401k Plan data: LAFAYETTE STEEL ERECTOR, INC. HEALTH WRAP PLAN plan

LAFAYETTE STEEL ERECTOR, INC. HEALTH WRAP PLAN 401k Plan overview

Plan Name	LAFAYETTE STEEL ERECTOR, INC. HEALTH WRAP PLAN
Plan identification number	501

LAFAYETTE STEEL ERECTOR, INC. HEALTH WRAP PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Temporary disability (accident and sickness) Other welfare benefit cover

401k Sponsoring company profile

LAFAYETTE STEEL ERECTOR, INC. DBA LSE CRANE AND TRANSPORTATION has sponsored the creation of one or more 401k plans.

Company Name: LAFAYETTE STEEL ERECTOR, INC. DBA LSE CRANE AND TRANSPORTATION

Employer identification number (EIN): 720498731

NAIC Classification: 237990
NAIC Description: Other Heavy and Civil Engineering Construction

Additional information about LAFAYETTE STEEL ERECTOR, INC. DBA LSE CRANE AND TRANSPORTATION

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 1981-01-26

Company Identification Number: 0004996206

Legal Registered Office Address: PO BOX 266

SCOTT
United States of America (USA)
70583

More information about LAFAYETTE STEEL ERECTOR, INC. DBA LSE CRANE AND TRANSPORTATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LAFAYETTE STEEL ERECTOR, INC. HEALTH WRAP PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2020-10-01 J.B. PRUDHOMME 2022-03-09
501 2019-10-01 J.B. PRUDHOMME II 2021-03-23 J.B. PRUDHOMME II 2021-03-23

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2020-10-01	J.B. PRUDHOMME	2022-03-09
501	2019-10-01	J.B. PRUDHOMME II	2021-03-23	J.B. PRUDHOMME II	2021-03-23

Plan Statistics for LAFAYETTE STEEL ERECTOR, INC. HEALTH WRAP PLAN

401k plan membership statisitcs for LAFAYETTE STEEL ERECTOR, INC. HEALTH WRAP PLAN

Measure Date Value
2020: LAFAYETTE STEEL ERECTOR, INC. HEALTH WRAP PLAN 2020 401k membership
Total participants, beginning-of-year 2020-10-01 105
Total number of active participants reported on line 7a of the Form 5500 2020-10-01 132
Number of retired or separated participants receiving benefits 2020-10-01 2
Number of other retired or separated participants entitled to future benefits 2020-10-01 0
Total of all active and inactive participants 2020-10-01 134
2019: LAFAYETTE STEEL ERECTOR, INC. HEALTH WRAP PLAN 2019 401k membership
Total participants, beginning-of-year 2019-10-01 112
Total number of active participants reported on line 7a of the Form 5500 2019-10-01 105
Number of retired or separated participants receiving benefits 2019-10-01 0
Number of other retired or separated participants entitled to future benefits 2019-10-01 0
Total of all active and inactive participants 2019-10-01 105

Measure	Date	Value
2020: LAFAYETTE STEEL ERECTOR, INC. HEALTH WRAP PLAN 2020 401k membership
Total participants, beginning-of-year	2020-10-01	105
Total number of active participants reported on line 7a of the Form 5500	2020-10-01	132
Number of retired or separated participants receiving benefits	2020-10-01	2
Number of other retired or separated participants entitled to future benefits	2020-10-01	0
Total of all active and inactive participants	2020-10-01	134
2019: LAFAYETTE STEEL ERECTOR, INC. HEALTH WRAP PLAN 2019 401k membership
Total participants, beginning-of-year	2019-10-01	112
Total number of active participants reported on line 7a of the Form 5500	2019-10-01	105
Number of retired or separated participants receiving benefits	2019-10-01	0
Number of other retired or separated participants entitled to future benefits	2019-10-01	0
Total of all active and inactive participants	2019-10-01	105

Form 5500 Responses for LAFAYETTE STEEL ERECTOR, INC. HEALTH WRAP PLAN

2020: LAFAYETTE STEEL ERECTOR, INC. HEALTH WRAP PLAN 2020 form 5500 responses
2020-10-01	Type of plan entity	Single employer plan
2020-10-01	Submission has been amended	No
2020-10-01	This submission is the final filing	No
2020-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-10-01	Plan is a collectively bargained plan	No
2020-10-01	Plan funding arrangement – Insurance	Yes
2020-10-01	Plan benefit arrangement – Insurance	Yes
2019: LAFAYETTE STEEL ERECTOR, INC. HEALTH WRAP PLAN 2019 form 5500 responses
2019-10-01	Type of plan entity	Single employer plan
2019-10-01	First time form 5500 has been submitted	Yes
2019-10-01	Submission has been amended	No
2019-10-01	This submission is the final filing	No
2019-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-10-01	Plan is a collectively bargained plan	No
2019-10-01	Plan funding arrangement – Insurance	Yes
2019-10-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )

Policy contract number

78N56ERC

Policy instance

Insurance contract or identification number	78N56ERC
Number of Individuals Covered	336
Insurance policy start date	2020-10-01
Insurance policy end date	2021-09-30
Total amount of commissions paid to insurance broker	USD $35,643
Total amount of fees paid to insurance company	USD $19,050
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $28,508
Amount paid for insurance broker fees	19050
Additional information about fees paid to insurance broker	INDIRECT COMPENSATION
Insurance broker organization code?	3

BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )

Policy contract number

78N56ERC

Policy instance

Insurance contract or identification number	78N56ERC
Number of Individuals Covered	105
Insurance policy start date	2019-10-01
Insurance policy end date	2020-09-30
Total amount of commissions paid to insurance broker	USD $35,460
Total amount of fees paid to insurance company	USD $9,113
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $1,013,157
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $35,460
Amount paid for insurance broker fees	9113
Additional information about fees paid to insurance broker	OTHER
Insurance broker organization code?	3

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00520345

Policy instance

Insurance contract or identification number	00520345
Number of Individuals Covered	97
Insurance policy start date	2019-10-01
Insurance policy end date	2020-09-30
Total amount of commissions paid to insurance broker	USD $9,086
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $90,761
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,076
Insurance broker organization code?	3

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

0AJD5

Policy instance

Insurance contract or identification number	0AJD5
Number of Individuals Covered	59
Insurance policy start date	2019-10-01
Insurance policy end date	2020-09-30
Total amount of commissions paid to insurance broker	USD $23,663
Total amount of fees paid to insurance company	USD $1,560
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	CANCER, CRITICAL ILLNESS, HOSPITAL, TERM AND UNIVERSAL LIFE
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 Carrier	USD $112,057
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $14,578
Amount paid for insurance broker fees	846
Additional information about fees paid to insurance broker	OTHER
Insurance broker organization code?	3

WASHINGTON NATIONAL (National Association of Insurance Commissioners NAIC id number: 53742 )

Policy contract number

WG00017637

Policy instance

Insurance contract or identification number	WG00017637
Number of Individuals Covered	7
Insurance policy start date	2019-10-01
Insurance policy end date	2020-09-30
Total amount of commissions paid to insurance broker	USD $602
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $4,519
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $362
Insurance broker organization code?	3

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Company Name:	LAFAYETTE STEEL ERECTOR, INC. DBA LSE CRANE AND TRANSPORTATION
Employer identification number (EIN):	720498731
NAIC Classification:	237990
NAIC Description:	Other Heavy and Civil Engineering Construction

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	1981-01-26
Company Identification Number:	0004996206
Legal Registered Office Address:	PO BOX 266 SCOTT United States of America (USA) 70583