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HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameHEALTH AND WELFARE PLAN
Plan identification number 501

HEALTH AND WELFARE PLAN Benefits

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

401k Sponsoring company profile

BRAVO GROUP SERVICES, LLC has sponsored the creation of one or more 401k plans.

Company Name:BRAVO GROUP SERVICES, LLC
Employer identification number (EIN):204568544
NAIC Classification:561720
NAIC Description:Janitorial Services

Additional information about BRAVO GROUP SERVICES, LLC

Jurisdiction of Incorporation: New Jersey Division of Revenue and Enterprise Services
Incorporation Date:
Company Identification Number: 0600264167

More information about BRAVO GROUP SERVICES, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-03-01PAUL FORGUE2022-10-03
5012021-02-15KAREN J MARTINEZ2021-12-13
5012020-02-15KAREN MARTINEZ2021-10-13
5012019-02-15KAREN MARTINEZ2021-10-13
5012018-02-15KISHA TURNER2019-10-01
5012017-02-15

Plan Statistics for HEALTH AND WELFARE PLAN

401k plan membership statisitcs for HEALTH AND WELFARE PLAN

Measure Date Value
2021: HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-03-01204
Total number of active participants reported on line 7a of the Form 55002021-03-01202
Number of retired or separated participants receiving benefits2021-03-010
Number of other retired or separated participants entitled to future benefits2021-03-010
Total of all active and inactive participants2021-03-01202
Number of employers contributing to the scheme2021-03-010
Total participants, beginning-of-year2021-02-15204
Total number of active participants reported on line 7a of the Form 55002021-02-15204
Number of retired or separated participants receiving benefits2021-02-150
Number of other retired or separated participants entitled to future benefits2021-02-150
Total of all active and inactive participants2021-02-15204
Number of employers contributing to the scheme2021-02-150
2020: HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-02-15200
Total number of active participants reported on line 7a of the Form 55002020-02-15204
Number of retired or separated participants receiving benefits2020-02-150
Number of other retired or separated participants entitled to future benefits2020-02-150
Total of all active and inactive participants2020-02-15204
Number of employers contributing to the scheme2020-02-150
2019: HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-02-15169
Total number of active participants reported on line 7a of the Form 55002019-02-15200
Number of retired or separated participants receiving benefits2019-02-150
Number of other retired or separated participants entitled to future benefits2019-02-150
Total of all active and inactive participants2019-02-15200
Number of employers contributing to the scheme2019-02-150
2018: HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-02-15169
Total number of active participants reported on line 7a of the Form 55002018-02-15169
Number of retired or separated participants receiving benefits2018-02-150
Number of other retired or separated participants entitled to future benefits2018-02-150
Total of all active and inactive participants2018-02-15169
Number of employers contributing to the scheme2018-02-150
2017: HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-02-15103
Total number of active participants reported on line 7a of the Form 55002017-02-15169
Number of retired or separated participants receiving benefits2017-02-150
Number of other retired or separated participants entitled to future benefits2017-02-150
Total of all active and inactive participants2017-02-15169

Form 5500 Responses for HEALTH AND WELFARE PLAN

2021: HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-03-01Type of plan entitySingle employer plan
2021-03-01Plan funding arrangement – InsuranceYes
2021-03-01Plan funding arrangement – General assets of the sponsorYes
2021-03-01Plan benefit arrangement – InsuranceYes
2021-03-01Plan benefit arrangement – General assets of the sponsorYes
2021-02-15Type of plan entitySingle employer plan
2021-02-15This return/report is a short plan year return/report (less than 12 months)Yes
2021-02-15Plan funding arrangement – InsuranceYes
2021-02-15Plan funding arrangement – General assets of the sponsorYes
2021-02-15Plan benefit arrangement – InsuranceYes
2021-02-15Plan benefit arrangement – General assets of the sponsorYes
2020: HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-02-15Type of plan entitySingle employer plan
2020-02-15Plan funding arrangement – InsuranceYes
2020-02-15Plan benefit arrangement – InsuranceYes
2019: HEALTH AND WELFARE PLAN 2019 form 5500 responses
2019-02-15Type of plan entitySingle employer plan
2019-02-15Plan funding arrangement – InsuranceYes
2019-02-15Plan benefit arrangement – InsuranceYes
2018: HEALTH AND WELFARE PLAN 2018 form 5500 responses
2018-02-15Type of plan entitySingle employer plan
2018-02-15Plan funding arrangement – InsuranceYes
2018-02-15Plan benefit arrangement – InsuranceYes
2017: HEALTH AND WELFARE PLAN 2017 form 5500 responses
2017-02-15Type of plan entitySingle employer plan
2017-02-15Plan funding arrangement – InsuranceYes
2017-02-15Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number149183
Policy instance 1
Insurance contract or identification number149183
Number of Individuals Covered202
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $57,078
Total amount of fees paid to insurance companyUSD $33
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $63,705
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $54,355
Amount paid for insurance broker fees33
Additional information about fees paid to insurance brokerINDIRECT COMPENSATION
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00
Policy instance 1
Insurance contract or identification number00
Number of Individuals Covered204
Insurance policy start date2020-04-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
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 number742073
Policy instance 1
Insurance contract or identification number742073
Number of Individuals Covered204
Insurance policy start date2019-03-01
Insurance policy end date2020-02-28
Total amount of commissions paid to insurance brokerUSD $37,465
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $776,550
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $37,292
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number742073
Policy instance 2
Insurance contract or identification number742073
Number of Individuals Covered101
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $5,185
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $46,739
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,213
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number742073
Policy instance 1
Insurance contract or identification number742073
Number of Individuals Covered200
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Total amount of commissions paid to insurance brokerUSD $36,821
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $830,495
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 number742073
Policy instance 2
Insurance contract or identification number742073
Number of Individuals Covered93
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $6,418
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $58,923
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 number0742073
Policy instance 1
Insurance contract or identification number0742073
Number of Individuals Covered169
Insurance policy start date2018-02-15
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $2,567
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $2,567
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0742073
Policy instance 1
Insurance contract or identification number0742073
Number of Individuals Covered169
Insurance policy start date2017-02-15
Insurance policy end date2018-02-14
Total amount of commissions paid to insurance brokerUSD $32,573
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $782,159
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,580
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker namePROFESSIONAL GROUP MARKETING INC

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