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STREAM FLO USA, LLC HEALTH PLAN 401k Plan overview

Plan NameSTREAM FLO USA, LLC HEALTH PLAN
Plan identification number 501

STREAM FLO USA, LLC HEALTH PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental

401k Sponsoring company profile

STREAM-FLO USA, INC. has sponsored the creation of one or more 401k plans.

Company Name:STREAM-FLO USA, INC.
Employer identification number (EIN):980412571
NAIC Classification:211120
NAIC Description:Crude Petroleum Extraction

Form 5500 Filing Information

Submission information for form 5500 for 401k plan STREAM FLO USA, LLC HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-04-01SARAH CARRISALEZ2023-06-13
5012021-04-01SARAH CARRISALEZ2022-10-10
5012020-04-01SARAH CARRISALEZ2021-10-07
5012019-04-01SARAH CARRISALEZ2020-10-28
5012018-04-01SARAH CARRISALEZ2019-08-21
5012017-04-01
5012016-04-01
5012015-04-01KIM BAKER
5012014-04-01DOROTHY MCGUIRE
5012013-04-01DOROTHY MCGUIRE
5012012-04-01DOROTHY MCGUIRE
5012011-04-01DOROTHY MCGUIRE
5012010-04-01DOROTHY MCGUIRE
5012009-04-01DOROTHY MCGUIRE

Plan Statistics for STREAM FLO USA, LLC HEALTH PLAN

401k plan membership statisitcs for STREAM FLO USA, LLC HEALTH PLAN

Measure Date Value
2022: STREAM FLO USA, LLC HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year2022-04-01183
Total number of active participants reported on line 7a of the Form 55002022-04-01242
Number of retired or separated participants receiving benefits2022-04-010
Number of other retired or separated participants entitled to future benefits2022-04-010
Total of all active and inactive participants2022-04-01242
Number of employers contributing to the scheme2022-04-010
2021: STREAM FLO USA, LLC HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-04-01200
Total number of active participants reported on line 7a of the Form 55002021-04-01183
Number of retired or separated participants receiving benefits2021-04-010
Number of other retired or separated participants entitled to future benefits2021-04-010
Total of all active and inactive participants2021-04-01183
Number of employers contributing to the scheme2021-04-010
2020: STREAM FLO USA, LLC HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-04-01276
Total number of active participants reported on line 7a of the Form 55002020-04-01200
Number of retired or separated participants receiving benefits2020-04-010
Number of other retired or separated participants entitled to future benefits2020-04-010
Total of all active and inactive participants2020-04-01200
Number of employers contributing to the scheme2020-04-010
2019: STREAM FLO USA, LLC HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-01321
Total number of active participants reported on line 7a of the Form 55002019-04-01276
Number of retired or separated participants receiving benefits2019-04-010
Number of other retired or separated participants entitled to future benefits2019-04-010
Total of all active and inactive participants2019-04-01276
Number of employers contributing to the scheme2019-04-010
2018: STREAM FLO USA, LLC HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-04-01275
Total number of active participants reported on line 7a of the Form 55002018-04-01321
Number of retired or separated participants receiving benefits2018-04-010
Number of other retired or separated participants entitled to future benefits2018-04-010
Total of all active and inactive participants2018-04-01321
Number of employers contributing to the scheme2018-04-010
