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FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 401k Plan overview

Plan NameFERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST
Plan identification number 501

FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST Benefits

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

401k Sponsoring company profile

FERGUSON CONSTRUCTION COMPANY has sponsored the creation of one or more 401k plans.

Company Name:FERGUSON CONSTRUCTION COMPANY
Employer identification number (EIN):344418915
NAIC Classification:236200

Additional information about FERGUSON CONSTRUCTION COMPANY

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 1948-10-02
Company Identification Number: 210108
Legal Registered Office Address: PO BOX 726
-
SIDNEY
United States of America (USA)
45365

More information about FERGUSON CONSTRUCTION COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-07-10
5012021-07-10
5012020-07-01
5012019-07-10
5012018-07-10
5012017-07-10JAY GRIESHOP JAY GRIESHOP2019-02-06
5012016-07-10JAY GRIESHOP JAY GRIESHOP2018-01-29
5012015-07-10JAY GRIESHOP JAY GRIESHOP2016-12-13
5012014-07-10JAY GRIESHOP JAY GRIESHOP2015-12-14
5012013-07-10JAY GRIESHOP JAY GRIESHOP2014-12-17
5012012-07-10JAY GRIESHOP JAY GRIESHOP2013-12-12
5012011-07-10JAY GRIESHOP JAY GRIESHOP2013-05-15
5012009-08-01THOMAS PLEIMAN THOMAS PLEIMAN2011-01-24

Plan Statistics for FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST

401k plan membership statisitcs for FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST

Measure Date Value
2022: FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2022 401k membership
Total participants, beginning-of-year2022-07-10136
Total number of active participants reported on line 7a of the Form 55002022-07-10141
Number of retired or separated participants receiving benefits2022-07-100
Number of other retired or separated participants entitled to future benefits2022-07-100
Total of all active and inactive participants2022-07-10141
2021: FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2021 401k membership
Total participants, beginning-of-year2021-07-10180
Total number of active participants reported on line 7a of the Form 55002021-07-10136
Number of retired or separated participants receiving benefits2021-07-100
Number of other retired or separated participants entitled to future benefits2021-07-100
Total of all active and inactive participants2021-07-10136
2020: FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2020 401k membership
Total participants, beginning-of-year2020-07-01170
Total number of active participants reported on line 7a of the Form 55002020-07-01180
Number of retired or separated participants receiving benefits2020-07-010
Number of other retired or separated participants entitled to future benefits2020-07-010
Total of all active and inactive participants2020-07-01180
2019: FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year2019-07-10195
Total number of active participants reported on line 7a of the Form 55002019-07-10170
Number of retired or separated participants receiving benefits2019-07-100
Number of other retired or separated participants entitled to future benefits2019-07-100
Total of all active and inactive participants2019-07-10170
2018: FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2018 401k membership
Total participants, beginning-of-year2018-07-10198
Total number of active participants reported on line 7a of the Form 55002018-07-10195
Number of retired or separated participants receiving benefits2018-07-100
Number of other retired or separated participants entitled to future benefits2018-07-100
Total of all active and inactive participants2018-07-10195
2017: FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year2017-07-10186
Total number of active participants reported on line 7a of the Form 55002017-07-10198
Number of retired or separated participants receiving benefits2017-07-100
Number of other retired or separated participants entitled to future benefits2017-07-100
Total of all active and inactive participants2017-07-10198
2016: FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year2016-07-10160
Total number of active participants reported on line 7a of the Form 55002016-07-10186
Number of retired or separated participants receiving benefits2016-07-100
Number of other retired or separated participants entitled to future benefits2016-07-100
Total of all active and inactive participants2016-07-10186
2015: FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year2015-07-10145
Total number of active participants reported on line 7a of the Form 55002015-07-10160
Number of retired or separated participants receiving benefits2015-07-100
Number of other retired or separated participants entitled to future benefits2015-07-100
Total of all active and inactive participants2015-07-10160
2014: FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year2014-07-10147
Total number of active participants reported on line 7a of the Form 55002014-07-10145
Number of retired or separated participants receiving benefits2014-07-100
Number of other retired or separated participants entitled to future benefits2014-07-100
Total of all active and inactive participants2014-07-10145
2013: FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year2013-07-10143
Total number of active participants reported on line 7a of the Form 55002013-07-10147
Total of all active and inactive participants2013-07-10147
2012: FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year2012-07-10148
Total number of active participants reported on line 7a of the Form 55002012-07-10143
Total of all active and inactive participants2012-07-10143
2011: FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year2011-07-10145
Total number of active participants reported on line 7a of the Form 55002011-07-10148
Total of all active and inactive participants2011-07-10148
2009: FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year2009-08-01165
Total number of active participants reported on line 7a of the Form 55002009-08-01171
Total of all active and inactive participants2009-08-01171

