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P.A. HUTCHISON COMPANY GROUP MEDICAL PLAN 401k Plan overview

Plan NameP.A. HUTCHISON COMPANY GROUP MEDICAL PLAN
Plan identification number 502

P.A. HUTCHISON COMPANY GROUP MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

P.A. HUTCHISON COMPANY has sponsored the creation of one or more 401k plans.

Company Name:P.A. HUTCHISON COMPANY
Employer identification number (EIN):240618650
NAIC Classification:511190

Form 5500 Filing Information

Submission information for form 5500 for 401k plan P.A. HUTCHISON COMPANY GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022024-01-01BRYANNA BURNSIDE
5022023-01-01
5022023-01-01BRYANNA BURNSIDE
5022022-01-01
5022022-01-01BRYANNA BURNSIDE
5022021-01-01
5022021-01-01BRYANNA BURNSIDE

Financial Data on P.A. HUTCHISON COMPANY GROUP MEDICAL PLAN

Measure Date Value
2023 : P.A. HUTCHISON COMPANY GROUP MEDICAL PLAN 2023 401k financial data
Total plan liabilities at end of year2023-12-31$66,779
Total plan liabilities at beginning of year2023-12-31$69,286
Total income from all sources2023-12-31$1,104,877
Expenses. Total of all expenses incurred2023-12-31$1,081,759
Benefits paid (including direct rollovers)2023-12-31$586,257
Total plan assets at end of year2023-12-31$61,893
Total plan assets at beginning of year2023-12-31$41,282
Value of fidelity bond covering the plan2023-12-31$500,000
Total contributions received or receivable from participants2023-12-31$537,043
Expenses. Other expenses not covered elsewhere2023-12-31$459,871
Contributions received from other sources (not participants or employers)2023-12-31$0
Other income received2023-12-31$808
Net income (gross income less expenses)2023-12-31$23,118
Net plan assets at end of year (total assets less liabilities)2023-12-31$-4,886
Net plan assets at beginning of year (total assets less liabilities)2023-12-31$-28,004
Total contributions received or receivable from employer(s)2023-12-31$567,026
Value of corrective distributions2023-12-31$25,919
Expenses. Administrative service providers (salaries,fees and commissions)2023-12-31$9,712
2022 : P.A. HUTCHISON COMPANY GROUP MEDICAL PLAN 2022 401k financial data
Total plan liabilities at end of year2022-12-31$69,286
Total plan liabilities at beginning of year2022-12-31$0
Total income from all sources2022-12-31$1,042,040
Expenses. Total of all expenses incurred2022-12-31$1,070,044
Benefits paid (including direct rollovers)2022-12-31$636,805
Total plan assets at end of year2022-12-31$41,282
Total plan assets at beginning of year2022-12-31$0
Value of fidelity bond covering the plan2022-12-31$25,000
Total contributions received or receivable from participants2022-12-31$577,752
Expenses. Other expenses not covered elsewhere2022-12-31$433,815
Contributions received from other sources (not participants or employers)2022-12-31$745
Other income received2022-12-31$198
Net income (gross income less expenses)2022-12-31$-28,004
Net plan assets at end of year (total assets less liabilities)2022-12-31$-28,004
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$0
Total contributions received or receivable from employer(s)2022-12-31$463,345
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$-576

Form 5500 Responses for P.A. HUTCHISON COMPANY GROUP MEDICAL PLAN

2023: P.A. HUTCHISON COMPANY GROUP MEDICAL PLAN 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: P.A. HUTCHISON COMPANY GROUP MEDICAL PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01First time form 5500 has been submittedYes
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: P.A. HUTCHISON COMPANY GROUP MEDICAL PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01First time form 5500 has been submittedYes
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number30500909
Policy instance 1
Insurance contract or identification number30500909
Number of Individuals Covered84
Insurance policy start date2023-01-01
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 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 $401,628
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number30500909
Policy instance 1
Insurance contract or identification number30500909
Number of Individuals Covered84
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 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 $373,269
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number1322
Policy instance 1
GEISINGER QUALITY OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 12743 )
Policy contract number10118193
Policy instance 2
GEISINGER QUALITY OPTIONS, INC (National Association of Insurance Commissioners NAIC id number: 95923 )
Policy contract number10118193
Policy instance 3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number805637G
Policy instance 4

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