401k Plan data: PRO SERVICES, INC plan

PRO SERVICES, INC 401k Plan overview

Plan Name	PRO SERVICES, INC
Plan identification number	502

PRO SERVICES, INC Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

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

Company Name: PRO SERVICES, INC.

Employer identification number (EIN): 383637535

NAIC Classification: 238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PRO SERVICES, INC

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2021-12-01

Plan Statistics for PRO SERVICES, INC

401k plan membership statisitcs for PRO SERVICES, INC

Measure Date Value
2021: PRO SERVICES, INC 2021 401k membership
Total participants, beginning-of-year 2021-12-01 0
Total number of active participants reported on line 7a of the Form 5500 2021-12-01 334
Number of retired or separated participants receiving benefits 2021-12-01 0
Number of other retired or separated participants entitled to future benefits 2021-12-01 0
Total of all active and inactive participants 2021-12-01 334

Measure	Date	Value
2021: PRO SERVICES, INC 2021 401k membership
Total participants, beginning-of-year	2021-12-01	0
Total number of active participants reported on line 7a of the Form 5500	2021-12-01	334
Number of retired or separated participants receiving benefits	2021-12-01	0
Number of other retired or separated participants entitled to future benefits	2021-12-01	0
Total of all active and inactive participants	2021-12-01	334

Form 5500 Responses for PRO SERVICES, INC

2021: PRO SERVICES, INC 2021 form 5500 responses
2021-12-01	Type of plan entity	Single employer plan
2021-12-01	First time form 5500 has been submitted	Yes
2021-12-01	Plan funding arrangement – Insurance	Yes
2021-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-12-01	Plan benefit arrangement – Insurance	Yes
2021-12-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )

Policy contract number

259617

Policy instance

Insurance contract or identification number	259617
Number of Individuals Covered	334
Insurance policy start date	2021-12-01
Insurance policy end date	2022-11-30
Total amount of commissions paid to insurance broker	USD $28,291
Total amount of fees paid to insurance company	USD $4,919
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $28,291
Amount paid for insurance broker fees	4919
Insurance broker organization code?	3

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00533120

Policy instance

Insurance contract or identification number	00533120
Number of Individuals Covered	94
Insurance policy start date	2021-12-01
Insurance policy end date	2022-11-30
Total amount of commissions paid to insurance broker	USD $3,509
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $22,933
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,440
Insurance broker organization code?	3

KANSAS CITY LIFE (National Association of Insurance Commissioners NAIC id number: 65129 )

Policy contract number

57902S

Policy instance

Insurance contract or identification number	57902S
Number of Individuals Covered	164
Insurance policy start date	2021-12-01
Insurance policy end date	2022-11-30
Total amount of commissions paid to insurance broker	USD $6,280
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $59,298
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,280
Insurance broker organization code?	3

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

5050001

Policy instance

Insurance contract or identification number	5050001
Number of Individuals Covered	329
Insurance policy start date	2021-12-01
Insurance policy end date	2022-11-30
Total amount of commissions paid to insurance broker	USD $3,676
Total amount of fees paid to insurance company	USD $3,850
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $76,933
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	3850
Additional information about fees paid to insurance broker	ADMINISTRATIVE FEE
Commission paid to Insurance Broker	USD $3,676

Potentially related plans

PRO SERVICES, LLC 401(K) [EIN = 463017401]

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Company Name:	PRO SERVICES, INC.
Employer identification number (EIN):	383637535
NAIC Classification:	238900