Financial Data on FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST

Measure Date Value
2018 : FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-07-09$60,900
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-07-09$198,966
Total income from all sources (including contributions)2018-07-09$1,750,683
Total of all expenses incurred2018-07-09$1,611,224
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-07-09$1,496,387
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-07-09$1,675,488
Value of total assets at end of year2018-07-09$297,037
Value of total assets at beginning of year2018-07-09$295,644
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-07-09$114,837
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-07-09No
Administrative expenses professional fees incurred2018-07-09$8,025
Was this plan covered by a fidelity bond2018-07-09No
If this is an individual account plan, was there a blackout period2018-07-09No
Were there any nonexempt tranactions with any party-in-interest2018-07-09No
Contributions received from participants2018-07-09$747,088
Assets. Other investments not covered elsewhere at end of year2018-07-09$27,907
Assets. Other investments not covered elsewhere at beginning of year2018-07-09$26,582
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-07-09$204,087
Other income not declared elsewhere2018-07-09$75,195
Administrative expenses (other) incurred2018-07-09$1,463
Liabilities. Value of operating payables at end of year2018-07-09$20,524
Liabilities. Value of operating payables at beginning of year2018-07-09$20,139
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-07-09No
Value of net income/loss2018-07-09$139,459
Value of net assets at end of year (total assets less liabilities)2018-07-09$236,137
Value of net assets at beginning of year (total assets less liabilities)2018-07-09$96,678
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-07-09No
Were any loans by the plan or fixed income obligations due to the plan in default2018-07-09No
Were any leases to which the plan was party in default or uncollectible2018-07-09No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-07-09$269,130
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-07-09$269,062
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-07-09$269,062
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-07-09No
Was there a failure to transmit to the plan any participant contributions2018-07-09No
Has the plan failed to provide any benefit when due under the plan2018-07-09No
Contributions received in cash from employer2018-07-09$928,400
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-07-09$1,292,300
Contract administrator fees2018-07-09$105,349
Liabilities. Value of benefit claims payable at end of year2018-07-09$40,376
Liabilities. Value of benefit claims payable at beginning of year2018-07-09$178,827
Did the plan have assets held for investment2018-07-09Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-07-09No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-07-09No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-07-09No
Opinion of an independent qualified public accountant for this plan2018-07-09Unqualified
Accountancy firm name2018-07-09MCCRATE, DELAET & CO.
Accountancy firm EIN2018-07-09341205613
2017 : FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-07-09$198,966
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-07-09$150,943
Total income from all sources (including contributions)2017-07-09$1,561,456
Total of all expenses incurred2017-07-09$1,520,547
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-07-09$1,392,388
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-07-09$1,552,415
Value of total assets at end of year2017-07-09$295,644
Value of total assets at beginning of year2017-07-09$206,712
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-07-09$128,159
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-07-09No
Administrative expenses professional fees incurred2017-07-09$8,050
Was this plan covered by a fidelity bond2017-07-09No
If this is an individual account plan, was there a blackout period2017-07-09No
Were there any nonexempt tranactions with any party-in-interest2017-07-09No
Contributions received from participants2017-07-09$692,211
Assets. Other investments not covered elsewhere at end of year2017-07-09$26,582
Assets. Other investments not covered elsewhere at beginning of year2017-07-09$23,644
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-07-09$203,943
Other income not declared elsewhere2017-07-09$9,041
Administrative expenses (other) incurred2017-07-09$21,792
Liabilities. Value of operating payables at end of year2017-07-09$20,139
Liabilities. Value of operating payables at beginning of year2017-07-09$75,087
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-07-09No
Value of net income/loss2017-07-09$40,909
Value of net assets at end of year (total assets less liabilities)2017-07-09$96,678
Value of net assets at beginning of year (total assets less liabilities)2017-07-09$55,769
