active and inactive participants	2023-04-01	130
Number of employers contributing to the scheme	2023-04-01	0
2022: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2022 401k membership
Total participants, beginning-of-year	2022-04-01	105
Total number of active participants reported on line 7a of the Form 5500	2022-04-01	94
Number of retired or separated participants receiving benefits	2022-04-01	0
Number of other retired or separated participants entitled to future benefits	2022-04-01	0
Total of all active and inactive participants	2022-04-01	94
Number of employers contributing to the scheme	2022-04-01	0
2021: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2021 401k membership
Total participants, beginning-of-year	2021-04-01	122
Total number of active participants reported on line 7a of the Form 5500	2021-04-01	105
Number of retired or separated participants receiving benefits	2021-04-01	0
Number of other retired or separated participants entitled to future benefits	2021-04-01	0
Total of all active and inactive participants	2021-04-01	105
Number of employers contributing to the scheme	2021-04-01	0
2020: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2020 401k membership
Total participants, beginning-of-year	2020-04-01	106
Total number of active participants reported on line 7a of the Form 5500	2020-04-01	122
Number of retired or separated participants receiving benefits	2020-04-01	0
Number of other retired or separated participants entitled to future benefits	2020-04-01	0
Total of all active and inactive participants	2020-04-01	122
Number of employers contributing to the scheme	2020-04-01	0
2017: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-04-01	120
Total number of active participants reported on line 7a of the Form 5500	2017-04-01	127
Number of retired or separated participants receiving benefits	2017-04-01	0
Number of other retired or separated participants entitled to future benefits	2017-04-01	0
Total of all active and inactive participants	2017-04-01	127
Number of employers contributing to the scheme	2017-04-01	0
2016: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-04-01	160
Total number of active participants reported on line 7a of the Form 5500	2016-04-01	120
Number of retired or separated participants receiving benefits	2016-04-01	0
Number of other retired or separated participants entitled to future benefits	2016-04-01	0
Total of all active and inactive participants	2016-04-01	120
2015: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-04-01	152
Total number of active participants reported on line 7a of the Form 5500	2015-04-01	91
Number of retired or separated participants receiving benefits	2015-04-01	3
Number of other retired or separated participants entitled to future benefits	2015-04-01	0
Total of all active and inactive participants	2015-04-01	94
2014: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-04-01	156
Total number of active participants reported on line 7a of the Form 5500	2014-04-01	151
Number of retired or separated participants receiving benefits	2014-04-01	1
Number of other retired or separated participants entitled to future benefits	2014-04-01	0
Total of all active and inactive participants	2014-04-01	152
2013: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-04-01	154
Total number of active participants reported on line 7a of the Form 5500	2013-04-01	155
Number of retired or separated participants receiving benefits	2013-04-01	1
Number of other retired or separated participants entitled to future benefits	2013-04-01	0
Total of all active and inactive participants	2013-04-01	156
2012: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-04-01	166
Total number of active participants reported on line 7a of the Form 5500	2012-04-01	110
Number of retired or separated participants receiving benefits	2012-04-01	1
Number of other retired or separated participants entitled to future benefits	2012-04-01	0
Total of all active and inactive participants	2012-04-01	111
2011: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-04-01	176
Total number of active participants reported on line 7a of the Form 5500	2011-04-01	165
Number of retired or separated participants receiving benefits	2011-04-01	1
Number of other retired or separated participants entitled to future benefits	2011-04-01	0
Total of all active and inactive participants	2011-04-01	166
2009: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-04-01	164
Total number of active participants reported on line 7a of the Form 5500	2009-04-01	150
Number of retired or separated participants receiving benefits	2009-04-01	0
Number of other retired or separated participants entitled to future benefits	2009-04-01	0
Total of all active and inactive participants	2009-04-01	150

