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UTEX INDUSTRIES, INC. GROUP LIFE AND HEALTH INSURANCE PLAN 401k Plan overview

Plan NameUTEX INDUSTRIES, INC. GROUP LIFE AND HEALTH INSURANCE PLAN
Plan identification number 503

UTEX INDUSTRIES, INC. GROUP LIFE AND HEALTH INSURANCE 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

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

Company Name:UTEX INDUSTRIES, INC.
Employer identification number (EIN):462738160
NAIC Classification:326200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UTEX INDUSTRIES, INC. GROUP LIFE AND HEALTH INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032022-09-01ALVIN PIERCE2023-04-12
5032021-09-01ALVIN PIERCE2022-12-02
5032020-09-01ALVIN PIERCE2022-04-11

Plan Statistics for UTEX INDUSTRIES, INC. GROUP LIFE AND HEALTH INSURANCE PLAN

401k plan membership statisitcs for UTEX INDUSTRIES, INC. GROUP LIFE AND HEALTH INSURANCE PLAN

Measure Date Value
2022: UTEX INDUSTRIES, INC. GROUP LIFE AND HEALTH INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year2022-09-01506
Total number of active participants reported on line 7a of the Form 55002022-09-01566
Number of retired or separated participants receiving benefits2022-09-010
Number of other retired or separated participants entitled to future benefits2022-09-010
Total of all active and inactive participants2022-09-01566
Number of employers contributing to the scheme2022-09-010
2021: UTEX INDUSTRIES, INC. GROUP LIFE AND HEALTH INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-09-01521
Total number of active participants reported on line 7a of the Form 55002021-09-01506
Number of retired or separated participants receiving benefits2021-09-010
Number of other retired or separated participants entitled to future benefits2021-09-010
Total of all active and inactive participants2021-09-01506
Number of employers contributing to the scheme2021-09-010
2020: UTEX INDUSTRIES, INC. GROUP LIFE AND HEALTH INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-09-01525
Total number of active participants reported on line 7a of the Form 55002020-09-01521
Number of retired or separated participants receiving benefits2020-09-010
Number of other retired or separated participants entitled to future benefits2020-09-010
Total of all active and inactive participants2020-09-01521
Number of employers contributing to the scheme2020-09-010

Form 5500 Responses for UTEX INDUSTRIES, INC. GROUP LIFE AND HEALTH INSURANCE PLAN

2022: UTEX INDUSTRIES, INC. GROUP LIFE AND HEALTH INSURANCE PLAN 2022 form 5500 responses
2022-09-01Type of plan entitySingle employer plan
2022-09-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-09-01Plan funding arrangement – InsuranceYes
2022-09-01Plan funding arrangement – General assets of the sponsorYes
2022-09-01Plan benefit arrangement – InsuranceYes
2022-09-01Plan benefit arrangement – General assets of the sponsorYes
2021: UTEX INDUSTRIES, INC. GROUP LIFE AND HEALTH INSURANCE PLAN 2021 form 5500 responses
2021-09-01Type of plan entitySingle employer plan
2021-09-01Plan funding arrangement – InsuranceYes
2021-09-01Plan funding arrangement – General assets of the sponsorYes
2021-09-01Plan benefit arrangement – InsuranceYes
2021-09-01Plan benefit arrangement – General assets of the sponsorYes
2020: UTEX INDUSTRIES, INC. GROUP LIFE AND HEALTH INSURANCE PLAN 2020 form 5500 responses
2020-09-01Type of plan entitySingle employer plan
2020-09-01Plan funding arrangement – InsuranceYes
2020-09-01Plan funding arrangement – General assets of the sponsorYes
2020-09-01Plan benefit arrangement – InsuranceYes
2020-09-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number577453
Policy instance 1
Insurance contract or identification number577453
Number of Individuals Covered489
Insurance policy start date2022-09-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $913
Total amount of fees paid to insurance companyUSD $507
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $25,699
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $913
Amount paid for insurance broker fees507
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number170475
Policy instance 2
Insurance contract or identification number170475
Number of Individuals Covered566
Insurance policy start date2022-09-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,324
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT,ACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $16,888
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 fees1324
Additional information about fees paid to insurance brokerADMINISTRATION
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number577453
Policy instance 1
Insurance contract or identification number577453
Number of Individuals Covered486
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Total amount of commissions paid to insurance brokerUSD $2,650
Total amount of fees paid to insurance companyUSD $506
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $53,002
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,312
Amount paid for insurance broker fees506
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0BDWQ
Policy instance 2
Insurance contract or identification numberGLUG0BDWQ
Number of Individuals Covered506
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Total amount of commissions paid to insurance brokerUSD $36,015
Total amount of fees paid to insurance companyUSD $30,610
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT,ACCIDENT,CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $498,508
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,386
Amount paid for insurance broker fees21032
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number577453
Policy instance 1
Insurance contract or identification number577453
Number of Individuals Covered469
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $2,352
Total amount of fees paid to insurance companyUSD $1,652
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $47,049
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,352
Amount paid for insurance broker fees1652
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0BDWQ
Policy instance 2
Insurance contract or identification numberGLUG0BDWQ
Number of Individuals Covered521
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $27,166
Total amount of fees paid to insurance companyUSD $6,505
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $312,617
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,166
Amount paid for insurance broker fees6505
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3

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