401k Plan data: RAYPAK, INC. HEALTH & DENTAL TRUST plan

RAYPAK, INC. HEALTH & DENTAL TRUST 401k Plan overview

Plan Name	RAYPAK, INC. HEALTH & DENTAL TRUST
Plan identification number	504

RAYPAK, INC. HEALTH & DENTAL TRUST Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Vision Other welfare benefit cover

401k Sponsoring company profile

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

Company Name: RAYPAK, INC.

Employer identification number (EIN): 951617465

NAIC Classification: 333410

Additional information about RAYPAK, INC.

Jurisdiction of Incorporation: California Department of State

Incorporation Date: 0000-00-00

Company Identification Number: C0239714

Legal Registered Office Address: 2710 Gateway Oaks Dr Ste 150NSacramentoCA95833

United States of America (USA)

More information about RAYPAK, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RAYPAK, INC. HEALTH & DENTAL TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2017-01-01 CHRIS HOLTON CHRIS HOLTON 2018-09-04
504 2016-01-01 MIKE INLOW
504 2015-01-01 MIKE INLOW
504 2014-01-01 MIKE INLOW
504 2013-01-01 MIKE INLOW
504 2012-01-01 MIKE INLOW
504 2011-01-01 MIKE INLOW
504 2010-01-01 MIKE INLOW
504 2009-01-01 MIKE INLOW

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
504	2017-01-01	CHRIS HOLTON	CHRIS HOLTON	2018-09-04
504	2016-01-01	MIKE INLOW
504	2015-01-01	MIKE INLOW
504	2014-01-01	MIKE INLOW
504	2013-01-01	MIKE INLOW
504	2012-01-01	MIKE INLOW
504	2011-01-01	MIKE INLOW
504	2010-01-01	MIKE INLOW
504	2009-01-01	MIKE INLOW

Plan Statistics for RAYPAK, INC. HEALTH & DENTAL TRUST

401k plan membership statisitcs for RAYPAK, INC. HEALTH & DENTAL TRUST

Measure Date Value
2017: RAYPAK, INC. HEALTH & DENTAL TRUST 2017 401k membership
Total participants, beginning-of-year 2017-01-01 380
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
2016: RAYPAK, INC. HEALTH & DENTAL TRUST 2016 401k membership
Total participants, beginning-of-year 2016-01-01 378
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 377
Number of retired or separated participants receiving benefits 2016-01-01 3
Total of all active and inactive participants 2016-01-01 380
2015: RAYPAK, INC. HEALTH & DENTAL TRUST 2015 401k membership
Total participants, beginning-of-year 2015-01-01 358
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 371
Number of retired or separated participants receiving benefits 2015-01-01 2
Total of all active and inactive participants 2015-01-01 373
2014: RAYPAK, INC. HEALTH & DENTAL TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 340
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 358
Number of retired or separated participants receiving benefits 2014-01-01 1
Total of all active and inactive participants 2014-01-01 359
2013: RAYPAK, INC. HEALTH & DENTAL TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 314
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 339
Number of retired or separated participants receiving benefits 2013-01-01 1
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 340
2012: RAYPAK, INC. HEALTH & DENTAL TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 316
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 312
Number of retired or separated participants receiving benefits 2012-01-01 2
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 314
2011: RAYPAK, INC. HEALTH & DENTAL TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 321
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 312
Number of retired or separated participants receiving benefits 2011-01-01 4
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 316
2010: RAYPAK, INC. HEALTH & DENTAL TRUST 2010 401k membership
Total participants, beginning-of-year 2010-01-01 324
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 320
Number of retired or separated participants receiving benefits 2010-01-01 1
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 321
2009: RAYPAK, INC. HEALTH & DENTAL TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 347
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 322
Number of retired or separated participants receiving benefits 2009-01-01 2
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 324

Measure	Date	Value
2017: RAYPAK, INC. HEALTH & DENTAL TRUST 2017 401k membership
Total participants, beginning-of-year	2017-01-01	380
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
2016: RAYPAK, INC. HEALTH & DENTAL TRUST 2016 401k membership
Total participants, beginning-of-year	2016-01-01	378
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	377
Number of retired or separated participants receiving benefits	2016-01-01	3
Total of all active and inactive participants	2016-01-01	380
2015: RAYPAK, INC. HEALTH & DENTAL TRUST 2015 401k membership
Total participants, beginning-of-year	2015-01-01	358
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	371
Number of retired or separated participants receiving benefits	2015-01-01	2
Total of all active and inactive participants	2015-01-01	373
2014: RAYPAK, INC. HEALTH & DENTAL TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	340
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	358
Number of retired or separated participants receiving benefits	2014-01-01	1
Total of all active and inactive participants	2014-01-01	359
2013: RAYPAK, INC. HEALTH & DENTAL TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	314
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	339
Number of retired or separated participants receiving benefits	2013-01-01	1
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	340
2012: RAYPAK, INC. HEALTH & DENTAL TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	316
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	312
Number of retired or separated participants receiving benefits	2012-01-01	2
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	314
2011: RAYPAK, INC. HEALTH & DENTAL TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	321
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	312
Number of retired or separated participants receiving benefits	2011-01-01	4
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	316
2010: RAYPAK, INC. HEALTH & DENTAL TRUST 2010 401k membership
Total participants, beginning-of-year	2010-01-01	324
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	320
Number of retired or separated participants receiving benefits	2010-01-01	1
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	321
2009: RAYPAK, INC. HEALTH & DENTAL TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	347
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	322
Number of retired or separated participants receiving benefits	2009-01-01	2
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	324

Form 5500 Responses for RAYPAK, INC. HEALTH & DENTAL TRUST

2017: RAYPAK, INC. HEALTH & DENTAL TRUST 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: RAYPAK, INC. HEALTH & DENTAL TRUST 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: RAYPAK, INC. HEALTH & DENTAL TRUST 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: RAYPAK, INC. HEALTH & DENTAL TRUST 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: RAYPAK, INC. HEALTH & DENTAL TRUST 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: RAYPAK, INC. HEALTH & DENTAL TRUST 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: RAYPAK, INC. HEALTH & DENTAL TRUST 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: RAYPAK, INC. HEALTH & DENTAL TRUST 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: RAYPAK, INC. HEALTH & DENTAL TRUST 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract number	903186-000
Policy instance	4
HOLMAN FAMILY COUNSELING, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	11203
Policy instance	3
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract number	903186-001
Policy instance	2
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number	10000181001
Policy instance	1
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract number	903186-001
Policy instance	3
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract number	903186-000
Policy instance	2
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number	1000018
Policy instance	1
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract number	903186-001
Policy instance	3
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract number	903186-000
Policy instance	2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	30012313
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	30012313
Policy instance	1
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number	949-1588
Policy instance	2
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number	949-1745
Policy instance	2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	30012313
Policy instance	1
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number	HCL20568
Policy instance	2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	30012313
Policy instance	1
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract number	881045-001,199
Policy instance	3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	30012313
Policy instance	2
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract number	881045-000/099
Policy instance	1

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Company Name:	RAYPAK, INC.
Employer identification number (EIN):	951617465
NAIC Classification:	333410

Jurisdiction of Incorporation:	California Department of State
Incorporation Date:	0000-00-00
Company Identification Number:	C0239714
Legal Registered Office Address:	2710 Gateway Oaks Dr Ste 150NSacramentoCA95833 United States of America (USA)