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SPECIALTY APPLIANCE WORKS INC EMPLOYEE BENEFITS PLAN 401k Plan overview

Plan NameSPECIALTY APPLIANCE WORKS INC EMPLOYEE BENEFITS PLAN
Plan identification number 503

SPECIALTY APPLIANCE WORKS INC EMPLOYEE BENEFITS 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)

401k Sponsoring company profile

SPECIALTY APPLIANCES, LLC has sponsored the creation of one or more 401k plans.

Company Name:SPECIALTY APPLIANCES, LLC
Employer identification number (EIN):382368535
NAIC Classification:339110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SPECIALTY APPLIANCE WORKS INC EMPLOYEE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032021-12-01HEATHER MCNEIL2023-09-14
5032020-12-01
5032019-12-01
5032018-12-01
5032017-12-01

Plan Statistics for SPECIALTY APPLIANCE WORKS INC EMPLOYEE BENEFITS PLAN

401k plan membership statisitcs for SPECIALTY APPLIANCE WORKS INC EMPLOYEE BENEFITS PLAN

Measure Date Value
2021: SPECIALTY APPLIANCE WORKS INC EMPLOYEE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-12-01388
Total number of active participants reported on line 7a of the Form 55002021-12-01175
Number of retired or separated participants receiving benefits2021-12-010
Number of other retired or separated participants entitled to future benefits2021-12-010
Total of all active and inactive participants2021-12-01175
Number of employers contributing to the scheme2021-12-010
2020: SPECIALTY APPLIANCE WORKS INC EMPLOYEE BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-01167
Total number of active participants reported on line 7a of the Form 55002020-12-01194
Number of retired or separated participants receiving benefits2020-12-01194
Number of other retired or separated participants entitled to future benefits2020-12-010
Total of all active and inactive participants2020-12-01388
2019: SPECIALTY APPLIANCE WORKS INC EMPLOYEE BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-12-01140
Total number of active participants reported on line 7a of the Form 55002019-12-01167
Number of retired or separated participants receiving benefits2019-12-010
Number of other retired or separated participants entitled to future benefits2019-12-010
Total of all active and inactive participants2019-12-01167
2018: SPECIALTY APPLIANCE WORKS INC EMPLOYEE BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year2018-12-01136
Total number of active participants reported on line 7a of the Form 55002018-12-01140
Number of retired or separated participants receiving benefits2018-12-010
Number of other retired or separated participants entitled to future benefits2018-12-010
Total of all active and inactive participants2018-12-01140
2017: SPECIALTY APPLIANCE WORKS INC EMPLOYEE BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year2017-12-010
Total number of active participants reported on line 7a of the Form 55002017-12-01136
Number of retired or separated participants receiving benefits2017-12-010
Number of other retired or separated participants entitled to future benefits2017-12-010
Total of all active and inactive participants2017-12-01136

Financial Data on SPECIALTY APPLIANCE WORKS INC EMPLOYEE BENEFITS PLAN

Measure Date Value
2021 : SPECIALTY APPLIANCE WORKS INC EMPLOYEE BENEFITS PLAN 2021 401k financial data
Total income from all sources2021-11-30$0
Total plan assets at end of year2021-11-30$0
Total plan assets at beginning of year2021-11-30$0
Net plan assets at end of year (total assets less liabilities)2021-11-30$0
Net plan assets at beginning of year (total assets less liabilities)2021-11-30$0
2020 : SPECIALTY APPLIANCE WORKS INC EMPLOYEE BENEFITS PLAN 2020 401k financial data
Total income from all sources2020-11-30$0
Total plan assets at end of year2020-11-30$0
Total plan assets at beginning of year2020-11-30$0
Net plan assets at end of year (total assets less liabilities)2020-11-30$0
Net plan assets at beginning of year (total assets less liabilities)2020-11-30$0
2019 : SPECIALTY APPLIANCE WORKS INC EMPLOYEE BENEFITS PLAN 2019 401k financial data
Total income from all sources2019-11-30$0
Total plan assets at end of year2019-11-30$0
Total plan assets at beginning of year2019-11-30$0
Net plan assets at end of year (total assets less liabilities)2019-11-30$0
Net plan assets at beginning of year (total assets less liabilities)2019-11-30$0

Form 5500 Responses for SPECIALTY APPLIANCE WORKS INC EMPLOYEE BENEFITS PLAN

2021: SPECIALTY APPLIANCE WORKS INC EMPLOYEE BENEFITS PLAN 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan benefit arrangement – InsuranceYes
2020: SPECIALTY APPLIANCE WORKS INC EMPLOYEE BENEFITS PLAN 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – InsuranceYes
2019: SPECIALTY APPLIANCE WORKS INC EMPLOYEE BENEFITS PLAN 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan benefit arrangement – InsuranceYes
2018: SPECIALTY APPLIANCE WORKS INC EMPLOYEE BENEFITS PLAN 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan benefit arrangement – InsuranceYes
2017: SPECIALTY APPLIANCE WORKS INC EMPLOYEE BENEFITS PLAN 2017 form 5500 responses
2017-12-01Type of plan entitySingle employer plan
2017-12-01First time form 5500 has been submittedYes
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number108172
Policy instance 3
Insurance contract or identification number108172
Number of Individuals Covered186
Insurance policy start date2021-12-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $6,046
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $111,381
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 fees5714
Additional information about fees paid to insurance brokerDIRECT COMPENSATION
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number924132
Policy instance 2
Insurance contract or identification number924132
Number of Individuals Covered175
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $9,599
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 providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $81,458
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,515
Amount paid for insurance broker fees0
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number108172
Policy instance 1
Insurance contract or identification number108172
Number of Individuals Covered186
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $1,336
Total amount of fees paid to insurance companyUSD $73,661
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,294,080
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,336
Amount paid for insurance broker fees62135
Additional information about fees paid to insurance brokerDIRECT COMPENSATION
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0108172
Policy instance 2
Insurance contract or identification number0108172
Number of Individuals Covered194
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $9,663
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,204,701
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,663
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number924132
Policy instance 1
Insurance contract or identification number924132
Number of Individuals Covered159
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $1,874
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedEMPLOYEE AD&D
Welfare Benefit Premiums Paid to CarrierUSD $18,660
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,874
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0108172
Policy instance 2
Insurance contract or identification number0108172
Number of Individuals Covered167
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $5,586
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $951,781
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number924132
Policy instance 1
Insurance contract or identification number924132
Number of Individuals Covered136
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $1,265
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedEMPLOYEE AD&D
Welfare Benefit Premiums Paid to CarrierUSD $13,727
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0108172
Policy instance 2
Insurance contract or identification number0108172
Number of Individuals Covered193
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $75,011
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,201,386
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $75,011
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number924132
Policy instance 1
Insurance contract or identification number924132
Number of Individuals Covered137
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $1,777
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedEMPLOYEE AD&D
Welfare Benefit Premiums Paid to CarrierUSD $16,533
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,777
Insurance broker organization code?3
BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 )
Policy contract numberA16402
Policy instance 3
Insurance contract or identification numberA16402
Number of Individuals Covered4
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $2,721
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $42,323
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 )
Policy contract numberGA9235
Policy instance 1
Insurance contract or identification numberGA9235
Number of Individuals Covered106
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $37,913
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,079,900
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREATER GEORGIA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97217 )
Policy contract numberGA0516
Policy instance 2
Insurance contract or identification numberGA0516
Number of Individuals Covered136
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $2,454
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,415
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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