2017: STREAM FLO USA, LLC HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-01193
Total number of active participants reported on line 7a of the Form 55002017-04-01275
Number of retired or separated participants receiving benefits2017-04-010
Number of other retired or separated participants entitled to future benefits2017-04-010
Total of all active and inactive participants2017-04-01275
2016: STREAM FLO USA, LLC HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-01286
Total number of active participants reported on line 7a of the Form 55002016-04-01193
Number of retired or separated participants receiving benefits2016-04-010
Number of other retired or separated participants entitled to future benefits2016-04-010
Total of all active and inactive participants2016-04-01193
2015: STREAM FLO USA, LLC HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-01330
Total number of active participants reported on line 7a of the Form 55002015-04-01286
Number of retired or separated participants receiving benefits2015-04-010
Number of other retired or separated participants entitled to future benefits2015-04-010
Total of all active and inactive participants2015-04-01286
2014: STREAM FLO USA, LLC HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-01246
Total number of active participants reported on line 7a of the Form 55002014-04-01330
Number of retired or separated participants receiving benefits2014-04-010
Number of other retired or separated participants entitled to future benefits2014-04-010
Total of all active and inactive participants2014-04-01330
2013: STREAM FLO USA, LLC HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-01233
Total number of active participants reported on line 7a of the Form 55002013-04-01246
Number of retired or separated participants receiving benefits2013-04-010
Number of other retired or separated participants entitled to future benefits2013-04-010
Total of all active and inactive participants2013-04-01246
2012: STREAM FLO USA, LLC HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-01162
Total number of active participants reported on line 7a of the Form 55002012-04-01233
Number of retired or separated participants receiving benefits2012-04-010
Number of other retired or separated participants entitled to future benefits2012-04-010
Total of all active and inactive participants2012-04-01233
2011: STREAM FLO USA, LLC HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-01159
Total number of active participants reported on line 7a of the Form 55002011-04-01162
Number of retired or separated participants receiving benefits2011-04-010
Number of other retired or separated participants entitled to future benefits2011-04-010
Total of all active and inactive participants2011-04-01162
2010: STREAM FLO USA, LLC HEALTH PLAN 2010 401k membership
Total participants, beginning-of-year2010-04-01102
Total number of active participants reported on line 7a of the Form 55002010-04-01159
Number of retired or separated participants receiving benefits2010-04-010
Number of other retired or separated participants entitled to future benefits2010-04-010
Total of all active and inactive participants2010-04-01159
2009: STREAM FLO USA, LLC HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year2009-04-01100
Total number of active participants reported on line 7a of the Form 55002009-04-01102
Number of retired or separated participants receiving benefits2009-04-010
Number of other retired or separated participants entitled to future benefits2009-04-010
Total of all active and inactive participants2009-04-01102

