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HEALTH PLAN FOR THE EMPLOYEES OF PREMIER CUSTOM-BUILT, INC. 401k Plan overview

Plan NameHEALTH PLAN FOR THE EMPLOYEES OF PREMIER CUSTOM-BUILT, INC.
Plan identification number 501

HEALTH PLAN FOR THE EMPLOYEES OF PREMIER CUSTOM-BUILT, INC. 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

401k Sponsoring company profile

PREMIER CUSTOM-BUILT, INC. has sponsored the creation of one or more 401k plans.

Company Name:PREMIER CUSTOM-BUILT, INC.
Employer identification number (EIN):232653292
NAIC Classification:337000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEALTH PLAN FOR THE EMPLOYEES OF PREMIER CUSTOM-BUILT, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012024-01-01WENDY DAVIS
5012023-01-01
5012023-01-01WENDY DAVIS
5012022-01-01
5012022-01-01WENDY DAVIS
5012021-01-01
5012021-01-01WENDY DAVIS
5012020-01-01
5012019-01-01
5012017-01-01DAVID RITTGER
5012016-01-01DAVID RITTGER
5012015-01-01CLAYTON SUYDAM

Plan Statistics for HEALTH PLAN FOR THE EMPLOYEES OF PREMIER CUSTOM-BUILT, INC.

401k plan membership statisitcs for HEALTH PLAN FOR THE EMPLOYEES OF PREMIER CUSTOM-BUILT, INC.

Measure Date Value
2023: HEALTH PLAN FOR THE EMPLOYEES OF PREMIER CUSTOM-BUILT, INC. 2023 401k membership
Total participants, beginning-of-year2023-01-0193
Total number of active participants reported on line 7a of the Form 55002023-01-01113
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-01113
2022: HEALTH PLAN FOR THE EMPLOYEES OF PREMIER CUSTOM-BUILT, INC. 2022 401k membership
Total participants, beginning-of-year2022-01-0192
Total number of active participants reported on line 7a of the Form 55002022-01-0193
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-0193
2021: HEALTH PLAN FOR THE EMPLOYEES OF PREMIER CUSTOM-BUILT, INC. 2021 401k membership
Total participants, beginning-of-year2021-01-0192
Total number of active participants reported on line 7a of the Form 55002021-01-0192
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-0192
2020: HEALTH PLAN FOR THE EMPLOYEES OF PREMIER CUSTOM-BUILT, INC. 2020 401k membership
Total participants, beginning-of-year2020-01-0184
Total number of active participants reported on line 7a of the Form 55002020-01-0185
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-0185
2019: HEALTH PLAN FOR THE EMPLOYEES OF PREMIER CUSTOM-BUILT, INC. 2019 401k membership
Total participants, beginning-of-year2019-01-0179
Total number of active participants reported on line 7a of the Form 55002019-01-0182
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-0182
2017: HEALTH PLAN FOR THE EMPLOYEES OF PREMIER CUSTOM-BUILT, INC. 2017 401k membership
Total participants, beginning-of-year2017-01-0178
Total number of active participants reported on line 7a of the Form 55002017-01-0181
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-0181
2016: HEALTH PLAN FOR THE EMPLOYEES OF PREMIER CUSTOM-BUILT, INC. 2016 401k membership
Total participants, beginning-of-year2016-01-0182
Total number of active participants reported on line 7a of the Form 55002016-01-0189
Number of retired or separated participants receiving benefits2016-01-011
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-0190
2015: HEALTH PLAN FOR THE EMPLOYEES OF PREMIER CUSTOM-BUILT, INC. 2015 401k membership
Total participants, beginning-of-year2015-01-0182
Total number of active participants reported on line 7a of the Form 55002015-01-0182
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-0182

Financial Data on HEALTH PLAN FOR THE EMPLOYEES OF PREMIER CUSTOM-BUILT, INC.

