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| Plan Name | GRANITE SOLUTIONS GROUPE, INC. HEALTH AND WELFARE PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | GRANITE SOLUTIONS GROUPE, INC. |
| Employer identification number (EIN): | 680418934 |
| NAIC Classification: | 541600 |
Additional information about GRANITE SOLUTIONS GROUPE, INC.
| Jurisdiction of Incorporation: | California Department of State |
| Incorporation Date: | 1998-12-31 |
| Company Identification Number: | C2128862 |
| Legal Registered Office Address: |
3555 Ryan Drive Diamond Springs United States of America (USA) 95619 |
More information about GRANITE SOLUTIONS GROUPE, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2021-11-01 | DEANNA SILVERMAN | 2023-08-09 | ||
| 502 | 2021-05-01 | DEANNA SILVERMAN | 2022-08-08 |
| Measure | Date | Value |
|---|---|---|
| 2021: GRANITE SOLUTIONS GROUPE, INC. HEALTH AND WELFARE PLAN 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-11-01 | 189 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-11-01 | 194 |
| Number of retired or separated participants receiving benefits | 2021-11-01 | 8 |
| Number of other retired or separated participants entitled to future benefits | 2021-11-01 | 0 |
| Total of all active and inactive participants | 2021-11-01 | 202 |
| Total participants, beginning-of-year | 2021-05-01 | 184 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-05-01 | 182 |
| Number of retired or separated participants receiving benefits | 2021-05-01 | 6 |
| Number of other retired or separated participants entitled to future benefits | 2021-05-01 | 6 |
| Total of all active and inactive participants | 2021-05-01 | 194 |
| 2021: GRANITE SOLUTIONS GROUPE, INC. HEALTH AND WELFARE PLAN 2021 form 5500 responses | ||
|---|---|---|
| 2021-11-01 | Type of plan entity | Single employer plan |
| 2021-11-01 | Submission has been amended | No |
| 2021-11-01 | This submission is the final filing | No |
| 2021-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-11-01 | Plan is a collectively bargained plan | No |
| 2021-11-01 | Plan funding arrangement – Insurance | Yes |
| 2021-11-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-11-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2021-05-01 | Type of plan entity | Single employer plan |
| 2021-05-01 | First time form 5500 has been submitted | Yes |
| 2021-05-01 | Submission has been amended | No |
| 2021-05-01 | This submission is the final filing | No |
| 2021-05-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2021-05-01 | Plan is a collectively bargained plan | No |
| 2021-05-01 | Plan funding arrangement – Insurance | Yes |
| 2021-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 1100533 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 604510 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 1100533 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 604510 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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