Form 5500 Responses for RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN

2023: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2023 form 5500 responses
2023-04-01	Type of plan entity	Single employer plan
2023-04-01	Plan funding arrangement – Insurance	Yes
2023-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-04-01	Plan benefit arrangement – Insurance	Yes
2023-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2022: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2022 form 5500 responses
2022-04-01	Type of plan entity	Single employer plan
2022-04-01	Plan funding arrangement – Insurance	Yes
2022-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-04-01	Plan benefit arrangement – Insurance	Yes
2022-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2021 form 5500 responses
2021-04-01	Type of plan entity	Single employer plan
2021-04-01	Plan funding arrangement – Insurance	Yes
2021-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-04-01	Plan benefit arrangement – Insurance	Yes
2021-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2020 form 5500 responses
2020-04-01	Type of plan entity	Single employer plan
2020-04-01	Plan funding arrangement – Insurance	Yes
2020-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-04-01	Plan benefit arrangement – Insurance	Yes
2020-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2019 form 5500 responses
2019-04-01	Submission has been amended	Yes
2017: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2017 form 5500 responses
2017-04-01	Type of plan entity	Single employer plan
2017-04-01	Plan funding arrangement – Insurance	Yes
2017-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-04-01	Plan benefit arrangement – Insurance	Yes
2017-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2016 form 5500 responses
2016-04-01	Type of plan entity	Single employer plan
2016-04-01	Submission has been amended	Yes
2016-04-01	This submission is the final filing	No
2016-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-04-01	Plan is a collectively bargained plan	No
2016-04-01	Plan funding arrangement – Insurance	Yes
2016-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-04-01	Plan benefit arrangement – Insurance	Yes
2016-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2015 form 5500 responses
2015-04-01	Type of plan entity	Single employer plan
2015-04-01	Submission has been amended	No
2015-04-01	This submission is the final filing	No
2015-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-04-01	Plan is a collectively bargained plan	No
2015-04-01	Plan funding arrangement – Insurance	Yes
2015-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-04-01	Plan benefit arrangement – Insurance	Yes
2015-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2014 form 5500 responses
2014-04-01	Type of plan entity	Single employer plan
2014-04-01	Submission has been amended	No
2014-04-01	This submission is the final filing	No
2014-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-04-01	Plan is a collectively bargained plan	No
2014-04-01	Plan funding arrangement – Insurance	Yes
2014-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-04-01	Plan benefit arrangement – Insurance	Yes
2014-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2013 form 5500 responses
2013-04-01	Type of plan entity	Single employer plan
2013-04-01	Submission has been amended	No
2013-04-01	This submission is the final filing	No
2013-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-04-01	Plan is a collectively bargained plan	No
2013-04-01	Plan funding arrangement – Insurance	Yes
2013-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-04-01	Plan benefit arrangement – Insurance	Yes
2013-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2012 form 5500 responses
2012-04-01	Type of plan entity	Single employer plan
2012-04-01	Submission has been amended	No
2012-04-01	This submission is the final filing	No
2012-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-04-01	Plan is a collectively bargained plan	No
2012-04-01	Plan funding arrangement – Insurance	Yes
2012-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-04-01	Plan benefit arrangement – Insurance	Yes
2012-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2011 form 5500 responses
2011-04-01	Type of plan entity	Single employer plan
2011-04-01	Submission has been amended	No
2011-04-01	This submission is the final filing	No
2011-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-04-01	Plan is a collectively bargained plan	No
2011-04-01	Plan funding arrangement – Insurance	Yes
2011-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-04-01	Plan benefit arrangement – Insurance	Yes
2011-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: RICHARDS PACKAGING, INC. HEALTH AND LIFE PLAN 2009 form 5500 responses
2009-04-01	Type of plan entity	Single employer plan
2009-04-01	First time form 5500 has been submitted	Yes
2009-04-01	Submission has been amended	No
2009-04-01	This submission is the final filing	No
2009-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-04-01	Plan is a collectively bargained plan	No
2009-04-01	Plan funding arrangement – Insurance	Yes
2009-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-04-01	Plan benefit arrangement – Insurance	Yes
2009-04-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

40000100016728

Policy instance

Insurance contract or identification number	40000100016728
Number of Individuals Covered	124
Insurance policy start date	2023-04-01
Insurance policy end date	2024-03-31
Total amount of commissions paid to insurance broker	USD $4,601
Total amount of fees paid to insurance company	USD $2,705
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $90,605
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

REGENCE BLUECROSS BLUESHIELD OF OREGON (National Association of Insurance Commissioners NAIC id number: 54933 )

Policy contract number

10042534

Policy instance

Insurance contract or identification number	10042534
Number of Individuals Covered	133
Insurance policy start date	2023-04-01
Insurance policy end date	2024-03-31
Total amount of commissions paid to insurance broker	USD $66,905
Total amount of fees paid to insurance company	USD $53
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,273,866
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

X3976

Policy instance

Insurance contract or identification number	X3976
Number of Individuals Covered	11
Insurance policy start date	2023-04-01
Insurance policy end date	2024-03-31
Total amount of commissions paid to insurance broker	USD $723
Total amount of fees paid to insurance company	USD $0
Temporary Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	CANCER
Welfare Benefit Premiums Paid to Carrier	USD $6,314
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

