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PREFERRED INSULATION CONTRACTORS WELFARE BENEFIT PENSION PLAN 401k Plan overview

Plan NamePREFERRED INSULATION CONTRACTORS WELFARE BENEFIT PENSION PLAN
Plan identification number 501

PREFERRED INSULATION CONTRACTORS WELFARE BENEFIT PENSION PLAN Benefits

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

401k Sponsoring company profile

PREFERRED INSULATION CONTRACTORS AZ has sponsored the creation of one or more 401k plans.

Company Name:PREFERRED INSULATION CONTRACTORS AZ
Employer identification number (EIN):460875894
NAIC Classification:238300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PREFERRED INSULATION CONTRACTORS WELFARE BENEFIT PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-12-01REGINA STEINHAUS2021-10-15 REGINA STEINHAUS2021-10-15

Plan Statistics for PREFERRED INSULATION CONTRACTORS WELFARE BENEFIT PENSION PLAN

401k plan membership statisitcs for PREFERRED INSULATION CONTRACTORS WELFARE BENEFIT PENSION PLAN

Measure Date Value
2019: PREFERRED INSULATION CONTRACTORS WELFARE BENEFIT PENSION PLAN 2019 401k membership
Total participants, beginning-of-year2019-12-01151
Total number of active participants reported on line 7a of the Form 55002019-12-01132
Number of retired or separated participants receiving benefits2019-12-0119
Total of all active and inactive participants2019-12-01151

Form 5500 Responses for PREFERRED INSULATION CONTRACTORS WELFARE BENEFIT PENSION PLAN

2019: PREFERRED INSULATION CONTRACTORS WELFARE BENEFIT PENSION PLAN 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01First time form 5500 has been submittedYes
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0115988
Policy instance 1
Insurance contract or identification number0115988
Number of Individuals Covered105
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $5,168
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $64,549
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BANNER HEALTH AND AETNA HEALTH (National Association of Insurance Commissioners NAIC id number: 16058 )
Policy contract number0115988BH
Policy instance 2
Insurance contract or identification number0115988BH
Number of Individuals Covered36
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $145,163
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0115988HNO
Policy instance 3
Insurance contract or identification number0115988HNO
Number of Individuals Covered74
Total amount of commissions paid to insurance brokerUSD $13,397
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $266,047
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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