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-07-09No
Were any loans by the plan or fixed income obligations due to the plan in default2017-07-09No
Were any leases to which the plan was party in default or uncollectible2017-07-09No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-07-09$269,062
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-07-09$183,068
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-07-09$183,068
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-07-09No
Was there a failure to transmit to the plan any participant contributions2017-07-09No
Has the plan failed to provide any benefit when due under the plan2017-07-09No
Contributions received in cash from employer2017-07-09$860,204
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-07-09$1,188,445
Contract administrator fees2017-07-09$98,317
Liabilities. Value of benefit claims payable at end of year2017-07-09$178,827
Liabilities. Value of benefit claims payable at beginning of year2017-07-09$75,856
Did the plan have assets held for investment2017-07-09Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-07-09No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-07-09No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-07-09No
Opinion of an independent qualified public accountant for this plan2017-07-09Unqualified
Accountancy firm name2017-07-09MCCRATE, DELAET & CO.
Accountancy firm EIN2017-07-09341205613
2016 : FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-07-09$150,943
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-07-09$121,801
Total income from all sources (including contributions)2016-07-09$1,403,363
Total of all expenses incurred2016-07-09$1,305,462
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-07-09$1,201,533
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-07-09$1,403,363
Value of total assets at end of year2016-07-09$206,712
Value of total assets at beginning of year2016-07-09$79,669
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-07-09$103,929
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-07-09No
Administrative expenses professional fees incurred2016-07-09$7,600
Was this plan covered by a fidelity bond2016-07-09No
If this is an individual account plan, was there a blackout period2016-07-09No
Were there any nonexempt tranactions with any party-in-interest2016-07-09No
Contributions received from participants2016-07-09$627,062
Assets. Other investments not covered elsewhere at end of year2016-07-09$23,644
Assets. Other investments not covered elsewhere at beginning of year2016-07-09$23,475
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-07-09$213,872
Administrative expenses (other) incurred2016-07-09$11,695
Liabilities. Value of operating payables at end of year2016-07-09$75,087
Liabilities. Value of operating payables at beginning of year2016-07-09$57,571
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-07-09No
Value of net income/loss2016-07-09$97,901
Value of net assets at end of year (total assets less liabilities)2016-07-09$55,769
Value of net assets at beginning of year (total assets less liabilities)2016-07-09$-42,132
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-07-09No
Were any loans by the plan or fixed income obligations due to the plan in default2016-07-09No
Were any leases to which the plan was party in default or uncollectible2016-07-09No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-07-09$183,068
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-07-09$56,194
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-07-09$56,194
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-07-09No
Was there a failure to transmit to the plan any participant contributions2016-07-09No
Has the plan failed to provide any benefit when due under the plan2016-07-09No
Contributions received in cash from employer2016-07-09$776,301
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-07-09$987,661
Contract administrator fees2016-07-09$84,634
Liabilities. Value of benefit claims payable at end of year2016-07-09$75,856
Liabilities. Value of benefit claims payable at beginning of year2016-07-09$64,230
Did the plan have assets held for investment2016-07-09Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-07-09No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-07-09No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-07-09No
Opinion of an independent qualified public accountant for this plan2016-07-09Unqualified
Accountancy firm name2016-07-09MCCRATE, DELAET & CO.
Accountancy firm EIN2016-07-09341205613
2015 : FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-07-09$121,801
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-07-09$639,477
Total income from all sources (including contributions)2015-07-09$1,539,113
Total of all expenses incurred2015-07-09$1,010,863
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-07-09$914,745
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-07-09$1,539,113
Value of total assets at end of year2015-07-09$79,669
Value of total assets at beginning of year2015-07-09$69,095
