Logo

PERFORMANCE CONTRACTORS, INC HEALTH BENEFIT TRUST 401k Plan overview

Plan NamePERFORMANCE CONTRACTORS, INC HEALTH BENEFIT TRUST
Plan identification number 503

PERFORMANCE CONTRACTORS, INC HEALTH BENEFIT TRUST 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

401k Sponsoring company profile

PERFORMANCE CONTRACTORS, INC. has sponsored the creation of one or more 401k plans.

Company Name:PERFORMANCE CONTRACTORS, INC.
Employer identification number (EIN):720875986
NAIC Classification:237990
NAIC Description:Other Heavy and Civil Engineering Construction

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PERFORMANCE CONTRACTORS, INC HEALTH BENEFIT TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032024-01-01ART E. FAVRE
5032023-01-01
5032023-01-01ART E. FAVRE
5032022-01-01
5032022-01-01ART E. FAVRE
5032021-01-01
5032021-01-01ART E. FAVRE
5032020-01-01

Financial Data on PERFORMANCE CONTRACTORS, INC HEALTH BENEFIT TRUST

Measure Date Value
2023 : PERFORMANCE CONTRACTORS, INC HEALTH BENEFIT TRUST 2023 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$2,488,618
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$2,139,673
Total income from all sources (including contributions)2023-12-31$26,902,505
Total of all expenses incurred2023-12-31$26,157,676
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$24,893,611
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$26,902,505
Value of total assets at end of year2023-12-31$4,544,761
Value of total assets at beginning of year2023-12-31$3,450,987
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$1,264,065
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$3,000,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$15,064,377
Participant contributions at end of year2023-12-31$335,705
Participant contributions at beginning of year2023-12-31$278,805
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-12-31$1,068,420
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-12-31$940,364
Administrative expenses (other) incurred2023-12-31$8,073
Liabilities. Value of operating payables at end of year2023-12-31$217,997
Liabilities. Value of operating payables at beginning of year2023-12-31$158,256
Total non interest bearing cash at end of year2023-12-31$850,909
Total non interest bearing cash at beginning of year2023-12-31$646,147
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$744,829
Value of net assets at end of year (total assets less liabilities)2023-12-31$2,056,143
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$1,311,314
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2023-12-31$3,507,173
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$11,838,128
Employer contributions (assets) at end of year2023-12-31$2,289,727
Employer contributions (assets) at beginning of year2023-12-31$1,585,671
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$21,386,438
Contract administrator fees2023-12-31$1,255,992
Liabilities. Value of benefit claims payable at end of year2023-12-31$2,270,621
Liabilities. Value of benefit claims payable at beginning of year2023-12-31$1,981,417
Did the plan have assets held for investment2023-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31MADDOX & ASSOCIATES APC
Accountancy firm EIN2023-12-31721314069
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$2,488,618
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$2,139,673
Total income from all sources (including contributions)2023-01-01$26,902,505
Total of all expenses incurred2023-01-01$26,157,676
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-01$24,893,611
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-01$26,902,505
Value of total assets at end of year2023-01-01$4,544,761
Value of total assets at beginning of year2023-01-01$3,450,987
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-01$1,264,065
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-01No
Was this plan covered by a fidelity bond2023-01-01Yes
Value of fidelity bond cover2023-01-01$3,000,000
If this is an individual account plan, was there a blackout period2023-01-01No
Were there any nonexempt tranactions with any party-in-interest2023-01-01No
Contributions received from participants2023-01-01$15,064,377
Participant contributions at end of year2023-01-01$335,705
Participant contributions at beginning of year2023-01-01$278,805
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-01-01$1,068,420
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-01-01$940,364
Administrative expenses (other) incurred2023-01-01$8,073
Liabilities. Value of operating payables at end of year2023-01-01$217,997
Liabilities. Value of operating payables at beginning of year2023-01-01$158,256
Total non interest bearing cash at end of year2023-01-01$850,909
Total non interest bearing cash at beginning of year2023-01-01$646,147
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Value of net income/loss2023-01-01$744,829
Value of net assets at end of year (total assets less liabilities)2023-01-01$2,056,143
Value of net assets at beginning of year (total assets less liabilities)2023-01-01$1,311,314
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-01No
