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ATLANTIC CONCRETE COMPANY, INC. MEDICAL 401k Plan overview

Plan NameATLANTIC CONCRETE COMPANY, INC. MEDICAL
Plan identification number 501

ATLANTIC CONCRETE COMPANY, INC. MEDICAL Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

ATLANTIC CONCRETE COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name:ATLANTIC CONCRETE COMPANY, INC.
Employer identification number (EIN):510171445
NAIC Classification:238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ATLANTIC CONCRETE COMPANY, INC. MEDICAL

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012024-01-01TOMMY DILL
5012023-01-01
5012023-01-01CONSTANCE SULLIVAN
5012022-01-01CONSTANCE SULLIVAN2023-07-27

Financial Data on ATLANTIC CONCRETE COMPANY, INC. MEDICAL

Measure Date Value
2024 : ATLANTIC CONCRETE COMPANY, INC. MEDICAL 2024 401k financial data
Total plan liabilities at end of year2024-01-01$62,163
Total plan liabilities at beginning of year2024-01-01$47,420
Total income from all sources2024-01-01$955,890
Expenses. Total of all expenses incurred2024-01-01$990,754
Benefits paid (including direct rollovers)2024-01-01$547,144
Total plan assets at end of year2024-01-01$47,818
Total plan assets at beginning of year2024-01-01$67,939
Value of fidelity bond covering the plan2024-01-01$500,000
Total contributions received or receivable from participants2024-01-01$226,250
Expenses. Other expenses not covered elsewhere2024-01-01$436,214
Contributions received from other sources (not participants or employers)2024-01-01$0
Other income received2024-01-01$1,900
Net income (gross income less expenses)2024-01-01$-34,864
Net plan assets at end of year (total assets less liabilities)2024-01-01$-14,345
Net plan assets at beginning of year (total assets less liabilities)2024-01-01$20,519
Total contributions received or receivable from employer(s)2024-01-01$727,740
Value of corrective distributions2024-01-01$0
Expenses. Administrative service providers (salaries,fees and commissions)2024-01-01$7,396
2023 : ATLANTIC CONCRETE COMPANY, INC. MEDICAL 2023 401k financial data
Total plan liabilities at end of year2023-12-31$47,420
Total plan liabilities at beginning of year2023-12-31$0
Total income from all sources2023-12-31$160,907
Expenses. Total of all expenses incurred2023-12-31$140,388
Benefits paid (including direct rollovers)2023-12-31$65,688
Total plan assets at end of year2023-12-31$67,939
Total plan assets at beginning of year2023-12-31$0
Value of fidelity bond covering the plan2023-12-31$500,000
Total contributions received or receivable from participants2023-12-31$203,815
Expenses. Other expenses not covered elsewhere2023-12-31$73,464
Contributions received from other sources (not participants or employers)2023-12-31$0
Other income received2023-12-31$0
Net income (gross income less expenses)2023-12-31$20,519
Net plan assets at end of year (total assets less liabilities)2023-12-31$20,519
Net plan assets at beginning of year (total assets less liabilities)2023-12-31$0
Total contributions received or receivable from employer(s)2023-12-31$-42,908
Value of corrective distributions2023-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2023-12-31$1,236

Form 5500 Responses for ATLANTIC CONCRETE COMPANY, INC. MEDICAL

2023: ATLANTIC CONCRETE COMPANY, INC. MEDICAL 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: ATLANTIC CONCRETE COMPANY, INC. MEDICAL 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01First time form 5500 has been submittedYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF DELAWARE, INC. (National Association of Insurance Commissioners NAIC id number: 53287 )
Policy contract number283474
Policy instance 1
Insurance contract or identification number283474
Number of Individuals Covered112
Insurance policy start date2022-11-01
Insurance policy end date2023-10-31
Total amount of commissions paid to insurance brokerUSD $33,385
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $891,237
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number408765-A
Policy instance 2
Insurance contract or identification number408765-A
Number of Individuals Covered97
Insurance policy start date2023-11-01
Insurance policy end date2023-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $61,861
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number283474
Policy instance 1
Insurance contract or identification number283474
Number of Individuals Covered113
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $32,498
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $853,910
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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