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SEPCO HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameSEPCO HEALTH AND WELFARE PLAN
Plan identification number 502

SEPCO 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
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

SEALING EQUIPMENT PRODUCTS CO., INC has sponsored the creation of one or more 401k plans.

Company Name:SEALING EQUIPMENT PRODUCTS CO., INC
Employer identification number (EIN):630899458
NAIC Classification:332900

Additional information about SEALING EQUIPMENT PRODUCTS CO., INC

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2016-04-01
Company Identification Number: 0802433767
Legal Registered Office Address: 123 AIRPARK INDUSTRIAL RD

ALABASTER
United States of America (USA)
35007

More information about SEALING EQUIPMENT PRODUCTS CO., INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SEPCO HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-10-01JEAN ZIEGERT2024-02-09
5022021-10-01JEAN ZIEGERT2023-04-28

Plan Statistics for SEPCO HEALTH AND WELFARE PLAN

401k plan membership statisitcs for SEPCO HEALTH AND WELFARE PLAN

Measure Date Value
2022: SEPCO HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-10-01104
Total number of active participants reported on line 7a of the Form 55002022-10-01101
Number of retired or separated participants receiving benefits2022-10-010
Number of other retired or separated participants entitled to future benefits2022-10-010
Total of all active and inactive participants2022-10-01101
Number of employers contributing to the scheme2022-10-010
2021: SEPCO HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-01107
Total number of active participants reported on line 7a of the Form 55002021-10-01107
Number of retired or separated participants receiving benefits2021-10-010
Number of other retired or separated participants entitled to future benefits2021-10-010
Total of all active and inactive participants2021-10-01107
Number of employers contributing to the scheme2021-10-010

Form 5500 Responses for SEPCO HEALTH AND WELFARE PLAN

2022: SEPCO HEALTH AND WELFARE PLAN 2022 form 5500 responses
2022-10-01Type of plan entitySingle employer plan
2022-10-01Plan funding arrangement – InsuranceYes
2022-10-01Plan benefit arrangement – InsuranceYes
2021: SEPCO HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01First time form 5500 has been submittedYes
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

CANOPY INSURANCE CORP (National Association of Insurance Commissioners NAIC id number: 79057 )
Policy contract numberSBS0002089
Policy instance 6
Insurance contract or identification numberSBS0002089
Number of Individuals Covered63
Insurance policy start date2022-06-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number70843
Policy instance 5
Insurance contract or identification number70843
Number of Individuals Covered101
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $8,644
Total amount of fees paid to insurance companyUSD $2,231
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $57,624
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,644
Amount paid for insurance broker fees2231
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMMISSIONS
Insurance broker organization code?3
CANOPY INSURANCE CORP (National Association of Insurance Commissioners NAIC id number: 79057 )
Policy contract numberSBS0002089
Policy instance 4
Insurance contract or identification numberSBS0002089
Number of Individuals Covered78
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract numberSBS0002089
Policy instance 3
Insurance contract or identification numberSBS0002089
Number of Individuals Covered62
Insurance policy start date2022-01-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,424
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GULF GUARANTY EMPLOYEE BENEFIT SERVICES, INC (National Association of Insurance Commissioners NAIC id number: 77976 )
Policy contract number1474
Policy instance 2
Insurance contract or identification number1474
Number of Individuals Covered116
Insurance policy start date2022-10-01
Insurance policy end date2023-09-30
Total amount of commissions paid to insurance brokerUSD $17,444
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedGAP
Welfare Benefit Premiums Paid to CarrierUSD $83,067
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,629
Amount paid for insurance broker fees0
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )
Policy contract number90996
Policy instance 1
Insurance contract or identification number90996
Number of Individuals Covered117
Insurance policy start date2022-10-01
Insurance policy end date2023-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGM609303
Policy instance 7
Insurance contract or identification numberSGM609303
Number of Individuals Covered107
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $9,734
Total amount of fees paid to insurance companyUSD $0
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 $70,552
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $9,734
Amount paid for insurance broker fees0
Insurance broker organization code?3
SOUTHLAND DENTAL CORP (National Association of Insurance Commissioners NAIC id number: 16631 )
Policy contract numberSBS0002089
Policy instance 6
Insurance contract or identification numberSBS0002089
Number of Individuals Covered79
Insurance policy start date2021-10-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CANOPY INSURANCE CORP (National Association of Insurance Commissioners NAIC id number: 79057 )
Policy contract numberSBS0002089
Policy instance 5
Insurance contract or identification numberSBS0002089
Number of Individuals Covered78
Insurance policy start date2022-01-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number3115001
Policy instance 4
Insurance contract or identification number3115001
Number of Individuals Covered62
Insurance policy start date2021-10-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,986
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CANOPY INSURANCE CORP (National Association of Insurance Commissioners NAIC id number: 79057 )
Policy contract numberSBS0002089
Policy instance 3
Insurance contract or identification numberSBS0002089
Number of Individuals Covered65
Insurance policy start date2022-06-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GULF GUARANTY EMPLOYEE BENEFIT SERVICES, INC (National Association of Insurance Commissioners NAIC id number: 77976 )
Policy contract number1474
Policy instance 2
Insurance contract or identification number1474
Number of Individuals Covered122
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $22,878
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedGAP
Welfare Benefit Premiums Paid to CarrierUSD $108,945
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,252
Amount paid for insurance broker fees0
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )
Policy contract number90996
Policy instance 1
Insurance contract or identification number90996
Number of Individuals Covered123
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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