401k Plan data: 100462MEDVP plan

100462MEDVP 401k Plan overview

Plan Name	100462MEDVP
Plan identification number	501

100462MEDVP Benefits

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

401k Sponsoring company profile

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

Company Name: HIGHWAY PRODUCTS, INC.

Employer identification number (EIN): 930931066

Additional information about HIGHWAY PRODUCTS, INC.

Jurisdiction of Incorporation: Oregon Secretary of State Corporations Division

Incorporation Date: 1986-09-22

Company Identification Number: 4714085

Legal Registered Office Address: 7905 AGATE RD

WHITE CITY
United States of America (USA)
97503

More information about HIGHWAY PRODUCTS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 100462MEDVP

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-01-01
501 2021-01-01
501 2019-01-01

Plan Statistics for 100462MEDVP

401k plan membership statisitcs for 100462MEDVP

Measure Date Value
2022: 100462MEDVP 2022 401k membership
Total participants, beginning-of-year 2022-01-01 0
Total of all active and inactive participants 2022-01-01 0
Total participants 2022-01-01 0
2021: 100462MEDVP 2021 401k membership
Total participants, beginning-of-year 2021-01-01 0
Total of all active and inactive participants 2021-01-01 0
Total participants 2021-01-01 0
2019: 100462MEDVP 2019 401k membership
Total participants, beginning-of-year 2019-01-01 0
Total of all active and inactive participants 2019-01-01 0
Total participants 2019-01-01 0

Measure	Date	Value
2022: 100462MEDVP 2022 401k membership
Total participants, beginning-of-year	2022-01-01	0
Total of all active and inactive participants	2022-01-01	0
Total participants	2022-01-01	0
2021: 100462MEDVP 2021 401k membership
Total participants, beginning-of-year	2021-01-01	0
Total of all active and inactive participants	2021-01-01	0
Total participants	2021-01-01	0
2019: 100462MEDVP 2019 401k membership
Total participants, beginning-of-year	2019-01-01	0
Total of all active and inactive participants	2019-01-01	0
Total participants	2019-01-01	0

Form 5500 Responses for 100462MEDVP

2022: 100462MEDVP 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2021: 100462MEDVP 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2019: 100462MEDVP 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	First time form 5500 has been submitted	Yes
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

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

Policy contract number

923634

Policy instance

Insurance contract or identification number	923634
Number of Individuals Covered	220
Total amount of fees paid to insurance company	USD $26,186
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $927,495
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	26186
Additional information about fees paid to insurance broker	SERVICE FEE AGREEMENT
Insurance broker organization code?	3

STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 )

Policy contract number

434804

Policy instance

Insurance contract or identification number	434804
Number of Individuals Covered	139
Total amount of fees paid to insurance company	USD $2,579
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $45,013
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	2579
Additional information about fees paid to insurance broker	SERVICE FEE AGREEMENT
Insurance broker organization code?	3

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

Policy contract number

923634

Policy instance

Insurance contract or identification number	923634
Number of Individuals Covered	209
Total amount of fees paid to insurance company	USD $33,921
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $855,059
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	26421
Additional information about fees paid to insurance broker	SERVICE FEE AGREEMENT
Insurance broker organization code?	3

STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 )

Policy contract number

434804

Policy instance

Insurance contract or identification number	434804
Number of Individuals Covered	122
Total amount of commissions paid to insurance broker	USD $2,133
Total amount of fees paid to insurance company	USD $1,067
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $42,668
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,133
Amount paid for insurance broker fees	1067
Additional information about fees paid to insurance broker	SERVICE FEE AGREEMENT
Insurance broker organization code?	3

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

434803

Policy instance

Insurance contract or identification number	434803
Number of Individuals Covered	140
Total amount of commissions paid to insurance broker	USD $1,189
Total amount of fees paid to insurance company	USD $247
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $9,891
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,189
Amount paid for insurance broker fees	247
Additional information about fees paid to insurance broker	BROKER BONUS

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG0BH74

Policy instance

Insurance contract or identification number	GLUG0BH74
Number of Individuals Covered	147
Total amount of commissions paid to insurance broker	USD $802
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $8,015
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $802

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GUDS0BH74

Policy instance

Insurance contract or identification number	GUDS0BH74
Number of Individuals Covered	128
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $52,069
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

NIS1163 02

Policy instance

Insurance contract or identification number	NIS1163 02
Number of Individuals Covered	125
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $210,412
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	HIGHWAY PRODUCTS, INC.
Employer identification number (EIN):	930931066

Jurisdiction of Incorporation:	Oregon Secretary of State Corporations Division
Incorporation Date:	1986-09-22
Company Identification Number:	4714085
Legal Registered Office Address:	7905 AGATE RD WHITE CITY United States of America (USA) 97503