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-07-09$96,118
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-07-09No
Administrative expenses professional fees incurred2015-07-09$7,200
Was this plan covered by a fidelity bond2015-07-09No
If this is an individual account plan, was there a blackout period2015-07-09No
Were there any nonexempt tranactions with any party-in-interest2015-07-09No
Contributions received from participants2015-07-09$573,213
Assets. Other investments not covered elsewhere at end of year2015-07-09$23,475
Assets. Other investments not covered elsewhere at beginning of year2015-07-09$22,490
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-07-09$176,053
Administrative expenses (other) incurred2015-07-09$16,429
Liabilities. Value of operating payables at end of year2015-07-09$57,571
Liabilities. Value of operating payables at beginning of year2015-07-09$558,357
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-07-09No
Value of net income/loss2015-07-09$528,250
Value of net assets at end of year (total assets less liabilities)2015-07-09$-42,132
Value of net assets at beginning of year (total assets less liabilities)2015-07-09$-570,382
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-07-09No
Were any loans by the plan or fixed income obligations due to the plan in default2015-07-09No
Were any leases to which the plan was party in default or uncollectible2015-07-09No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-07-09$56,194
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-07-09$46,605
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-07-09$46,605
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-07-09No
Was there a failure to transmit to the plan any participant contributions2015-07-09No
Has the plan failed to provide any benefit when due under the plan2015-07-09No
Contributions received in cash from employer2015-07-09$965,900
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-07-09$738,692
Contract administrator fees2015-07-09$72,489
Liabilities. Value of benefit claims payable at end of year2015-07-09$64,230
Liabilities. Value of benefit claims payable at beginning of year2015-07-09$81,120
Did the plan have assets held for investment2015-07-09Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-07-09No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-07-09No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-07-09No
Opinion of an independent qualified public accountant for this plan2015-07-09Unqualified
Accountancy firm name2015-07-09MCCRATE, DELAET & CO.
Accountancy firm EIN2015-07-09341205613
2014 : FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-07-09$639,477
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-07-09$814,433
Total income from all sources (including contributions)2014-07-09$1,199,735
Total of all expenses incurred2014-07-09$1,144,895
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-07-09$887,051
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-07-09$1,193,630
Value of total assets at end of year2014-07-09$69,095
Value of total assets at beginning of year2014-07-09$189,211
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-07-09$257,844
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-07-09No
Administrative expenses professional fees incurred2014-07-09$6,875
Was this plan covered by a fidelity bond2014-07-09No
If this is an individual account plan, was there a blackout period2014-07-09No
Were there any nonexempt tranactions with any party-in-interest2014-07-09No
Contributions received from participants2014-07-09$533,440
Assets. Other investments not covered elsewhere at end of year2014-07-09$22,490
Assets. Other investments not covered elsewhere at beginning of year2014-07-09$145,066
Other income not declared elsewhere2014-07-09$6,105
Administrative expenses (other) incurred2014-07-09$175,018
Liabilities. Value of operating payables at end of year2014-07-09$558,357
Liabilities. Value of operating payables at beginning of year2014-07-09$511,497
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-07-09No
Value of net income/loss2014-07-09$54,840
Value of net assets at end of year (total assets less liabilities)2014-07-09$-570,382
Value of net assets at beginning of year (total assets less liabilities)2014-07-09$-625,222
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-07-09No
Were any loans by the plan or fixed income obligations due to the plan in default2014-07-09No
Were any leases to which the plan was party in default or uncollectible2014-07-09No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-07-09$46,605
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-07-09$44,145
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-07-09$44,145
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-07-09No
Was there a failure to transmit to the plan any participant contributions2014-07-09No
Has the plan failed to provide any benefit when due under the plan2014-07-09No
Contributions received in cash from employer2014-07-09$660,190
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-07-09$887,051
