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PALMETTO GOODWILL SERVICES HEALTH AND WELFARE PLAN 401k Plan overview

Plan NamePALMETTO GOODWILL SERVICES HEALTH AND WELFARE PLAN
Plan identification number 502

PALMETTO GOODWILL SERVICES HEALTH AND WELFARE 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

401k Sponsoring company profile

PALMETTO GOODWILL has sponsored the creation of one or more 401k plans.

Company Name:PALMETTO GOODWILL
Employer identification number (EIN):474183942
NAIC Classification:624310
NAIC Description:Vocational Rehabilitation Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PALMETTO GOODWILL SERVICES HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022020-01-01
5022018-01-01
5022018-01-01

Plan Statistics for PALMETTO GOODWILL SERVICES HEALTH AND WELFARE PLAN

401k plan membership statisitcs for PALMETTO GOODWILL SERVICES HEALTH AND WELFARE PLAN

Measure Date Value
2020: PALMETTO GOODWILL SERVICES HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01441
Total number of active participants reported on line 7a of the Form 55002020-01-01444
Number of retired or separated participants receiving benefits2020-01-015
Total of all active and inactive participants2020-01-01449
Total participants2020-01-01449
2018: PALMETTO GOODWILL SERVICES HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01444
Total number of active participants reported on line 7a of the Form 55002018-01-01444
Total of all active and inactive participants2018-01-01444
Total participants2018-01-01444

Financial Data on PALMETTO GOODWILL SERVICES HEALTH AND WELFARE PLAN

Measure Date Value
2020 : PALMETTO GOODWILL SERVICES HEALTH AND WELFARE PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$20,499
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$214,369
Total income from all sources (including contributions)2020-12-31$4,064,464
Total of all expenses incurred2020-12-31$4,533,685
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$4,434,471
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$4,057,171
Value of total assets at end of year2020-12-31$1,725,934
Value of total assets at beginning of year2020-12-31$2,389,025
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$99,214
Total interest from all sources2020-12-31$7,293
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$9,000
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$443,159
Participant contributions at end of year2020-12-31$3,651
Participant contributions at beginning of year2020-12-31$15,214
Liabilities. Value of operating payables at end of year2020-12-31$10,926
Liabilities. Value of operating payables at beginning of year2020-12-31$14,049
Total non interest bearing cash at beginning of year2020-12-31$26,103
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-469,221
Value of net assets at end of year (total assets less liabilities)2020-12-31$1,705,435
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$2,174,656
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$1,466,184
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$2,183,961
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$7,293
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$4,219,691
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$3,614,012
Employer contributions (assets) at end of year2020-12-31$256,099
Employer contributions (assets) at beginning of year2020-12-31$163,747
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$214,780
Contract administrator fees2020-12-31$90,214
Liabilities. Value of benefit claims payable at end of year2020-12-31$9,573
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$200,320
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31STEVEN C BUTLER, CPA
Accountancy firm EIN2020-12-31752515634
2018 : PALMETTO GOODWILL SERVICES HEALTH AND WELFARE PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$29,012
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$31,777
Total income from all sources (including contributions)2018-12-31$3,958,018
Total of all expenses incurred2018-12-31$4,181,336
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$4,116,543
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$3,918,604
Value of total assets at end of year2018-12-31$2,836,990
Value of total assets at beginning of year2018-12-31$3,063,073
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$64,793
Total interest from all sources2018-12-31$39,414
Administrative expenses professional fees incurred2018-12-31$44,385
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$450,425
Participant contributions at end of year2018-12-31$2,976
Participant contributions at beginning of year2018-12-31$6,888
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-12-31$19,529
Administrative expenses (other) incurred2018-12-31$3,491
Liabilities. Value of operating payables at beginning of year2018-12-31$14,274
Total non interest bearing cash at end of year2018-12-31$35,210
Total non interest bearing cash at beginning of year2018-12-31$10,493
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-223,318
Value of net assets at end of year (total assets less liabilities)2018-12-31$2,807,978
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$3,031,296
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$2,650,165
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$2,644,084
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$2,644,084
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$39,414
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$4,094,263
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$3,468,179
Employer contributions (assets) at end of year2018-12-31$148,639
Employer contributions (assets) at beginning of year2018-12-31$401,608
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$2,751
Contract administrator fees2018-12-31$16,917
Liabilities. Value of benefit claims payable at end of year2018-12-31$29,012
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$17,503
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31STEVEN C BUTLER, CPA
Accountancy firm EIN2018-12-31752515634

