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WAYNE J. GRIFFIN ELECTRIC, INC. WELFARE BENEFIT PLAN 401k Plan overview

Plan NameWAYNE J. GRIFFIN ELECTRIC, INC. WELFARE BENEFIT PLAN
Plan identification number 501

WAYNE J. GRIFFIN ELECTRIC, INC. WELFARE BENEFIT PLAN 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
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

WAYNE J GRIFFIN ELECTRIC, INC. has sponsored the creation of one or more 401k plans.

Company Name:WAYNE J GRIFFIN ELECTRIC, INC.
Employer identification number (EIN):042650465
NAIC Classification:238210
NAIC Description:Electrical Contractors and Other Wiring Installation Contractors

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WAYNE J. GRIFFIN ELECTRIC, INC. WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-07-01JONATHAN BROWN
5012022-07-01
5012022-07-01
5012022-07-01MIKE MCKINNON
5012021-07-01
5012021-07-01
5012021-07-01MIKE MCKINNON
5012020-07-01
5012020-07-01
5012020-07-01MIKE MCKINNON
5012019-07-01
5012019-07-01
5012019-07-01MIKE MCKINNON
5012019-01-01
5012019-01-01
5012018-01-01
5012017-01-01GERARD RICHARDS
5012016-01-01GERRY RICHARDS GERRY RICHARDS2017-10-05
5012016-01-01
5012015-01-01GERRY RICHARDS
5012014-01-01GERRY RICHARDS
5012013-01-01GERRY RICHARDS
5012012-01-01GERARD W. RICHARDS
5012011-01-01GERARD W. RICHARDS GERARD W. RICHARDS2012-10-05
5012010-01-01GERARD W. RICHARDS GERARD W. RICHARDS2011-10-13
5012009-01-01GERARD W. RICHARDS GERARD W. RICHARDS2010-10-13