Contract administrator fees2014-07-09$75,951
Liabilities. Value of benefit claims payable at end of year2014-07-09$81,120
Liabilities. Value of benefit claims payable at beginning of year2014-07-09$302,936
Did the plan have assets held for investment2014-07-09Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-07-09No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-07-09No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-07-09No
Opinion of an independent qualified public accountant for this plan2014-07-09Unqualified
Accountancy firm name2014-07-09MCCRATE, DELAET & CO.
Accountancy firm EIN2014-07-09341205613
2013 : FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-07-09$814,433
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-07-09$774,525
Total income from all sources (including contributions)2013-07-09$1,307,944
Total of all expenses incurred2013-07-09$1,250,210
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-07-09$1,025,090
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-07-09$1,140,384
Value of total assets at end of year2013-07-09$189,211
Value of total assets at beginning of year2013-07-09$91,569
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-07-09$225,120
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-07-09No
Administrative expenses professional fees incurred2013-07-09$6,550
Was this plan covered by a fidelity bond2013-07-09Yes
Value of fidelity bond cover2013-07-09$100,000
If this is an individual account plan, was there a blackout period2013-07-09No
Were there any nonexempt tranactions with any party-in-interest2013-07-09No
Contributions received from participants2013-07-09$522,923
Assets. Other investments not covered elsewhere at end of year2013-07-09$145,066
Assets. Other investments not covered elsewhere at beginning of year2013-07-09$88,411
Other income not declared elsewhere2013-07-09$167,560
Administrative expenses (other) incurred2013-07-09$151,598
Liabilities. Value of operating payables at end of year2013-07-09$511,497
Liabilities. Value of operating payables at beginning of year2013-07-09$546,100
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-07-09No
Value of net income/loss2013-07-09$57,734
Value of net assets at end of year (total assets less liabilities)2013-07-09$-625,222
Value of net assets at beginning of year (total assets less liabilities)2013-07-09$-682,956
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-07-09No
Were any loans by the plan or fixed income obligations due to the plan in default2013-07-09No
Were any leases to which the plan was party in default or uncollectible2013-07-09No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-07-09$44,145
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-07-09$3,158
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-07-09$3,158
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-07-09No
Was there a failure to transmit to the plan any participant contributions2013-07-09No
Has the plan failed to provide any benefit when due under the plan2013-07-09No
Contributions received in cash from employer2013-07-09$617,461
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-07-09$1,025,090
Contract administrator fees2013-07-09$66,972
Liabilities. Value of benefit claims payable at end of year2013-07-09$302,936
Liabilities. Value of benefit claims payable at beginning of year2013-07-09$228,425
Did the plan have assets held for investment2013-07-09Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-07-09No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-07-09No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-07-09No
Opinion of an independent qualified public accountant for this plan2013-07-09Unqualified
Accountancy firm name2013-07-09MCCRATE, DELAET & CO.
Accountancy firm EIN2013-07-09341205613
2012 : FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-07-09$774,525
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-07-09$724,143
Total income from all sources (including contributions)2012-07-09$1,171,986
Total of all expenses incurred2012-07-09$1,200,307
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-07-09$954,478
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-07-09$1,103,305
Value of total assets at end of year2012-07-09$91,569
Value of total assets at beginning of year2012-07-09$69,508
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-07-09$245,829
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-07-09No
Administrative expenses professional fees incurred2012-07-09$6,250
Was this plan covered by a fidelity bond2012-07-09Yes
Value of fidelity bond cover2012-07-09$100,000
If this is an individual account plan, was there a blackout period2012-07-09No
Were there any nonexempt tranactions with any party-in-interest2012-07-09No
Contributions received from participants2012-07-09$550,176
Assets. Other investments not covered elsewhere at end of year2012-07-09$88,411
Assets. Other investments not covered elsewhere at beginning of year2012-07-09$19,739
Other income not declared elsewhere2012-07-09$68,681
