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DUNCAN SUPPLY COMPANY HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameDUNCAN SUPPLY COMPANY HEALTH AND WELFARE PLAN
Plan identification number 501

DUNCAN SUPPLY COMPANY 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)
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

DUNCAN SUPPLY COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name:DUNCAN SUPPLY COMPANY, INC.
Employer identification number (EIN):350815490
NAIC Classification:423700

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DUNCAN SUPPLY COMPANY HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-03-01STEVEN PLUCKEBAUM2023-11-30
5012021-03-01STEVEN PLUCKEBAUM2022-09-06
5012008-11-16STEVEN R. PLUCKEBAUM2020-12-24

Plan Statistics for DUNCAN SUPPLY COMPANY HEALTH AND WELFARE PLAN

401k plan membership statisitcs for DUNCAN SUPPLY COMPANY HEALTH AND WELFARE PLAN

Measure Date Value
2022: DUNCAN SUPPLY COMPANY HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-03-01150
Total number of active participants reported on line 7a of the Form 55002022-03-01159
Number of retired or separated participants receiving benefits2022-03-010
Number of other retired or separated participants entitled to future benefits2022-03-010
Total of all active and inactive participants2022-03-01159
Number of employers contributing to the scheme2022-03-010
2021: DUNCAN SUPPLY COMPANY HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-03-01147
Total number of active participants reported on line 7a of the Form 55002021-03-01150
Number of retired or separated participants receiving benefits2021-03-011
Number of other retired or separated participants entitled to future benefits2021-03-010
Total of all active and inactive participants2021-03-01151
Number of employers contributing to the scheme2021-03-010
2008: DUNCAN SUPPLY COMPANY HEALTH AND WELFARE PLAN 2008 401k membership
Total participants, beginning-of-year2008-11-1685
Total number of active participants reported on line 7a of the Form 55002008-11-1685
Number of retired or separated participants receiving benefits2008-11-160
Number of other retired or separated participants entitled to future benefits2008-11-160
Total of all active and inactive participants2008-11-1685
Number of employers contributing to the scheme2008-11-160

Form 5500 Responses for DUNCAN SUPPLY COMPANY HEALTH AND WELFARE PLAN

2022: DUNCAN SUPPLY COMPANY HEALTH AND WELFARE PLAN 2022 form 5500 responses
2022-03-01Type of plan entitySingle employer plan
2022-03-01Plan funding arrangement – InsuranceYes
2022-03-01Plan benefit arrangement – InsuranceYes
2021: DUNCAN SUPPLY COMPANY HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-03-01Type of plan entitySingle employer plan
2021-03-01Plan funding arrangement – InsuranceYes
2021-03-01Plan benefit arrangement – InsuranceYes
2008: DUNCAN SUPPLY COMPANY HEALTH AND WELFARE PLAN 2008 form 5500 responses
2008-11-16Type of plan entitySingle employer plan
2008-11-16Submission has been amendedYes
2008-11-16Plan funding arrangement – InsuranceYes
2008-11-16Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number5K8821
Policy instance 1
Insurance contract or identification number5K8821
Number of Individuals Covered149
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $40,295
Total amount of fees paid to insurance companyUSD $2,938
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $999,958
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,404
Amount paid for insurance broker fees2938
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number516747
Policy instance 2
Insurance contract or identification number516747
Number of Individuals Covered163
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $6,898
Total amount of fees paid to insurance companyUSD $3,095
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $68,978
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,427
Amount paid for insurance broker fees2742
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number50839
Policy instance 3
Insurance contract or identification number50839
Number of Individuals Covered110
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $29,271
Total amount of fees paid to insurance companyUSD $25
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, HOSPITAL, CANCER
Welfare Benefit Premiums Paid to CarrierUSD $146,335
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,444
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberLTD116971
Policy instance 4
Insurance contract or identification numberLTD116971
Number of Individuals Covered121
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $4,944
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Welfare Benefit Premiums Paid to CarrierUSD $38,818
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,395
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 number5K8821
Policy instance 1
Insurance contract or identification number5K8821
Number of Individuals Covered144
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $32,851
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $880,174
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,851
Amount paid for insurance broker fees0
Insurance broker organization code?3
BROKERS NATIONAL LIFE (National Association of Insurance Commissioners NAIC id number: )
Policy contract number12231/3917
Policy instance 1
Insurance contract or identification number12231/3917
Number of Individuals Covered15
Insurance policy start date2008-11-01
Insurance policy end date2009-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $10,063
Dental Insurance Welfare BenefitYes
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 $0
Amount paid for insurance broker fees10063
Insurance broker organization code?3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number50839
Policy instance 2
Insurance contract or identification number50839
Number of Individuals Covered74
Insurance policy start date2008-11-16
Insurance policy end date2009-11-15
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $91,716
Health 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 $0
Amount paid for insurance broker fees91716
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberH55341
Policy instance 3
Insurance contract or identification numberH55341
Number of Individuals Covered77
Insurance policy start date2008-11-01
Insurance policy end date2009-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $419,386
Health 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 $0
Amount paid for insurance broker fees419386
Insurance broker organization code?3

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