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OLD TRAPPER SMOKED PRODUCTS INC HEALTH & WELFARE BENEFIT PLAN 401k Plan overview

Plan NameOLD TRAPPER SMOKED PRODUCTS INC HEALTH & WELFARE BENEFIT PLAN
Plan identification number 503

OLD TRAPPER SMOKED PRODUCTS INC HEALTH & WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare 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)

401k Sponsoring company profile

OLD TRAPPER SMOKED PRODUCTS INC has sponsored the creation of one or more 401k plans.

Company Name:OLD TRAPPER SMOKED PRODUCTS INC
Employer identification number (EIN):930599355
NAIC Classification:445299
NAIC Description:All Other Specialty Food Stores

Additional information about OLD TRAPPER SMOKED PRODUCTS INC

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: C0984287

More information about OLD TRAPPER SMOKED PRODUCTS INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OLD TRAPPER SMOKED PRODUCTS INC HEALTH & WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032023-01-01OLE EVENSON2024-07-12
5032022-01-01OLE EVENSON2023-07-19
5032021-01-01KRISTOPHER POWELL2022-07-20

Form 5500 Responses for OLD TRAPPER SMOKED PRODUCTS INC HEALTH & WELFARE BENEFIT PLAN

2023: OLD TRAPPER SMOKED PRODUCTS INC HEALTH & WELFARE BENEFIT PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: OLD TRAPPER SMOKED PRODUCTS INC HEALTH & WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: OLD TRAPPER SMOKED PRODUCTS INC HEALTH & WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01First time form 5500 has been submittedYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1148862
Policy instance 1
Insurance contract or identification number1148862
Number of Individuals Covered360
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $9,080
Total amount of fees paid to insurance companyUSD $5,803
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $69,649
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1148862
Policy instance 1
Insurance contract or identification number1148862
Number of Individuals Covered254
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $9,278
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $80,150
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05956259
Policy instance 1

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