Administrative expenses (other) incurred2012-07-09$171,459
Liabilities. Value of operating payables at end of year2012-07-09$546,100
Liabilities. Value of operating payables at beginning of year2012-07-09$567,453
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-07-09No
Value of net income/loss2012-07-09$-28,321
Value of net assets at end of year (total assets less liabilities)2012-07-09$-682,956
Value of net assets at beginning of year (total assets less liabilities)2012-07-09$-654,635
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-07-09No
Were any loans by the plan or fixed income obligations due to the plan in default2012-07-09No
Were any leases to which the plan was party in default or uncollectible2012-07-09No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-07-09$3,158
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-07-09$49,769
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-07-09$49,769
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-07-09No
Was there a failure to transmit to the plan any participant contributions2012-07-09No
Has the plan failed to provide any benefit when due under the plan2012-07-09No
Contributions received in cash from employer2012-07-09$553,129
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-07-09$954,478
Contract administrator fees2012-07-09$68,120
Liabilities. Value of benefit claims payable at end of year2012-07-09$228,425
Liabilities. Value of benefit claims payable at beginning of year2012-07-09$156,690
Did the plan have assets held for investment2012-07-09Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-07-09No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-07-09No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-07-09No
Opinion of an independent qualified public accountant for this plan2012-07-09Unqualified
Accountancy firm name2012-07-09MCCRATE, DELAET & CO.
Accountancy firm EIN2012-07-09341205613
2011 : FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-07-09$724,143
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-07-09$774,796
Total income from all sources (including contributions)2011-07-09$1,250,727
Total of all expenses incurred2011-07-09$1,189,305
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-07-09$907,400
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-07-09$1,199,044
Value of total assets at end of year2011-07-09$69,509
Value of total assets at beginning of year2011-07-09$58,740
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-07-09$281,905
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-07-09No
Administrative expenses professional fees incurred2011-07-09$5,825
Was this plan covered by a fidelity bond2011-07-09Yes
Value of fidelity bond cover2011-07-09$100,000
If this is an individual account plan, was there a blackout period2011-07-09No
Were there any nonexempt tranactions with any party-in-interest2011-07-09No
Contributions received from participants2011-07-09$599,588
Assets. Other investments not covered elsewhere at end of year2011-07-09$19,739
Assets. Other investments not covered elsewhere at beginning of year2011-07-09$21,551
Other income not declared elsewhere2011-07-09$51,683
Administrative expenses (other) incurred2011-07-09$199,943
Liabilities. Value of operating payables at end of year2011-07-09$567,453
Liabilities. Value of operating payables at beginning of year2011-07-09$724,516
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-07-09No
Value of net income/loss2011-07-09$61,422
Value of net assets at end of year (total assets less liabilities)2011-07-09$-654,634
Value of net assets at beginning of year (total assets less liabilities)2011-07-09$-716,056
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-07-09No
Were any loans by the plan or fixed income obligations due to the plan in default2011-07-09No
Were any leases to which the plan was party in default or uncollectible2011-07-09No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-07-09$49,770
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-07-09$37,189
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-07-09$37,189
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-07-09No
Was there a failure to transmit to the plan any participant contributions2011-07-09No
Has the plan failed to provide any benefit when due under the plan2011-07-09No
Contributions received in cash from employer2011-07-09$599,456
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-07-09$907,400
Contract administrator fees2011-07-09$76,137
Liabilities. Value of benefit claims payable at end of year2011-07-09$156,690
Liabilities. Value of benefit claims payable at beginning of year2011-07-09$50,280
Did the plan have assets held for investment2011-07-09No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-07-09No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-07-09No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-07-09No
Opinion of an independent qualified public accountant for this plan2011-07-09Unqualified
Accountancy firm name2011-07-09MCCRATE, DELAET & CO.
Accountancy firm EIN2011-07-09341205613