Were any leases to which the plan was party in default or uncollectible2023-01-01No
Expenses. Payments to insurance carriers foe the provision of benefits2023-01-01$3,507,173
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-01No
Was there a failure to transmit to the plan any participant contributions2023-01-01No
Has the plan failed to provide any benefit when due under the plan2023-01-01No
Contributions received in cash from employer2023-01-01$11,838,128
Employer contributions (assets) at end of year2023-01-01$2,289,727
Employer contributions (assets) at beginning of year2023-01-01$1,585,671
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-01-01$21,386,438
Contract administrator fees2023-01-01$1,255,992
Liabilities. Value of benefit claims payable at end of year2023-01-01$2,270,621
Liabilities. Value of benefit claims payable at beginning of year2023-01-01$1,981,417
Did the plan have assets held for investment2023-01-01No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-01-01No
Opinion of an independent qualified public accountant for this plan2023-01-011
Accountancy firm name2023-01-01MADDOX & ASSOCIATES APC
Accountancy firm EIN2023-01-01721314069
2022 : PERFORMANCE CONTRACTORS, INC HEALTH BENEFIT TRUST 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$2,139,673
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$1,515,952
Total income from all sources (including contributions)2022-12-31$25,570,051
Total of all expenses incurred2022-12-31$25,187,195
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$23,955,960
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$25,570,051
Value of total assets at end of year2022-12-31$3,450,987
Value of total assets at beginning of year2022-12-31$2,444,410
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$1,231,235
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$3,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$14,952,547
Participant contributions at end of year2022-12-31$278,805
Participant contributions at beginning of year2022-12-31$276,649
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$940,364
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$859,247
Administrative expenses (other) incurred2022-12-31$7,249
Liabilities. Value of operating payables at end of year2022-12-31$158,256
Liabilities. Value of operating payables at beginning of year2022-12-31$149,773
Total non interest bearing cash at end of year2022-12-31$646,147
Total non interest bearing cash at beginning of year2022-12-31$101,211
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$382,856
Value of net assets at end of year (total assets less liabilities)2022-12-31$1,311,314
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$928,458
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$3,137,175
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$10,617,504
Employer contributions (assets) at end of year2022-12-31$1,585,671
Employer contributions (assets) at beginning of year2022-12-31$1,207,303
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$20,818,785
Contract administrator fees2022-12-31$1,223,986
Liabilities. Value of benefit claims payable at end of year2022-12-31$1,981,417
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$1,366,179
Did the plan have assets held for investment2022-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31MADDOX & ASSOCIATES APC
Accountancy firm EIN2022-12-31721314069
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$2,139,673
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$1,515,952
Total income from all sources (including contributions)2022-01-01$25,570,051
Total of all expenses incurred2022-01-01$25,187,195
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$23,955,960
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$25,570,051
Value of total assets at end of year2022-01-01$3,450,987
Value of total assets at beginning of year2022-01-01$2,444,410
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$1,231,235
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-01No
Was this plan covered by a fidelity bond2022-01-01Yes
Value of fidelity bond cover2022-01-01$3,000,000
If this is an individual account plan, was there a blackout period2022-01-01No
Were there any nonexempt tranactions with any party-in-interest2022-01-01No
Contributions received from participants2022-01-01$14,952,547
Participant contributions at end of year2022-01-01$278,805
Participant contributions at beginning of year2022-01-01$276,649
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-01-01$940,364
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-01-01$859,247
Administrative expenses (other) incurred2022-01-01$7,249
Liabilities. Value of operating payables at end of year2022-01-01$158,256
Liabilities. Value of operating payables at beginning of year2022-01-01$149,773
Total non interest bearing cash at end of year2022-01-01$646,147
Total non interest bearing cash at beginning of year2022-01-01$101,211
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Value of net income/loss2022-01-01$382,856
Value of net assets at end of year (total assets less liabilities)2022-01-01$1,311,314
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$928,458
