401k Plan data: PATHGOAL EMPLOYER SERVICES WELFARE BENEFIT PLANS plan

PATHGOAL EMPLOYER SERVICES WELFARE BENEFIT PLANS 401k Plan overview

Plan Name	PATHGOAL EMPLOYER SERVICES WELFARE BENEFIT PLANS
Plan identification number	501

PATHGOAL EMPLOYER SERVICES WELFARE BENEFIT PLANS Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

PATHGOAL EMPLOYER SERVICES has sponsored the creation of one or more 401k plans.

Company Name: PATHGOAL EMPLOYER SERVICES

Employer identification number (EIN): 383977801

NAIC Classification: 561300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PATHGOAL EMPLOYER SERVICES WELFARE BENEFIT PLANS

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2020-01-01

Plan Statistics for PATHGOAL EMPLOYER SERVICES WELFARE BENEFIT PLANS

401k plan membership statisitcs for PATHGOAL EMPLOYER SERVICES WELFARE BENEFIT PLANS

Measure Date Value
2020: PATHGOAL EMPLOYER SERVICES WELFARE BENEFIT PLANS 2020 401k membership
Total participants, beginning-of-year 2020-01-01 364
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 497
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 497

Measure	Date	Value
2020: PATHGOAL EMPLOYER SERVICES WELFARE BENEFIT PLANS 2020 401k membership
Total participants, beginning-of-year	2020-01-01	364
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	497
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	497

Form 5500 Responses for PATHGOAL EMPLOYER SERVICES WELFARE BENEFIT PLANS

2020: PATHGOAL EMPLOYER SERVICES WELFARE BENEFIT PLANS 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	First time form 5500 has been submitted	Yes
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

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

Policy contract number

TS05374302

Policy instance

Insurance contract or identification number	TS05374302
Number of Individuals Covered	679
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $83,887
Total amount of fees paid to insurance company	USD $7,071
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $688,501
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $83,378
Amount paid for insurance broker fees	53
Additional information about fees paid to insurance broker	NON-MONETARY COMPENSATION
Insurance broker organization code?	3

Potentially related plans

PATHGOAL EMPLOYER SERVICES 401(K) PLAN [EIN = 134010751]

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Company Name:	PATHGOAL EMPLOYER SERVICES
Employer identification number (EIN):	383977801
NAIC Classification:	561300