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PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN 401k Plan overview

Plan NamePECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN
Plan identification number 502

PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

PECKHAM, INC. has sponsored the creation of one or more 401k plans.

Company Name:PECKHAM, INC.
Employer identification number (EIN):382322117
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-10-01HARRY PIANKO2023-04-19 HARRY PIANKO2023-04-19
5022020-10-01HARRY PIANKO2022-04-26 HARRY PIANKO2022-04-26
5022019-10-01HARRY PIANKO2021-05-10 HARRY PIANKO2021-05-10
5022018-10-01HARRY PIANKO2020-03-10 HARRY PIANKO2020-03-10
5022017-10-01
5022016-10-01
5022015-10-01
5022014-10-01
5022013-10-01
5022012-10-01SCOTT DERTHICK
5022011-10-01SCOTT DERTHICK
5022010-10-01SCOTT DERTHICK
5022009-10-01SCOTT DERTHICK

Plan Statistics for PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN

401k plan membership statisitcs for PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN

Measure Date Value
2021: PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-012,052
Total number of active participants reported on line 7a of the Form 55002021-10-012,023
Total of all active and inactive participants2021-10-012,023
2020: PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-012,214
Total number of active participants reported on line 7a of the Form 55002020-10-012,052
Total of all active and inactive participants2020-10-012,052
2019: PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-012,301
Total number of active participants reported on line 7a of the Form 55002019-10-012,214
Total of all active and inactive participants2019-10-012,214
2018: PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-012,146
Total number of active participants reported on line 7a of the Form 55002018-10-012,301
Total of all active and inactive participants2018-10-012,301
2017: PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-012,024
Total number of active participants reported on line 7a of the Form 55002017-10-012,146
Total of all active and inactive participants2017-10-012,146
2016: PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-011,708
Total number of active participants reported on line 7a of the Form 55002016-10-012,024
Total of all active and inactive participants2016-10-012,024
2015: PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-012,067
Total number of active participants reported on line 7a of the Form 55002015-10-011,708
Total of all active and inactive participants2015-10-011,708
2014: PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-01681
Total number of active participants reported on line 7a of the Form 55002014-10-012,067
Total of all active and inactive participants2014-10-012,067
2013: PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-011,077
Total number of active participants reported on line 7a of the Form 55002013-10-01681
Total of all active and inactive participants2013-10-01681
2012: PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-011,080
Total number of active participants reported on line 7a of the Form 55002012-10-011,077
Total of all active and inactive participants2012-10-011,077
2011: PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-011,355
Total number of active participants reported on line 7a of the Form 55002011-10-011,080
Total of all active and inactive participants2011-10-011,080
2010: PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year2010-10-011,188
Total number of active participants reported on line 7a of the Form 55002010-10-011,355
Total of all active and inactive participants2010-10-011,355
2009: PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-011,078
Total number of active participants reported on line 7a of the Form 55002009-10-011,188
Total of all active and inactive participants2009-10-011,188

Form 5500 Responses for PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN

2021: PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan benefit arrangement – InsuranceYes
2020: PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – InsuranceYes
2019: PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – InsuranceYes
2018: PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – InsuranceYes
2017: PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – InsuranceYes
2016: PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – InsuranceYes
2015: PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – InsuranceYes
2014: PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – InsuranceYes
2013: PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan benefit arrangement – InsuranceYes
2012: PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan benefit arrangement – InsuranceYes
2011: PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan benefit arrangement – InsuranceYes
2010: PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN 2010 form 5500 responses
2010-10-01Type of plan entitySingle employer plan
2010-10-01Plan funding arrangement – InsuranceYes
2010-10-01Plan benefit arrangement – InsuranceYes
2009: PECKHAM VOCATIONAL INDUSTRIES, INC. LIFE INSURANCE PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01This submission is the final filingNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-351039
Policy instance 3
Insurance contract or identification number010-351039
Number of Individuals Covered2840
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $15,954
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $385,883
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,954
Insurance broker organization code?3
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number0005473
Policy instance 2
Insurance contract or identification number0005473
Number of Individuals Covered865
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $10,537
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
Commission paid to Insurance BrokerUSD $6,849
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00512772
Policy instance 1
Insurance contract or identification number00512772
Number of Individuals Covered2023
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $89,410
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 providedAD&D, OPTIONAL AD&D, OPTIONAL LIFE
Welfare Benefit Premiums Paid to CarrierUSD $1,024,450
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $89,410
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10083741001
Policy instance 3
Insurance contract or identification number10083741001
Number of Individuals Covered896
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $7,012
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $64,625
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,558
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00512772
Policy instance 2
Insurance contract or identification number00512772
Number of Individuals Covered2052
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $98,273
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 providedAD&D, OPTIONAL AD&D, OPTIONAL LIFE
Welfare Benefit Premiums Paid to CarrierUSD $1,112,869
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $98,273
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00409991
Policy instance 1
Insurance contract or identification number00409991
Number of Individuals Covered930
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $11,012
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $435,390
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,012
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10083741001
Policy instance 3
Insurance contract or identification number10083741001
Number of Individuals Covered920
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $6,345
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $64,038
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,124
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00512772
Policy instance 2
Insurance contract or identification number00512772
Number of Individuals Covered2214
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $106,121
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 providedAD&D, OPTIONAL AD&D, OPTIONAL LIFE
Welfare Benefit Premiums Paid to CarrierUSD $1,135,435
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $106,121
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00409991
Policy instance 1
Insurance contract or identification number00409991
Number of Individuals Covered967
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $14,198
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $495,474
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,198
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00512772
Policy instance 2
Insurance contract or identification number00512772
Number of Individuals Covered2301
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $100,716
Total amount of fees paid to insurance companyUSD $13,940
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D, OPTIONAL AD&D, OPTIONAL LIFE
Welfare Benefit Premiums Paid to CarrierUSD $1,024,696
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $100,716
Amount paid for insurance broker fees13940
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00409991
Policy instance 1
Insurance contract or identification number00409991
Number of Individuals Covered1033
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $15,175
Total amount of fees paid to insurance companyUSD $9,961
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $541,331
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,175
Amount paid for insurance broker fees9961
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00512772
Policy instance 2
Insurance contract or identification number00512772
Number of Individuals Covered2146
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $83,518
Total amount of fees paid to insurance companyUSD $14,498
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D, OPTIONAL AD&D, OPTIONAL LIFE
Welfare Benefit Premiums Paid to CarrierUSD $897,418
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00409991
Policy instance 1
Insurance contract or identification number00409991
Number of Individuals Covered972
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $12,908
Total amount of fees paid to insurance companyUSD $9,593
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $451,498
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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