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-01No
Were any leases to which the plan was party in default or uncollectible2022-01-01No
Expenses. Payments to insurance carriers foe the provision of benefits2022-01-01$3,137,175
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-01No
Was there a failure to transmit to the plan any participant contributions2022-01-01No
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Contributions received in cash from employer2022-01-01$10,617,504
Employer contributions (assets) at end of year2022-01-01$1,585,671
Employer contributions (assets) at beginning of year2022-01-01$1,207,303
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-01$20,818,785
Contract administrator fees2022-01-01$1,223,986
Liabilities. Value of benefit claims payable at end of year2022-01-01$1,981,417
Liabilities. Value of benefit claims payable at beginning of year2022-01-01$1,366,179
Did the plan have assets held for investment2022-01-01No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-01No
Opinion of an independent qualified public accountant for this plan2022-01-011
Accountancy firm name2022-01-01MADDOX & ASSOCIATES APC
Accountancy firm EIN2022-01-01721314069
2021 : PERFORMANCE CONTRACTORS, INC HEALTH BENEFIT TRUST 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,515,952
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,290,818
Total income from all sources (including contributions)2021-12-31$23,913,397
Total of all expenses incurred2021-12-31$23,679,520
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$22,681,884
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$23,913,397
Value of total assets at end of year2021-12-31$2,444,410
Value of total assets at beginning of year2021-12-31$1,985,399
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$997,636
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$3,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$11,961,122
Participant contributions at end of year2021-12-31$276,649
Participant contributions at beginning of year2021-12-31$393,205
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$859,247
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$572,969
Administrative expenses (other) incurred2021-12-31$9,869
Liabilities. Value of operating payables at end of year2021-12-31$149,773
Liabilities. Value of operating payables at beginning of year2021-12-31$997
Total non interest bearing cash at end of year2021-12-31$101,211
Total non interest bearing cash at beginning of year2021-12-31$427,394
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$233,877
Value of net assets at end of year (total assets less liabilities)2021-12-31$928,458
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$694,581
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$2,491,232
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$11,952,275
Employer contributions (assets) at end of year2021-12-31$1,207,303
Employer contributions (assets) at beginning of year2021-12-31$591,831
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$20,190,652
Contract administrator fees2021-12-31$987,767
Liabilities. Value of benefit claims payable at end of year2021-12-31$1,366,179
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$1,289,821
Did the plan have assets held for investment2021-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31MADDOX & ASSOCIATES APC
Accountancy firm EIN2021-12-31721314069
2020 : PERFORMANCE CONTRACTORS, INC HEALTH BENEFIT TRUST 2020 401k financial data
Total transfer of assets to this plan2020-12-31$2,137,771
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1,290,818
Total income from all sources (including contributions)2020-12-31$27,720,172
Total of all expenses incurred2020-12-31$29,163,362
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$27,940,150
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$27,720,172
Value of total assets at end of year2020-12-31$1,985,399
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$1,223,212
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$3,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$15,102,033
Participant contributions at end of year2020-12-31$393,205
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$572,969
Administrative expenses (other) incurred2020-12-31$10,908
Liabilities. Value of operating payables at end of year2020-12-31$997
Total non interest bearing cash at end of year2020-12-31$427,394
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-1,443,190
Value of net assets at end of year (total assets less liabilities)2020-12-31$694,581
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$3,237,312
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$12,618,139
Employer contributions (assets) at end of year2020-12-31$591,831
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$24,702,838
Contract administrator fees2020-12-31$1,212,304
Liabilities. Value of benefit claims payable at end of year2020-12-31$1,289,821
Did the plan have assets held for investment2020-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31MADDOX & ASSOCIATES APC
Accountancy firm EIN2020-12-31721314069

