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BANCROFT CONSTRUCTION COMPANY GROUP MEDICAL PLAN 401k Plan overview

Plan NameBANCROFT CONSTRUCTION COMPANY GROUP MEDICAL PLAN
Plan identification number 521

BANCROFT CONSTRUCTION COMPANY GROUP MEDICAL PLAN Benefits

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

401k Sponsoring company profile

BANCROFT CONSTRUCTION COMPANY has sponsored the creation of one or more 401k plans.

Company Name:BANCROFT CONSTRUCTION COMPANY
Employer identification number (EIN):510246121
NAIC Classification:236200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BANCROFT CONSTRUCTION COMPANY GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5212022-10-01
5212022-01-01
5212021-10-01
5212020-10-01

Plan Statistics for BANCROFT CONSTRUCTION COMPANY GROUP MEDICAL PLAN

401k plan membership statisitcs for BANCROFT CONSTRUCTION COMPANY GROUP MEDICAL PLAN

Measure Date Value
2022: BANCROFT CONSTRUCTION COMPANY GROUP MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-10-01112
Total number of active participants reported on line 7a of the Form 55002022-10-01104
Number of retired or separated participants receiving benefits2022-10-011
Number of other retired or separated participants entitled to future benefits2022-10-010
Total of all active and inactive participants2022-10-01105
Total participants, beginning-of-year2022-01-01112
Total number of active participants reported on line 7a of the Form 55002022-01-01104
Number of retired or separated participants receiving benefits2022-01-011
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01105
2021: BANCROFT CONSTRUCTION COMPANY GROUP MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-01102
Total number of active participants reported on line 7a of the Form 55002021-10-01111
Number of retired or separated participants receiving benefits2021-10-011
Number of other retired or separated participants entitled to future benefits2021-10-010
Total of all active and inactive participants2021-10-01112
2020: BANCROFT CONSTRUCTION COMPANY GROUP MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-0191
Total number of active participants reported on line 7a of the Form 55002020-10-01101
Number of retired or separated participants receiving benefits2020-10-011
Number of other retired or separated participants entitled to future benefits2020-10-010
Total of all active and inactive participants2020-10-01102

Financial Data on BANCROFT CONSTRUCTION COMPANY GROUP MEDICAL PLAN

Measure Date Value
2022 : BANCROFT CONSTRUCTION COMPANY GROUP MEDICAL PLAN 2022 401k financial data
Total plan liabilities at end of year2022-12-31$176,545
Total plan liabilities at beginning of year2022-12-31$56,680
Total income from all sources2022-12-31$1,041,122
Expenses. Total of all expenses incurred2022-12-31$1,167,705
Benefits paid (including direct rollovers)2022-12-31$603,537
Total plan assets at end of year2022-12-31$37,549
Total plan assets at beginning of year2022-12-31$44,267
Value of fidelity bond covering the plan2022-12-31$500,000
Total contributions received or receivable from participants2022-12-31$265,112
Expenses. Other expenses not covered elsewhere2022-12-31$428,587
Contributions received from other sources (not participants or employers)2022-12-31$13,140
Other income received2022-12-31$338
Net income (gross income less expenses)2022-12-31$-126,583
Net plan assets at end of year (total assets less liabilities)2022-12-31$-138,996
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$-12,413
Total contributions received or receivable from employer(s)2022-12-31$762,532
Value of corrective distributions2022-12-31$105,515
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$30,066
2021 : BANCROFT CONSTRUCTION COMPANY GROUP MEDICAL PLAN 2021 401k financial data
Total plan liabilities at end of year2021-12-31$56,680
Total plan liabilities at beginning of year2021-12-31$45,765
Total income from all sources2021-12-31$221,818
Expenses. Total of all expenses incurred2021-12-31$190,991
Benefits paid (including direct rollovers)2021-12-31$94,091
Total plan assets at end of year2021-12-31$44,267
Total plan assets at beginning of year2021-12-31$2,525
Value of fidelity bond covering the plan2021-12-31$500,000
Total contributions received or receivable from participants2021-12-31$56,202
Expenses. Other expenses not covered elsewhere2021-12-31$88,781
Contributions received from other sources (not participants or employers)2021-12-31$2,427
Other income received2021-12-31$27
Net income (gross income less expenses)2021-12-31$30,827
Net plan assets at end of year (total assets less liabilities)2021-12-31$-12,413
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$-43,240
Total contributions received or receivable from employer(s)2021-12-31$163,162
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$8,119
Total plan liabilities at end of year2021-09-30$45,765
Total plan liabilities at beginning of year2021-09-30$0
Total income from all sources2021-09-30$900,318
Expenses. Total of all expenses incurred2021-09-30$943,558
Benefits paid (including direct rollovers)2021-09-30$554,557
Total plan assets at end of year2021-09-30$2,525
Total plan assets at beginning of year2021-09-30$0
Value of fidelity bond covering the plan2021-09-30$500,000
Total contributions received or receivable from participants2021-09-30$263,961
Expenses. Other expenses not covered elsewhere2021-09-30$358,262
Contributions received from other sources (not participants or employers)2021-09-30$18,595
Other income received2021-09-30$159
Net income (gross income less expenses)2021-09-30$-43,240
Net plan assets at end of year (total assets less liabilities)2021-09-30$-43,240
Net plan assets at beginning of year (total assets less liabilities)2021-09-30$0
Total contributions received or receivable from employer(s)2021-09-30$617,603
Expenses. Administrative service providers (salaries,fees and commissions)2021-09-30$30,739

