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PJ WALLBANK SPRINGS WELFARE BENEFIT PLAN 401k Plan overview

Plan NamePJ WALLBANK SPRINGS WELFARE BENEFIT PLAN
Plan identification number 501

PJ WALLBANK SPRINGS WELFARE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

P.J. WALLBANK SPRINGS, INC. has sponsored the creation of one or more 401k plans.

Company Name:P.J. WALLBANK SPRINGS, INC.
Employer identification number (EIN):380203607
NAIC Classification:332610

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PJ WALLBANK SPRINGS WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-06-01 TROY ROBERTSON2024-10-31
5012022-06-01 TROY ROBERTSON2023-11-14
5012021-06-01ROBERT SICKLER2022-10-28
5012020-06-01ROBERT SICKLER2021-10-08
5012019-06-01ROBERT SICKLER2020-11-03

Plan Statistics for PJ WALLBANK SPRINGS WELFARE BENEFIT PLAN

401k plan membership statisitcs for PJ WALLBANK SPRINGS WELFARE BENEFIT PLAN

Measure Date Value
2023: PJ WALLBANK SPRINGS WELFARE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year2023-06-01165
Total number of active participants reported on line 7a of the Form 55002023-06-01202
Total of all active and inactive participants2023-06-01202
2022: PJ WALLBANK SPRINGS WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-06-01143
Total number of active participants reported on line 7a of the Form 55002022-06-01165
Total of all active and inactive participants2022-06-01165
2021: PJ WALLBANK SPRINGS WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-06-01166
Total number of active participants reported on line 7a of the Form 55002021-06-01143
Number of retired or separated participants receiving benefits2021-06-010
Number of other retired or separated participants entitled to future benefits2021-06-010
Total of all active and inactive participants2021-06-01143
2020: PJ WALLBANK SPRINGS WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-06-01192
Total number of active participants reported on line 7a of the Form 55002020-06-01166
Number of retired or separated participants receiving benefits2020-06-010
Number of other retired or separated participants entitled to future benefits2020-06-010
Total of all active and inactive participants2020-06-01166
2019: PJ WALLBANK SPRINGS WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-06-01149
Total number of active participants reported on line 7a of the Form 55002019-06-01192
Number of retired or separated participants receiving benefits2019-06-010
Number of other retired or separated participants entitled to future benefits2019-06-010
Total of all active and inactive participants2019-06-01192

Financial Data on PJ WALLBANK SPRINGS WELFARE BENEFIT PLAN

Measure Date Value
2022 : PJ WALLBANK SPRINGS WELFARE BENEFIT PLAN 2022 401k financial data
Total income from all sources2022-05-31$0
Total plan assets at end of year2022-05-31$0
Total plan assets at beginning of year2022-05-31$0
Net plan assets at end of year (total assets less liabilities)2022-05-31$0
Net plan assets at beginning of year (total assets less liabilities)2022-05-31$0
2021 : PJ WALLBANK SPRINGS WELFARE BENEFIT PLAN 2021 401k financial data
Total income from all sources2021-05-31$0
Total plan assets at end of year2021-05-31$0
Total plan assets at beginning of year2021-05-31$0
Net plan assets at end of year (total assets less liabilities)2021-05-31$0
Net plan assets at beginning of year (total assets less liabilities)2021-05-31$0
2020 : PJ WALLBANK SPRINGS WELFARE BENEFIT PLAN 2020 401k financial data
Total income from all sources2020-05-31$0
Total plan assets at end of year2020-05-31$0
Total plan assets at beginning of year2020-05-31$0
Net plan assets at end of year (total assets less liabilities)2020-05-31$0
Net plan assets at beginning of year (total assets less liabilities)2020-05-31$0
2019 : PJ WALLBANK SPRINGS WELFARE BENEFIT PLAN 2019 401k financial data
Total income from all sources2019-05-31$0
Total plan assets at end of year2019-05-31$0
Total plan assets at beginning of year2019-05-31$0
Net plan assets at end of year (total assets less liabilities)2019-05-31$0
Net plan assets at beginning of year (total assets less liabilities)2019-05-31$0

Form 5500 Responses for PJ WALLBANK SPRINGS WELFARE BENEFIT PLAN

2023: PJ WALLBANK SPRINGS WELFARE BENEFIT PLAN 2023 form 5500 responses
2023-06-01Type of plan entitySingle employer plan
2023-06-01Plan funding arrangement – InsuranceYes
2023-06-01Plan funding arrangement – General assets of the sponsorYes
2023-06-01Plan benefit arrangement – InsuranceYes
2023-06-01Plan benefit arrangement – General assets of the sponsorYes
2022: PJ WALLBANK SPRINGS WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-06-01Type of plan entitySingle employer plan
2022-06-01Plan funding arrangement – InsuranceYes
2022-06-01Plan funding arrangement – General assets of the sponsorYes
2022-06-01Plan benefit arrangement – InsuranceYes
2022-06-01Plan benefit arrangement – General assets of the sponsorYes
2021: PJ WALLBANK SPRINGS WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-06-01Type of plan entitySingle employer plan
2021-06-01Plan funding arrangement – InsuranceYes
2021-06-01Plan funding arrangement – General assets of the sponsorYes
2021-06-01Plan benefit arrangement – InsuranceYes
2021-06-01Plan benefit arrangement – General assets of the sponsorYes
2020: PJ WALLBANK SPRINGS WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-06-01Type of plan entitySingle employer plan
2020-06-01Plan funding arrangement – InsuranceYes
2020-06-01Plan funding arrangement – General assets of the sponsorYes
2020-06-01Plan benefit arrangement – InsuranceYes
2020-06-01Plan benefit arrangement – General assets of the sponsorYes
2019: PJ WALLBANK SPRINGS WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-06-01Type of plan entitySingle employer plan
2019-06-01Plan funding arrangement – InsuranceYes
2019-06-01Plan funding arrangement – General assets of the sponsorYes
2019-06-01Plan benefit arrangement – InsuranceYes
2019-06-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number150485
Policy instance 2
Insurance contract or identification number150485
Number of Individuals Covered202
Insurance policy start date2023-06-01
Insurance policy end date2024-05-31
Total amount of commissions paid to insurance brokerUSD $58,303
Total amount of fees paid to insurance companyUSD $1,615
Health Insurance Welfare BenefitYes
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
MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number009890
Policy instance 1
Insurance contract or identification number009890
Number of Individuals Covered131
Insurance policy start date2023-06-01
Insurance policy end date2024-05-31
Total amount of commissions paid to insurance brokerUSD $17,666
Total amount of fees paid to insurance companyUSD $5,028
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $91,872
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number11439
Policy instance 3
Insurance contract or identification number11439
Number of Individuals Covered185
Insurance policy start date2023-06-01
Insurance policy end date2024-05-31
Total amount of commissions paid to insurance brokerUSD $6,223
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number150485
Policy instance 2
MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number009890
Policy instance 1
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number150485
Policy instance 3
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number150485
Policy instance 2
MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number009890
Policy instance 1
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number0000026886
Policy instance 5
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number0BJRV
Policy instance 4
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number150485
Policy instance 3
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number5817
Policy instance 2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30073297
Policy instance 1

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