Financial Data on WAYNE J. GRIFFIN ELECTRIC, INC. WELFARE BENEFIT PLAN

Measure Date Value
2023 : WAYNE J. GRIFFIN ELECTRIC, INC. WELFARE BENEFIT PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-06-30$3,260,615
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-06-30$4,043,867
Total income from all sources (including contributions)2023-06-30$23,411,816
Total loss/gain on sale of assets2023-06-30$0
Total of all expenses incurred2023-06-30$20,252,742
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-06-30$19,423,026
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-06-30$23,410,789
Value of total assets at end of year2023-06-30$3,422,305
Value of total assets at beginning of year2023-06-30$1,046,483
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-06-30$829,716
Total interest from all sources2023-06-30$1,027
Total dividends received (eg from common stock, registered investment company shares)2023-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-06-30No
Was this plan covered by a fidelity bond2023-06-30Yes
Value of fidelity bond cover2023-06-30$2,000,000
If this is an individual account plan, was there a blackout period2023-06-30No
Were there any nonexempt tranactions with any party-in-interest2023-06-30No
Contributions received from participants2023-06-30$6,116,505
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-06-30$2,988,335
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-06-30$487,756
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-06-30$3,260,615
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-06-30$4,043,867
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-06-30No
Value of net income/loss2023-06-30$3,159,074
Value of net assets at end of year (total assets less liabilities)2023-06-30$161,690
Value of net assets at beginning of year (total assets less liabilities)2023-06-30$-2,997,384
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2023-06-30No
Were any leases to which the plan was party in default or uncollectible2023-06-30No
Investment advisory and management fees2023-06-30$183,600
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-06-30$433,970
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-06-30$558,727
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-06-30$558,727
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-06-30$1,027
Expenses. Payments to insurance carriers foe the provision of benefits2023-06-30$1,834,124
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-06-30No
Was there a failure to transmit to the plan any participant contributions2023-06-30No
Has the plan failed to provide any benefit when due under the plan2023-06-30No
Contributions received in cash from employer2023-06-30$17,294,284
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-06-30$17,588,902
Contract administrator fees2023-06-30$646,116
Did the plan have assets held for investment2023-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-06-30No
Opinion of an independent qualified public accountant for this plan2023-06-30Unqualified
Accountancy firm name2023-06-30CITRIN COOPERMAN & COMPANY, LLP
Accountancy firm EIN2023-06-30222428965
2022 : WAYNE J. GRIFFIN ELECTRIC, INC. WELFARE BENEFIT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-07-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-07-01$3,260,615
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-07-01$4,043,867
Total income from all sources (including contributions)2022-07-01$23,411,816
Total loss/gain on sale of assets2022-07-01$0
Total of all expenses incurred2022-07-01$20,252,742
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-07-01$19,423,026
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-07-01$23,410,789
Value of total assets at end of year2022-07-01$3,422,305
Value of total assets at beginning of year2022-07-01$1,046,483
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-07-01$829,716
Total interest from all sources2022-07-01$1,027
Total dividends received (eg from common stock, registered investment company shares)2022-07-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-07-01No
Was this plan covered by a fidelity bond2022-07-01Yes
Value of fidelity bond cover2022-07-01$2,000,000
If this is an individual account plan, was there a blackout period2022-07-01No
Were there any nonexempt tranactions with any party-in-interest2022-07-01No
Contributions received from participants2022-07-01$6,116,505
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-07-01$2,988,335
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-07-01$487,756
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-07-01$3,260,615
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-07-01$4,043,867
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-07-01No
Value of net income/loss2022-07-01$3,159,074
Value of net assets at end of year (total assets less liabilities)2022-07-01$161,690
Value of net assets at beginning of year (total assets less liabilities)2022-07-01$-2,997,384
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-07-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-07-01No
Were any leases to which the plan was party in default or uncollectible2022-07-01No
Investment advisory and management fees2022-07-01$183,600
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-07-01$433,970
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-07-01$1,027
Expenses. Payments to insurance carriers foe the provision of benefits2022-07-01$1,834,124
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-07-01No
Was there a failure to transmit to the plan any participant contributions2022-07-01No
Has the plan failed to provide any benefit when due under the plan2022-07-01No
Contributions received in cash from employer2022-07-01$17,294,284
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-07-01$17,588,902
Contract administrator fees2022-07-01$646,116
Did the plan have assets held for investment2022-07-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-07-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-07-01No
Opinion of an independent qualified public accountant for this plan2022-07-011
Accountancy firm name2022-07-01CITRIN COOPERMAN & COMPANY, LLP
Accountancy firm EIN2022-07-01222428965
Total unrealized appreciation/depreciation of assets2022-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$4,043,867
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$1,073,676
Total income from all sources (including contributions)2022-06-30$20,781,729
Total loss/gain on sale of assets2022-06-30$0
Total of all expenses incurred2022-06-30$23,164,022
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$22,347,899
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$20,781,226
Value of total assets at end of year2022-06-30$1,046,483
Value of total assets at beginning of year2022-06-30$458,585
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$816,123
Total interest from all sources2022-06-30$503
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$850,000
If this is an individual account plan, was there a blackout period2022-06-30No
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$5,646,636
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-06-30$487,756
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-06-30$421,325
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-06-30$4,043,867
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-06-30$1,073,676
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$-2,382,293
Value of net assets at end of year (total assets less liabilities)2022-06-30$-2,997,384
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$-615,091
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Investment advisory and management fees2022-06-30$183,600
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-06-30$558,727
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-06-30$37,260
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-06-30$37,260
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-06-30$503
Expenses. Payments to insurance carriers foe the provision of benefits2022-06-30$1,646,399
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30No
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$15,134,590
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$20,701,500
Contract administrator fees2022-06-30$632,523
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30CITRIN COOPERMAN & COMPANY, LLP
Accountancy firm EIN2022-06-30222428965
2021 : WAYNE J. GRIFFIN ELECTRIC, INC. WELFARE BENEFIT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$1,073,676
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$1,998,897
Total income from all sources (including contributions)2021-06-30$18,261,349
Total loss/gain on sale of assets2021-06-30$0
Total of all expenses incurred2021-06-30$19,200,614
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$18,372,616
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$18,260,914
Value of total assets at end of year2021-06-30$458,585
Value of total assets at beginning of year2021-06-30$2,323,071
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$827,998
Total interest from all sources2021-06-30$435
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$500,000
If this is an individual account plan, was there a blackout period2021-06-30No
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$5,487,931
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-06-30$421,325
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-06-30$1,953,602
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-06-30$1,073,676
