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OGT LLC HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameOGT LLC HEALTH AND WELFARE PLAN
Plan identification number 501

OGT LLC HEALTH AND WELFARE 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)

401k Sponsoring company profile

OGT LLC has sponsored the creation of one or more 401k plans.

Company Name:OGT LLC
Employer identification number (EIN):301129052
NAIC Classification:333200

Additional information about OGT LLC

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2018-08-28
Company Identification Number: 0803103482
Legal Registered Office Address: PO BOX 60410

MIDLAND
United States of America (USA)
79711

More information about OGT LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OGT LLC HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-12-01JESSICA FRANCO2022-01-26

Plan Statistics for OGT LLC HEALTH AND WELFARE PLAN

401k plan membership statisitcs for OGT LLC HEALTH AND WELFARE PLAN

Measure Date Value
2020: OGT LLC HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-01118
Total number of active participants reported on line 7a of the Form 55002020-12-010
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 participants2020-12-010
Number of employers contributing to the scheme2020-12-010

Form 5500 Responses for OGT LLC HEALTH AND WELFARE PLAN

2020: OGT LLC HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01First time form 5500 has been submittedYes
2020-12-01This submission is the final filingYes
2020-12-01This return/report is a short plan year return/report (less than 12 months)Yes
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number892229G
Policy instance 1
Insurance contract or identification number892229G
Number of Individuals Covered10
Insurance policy start date2020-12-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $3,801
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $25,342
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,801
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number922968
Policy instance 2
Insurance contract or identification number922968
Number of Individuals Covered34
Insurance policy start date2020-12-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $2,524
Total amount of fees paid to insurance companyUSD $16,079
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $360,305
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,524
Amount paid for insurance broker fees16079
Additional information about fees paid to insurance brokerSERVICE FEE AGREEMENT
Insurance broker organization code?3

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