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DOGGETT CONCRETE MEDICAL PLAN 401k Plan overview

Plan NameDOGGETT CONCRETE MEDICAL PLAN
Plan identification number 501

DOGGETT CONCRETE MEDICAL PLAN Benefits

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

401k Sponsoring company profile

DOGGETT CONCRETE, INC. has sponsored the creation of one or more 401k plans.

Company Name:DOGGETT CONCRETE, INC.
Employer identification number (EIN):561858509
NAIC Classification:238100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DOGGETT CONCRETE MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-12-01
5012020-12-01
5012014-12-30AMY ROBERGE AMY ROBERGE2016-06-29

Plan Statistics for DOGGETT CONCRETE MEDICAL PLAN

401k plan membership statisitcs for DOGGETT CONCRETE MEDICAL PLAN

Measure Date Value
2022: DOGGETT CONCRETE MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0168
Total number of active participants reported on line 7a of the Form 55002022-01-0171
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-0171
2021: DOGGETT CONCRETE MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-12-0162
Total number of active participants reported on line 7a of the Form 55002021-12-0157
Number of retired or separated participants receiving benefits2021-12-012
Number of other retired or separated participants entitled to future benefits2021-12-010
Total of all active and inactive participants2021-12-0159
2020: DOGGETT CONCRETE MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-0151
Total number of active participants reported on line 7a of the Form 55002020-12-0158
Number of retired or separated participants receiving benefits2020-12-014
Number of other retired or separated participants entitled to future benefits2020-12-010
Total of all active and inactive participants2020-12-0162
2014: DOGGETT CONCRETE MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-12-3067
Total number of active participants reported on line 7a of the Form 55002014-12-3052
Number of retired or separated participants receiving benefits2014-12-300
Number of other retired or separated participants entitled to future benefits2014-12-300
Total of all active and inactive participants2014-12-3052
Total participants2014-12-3052
Number of employers contributing to the scheme2014-12-302

Financial Data on DOGGETT CONCRETE MEDICAL PLAN

Measure Date Value
2022 : DOGGETT CONCRETE MEDICAL PLAN 2022 401k financial data
Total plan liabilities at end of year2022-12-31$488,625
Total plan liabilities at beginning of year2022-12-31$162,404
Total income from all sources2022-12-31$767,593
Expenses. Total of all expenses incurred2022-12-31$1,155,550
Benefits paid (including direct rollovers)2022-12-31$886,566
Total plan assets at end of year2022-12-31$8,267
Total plan assets at beginning of year2022-12-31$70,003
Value of fidelity bond covering the plan2022-12-31$500,000
Total contributions received or receivable from participants2022-12-31$248,512
Expenses. Other expenses not covered elsewhere2022-12-31$226,830
Contributions received from other sources (not participants or employers)2022-12-31$4,965
Other income received2022-12-31$0
Net income (gross income less expenses)2022-12-31$-387,957
Net plan assets at end of year (total assets less liabilities)2022-12-31$-480,358
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$-92,401
Total contributions received or receivable from employer(s)2022-12-31$514,116
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$42,154
2021 : DOGGETT CONCRETE MEDICAL PLAN 2021 401k financial data
Total plan liabilities at end of year2021-12-31$162,404
Total plan liabilities at beginning of year2021-12-31$293,381
Total income from all sources2021-12-31$55,694
Expenses. Total of all expenses incurred2021-12-31$118,362
Benefits paid (including direct rollovers)2021-12-31$99,370
Total plan assets at end of year2021-12-31$70,003
Total plan assets at beginning of year2021-12-31$263,648
Value of fidelity bond covering the plan2021-12-31$500,000
Total contributions received or receivable from participants2021-12-31$19,496
Expenses. Other expenses not covered elsewhere2021-12-31$16,312
Contributions received from other sources (not participants or employers)2021-12-31$605
Net income (gross income less expenses)2021-12-31$-62,668
Net plan assets at end of year (total assets less liabilities)2021-12-31$-92,401
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$-29,733
Total contributions received or receivable from employer(s)2021-12-31$35,593
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$2,680
Total plan liabilities at end of year2021-11-30$293,381
Total income from all sources2021-11-30$620,242
Expenses. Total of all expenses incurred2021-11-30$649,975
Benefits paid (including direct rollovers)2021-11-30$437,552
Total plan assets at end of year2021-11-30$263,648
Value of fidelity bond covering the plan2021-11-30$500,000
Total contributions received or receivable from participants2021-11-30$231,221
Expenses. Other expenses not covered elsewhere2021-11-30$182,087
Contributions received from other sources (not participants or employers)2021-11-30$13,160
Net income (gross income less expenses)2021-11-30$-29,733
Net plan assets at end of year (total assets less liabilities)2021-11-30$-29,733
Net plan assets at beginning of year (total assets less liabilities)2021-11-30$0
Total contributions received or receivable from employer(s)2021-11-30$375,861
Expenses. Administrative service providers (salaries,fees and commissions)2021-11-30$30,336

Form 5500 Responses for DOGGETT CONCRETE MEDICAL PLAN

2022: DOGGETT CONCRETE MEDICAL PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
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 benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: DOGGETT CONCRETE MEDICAL PLAN 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01Submission has been amendedNo
2021-12-01This submission is the final filingNo
2021-12-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-12-01Plan is a collectively bargained planNo
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan funding arrangement – TrustYes
2021-12-01Plan benefit arrangement – InsuranceYes
2021-12-01Plan benefit arrangement - TrustYes
2020: DOGGETT CONCRETE MEDICAL PLAN 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01First time form 5500 has been submittedYes
2020-12-01Submission has been amendedNo
2020-12-01This submission is the final filingNo
2020-12-01This return/report is a short plan year return/report (less than 12 months)No
2020-12-01Plan is a collectively bargained planNo
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan funding arrangement – TrustYes
2020-12-01Plan benefit arrangement – InsuranceYes
2020-12-01Plan benefit arrangement - TrustYes
2014: DOGGETT CONCRETE MEDICAL PLAN 2014 form 5500 responses
2014-12-30Type of plan entityMulti-employer plan
2014-12-30First time form 5500 has been submittedYes
2014-12-30Submission has been amendedNo
2014-12-30This submission is the final filingNo
2014-12-30This return/report is a short plan year return/report (less than 12 months)Yes
2014-12-30Plan is a collectively bargained planNo
2014-12-30Plan funding arrangement – InsuranceYes
2014-12-30Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500669
Policy instance 1
Insurance contract or identification number30500669
Number of Individuals Covered66
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 $186,425
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 number30500669
Policy instance 1
Insurance contract or identification number30500669
Number of Individuals Covered59
Insurance policy start date2021-12-01
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 $13,244
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 number30500669
Policy instance 1
Insurance contract or identification number30500669
Number of Individuals Covered62
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
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 $147,300
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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