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HATZEL & BUEHLER DENTAL PLAN 401k Plan overview

Plan NameHATZEL & BUEHLER DENTAL PLAN
Plan identification number 502

HATZEL & BUEHLER DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

HATZEL & BUEHLER, INC. has sponsored the creation of one or more 401k plans.

Company Name:HATZEL & BUEHLER, INC.
Employer identification number (EIN):130828930
NAIC Classification:238210
NAIC Description:Electrical Contractors and Other Wiring Installation Contractors

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HATZEL & BUEHLER DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-12-01MICHAEL GOELLER2023-03-14
5022020-12-01GERARD HERR2022-09-08
5022019-12-01GERARD HERR2021-07-29
5022018-12-01GERARD HERR2020-07-08
5022017-12-01GERARD J. HERR2019-07-02
5022016-12-01

Plan Statistics for HATZEL & BUEHLER DENTAL PLAN

401k plan membership statisitcs for HATZEL & BUEHLER DENTAL PLAN

Measure Date Value
2021: HATZEL & BUEHLER DENTAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-12-01217
Total number of active participants reported on line 7a of the Form 55002021-12-01223
Number of retired or separated participants receiving benefits2021-12-010
Number of other retired or separated participants entitled to future benefits2021-12-010
Total of all active and inactive participants2021-12-01223
Number of employers contributing to the scheme2021-12-010
2020: HATZEL & BUEHLER DENTAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-01179
Total number of active participants reported on line 7a of the Form 55002020-12-01217
Number of retired or separated participants receiving benefits2020-12-010
Number of other retired or separated participants entitled to future benefits2020-12-010
Total of all active and inactive participants2020-12-01217
Number of employers contributing to the scheme2020-12-010
2019: HATZEL & BUEHLER DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-12-01166
Total number of active participants reported on line 7a of the Form 55002019-12-01179
Number of retired or separated participants receiving benefits2019-12-010
Number of other retired or separated participants entitled to future benefits2019-12-012
Total of all active and inactive participants2019-12-01181
Number of employers contributing to the scheme2019-12-010
2018: HATZEL & BUEHLER DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-12-01135
Total number of active participants reported on line 7a of the Form 55002018-12-01164
Number of retired or separated participants receiving benefits2018-12-010
Number of other retired or separated participants entitled to future benefits2018-12-010
Total of all active and inactive participants2018-12-01164
Number of employers contributing to the scheme2018-12-010
2017: HATZEL & BUEHLER DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-12-01123
Total number of active participants reported on line 7a of the Form 55002017-12-01135
Number of retired or separated participants receiving benefits2017-12-010
Number of other retired or separated participants entitled to future benefits2017-12-010
Total of all active and inactive participants2017-12-01135
Number of employers contributing to the scheme2017-12-010
2016: HATZEL & BUEHLER DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-12-01100
Total number of active participants reported on line 7a of the Form 55002016-12-01123
Number of retired or separated participants receiving benefits2016-12-010
Number of other retired or separated participants entitled to future benefits2016-12-010
Total of all active and inactive participants2016-12-01123

Form 5500 Responses for HATZEL & BUEHLER DENTAL PLAN

2021: HATZEL & BUEHLER DENTAL PLAN 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan benefit arrangement – InsuranceYes
2020: HATZEL & BUEHLER DENTAL PLAN 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – InsuranceYes
2019: HATZEL & BUEHLER DENTAL PLAN 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan benefit arrangement – InsuranceYes
2018: HATZEL & BUEHLER DENTAL PLAN 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan benefit arrangement – InsuranceYes
2017: HATZEL & BUEHLER DENTAL PLAN 2017 form 5500 responses
2017-12-01Type of plan entitySingle employer plan
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan benefit arrangement – InsuranceYes
2016: HATZEL & BUEHLER DENTAL PLAN 2016 form 5500 responses
2016-12-01Type of plan entitySingle employer plan
2016-12-01First time form 5500 has been submittedYes
2016-12-01Plan funding arrangement – InsuranceYes
2016-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3335482
Policy instance 1
Insurance contract or identification number3335482
Number of Individuals Covered223
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $207,341
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,135,217
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees110069
Additional information about fees paid to insurance brokerSERVICE/GENERAL AGENT PAYMENTS
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3335482
Policy instance 1
Insurance contract or identification number3335482
Number of Individuals Covered217
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $163,764
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,107,366
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees88399
Additional information about fees paid to insurance brokerSERVICE/GENERAL AGENT PAYMENTS
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3335482
Policy instance 1
Insurance contract or identification number3335482
Number of Individuals Covered180
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $154,617
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,775,208
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees80079
Additional information about fees paid to insurance brokerSERVICE/GENERAL AGENT PAYMENTS
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3335482
Policy instance 1
Insurance contract or identification number3335482
Number of Individuals Covered164
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $139,234
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,390,121
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees72286
Additional information about fees paid to insurance brokerSERVICE/GENERAL AGENT PAYMENTS
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3335482
Policy instance 1
Insurance contract or identification number3335482
Number of Individuals Covered135
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $64,102
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,015,957
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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