401k Plan data: VALLEY HARVESTING AND PACKING INC. HEALTH AND WELFARE BENEFIT PLAN plan

VALLEY HARVESTING AND PACKING INC. HEALTH AND WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	VALLEY HARVESTING AND PACKING INC. HEALTH AND WELFARE BENEFIT PLAN
Plan identification number	501

VALLEY HARVESTING AND PACKING INC. HEALTH AND WELFARE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

VALLEY HARVESTING & PACKING, INC. has sponsored the creation of one or more 401k plans.

Company Name: VALLEY HARVESTING & PACKING, INC.

Employer identification number (EIN): 330014658

NAIC Classification: 812990
NAIC Description: All Other Personal Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VALLEY HARVESTING AND PACKING INC. HEALTH AND WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2018-07-01 LETICIA RIDAURA 2020-04-10

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2018-07-01	LETICIA RIDAURA	2020-04-10

Plan Statistics for VALLEY HARVESTING AND PACKING INC. HEALTH AND WELFARE BENEFIT PLAN

401k plan membership statisitcs for VALLEY HARVESTING AND PACKING INC. HEALTH AND WELFARE BENEFIT PLAN

Measure Date Value
2018: VALLEY HARVESTING AND PACKING INC. HEALTH AND WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 249
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 249
Number of retired or separated participants receiving benefits 2018-07-01 0
Number of other retired or separated participants entitled to future benefits 2018-07-01 0
Total of all active and inactive participants 2018-07-01 249
Number of employers contributing to the scheme 2018-07-01 0

Measure	Date	Value
2018: VALLEY HARVESTING AND PACKING INC. HEALTH AND WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	249
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	249
Number of retired or separated participants receiving benefits	2018-07-01	0
Number of other retired or separated participants entitled to future benefits	2018-07-01	0
Total of all active and inactive participants	2018-07-01	249
Number of employers contributing to the scheme	2018-07-01	0

Form 5500 Responses for VALLEY HARVESTING AND PACKING INC. HEALTH AND WELFARE BENEFIT PLAN

2018: VALLEY HARVESTING AND PACKING INC. HEALTH AND WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	First time form 5500 has been submitted	Yes
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

PREMIER ACCESS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60237 )

Policy contract number

11860

Policy instance

Insurance contract or identification number	11860
Number of Individuals Covered	405
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $14,042
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $111,195
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,232
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

5955664

Policy instance

Insurance contract or identification number	5955664
Number of Individuals Covered	276
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $1,075
Total amount of fees paid to insurance company	USD $202
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $12,416
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $688
Amount paid for insurance broker fees	75
Additional information about fees paid to insurance broker	NON-MONETARY COMPENSATION
Insurance broker organization code?	3

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

XR438

Policy instance

Insurance contract or identification number	XR438
Number of Individuals Covered	8
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $617
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENT, CANCER
Welfare Benefit Premiums Paid to Carrier	USD $6,390
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $143
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

YV415

Policy instance

Insurance contract or identification number	YV415
Number of Individuals Covered	3
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $283
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENT, CANCER
Welfare Benefit Premiums Paid to Carrier	USD $2,742
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $100
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

XR440

Policy instance

Insurance contract or identification number	XR440
Number of Individuals Covered	8
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $552
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENT, CANCER
Welfare Benefit Premiums Paid to Carrier	USD $5,105
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $151
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

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Company Name:	VALLEY HARVESTING & PACKING, INC.
Employer identification number (EIN):	330014658
NAIC Classification:	812990
NAIC Description:	All Other Personal Services