Form 5500 Responses for PERFORMANCE CONTRACTORS, INC HEALTH BENEFIT TRUST

2023: PERFORMANCE CONTRACTORS, INC HEALTH BENEFIT TRUST 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan funding arrangement – General assets of the sponsorYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2023-01-01Plan benefit arrangement – General assets of the sponsorYes
2022: PERFORMANCE CONTRACTORS, INC HEALTH BENEFIT TRUST 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
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: PERFORMANCE CONTRACTORS, INC HEALTH BENEFIT TRUST 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: PERFORMANCE CONTRACTORS, INC HEALTH BENEFIT TRUST 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01First time form 5500 has been submittedYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 )
Policy contract number71-60868 99
Policy instance 6
Insurance contract or identification number71-60868 99
Number of Individuals Covered2094
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $139,816
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $822,886
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number15472
Policy instance 5
Insurance contract or identification number15472
Number of Individuals Covered4595
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $112,140
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,227,406
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number93378
Policy instance 4
Insurance contract or identification number93378
Number of Individuals Covered41
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $1,251
Life Insurance Welfare BenefitYes
Other welfare benefits providedCANCER
Welfare Benefit Premiums Paid to CarrierUSD $8,197
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000944J
Policy instance 3
Insurance contract or identification numberG000944J
Number of Individuals Covered559
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $55,994
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $279,969
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0944J
Policy instance 2
Insurance contract or identification numberGLUG0944J
Number of Individuals Covered1979
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $34,192
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $170,954
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-351027
Policy instance 1
Insurance contract or identification number010-351027
Number of Individuals Covered3718
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $19,046
Total amount of fees paid to insurance companyUSD $829
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $190,463
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-351027
Policy instance 1
Insurance contract or identification number010-351027
Number of Individuals Covered3264
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $18,907
Total amount of fees paid to insurance companyUSD $5,187
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $189,071
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0944J
Policy instance 2
Insurance contract or identification numberGLUG0944J
Number of Individuals Covered2716
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $32,669
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $163,345
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000944J
Policy instance 3
Insurance contract or identification numberG000944J
Number of Individuals Covered383
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $50,231
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $251,153
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number93378
Policy instance 4
Insurance contract or identification number93378
Number of Individuals Covered42
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $1,465
Life Insurance Welfare BenefitYes
Other welfare benefits providedCANCER
Welfare Benefit Premiums Paid to CarrierUSD $9,754
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number15472
Policy instance 5
Insurance contract or identification number15472
Number of Individuals Covered4152
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $122,888
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,229,233
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 )
Policy contract number71-60868 99
Policy instance 6
Insurance contract or identification number71-60868 99
Number of Individuals Covered4087
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $136,460
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $650,391
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MAXORPLUS (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberPERF CONTRACT
Policy instance 7
Insurance contract or identification numberPERF CONTRACT
Number of Individuals Covered4269
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MAXORPLUS (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberPERF CONTRACT
Policy instance 8
BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 )
Policy contract number71-60868 99
Policy instance 7
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-351027
Policy instance 1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0944J
Policy instance 2
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000944J
Policy instance 3
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number93378
Policy instance 4
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0200366
Policy instance 5
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number15472
Policy instance 6
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0944J
Policy instance 2
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000944J
Policy instance 3
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number93378
Policy instance 4
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0200366
Policy instance 5
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number15472
Policy instance 6
BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 )
Policy contract number71-60868 99
Policy instance 7
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number78F59ERC
Policy instance 1

Potentially related plans

Was this data useful?
If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us.

Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer
The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Copyright © Market Footprint Ltd
Contact us   Datalog Company Directory
401k Lookup     VAT Lookup S1