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PDS VEBA TRUST GROUP INSURANCE ARRANGEMENT FOR AFFILIATE EMPLOYERS 401k Plan overview

Plan NamePDS VEBA TRUST GROUP INSURANCE ARRANGEMENT FOR AFFILIATE EMPLOYERS
Plan identification number 503

PDS VEBA TRUST GROUP INSURANCE ARRANGEMENT FOR AFFILIATE EMPLOYERS Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

PDS VEBA TRUST has sponsored the creation of one or more 401k plans.

Company Name:PDS VEBA TRUST
Employer identification number (EIN):476637312
NAIC Classification:551112
NAIC Description:Offices of Other Holding Companies

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PDS VEBA TRUST GROUP INSURANCE ARRANGEMENT FOR AFFILIATE EMPLOYERS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032024-01-01TAYLOR HAWES
5032023-01-01TAYLOR HAWES2024-11-13

Financial Data on PDS VEBA TRUST GROUP INSURANCE ARRANGEMENT FOR AFFILIATE EMPLOYERS

Measure Date Value
2023 : PDS VEBA TRUST GROUP INSURANCE ARRANGEMENT FOR AFFILIATE EMPLOYERS 2023 401k financial data
Total income from all sources (including contributions)2023-12-31$20,829,176
Total of all expenses incurred2023-12-31$20,827,284
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$20,827,284
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$20,827,379
Value of total assets at end of year2023-12-31$2,251
Value of total assets at beginning of year2023-12-31$359
Total interest from all sources2023-12-31$1,797
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$6,000,000
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$5,714,652
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$1,892
Value of net assets at end of year (total assets less liabilities)2023-12-31$2,251
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$359
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-12-31$2,251
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-12-31$359
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-12-31$359
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-12-31$1,797
Expenses. Payments to insurance carriers foe the provision of benefits2023-12-31$20,827,284
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$15,112,727
Did the plan have assets held for investment2023-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31WINDES, INC.
Accountancy firm EIN2023-12-31953001179
Total income from all sources (including contributions)2023-01-01$20,829,176
Total of all expenses incurred2023-01-01$20,827,284
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-01$20,827,284
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-01$20,827,379
Value of total assets at end of year2023-01-01$2,251
Value of total assets at beginning of year2023-01-01$359
Total interest from all sources2023-01-01$1,797
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-01No
Was this plan covered by a fidelity bond2023-01-01Yes
Value of fidelity bond cover2023-01-01$6,000,000
Were there any nonexempt tranactions with any party-in-interest2023-01-01No
Contributions received from participants2023-01-01$5,714,652
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Value of net income/loss2023-01-01$1,892
Value of net assets at end of year (total assets less liabilities)2023-01-01$2,251
Value of net assets at beginning of year (total assets less liabilities)2023-01-01$359
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-01No
Were any leases to which the plan was party in default or uncollectible2023-01-01No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-01-01$2,251
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-01-01$1,797
Expenses. Payments to insurance carriers foe the provision of benefits2023-01-01$20,827,284
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-01No
Was there a failure to transmit to the plan any participant contributions2023-01-01No
Has the plan failed to provide any benefit when due under the plan2023-01-01No
Contributions received in cash from employer2023-01-01$15,112,727
Did the plan have assets held for investment2023-01-01No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-01-01No
Opinion of an independent qualified public accountant for this plan2023-01-011
Accountancy firm name2023-01-01WINDES, INC.
Accountancy firm EIN2023-01-01953001179

Form 5500 Responses for PDS VEBA TRUST GROUP INSURANCE ARRANGEMENT FOR AFFILIATE EMPLOYERS

2023: PDS VEBA TRUST GROUP INSURANCE ARRANGEMENT FOR AFFILIATE EMPLOYERS 2023 form 5500 responses
2023-01-01Type of plan entityMulitple employer plan
2023-01-01Submission has been amendedYes
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 )
Policy contract number174300
Policy instance 1
Insurance contract or identification number174300
Number of Individuals Covered3823
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
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 $20,827,284
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

Potentially related plans

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