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-06-30$1,998,897
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$-939,265
Value of net assets at end of year (total assets less liabilities)2021-06-30$-615,091
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$324,174
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Investment advisory and management fees2021-06-30$183,600
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-06-30$37,260
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-06-30$369,469
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-06-30$369,469
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-06-30$435
Expenses. Payments to insurance carriers foe the provision of benefits2021-06-30$1,693,992
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30No
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$12,772,983
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$16,678,624
Contract administrator fees2021-06-30$644,398
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Opinion of an independent qualified public accountant for this plan2021-06-30Unqualified
Accountancy firm name2021-06-30CITRIN COOPERMAN & COMPANY, LLP
Accountancy firm EIN2021-06-30222428965
2020 : WAYNE J. GRIFFIN ELECTRIC, INC. WELFARE BENEFIT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-07-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-07-01$1,073,676
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-07-01$1,998,897
Total income from all sources (including contributions)2020-07-01$18,261,349
Total loss/gain on sale of assets2020-07-01$0
Total of all expenses incurred2020-07-01$19,200,614
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-07-01$18,372,616
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-07-01$18,260,914
Value of total assets at end of year2020-07-01$458,585
Value of total assets at beginning of year2020-07-01$2,323,071
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-07-01$827,998
Total interest from all sources2020-07-01$435
Total dividends received (eg from common stock, registered investment company shares)2020-07-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-07-01No
Was this plan covered by a fidelity bond2020-07-01Yes
Value of fidelity bond cover2020-07-01$500,000
If this is an individual account plan, was there a blackout period2020-07-01No
Were there any nonexempt tranactions with any party-in-interest2020-07-01No
Contributions received from participants2020-07-01$5,487,931
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-07-01$421,325
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-07-01$1,953,602
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-07-01$1,073,676
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-07-01$1,998,897
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-07-01No
Value of net income/loss2020-07-01$-939,265
Value of net assets at end of year (total assets less liabilities)2020-07-01$-615,091
Value of net assets at beginning of year (total assets less liabilities)2020-07-01$324,174
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-07-01No
Were any loans by the plan or fixed income obligations due to the plan in default2020-07-01No
Were any leases to which the plan was party in default or uncollectible2020-07-01No
Investment advisory and management fees2020-07-01$183,600
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-07-01$37,260
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-07-01$435
Expenses. Payments to insurance carriers foe the provision of benefits2020-07-01$1,693,992
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-07-01No
Was there a failure to transmit to the plan any participant contributions2020-07-01No
Has the plan failed to provide any benefit when due under the plan2020-07-01No
Contributions received in cash from employer2020-07-01$12,772,983
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-07-01$16,678,624
Contract administrator fees2020-07-01$644,398
Did the plan have assets held for investment2020-07-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-07-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-07-01No
Opinion of an independent qualified public accountant for this plan2020-07-011
Accountancy firm name2020-07-01CITRIN COOPERMAN & COMPANY, LLP
Accountancy firm EIN2020-07-01222428965
Total unrealized appreciation/depreciation of assets2020-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$1,998,897
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$0
Total income from all sources (including contributions)2020-06-30$16,651,166
Total loss/gain on sale of assets2020-06-30$0
Total of all expenses incurred2020-06-30$16,326,992
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$15,524,244
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$16,648,296
Value of total assets at end of year2020-06-30$2,323,071
Value of total assets at beginning of year2020-06-30$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$802,748
Total interest from all sources2020-06-30$2,870
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$500,000
If this is an individual account plan, was there a blackout period2020-06-30No
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$4,928,705
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-06-30$1,953,602
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-06-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-06-30$1,998,897
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$324,174
Value of net assets at end of year (total assets less liabilities)2020-06-30$324,174
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Investment advisory and management fees2020-06-30$183,600
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-06-30$369,469
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-06-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-06-30$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-06-30$2,870
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$1,443,371
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30No
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$11,719,591
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$14,080,873
Contract administrator fees2020-06-30$619,148
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Opinion of an independent qualified public accountant for this plan2020-06-30Unqualified
Accountancy firm name2020-06-30CITRIN COOPERMAN & COMPANY, LLP
Accountancy firm EIN2020-06-30222428965
2019 : WAYNE J. GRIFFIN ELECTRIC, INC. WELFARE BENEFIT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-07-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-07-01$1,998,897
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-07-01$0
Total income from all sources (including contributions)2019-07-01$16,651,166
Total loss/gain on sale of assets2019-07-01$0
Total of all expenses incurred2019-07-01$16,326,992
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-07-01$15,524,244
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-07-01$16,648,296
Value of total assets at end of year2019-07-01$2,323,071
Value of total assets at beginning of year2019-07-01$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-07-01$802,748
Total interest from all sources2019-07-01$2,870
Total dividends received (eg from common stock, registered investment company shares)2019-07-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-07-01No
Was this plan covered by a fidelity bond2019-07-01Yes
Value of fidelity bond cover2019-07-01$500,000
If this is an individual account plan, was there a blackout period2019-07-01No
Were there any nonexempt tranactions with any party-in-interest2019-07-01No
Contributions received from participants2019-07-01$4,928,705
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-07-01$1,953,602
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-07-01$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-07-01$1,998,897
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-07-01$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-07-01No
Value of net income/loss2019-07-01$324,174
Value of net assets at end of year (total assets less liabilities)2019-07-01$324,174
Value of net assets at beginning of year (total assets less liabilities)2019-07-01$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-07-01No
Were any loans by the plan or fixed income obligations due to the plan in default2019-07-01No
Were any leases to which the plan was party in default or uncollectible2019-07-01No
Investment advisory and management fees2019-07-01$183,600
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-07-01$369,469
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-07-01$2,870
Expenses. Payments to insurance carriers foe the provision of benefits2019-07-01$1,443,371
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-07-01No
Was there a failure to transmit to the plan any participant contributions2019-07-01No
Has the plan failed to provide any benefit when due under the plan2019-07-01No
Contributions received in cash from employer2019-07-01$11,719,591
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-07-01$14,080,873
Contract administrator fees2019-07-01$619,148
Did the plan have assets held for investment2019-07-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-07-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-07-01No
Opinion of an independent qualified public accountant for this plan2019-07-011
Accountancy firm name2019-07-01CITRIN COOPERMAN & COMPANY, LLP
Accountancy firm EIN2019-07-01222428965

