401k Plan data: TEC BUILDING SYSTEMS, LLC HEALTH PLAN plan

TEC BUILDING SYSTEMS, LLC HEALTH PLAN 401k Plan overview

Plan Name	TEC BUILDING SYSTEMS, LLC HEALTH PLAN
Plan identification number	501

TEC BUILDING SYSTEMS, LLC HEALTH PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

TEC BUILDING SYSTEMS LLC has sponsored the creation of one or more 401k plans.

Company Name: TEC BUILDING SYSTEMS LLC

Employer identification number (EIN): 825310876

NAIC Classification: 541990
NAIC Description: All Other Professional, Scientific, and Technical Services

Additional information about TEC BUILDING SYSTEMS LLC

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 2017-10-26

Company Identification Number: 5224196

Legal Registered Office Address: 47-25 34TH STREET 4TH FLOOR
Queens
LONG ISLAND CITY
United States of America (USA)
11101

More information about TEC BUILDING SYSTEMS LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TEC BUILDING SYSTEMS, LLC HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2021-12-01
501 2019-12-01

Plan Statistics for TEC BUILDING SYSTEMS, LLC HEALTH PLAN

401k plan membership statisitcs for TEC BUILDING SYSTEMS, LLC HEALTH PLAN

Measure Date Value
2021: TEC BUILDING SYSTEMS, LLC HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year 2021-12-01 110
Total of all active and inactive participants 2021-12-01 0
2019: TEC BUILDING SYSTEMS, LLC HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year 2019-12-01 103
Total number of active participants reported on line 7a of the Form 5500 2019-12-01 124
Number of retired or separated participants receiving benefits 2019-12-01 0
Number of other retired or separated participants entitled to future benefits 2019-12-01 0
Total of all active and inactive participants 2019-12-01 124

Measure	Date	Value
2021: TEC BUILDING SYSTEMS, LLC HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year	2021-12-01	110
Total of all active and inactive participants	2021-12-01	0
2019: TEC BUILDING SYSTEMS, LLC HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year	2019-12-01	103
Total number of active participants reported on line 7a of the Form 5500	2019-12-01	124
Number of retired or separated participants receiving benefits	2019-12-01	0
Number of other retired or separated participants entitled to future benefits	2019-12-01	0
Total of all active and inactive participants	2019-12-01	124

Form 5500 Responses for TEC BUILDING SYSTEMS, LLC HEALTH PLAN

2021: TEC BUILDING SYSTEMS, LLC HEALTH PLAN 2021 form 5500 responses
2021-12-01	Type of plan entity	Single employer plan
2021-12-01	Submission has been amended	No
2021-12-01	This submission is the final filing	No
2021-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-12-01	Plan is a collectively bargained plan	No
2021-12-01	Plan funding arrangement – Insurance	Yes
2021-12-01	Plan benefit arrangement – Insurance	Yes
2019: TEC BUILDING SYSTEMS, LLC HEALTH PLAN 2019 form 5500 responses
2019-12-01	Type of plan entity	Single employer plan
2019-12-01	First time form 5500 has been submitted	Yes
2019-12-01	Submission has been amended	No
2019-12-01	This submission is the final filing	No
2019-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-12-01	Plan is a collectively bargained plan	No
2019-12-01	Plan funding arrangement – Insurance	Yes
2019-12-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

0240647

Policy instance

Insurance contract or identification number	0240647
Number of Individuals Covered	191
Insurance policy start date	2021-12-01
Insurance policy end date	2022-11-30
Total amount of commissions paid to insurance broker	USD $53,675
Total amount of fees paid to insurance company	USD $15,344
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $1,462,968
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $53,675
Insurance broker organization code?	3
Amount paid for insurance broker fees	15344
Additional information about fees paid to insurance broker	OVERRIDE

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

0240647

Policy instance

Insurance contract or identification number	0240647
Number of Individuals Covered	216
Insurance policy start date	2019-12-01
Insurance policy end date	2020-11-30
Total amount of commissions paid to insurance broker	USD $59,602
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $1,478,327
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $40,069
Insurance broker organization code?	3

Potentially related plans

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Company Name:	TEC BUILDING SYSTEMS LLC
Employer identification number (EIN):	825310876
NAIC Classification:	541990
NAIC Description:	All Other Professional, Scientific, and Technical Services

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	2017-10-26
Company Identification Number:	5224196
Legal Registered Office Address:	47-25 34TH STREET 4TH FLOOR Queens LONG ISLAND CITY United States of America (USA) 11101