Form 5500 Responses for PALMETTO GOODWILL SERVICES HEALTH AND WELFARE PLAN

2020: PALMETTO GOODWILL SERVICES HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: PALMETTO GOODWILL SERVICES HEALTH AND WELFARE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

UNITED BEHAVIORAL HEALTH DBA OPTUM (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number15319
Policy instance 6
Insurance contract or identification number15319
Number of Individuals Covered1435
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Other welfare benefits providedBEHAVIORAL HEALTH
Welfare Benefit Premiums Paid to CarrierUSD $19,307
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number918675
Policy instance 5
Insurance contract or identification number918675
Number of Individuals Covered398
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $39,113
Total amount of fees paid to insurance companyUSD $6,227
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $283,119
Commission paid to Insurance BrokerUSD $39,113
Amount paid for insurance broker fees6227
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 )
Policy contract number70-85429-00
Policy instance 4
Insurance contract or identification number70-85429-00
Number of Individuals Covered444
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $72,366
Health Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $72,366
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number920478
Policy instance 3
Insurance contract or identification number920478
Number of Individuals Covered718
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $24,959
Total amount of fees paid to insurance companyUSD $3,012
Welfare Benefit Premiums Paid to CarrierUSD $218,518
Commission paid to Insurance BrokerUSD $24,959
Amount paid for insurance broker fees3012
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 )
Policy contract number67001001
Policy instance 2
Insurance contract or identification number67001001
Number of Individuals Covered296
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $10,406
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $92,718
Commission paid to Insurance BrokerUSD $10,406
Insurance broker organization code?3
PHYSICIANS EYECARE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00344
Policy instance 1
Insurance contract or identification number00344
Number of Individuals Covered535
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $5,135
Welfare Benefit Premiums Paid to CarrierUSD $51,350
Commission paid to Insurance BrokerUSD $5,135
Insurance broker organization code?3
UNITED BEHAVIORAL HEALTH DBA OPTUM (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number15319
Policy instance 7
Insurance contract or identification number15319
Number of Individuals Covered1242
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $11,572
Commission paid to Insurance BrokerUSD $11,572
Additional information about fees paid to insurance brokerHEALTH INSURANCE
Insurance broker organization code?3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4577979
Policy instance 6
Insurance contract or identification numberE4577979
Number of Individuals Covered36
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $722
Commission paid to Insurance BrokerUSD $2
Additional information about fees paid to insurance brokerDISABILITY INSURANCE
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 )
Policy contract number70-85429-00
Policy instance 5
Insurance contract or identification number70-85429-00
Number of Individuals Covered536
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $59,076
Commission paid to Insurance BrokerUSD $59,076
Additional information about fees paid to insurance brokerHEALTH INSURANCE
Insurance broker organization code?3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7722523
Policy instance 4
Insurance contract or identification numberE7722523
Number of Individuals Covered11
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $60
Commission paid to Insurance BrokerUSD $22
Additional information about fees paid to insurance brokerLIFE INSURANCE
Insurance broker organization code?3
DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 )
Policy contract number67001001
Policy instance 3
Insurance contract or identification number67001001
Number of Individuals Covered278
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $9,248
Commission paid to Insurance BrokerUSD $9,248
Additional information about fees paid to insurance brokerDENTAL COVERAGE
Insurance broker organization code?3
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5448883
Policy instance 2
Insurance contract or identification number5448883
Number of Individuals Covered649
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $21,161
Total amount of fees paid to insurance companyUSD $10,810
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $154,531
Commission paid to Insurance BrokerUSD $4,039
Additional information about fees paid to insurance brokerGROUP TERM LIFE INSURANCE
Insurance broker organization code?3
Amount paid for insurance broker fees1615

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