Form 5500 Responses for WAYNE J. GRIFFIN ELECTRIC, INC. WELFARE BENEFIT PLAN

2022: WAYNE J. GRIFFIN ELECTRIC, INC. WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Submission has been amendedNo
2022-07-01This submission is the final filingNo
2022-07-01This return/report is a short plan year return/report (less than 12 months)No
2022-07-01Plan is a collectively bargained planNo
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan funding arrangement – General assets of the sponsorYes
2022-07-01Plan benefit arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – General assets of the sponsorYes
2021: WAYNE J. GRIFFIN ELECTRIC, INC. WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – General assets of the sponsorYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – General assets of the sponsorYes
2020: WAYNE J. GRIFFIN ELECTRIC, INC. WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planNo
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – General assets of the sponsorYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – General assets of the sponsorYes
2019: WAYNE J. GRIFFIN ELECTRIC, INC. WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planNo
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – General assets of the sponsorYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – General assets of the sponsorYes
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: WAYNE J. GRIFFIN ELECTRIC, INC. WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: WAYNE J. GRIFFIN ELECTRIC, INC. WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: WAYNE J. GRIFFIN ELECTRIC, INC. WELFARE BENEFIT PLAN 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 – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: WAYNE J. GRIFFIN ELECTRIC, INC. WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
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 benefit arrangement – InsuranceYes
2014: WAYNE J. GRIFFIN ELECTRIC, INC. WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: WAYNE J. GRIFFIN ELECTRIC, INC. WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: WAYNE J. GRIFFIN ELECTRIC, INC. WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: WAYNE J. GRIFFIN ELECTRIC, INC. WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: WAYNE J. GRIFFIN ELECTRIC, INC. WELFARE BENEFIT PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: WAYNE J. GRIFFIN ELECTRIC, INC. WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