Measure Date Value
2018 : HEALTH PLAN FOR THE EMPLOYEES OF PREMIER CUSTOM-BUILT, INC. 2018 401k financial data
Total plan liabilities at beginning of year2018-12-31$102,249
Total income from all sources2018-12-31$87,463
Total plan assets at end of year2018-12-31$0
Total plan assets at beginning of year2018-12-31$14,786
Other income received2018-12-31$85,005
Net income (gross income less expenses)2018-12-31$87,463
Net plan assets at end of year (total assets less liabilities)2018-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$-87,463
Total contributions received or receivable from employer(s)2018-12-31$2,458
2017 : HEALTH PLAN FOR THE EMPLOYEES OF PREMIER CUSTOM-BUILT, INC. 2017 401k financial data
Total plan liabilities at end of year2017-12-31$102,249
Total plan liabilities at beginning of year2017-12-31$94,209
Total income from all sources2017-12-31$1,103,197
Expenses. Total of all expenses incurred2017-12-31$1,113,721
Benefits paid (including direct rollovers)2017-12-31$725,670
Total plan assets at end of year2017-12-31$14,786
Total plan assets at beginning of year2017-12-31$17,270
Expenses. Other expenses not covered elsewhere2017-12-31$330,964
Other income received2017-12-31$55
Net income (gross income less expenses)2017-12-31$-10,524
Net plan assets at end of year (total assets less liabilities)2017-12-31$-87,463
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$-76,939
Total contributions received or receivable from employer(s)2017-12-31$1,103,142
Value of corrective distributions2017-12-31$8,652
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$48,435
2016 : HEALTH PLAN FOR THE EMPLOYEES OF PREMIER CUSTOM-BUILT, INC. 2016 401k financial data
Total plan liabilities at end of year2016-12-31$94,209
Total plan liabilities at beginning of year2016-12-31$60,075
Total income from all sources2016-12-31$894,924
Expenses. Total of all expenses incurred2016-12-31$998,225
Benefits paid (including direct rollovers)2016-12-31$671,393
Total plan assets at end of year2016-12-31$17,270
Total plan assets at beginning of year2016-12-31$86,437
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$239,000
Expenses. Other expenses not covered elsewhere2016-12-31$263,486
Contributions received from other sources (not participants or employers)2016-12-31$582
Other income received2016-12-31$92
Net income (gross income less expenses)2016-12-31$-103,301
Net plan assets at end of year (total assets less liabilities)2016-12-31$-76,939
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$26,362
Total contributions received or receivable from employer(s)2016-12-31$655,250
Value of corrective distributions2016-12-31$12,112
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$51,234
2015 : HEALTH PLAN FOR THE EMPLOYEES OF PREMIER CUSTOM-BUILT, INC. 2015 401k financial data
Total plan liabilities at end of year2015-12-31$60,075
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$881,217
Expenses. Total of all expenses incurred2015-12-31$854,855
Benefits paid (including direct rollovers)2015-12-31$532,117
Total plan assets at end of year2015-12-31$86,437
Total plan assets at beginning of year2015-12-31$0
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$212,892
Expenses. Other expenses not covered elsewhere2015-12-31$273,901
Contributions received from other sources (not participants or employers)2015-12-31$0
Other income received2015-12-31$60
Net income (gross income less expenses)2015-12-31$26,362
Net plan assets at end of year (total assets less liabilities)2015-12-31$26,362
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$0
Total contributions received or receivable from employer(s)2015-12-31$668,265
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$48,837

Form 5500 Responses for HEALTH PLAN FOR THE EMPLOYEES OF PREMIER CUSTOM-BUILT, INC.

2023: HEALTH PLAN FOR THE EMPLOYEES OF PREMIER CUSTOM-BUILT, INC. 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: HEALTH PLAN FOR THE EMPLOYEES OF PREMIER CUSTOM-BUILT, INC. 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: HEALTH PLAN FOR THE EMPLOYEES OF PREMIER CUSTOM-BUILT, INC. 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: HEALTH PLAN FOR THE EMPLOYEES OF PREMIER CUSTOM-BUILT, INC. 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: HEALTH PLAN FOR THE EMPLOYEES OF PREMIER CUSTOM-BUILT, INC. 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2017: HEALTH PLAN FOR THE EMPLOYEES OF PREMIER CUSTOM-BUILT, INC. 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: HEALTH PLAN FOR THE EMPLOYEES OF PREMIER CUSTOM-BUILT, INC. 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: HEALTH PLAN FOR THE EMPLOYEES OF PREMIER CUSTOM-BUILT, INC. 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01First time form 5500 has been submittedYes
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTS05948981
Policy instance 2
Insurance contract or identification numberTS05948981
Number of Individuals Covered284
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $8,898
Total amount of fees paid to insurance companyUSD $1,218
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $83,138
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00615524
Policy instance 1
Insurance contract or identification numberG 00615524
Number of Individuals Covered108
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $3,160
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $37,174
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 numberTS05948981
Policy instance 2
Insurance contract or identification numberTS05948981
Number of Individuals Covered290
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $8,540
Total amount of fees paid to insurance companyUSD $322
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $92,940
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00615524
Policy instance 1
Insurance contract or identification numberG 00615524
Number of Individuals Covered305
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $3,047
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $35,624
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 number08L4815
Policy instance 3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTS05948981
Policy instance 2
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00615524
Policy instance 1
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number267013
Policy instance 3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5948981
Policy instance 2
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00615524
Policy instance 1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5948981
Policy instance 3
CAPITAL ADVANTAGE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 41203 )
Policy contract number00531385
Policy instance 2
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00615524
Policy instance 1
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00615524
Policy instance 2
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract numberVERIS
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1032037
Policy instance 2
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract numberVERIS
Policy instance 1

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