Form 5500 Responses for STREAM FLO USA, LLC HEALTH PLAN

2022: STREAM FLO USA, LLC HEALTH PLAN 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan benefit arrangement – InsuranceYes
2021: STREAM FLO USA, LLC HEALTH PLAN 2021 form 5500 responses
2021-04-01Type of plan entitySingle employer plan
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan benefit arrangement – InsuranceYes
2020: STREAM FLO USA, LLC HEALTH PLAN 2020 form 5500 responses
2020-04-01Type of plan entitySingle employer plan
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan benefit arrangement – InsuranceYes
2019: STREAM FLO USA, LLC HEALTH PLAN 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan benefit arrangement – InsuranceYes
2018: STREAM FLO USA, LLC HEALTH PLAN 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Plan funding arrangement – InsuranceYes
2018-04-01Plan benefit arrangement – InsuranceYes
2017: STREAM FLO USA, LLC HEALTH PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan benefit arrangement – InsuranceYes
2016: STREAM FLO USA, LLC HEALTH PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Submission has been amendedNo
2016-04-01This submission is the final filingNo
2016-04-01This return/report is a short plan year return/report (less than 12 months)No
2016-04-01Plan is a collectively bargained planNo
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan benefit arrangement – InsuranceYes
2015: STREAM FLO USA, LLC HEALTH PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Submission has been amendedNo
2015-04-01This submission is the final filingNo
2015-04-01This return/report is a short plan year return/report (less than 12 months)No
2015-04-01Plan is a collectively bargained planNo
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan benefit arrangement – InsuranceYes
2014: STREAM FLO USA, LLC HEALTH PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Submission has been amendedNo
2014-04-01This submission is the final filingNo
2014-04-01This return/report is a short plan year return/report (less than 12 months)No
2014-04-01Plan is a collectively bargained planNo
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan benefit arrangement – InsuranceYes
2013: STREAM FLO USA, LLC HEALTH PLAN 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Submission has been amendedNo
2013-04-01This submission is the final filingNo
2013-04-01This return/report is a short plan year return/report (less than 12 months)No
2013-04-01Plan is a collectively bargained planNo
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan benefit arrangement – InsuranceYes
2012: STREAM FLO USA, LLC HEALTH PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Submission has been amendedNo
2012-04-01This submission is the final filingNo
2012-04-01This return/report is a short plan year return/report (less than 12 months)No
2012-04-01Plan is a collectively bargained planNo
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan benefit arrangement – InsuranceYes
2011: STREAM FLO USA, LLC HEALTH PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Submission has been amendedNo
2011-04-01This submission is the final filingNo
2011-04-01This return/report is a short plan year return/report (less than 12 months)No
2011-04-01Plan is a collectively bargained planNo
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan benefit arrangement – InsuranceYes
2010: STREAM FLO USA, LLC HEALTH PLAN 2010 form 5500 responses
2010-04-01Type of plan entitySingle employer plan
2010-04-01Submission has been amendedNo
2010-04-01This submission is the final filingNo
2010-04-01This return/report is a short plan year return/report (less than 12 months)No
2010-04-01Plan is a collectively bargained planNo
2010-04-01Plan funding arrangement – InsuranceYes
2010-04-01Plan benefit arrangement – InsuranceYes
2009: STREAM FLO USA, LLC HEALTH PLAN 2009 form 5500 responses
2009-04-01Type of plan entitySingle employer plan
2009-04-01First time form 5500 has been submittedYes
2009-04-01Submission has been amendedNo
2009-04-01This submission is the final filingNo
2009-04-01This return/report is a short plan year return/report (less than 12 months)No
2009-04-01Plan is a collectively bargained planNo
2009-04-01Plan funding arrangement – InsuranceYes
2009-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number268303
Policy instance 1
Insurance contract or identification number268303
Number of Individuals Covered568
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $104,823
Total amount of fees paid to insurance companyUSD $5,529
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,045,297
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $104,823
Amount paid for insurance broker fees5529
Additional information about fees paid to insurance brokerOTHER COMMISSIONS, SPECIAL PROGRAMS
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number268303
Policy instance 1
Insurance contract or identification number268303
Number of Individuals Covered562
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $99,913
Total amount of fees paid to insurance companyUSD $10,400
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,776,240
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $99,913
Amount paid for insurance broker fees10400
Additional information about fees paid to insurance brokerOTHER COMPENSATION, SPECIAL PROGRAMS
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number268303
Policy instance 1
Insurance contract or identification number268303
Number of Individuals Covered557
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $103,816
Total amount of fees paid to insurance companyUSD $4,275
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,798,557
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $103,816
Amount paid for insurance broker fees4275
Additional information about fees paid to insurance brokerOTHER COMMISSIONS
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3339762
Policy instance 1
Insurance contract or identification number3339762
Number of Individuals Covered787
Insurance policy start date2019-04-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $32,529
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $106,757
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $32,529
Amount paid for insurance broker fees0
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number268303
Policy instance 2
Insurance contract or identification number268303
Number of Individuals Covered649
Insurance policy start date2019-05-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $125,880
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,378,289
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $125,880
Amount paid for insurance broker fees0
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3339762
Policy instance 1
Insurance contract or identification number3339762
Number of Individuals Covered754
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $160,095
Total amount of fees paid to insurance companyUSD $1,906
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $1,014,841
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $160,095
Amount paid for insurance broker fees1906
Additional information about fees paid to insurance brokerSERVICE/GENERAL AGENT FEES
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3339762
Policy instance 1
Insurance contract or identification number3339762
Number of Individuals Covered647
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $147,664
Total amount of fees paid to insurance companyUSD $11,075
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $712,607
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $147,664
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerSERVICE/GENERAL AGENT FEES
Insurance broker nameGALLAGHER BENEFIT SERVICES

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