772985

Policy instance

Insurance contract or identification number	772985
Number of Individuals Covered	91
Insurance policy start date	2023-04-01
Insurance policy end date	2024-03-31
Total amount of commissions paid to insurance broker	USD $611
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $5,601
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

12086078

Policy instance

Insurance contract or identification number	12086078
Number of Individuals Covered	130
Insurance policy start date	2023-04-01
Insurance policy end date	2024-03-31
Total amount of commissions paid to insurance broker	USD $1,056
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $18,496
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HOMETOWN HEALTH (National Association of Insurance Commissioners NAIC id number: 48305 )

Policy contract number

122901

Policy instance

Insurance contract or identification number	122901
Number of Individuals Covered	43
Insurance policy start date	2022-10-01
Insurance policy end date	2023-09-30
Total amount of commissions paid to insurance broker	USD $21,721
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $572,664
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

12086078

Policy instance

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

772985

Policy instance

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

X3976

Policy instance

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

40000100016728

Policy instance

REGENCE BLUECROSS BLUESHIELD OF OREGON (National Association of Insurance Commissioners NAIC id number: 54933 )

Policy contract number

10042534

Policy instance

HOMETOWN HEALTH (National Association of Insurance Commissioners NAIC id number: 48305 )

Policy contract number

3541P

Policy instance

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

772985

Policy instance

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

12086078

Policy instance

REGENCE BLUECROSS BLUESHIELD OF OREGON (National Association of Insurance Commissioners NAIC id number: 54933 )

Policy contract number

10042534

Policy instance

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

40000100016728

Policy instance

HOMETOWN HEALTH (National Association of Insurance Commissioners NAIC id number: 48305 )

Policy contract number

3541P

Policy instance

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

X3976

Policy instance

HOMETOWN HEALTH (National Association of Insurance Commissioners NAIC id number: 48305 )

Policy contract number

3541P

Policy instance

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

12086078

Policy instance

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

40000100016728

Policy instance

REGENCE BLUECROSS BLUESHIELD OF OREGON (National Association of Insurance Commissioners NAIC id number: 54933 )

Policy contract number

10042534

Policy instance

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

X3976

Policy instance

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

772985

Policy instance

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

12086078

Policy instance

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

X3976

Policy instance

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

40000100016728

Policy instance

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

481624

Policy instance

HOMETOWN HEALTH (National Association of Insurance Commissioners NAIC id number: 48305 )

Policy contract number

3541P

Policy instance

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

X3976

Policy instance

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

12086078

Policy instance

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

1D021605

Policy instance

SAINT MARYS HEALTHFIRST (National Association of Insurance Commissioners NAIC id number: 11079 )

Policy contract number

ARID0004452

Policy instance

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

754191/481624

Policy instance

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

754191/481624

Policy instance

SAINT MARYS HEALTHFIRST (National Association of Insurance Commissioners NAIC id number: 11079 )

Policy contract number

ARID0004452

Policy instance

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

1D021605

Policy instance

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

X3976

Policy instance

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

12086078

Policy instance

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

12086078

Policy instance

SAINT MARYS HEALTHFIRST (National Association of Insurance Commissioners NAIC id number: 11079 )

Policy contract number

ARID0004452

Policy instance

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

X3976

Policy instance

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

1D021605

Policy instance

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

754191/481624

Policy instance

SAINT MARYS HEALTHFIRST (National Association of Insurance Commissioners NAIC id number: 11079 )

Policy contract number

ARID0004452

Policy instance

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

805294

Policy instance

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

481624

Policy instance

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

X3976

Policy instance

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

12086078

Policy instance

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

1D021605

Policy instance

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

805294

Policy instance

SAINT MARYS HEALTHFIRST (National Association of Insurance Commissioners NAIC id number: 11079 )

Policy contract number

H00019

Policy instance

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

1D021605

Policy instance

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

X3976

Policy instance

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

12086078

Policy instance

REGENCE BLUECROSS BLUESHIELD OF OREGON (National Association of Insurance Commissioners NAIC id number: 54933 )

Policy contract number

841686

Policy instance

SAINT MARY'S HEALTHFIRST (National Association of Insurance Commissioners NAIC id number: 95793 )

Policy contract number

H00019

Policy instance

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

KMO5585700

Policy instance

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

481624

Policy instance

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

Policy contract number

OR013433

Policy instance

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

X3976

Policy instance

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

12086078

Policy instance

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Company Name:	RICHARDS PACKAGING, INC.
Employer identification number (EIN):	911148903
NAIC Classification:	423990
NAIC Description:	Other Miscellaneous Durable Goods Merchant Wholesalers