CORPORATE EAP RESOURCES, INC. (National Association of Insurance Commissioners NAIC id number: 62410 )
Policy contract numberN/A
Policy instance 4
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0007242361
Policy instance 3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0118454
Policy instance 2
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number928944
Policy instance 1
CORPORATE EAP RESOURCES, INC. (National Association of Insurance Commissioners NAIC id number: 62410 )
Policy contract numberN/A
Policy instance 4
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0007242361
Policy instance 3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0118454
Policy instance 2
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number928944
Policy instance 1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0118454
Policy instance 2
Insurance contract or identification number0118454
Number of Individuals Covered2539
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $31,214
Total amount of fees paid to insurance companyUSD $5,455
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $306,608
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CORPORATE EAP RESOURCES, INC. (National Association of Insurance Commissioners NAIC id number: 62410 )
Policy contract numberN/A
Policy instance 4
Insurance contract or identification numberN/A
Number of Individuals Covered1351
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
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
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
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 $17,253
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0007242361
Policy instance 3
Insurance contract or identification number0007242361
Number of Individuals Covered9
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $398
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 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
Other welfare benefits providedCRITICAL ILLNESS
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 $3,981
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number928944
Policy instance 1
Insurance contract or identification number928944
Number of Individuals Covered1350
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $49,559
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
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 $690,163
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number928944
Policy instance 1
Insurance contract or identification number928944
Number of Individuals Covered1316
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $38,467
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
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 $524,887
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 number0118454
Policy instance 2
Insurance contract or identification number0118454
Number of Individuals Covered2513
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $29,994
Total amount of fees paid to insurance companyUSD $5,280
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $301,894
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CORPORATE EAP RESOURCES, INC. (National Association of Insurance Commissioners NAIC id number: 62410 )
Policy contract numberN/A
Policy instance 4
Insurance contract or identification numberN/A
Number of Individuals Covered1331
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
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
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
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 $14,090
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0007242361
Policy instance 3
Insurance contract or identification number0007242361
Number of Individuals Covered9
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $407
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 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
Other welfare benefits providedCRITICAL ILLNESS
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 $4,076
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 number0118454
Policy instance 4
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF381025990201
Policy instance 3
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGD381025990201
Policy instance 2
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4953609
Policy instance 1
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0007242361
Policy instance 5
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF381025990201
Policy instance 3
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4953609
Policy instance 1
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0007242361
Policy instance 5
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGD381025990201
Policy instance 2
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0118454
Policy instance 4
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4953609
Policy instance 1
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF381025990201
Policy instance 3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0118454
Policy instance 4
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0007242361
Policy instance 5
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGD381025990201
Policy instance 2
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4953609
Policy instance 1
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4953609
Policy instance 2
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGD381025990201
Policy instance 3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0118454
Policy instance 5
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number000724361
Policy instance 6
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF381025990201
Policy instance 4
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4953609
Policy instance 2
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0118454
Policy instance 3
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4953609
Policy instance 1
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGD381025990201
Policy instance 5
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF381025990201
Policy instance 6
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number000724361
Policy instance 4
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4953609
Policy instance 1
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF381025990201
Policy instance 6
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGD381025990201
Policy instance 5
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0118454
Policy instance 3
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number000724361
Policy instance 4
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4953609
Policy instance 2
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4953609
Policy instance 2
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF381025990201
Policy instance 6
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGD381025990201
Policy instance 5
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number000724361
Policy instance 4
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0118454
Policy instance 3
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4953609
Policy instance 1
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4953609
Policy instance 1
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number000724361
Policy instance 6
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0118454
Policy instance 5
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGD381025990201
Policy instance 4
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF381025990201
Policy instance 3
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4953609
Policy instance 2
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4953609
Policy instance 1
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number000724361
Policy instance 6
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0118454
Policy instance 5
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGD381025990201
Policy instance 4
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF381025990201
Policy instance 3
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4953609
Policy instance 2

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