Form 5500 Responses for BANCROFT CONSTRUCTION COMPANY GROUP MEDICAL PLAN

2022: BANCROFT CONSTRUCTION COMPANY GROUP MEDICAL PLAN 2022 form 5500 responses
2022-10-01Type of plan entitySingle employer plan
2022-10-01Submission has been amendedNo
2022-10-01This submission is the final filingNo
2022-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-10-01Plan is a collectively bargained planNo
2022-10-01Plan funding arrangement – InsuranceYes
2022-10-01Plan funding arrangement – TrustYes
2022-10-01Plan funding arrangement – General assets of the sponsorYes
2022-10-01Plan benefit arrangement – InsuranceYes
2022-10-01Plan benefit arrangement - TrustYes
2022-10-01Plan benefit arrangement – General assets of the sponsorYes
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedYes
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: BANCROFT CONSTRUCTION COMPANY GROUP MEDICAL PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Submission has been amendedNo
2021-10-01This submission is the final filingNo
2021-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-10-01Plan is a collectively bargained planNo
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan funding arrangement – TrustYes
2021-10-01Plan funding arrangement – General assets of the sponsorYes
2021-10-01Plan benefit arrangement – InsuranceYes
2021-10-01Plan benefit arrangement - TrustYes
2021-10-01Plan benefit arrangement – General assets of the sponsorYes
2020: BANCROFT CONSTRUCTION COMPANY GROUP MEDICAL PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01First time form 5500 has been submittedYes
2020-10-01Submission has been amendedNo
2020-10-01This submission is the final filingNo
2020-10-01This return/report is a short plan year return/report (less than 12 months)No
2020-10-01Plan is a collectively bargained planNo
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan funding arrangement – TrustYes
2020-10-01Plan funding arrangement – General assets of the sponsorYes
2020-10-01Plan benefit arrangement – InsuranceYes
2020-10-01Plan benefit arrangement - TrustYes
2020-10-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number300500605
Policy instance 1
Insurance contract or identification number300500605
Number of Individuals Covered105
Insurance policy start date2022-10-01
Insurance policy end date2022-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number300500605
Policy instance 1
Insurance contract or identification number300500605
Number of Individuals Covered105
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $1,321
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number60500605
Policy instance 2
Insurance contract or identification number60500605
Number of Individuals Covered105
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $358,964
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number300500605
Policy instance 1
Insurance contract or identification number300500605
Number of Individuals Covered112
Insurance policy start date2021-10-01
Insurance policy end date2021-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $72,455
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number300500605
Policy instance 1
Insurance contract or identification number300500605
Number of Individuals Covered102
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $296,452
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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