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LONE STAR CONCRETE, LLC HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameLONE STAR CONCRETE, LLC HEALTH AND WELFARE PLAN
Plan identification number 501

LONE STAR CONCRETE, LLC HEALTH AND WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • 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.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

LONE STAR CONCRETE, LLC has sponsored the creation of one or more 401k plans.

Company Name:LONE STAR CONCRETE, LLC
Employer identification number (EIN):853366970
NAIC Classification:327300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LONE STAR CONCRETE, LLC HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-07-01JESSICA CLEMENTS2024-12-02
5012022-07-01JESSICA CLEMENTS2024-04-10

Form 5500 Responses for LONE STAR CONCRETE, LLC HEALTH AND WELFARE PLAN

2023: LONE STAR CONCRETE, LLC HEALTH AND WELFARE PLAN 2023 form 5500 responses
2023-07-01Type of plan entitySingle employer plan
2023-07-01This submission is the final filingYes
2023-07-01Plan funding arrangement – InsuranceYes
2023-07-01Plan benefit arrangement – InsuranceYes
2022: LONE STAR CONCRETE, LLC HEALTH AND WELFARE PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01First time form 5500 has been submittedYes
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number369763
Policy instance 1
Insurance contract or identification number369763
Number of Individuals Covered223
Insurance policy start date2023-07-01
Insurance policy end date2024-06-30
Total amount of commissions paid to insurance brokerUSD $47,070
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $882,371
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number112684115
Policy instance 1

Potentially related plans

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