Form 5500 Responses for FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST

2022: FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2022 form 5500 responses
2022-07-10Type of plan entitySingle employer plan
2022-07-10This return/report is a short plan year return/report (less than 12 months)Yes
2022-07-10Plan funding arrangement – InsuranceYes
2022-07-10Plan funding arrangement – General assets of the sponsorYes
2022-07-10Plan benefit arrangement – InsuranceYes
2022-07-10Plan benefit arrangement – General assets of the sponsorYes
2021: FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2021 form 5500 responses
2021-07-10Type of plan entitySingle employer plan
2021-07-10Plan funding arrangement – InsuranceYes
2021-07-10Plan funding arrangement – General assets of the sponsorYes
2021-07-10Plan benefit arrangement – InsuranceYes
2021-07-10Plan benefit arrangement – General assets of the sponsorYes
2020: FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
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: FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2019 form 5500 responses
2019-07-10Type of plan entitySingle employer plan
2019-07-10Plan funding arrangement – InsuranceYes
2019-07-10Plan funding arrangement – General assets of the sponsorYes
2019-07-10Plan benefit arrangement – InsuranceYes
2019-07-10Plan benefit arrangement – General assets of the sponsorYes
2018: FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2018 form 5500 responses
2018-07-10Type of plan entitySingle employer plan
2018-07-10Plan funding arrangement – InsuranceYes
2018-07-10Plan funding arrangement – General assets of the sponsorYes
2018-07-10Plan benefit arrangement – InsuranceYes
2018-07-10Plan benefit arrangement – General assets of the sponsorYes
2017: FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2017 form 5500 responses
2017-07-10Type of plan entitySingle employer plan
2017-07-10Plan funding arrangement – InsuranceYes
2017-07-10Plan funding arrangement – TrustYes
2017-07-10Plan benefit arrangement – InsuranceYes
2017-07-10Plan benefit arrangement - TrustYes
2016: FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2016 form 5500 responses
2016-07-10Type of plan entitySingle employer plan
2016-07-10Plan funding arrangement – TrustYes
2016-07-10Plan benefit arrangement - TrustYes
2015: FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2015 form 5500 responses
2015-07-10Type of plan entitySingle employer plan
2015-07-10Plan funding arrangement – TrustYes
2015-07-10Plan benefit arrangement - TrustYes
2014: FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2014 form 5500 responses
2014-07-10Type of plan entitySingle employer plan
2014-07-10Plan funding arrangement – TrustYes
2014-07-10Plan benefit arrangement - TrustYes
2013: FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2013 form 5500 responses
2013-07-10Type of plan entitySingle employer plan
2013-07-10Plan funding arrangement – TrustYes
2013-07-10Plan benefit arrangement - TrustYes
2012: FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2012 form 5500 responses
2012-07-10Type of plan entitySingle employer plan
2012-07-10Plan funding arrangement – TrustYes
2012-07-10Plan benefit arrangement - TrustYes
2011: FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2011 form 5500 responses
2011-07-10Type of plan entitySingle employer plan
2011-07-10Plan funding arrangement – TrustYes
2011-07-10Plan benefit arrangement - TrustYes
2009: FERGUSON CONSTRUCTION COMPANY EMPLOYEES WELFARE BENEFIT PLAN AND TRUST 2009 form 5500 responses
2009-08-01Type of plan entitySingle employer plan
2009-08-01Plan funding arrangement – TrustYes
2009-08-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number954723
Policy instance 4
Insurance contract or identification number954723
Number of Individuals Covered141
Insurance policy start date2022-07-10
Insurance policy end date2022-12-31
Welfare Benefit Premiums Paid to CarrierUSD $140,938
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract number437006430031
Policy instance 3
Insurance contract or identification number437006430031
Number of Individuals Covered125
Insurance policy start date2022-07-01
Insurance policy end date2022-07-09
Welfare Benefit Premiums Paid to CarrierUSD $7,291
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10110551001
Policy instance 2
Insurance contract or identification number10110551001
Number of Individuals Covered305
Insurance policy start date2022-07-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $892
Total amount of fees paid to insurance companyUSD $6,353
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $892
Amount paid for insurance broker fees6353
Insurance broker organization code?3
SUPERIOR DENTAL CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96280 )
Policy contract numberD8044
Policy instance 1
Insurance contract or identification numberD8044
Number of Individuals Covered319
Insurance policy start date2022-07-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $3,989
Total amount of fees paid to insurance companyUSD $5,384
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,989
Amount paid for insurance broker fees5384
Insurance broker organization code?3
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract number437006430031
Policy instance 3
Insurance contract or identification number437006430031
Number of Individuals Covered136
Insurance policy start date2021-07-10
Insurance policy end date2022-07-09
Welfare Benefit Premiums Paid to CarrierUSD $274,070
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10110551001
Policy instance 2
Insurance contract or identification number10110551001
Number of Individuals Covered275
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $2,810
Total amount of fees paid to insurance companyUSD $17,877
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,810
Amount paid for insurance broker fees17877
Insurance broker organization code?3
SUPERIOR DENTAL CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96280 )
Policy contract numberD8044
Policy instance 1
Insurance contract or identification numberD8044
Number of Individuals Covered293
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $6,183
Total amount of fees paid to insurance companyUSD $9,590
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,183
Amount paid for insurance broker fees9590
Insurance broker organization code?3
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract number437006430031
Policy instance 3
Insurance contract or identification number437006430031
Number of Individuals Covered125
Insurance policy start date2020-07-10
Insurance policy end date2021-07-10
Welfare Benefit Premiums Paid to CarrierUSD $298,704
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10110551001
Policy instance 2
Insurance contract or identification number10110551001
Number of Individuals Covered329
Insurance policy start date2020-07-10
Insurance policy end date2021-07-09
Total amount of commissions paid to insurance brokerUSD $1,938
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,938
Insurance broker organization code?3
SUPERIOR DENTAL CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96280 )
Policy contract numberD8044
Policy instance 1
Insurance contract or identification numberD8044
Number of Individuals Covered330
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $7,525
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,525
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number437005430031
Policy instance 3
Insurance contract or identification number437005430031
Number of Individuals Covered170
Insurance policy start date2019-07-10
Insurance policy end date2020-07-09
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10110551001
Policy instance 2
Insurance contract or identification number10110551001
Number of Individuals Covered329
Insurance policy start date2019-07-10
Insurance policy end date2020-07-09
Total amount of commissions paid to insurance brokerUSD $2,051
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,051
Insurance broker organization code?3
SUPERIOR DENTAL CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96280 )
Policy contract numberD8044
Policy instance 1
Insurance contract or identification numberD8044
Number of Individuals Covered330
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $8,029
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,029
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number437005430031
Policy instance 3
Insurance contract or identification number437005430031
Number of Individuals Covered195
Insurance policy start date2018-07-01
Insurance policy end date2019-07-01
Welfare Benefit Premiums Paid to CarrierUSD $231,743
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10110551001
Policy instance 2
Insurance contract or identification number10110551001
Number of Individuals Covered329
Insurance policy start date2018-07-10
Insurance policy end date2019-07-09
Total amount of commissions paid to insurance brokerUSD $1,183
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,183
Insurance broker organization code?3
SUPERIOR DENTAL CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96280 )
Policy contract numberD8044
Policy instance 1
Insurance contract or identification numberD8044
Number of Individuals Covered330
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $7,785
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,785
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10110551001
Policy instance 2
Insurance contract or identification number10110551001
Number of Individuals Covered329
Insurance policy start date2017-07-10
Insurance policy end date2018-07-09
Total amount of commissions paid to insurance brokerUSD $1,183
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUPERIOR DENTAL CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96280 )
Policy contract numberD8044
Policy instance 1
Insurance contract or identification numberD8044
Number of Individuals Covered330
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $7,197
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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