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ENVIRONMENTAL SPECIALTIES INTERNATIONAL HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameENVIRONMENTAL SPECIALTIES INTERNATIONAL HEALTH AND WELFARE PLAN
Plan identification number 501

ENVIRONMENTAL SPECIALTIES INTERNATIONAL HEALTH AND WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

ENVIRONMENTAL SPECIALTIES INTERNATIONAL INC has sponsored the creation of one or more 401k plans.

Company Name:ENVIRONMENTAL SPECIALTIES INTERNATIONAL INC
Employer identification number (EIN):721341830
NAIC Classification:237990
NAIC Description:Other Heavy and Civil Engineering Construction

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ENVIRONMENTAL SPECIALTIES INTERNATIONAL HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-09-01MARK DILLON2023-06-09
5012021-09-01MARK DILLON2023-06-09
5012020-09-01MARK DILLON2022-04-01
5012019-09-01MARK DILLON2021-07-30
5012018-09-01MARK DILLON2021-07-27
5012017-09-01MARK DILLON2021-07-27
5012016-09-01MARK DILLON2021-07-27

Plan Statistics for ENVIRONMENTAL SPECIALTIES INTERNATIONAL HEALTH AND WELFARE PLAN

401k plan membership statisitcs for ENVIRONMENTAL SPECIALTIES INTERNATIONAL HEALTH AND WELFARE PLAN

Measure Date Value
2022: ENVIRONMENTAL SPECIALTIES INTERNATIONAL HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-09-01253
Total number of active participants reported on line 7a of the Form 55002022-09-01253
Number of retired or separated participants receiving benefits2022-09-010
Number of other retired or separated participants entitled to future benefits2022-09-010
Total of all active and inactive participants2022-09-01253
Number of employers contributing to the scheme2022-09-010
2021: ENVIRONMENTAL SPECIALTIES INTERNATIONAL HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-09-01253
Total number of active participants reported on line 7a of the Form 55002021-09-01243
Number of retired or separated participants receiving benefits2021-09-010
Number of other retired or separated participants entitled to future benefits2021-09-010
Total of all active and inactive participants2021-09-01243
Number of employers contributing to the scheme2021-09-010
2020: ENVIRONMENTAL SPECIALTIES INTERNATIONAL HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-09-01195
Total number of active participants reported on line 7a of the Form 55002020-09-01253
Number of retired or separated participants receiving benefits2020-09-010
Number of other retired or separated participants entitled to future benefits2020-09-010
Total of all active and inactive participants2020-09-01253
Number of employers contributing to the scheme2020-09-010
2019: ENVIRONMENTAL SPECIALTIES INTERNATIONAL HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-09-01161
Total number of active participants reported on line 7a of the Form 55002019-09-01195
Number of retired or separated participants receiving benefits2019-09-010
Number of other retired or separated participants entitled to future benefits2019-09-010
Total of all active and inactive participants2019-09-01195
Number of employers contributing to the scheme2019-09-010
2018: ENVIRONMENTAL SPECIALTIES INTERNATIONAL HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-09-01171
Total number of active participants reported on line 7a of the Form 55002018-09-01161
Number of retired or separated participants receiving benefits2018-09-010
Number of other retired or separated participants entitled to future benefits2018-09-010
Total of all active and inactive participants2018-09-01161
Number of employers contributing to the scheme2018-09-010
2017: ENVIRONMENTAL SPECIALTIES INTERNATIONAL HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-09-01123
Total number of active participants reported on line 7a of the Form 55002017-09-01171
Number of retired or separated participants receiving benefits2017-09-010
Number of other retired or separated participants entitled to future benefits2017-09-010
Total of all active and inactive participants2017-09-01171
Number of employers contributing to the scheme2017-09-010
2016: ENVIRONMENTAL SPECIALTIES INTERNATIONAL HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-09-01100
Total number of active participants reported on line 7a of the Form 55002016-09-01123
Number of retired or separated participants receiving benefits2016-09-010
Number of other retired or separated participants entitled to future benefits2016-09-010
Total of all active and inactive participants2016-09-01123
Number of employers contributing to the scheme2016-09-010

Form 5500 Responses for ENVIRONMENTAL SPECIALTIES INTERNATIONAL HEALTH AND WELFARE PLAN

2022: ENVIRONMENTAL SPECIALTIES INTERNATIONAL HEALTH AND WELFARE PLAN 2022 form 5500 responses
2022-09-01Type of plan entitySingle employer plan
2022-09-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-09-01Plan funding arrangement – InsuranceYes
2022-09-01Plan benefit arrangement – InsuranceYes
2021: ENVIRONMENTAL SPECIALTIES INTERNATIONAL HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-09-01Type of plan entitySingle employer plan
2021-09-01Plan funding arrangement – InsuranceYes
2021-09-01Plan benefit arrangement – InsuranceYes
2020: ENVIRONMENTAL SPECIALTIES INTERNATIONAL HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-09-01Type of plan entitySingle employer plan
2020-09-01Plan funding arrangement – InsuranceYes
2020-09-01Plan benefit arrangement – InsuranceYes
2019: ENVIRONMENTAL SPECIALTIES INTERNATIONAL HEALTH AND WELFARE PLAN 2019 form 5500 responses
2019-09-01Type of plan entitySingle employer plan
2019-09-01Plan funding arrangement – InsuranceYes
2019-09-01Plan benefit arrangement – InsuranceYes
2018: ENVIRONMENTAL SPECIALTIES INTERNATIONAL HEALTH AND WELFARE PLAN 2018 form 5500 responses
2018-09-01Type of plan entitySingle employer plan
2018-09-01Plan funding arrangement – InsuranceYes
2018-09-01Plan benefit arrangement – InsuranceYes
2017: ENVIRONMENTAL SPECIALTIES INTERNATIONAL HEALTH AND WELFARE PLAN 2017 form 5500 responses
2017-09-01Type of plan entitySingle employer plan
2017-09-01Plan funding arrangement – InsuranceYes
2017-09-01Plan benefit arrangement – InsuranceYes
2016: ENVIRONMENTAL SPECIALTIES INTERNATIONAL HEALTH AND WELFARE PLAN 2016 form 5500 responses
2016-09-01Type of plan entitySingle employer plan
2016-09-01First time form 5500 has been submittedYes
2016-09-01Plan funding arrangement – InsuranceYes
2016-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5946552
Policy instance 2
Insurance contract or identification number5946552
Number of Individuals Covered211
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $7,566
Total amount of fees paid to insurance companyUSD $1,881
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $119,361
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,566
Amount paid for insurance broker fees59
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number176178
Policy instance 1
Insurance contract or identification number176178
Number of Individuals Covered253
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $60,852
Total amount of fees paid to insurance companyUSD $5,000
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,266,649
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $60,852
Amount paid for insurance broker fees5000
Additional information about fees paid to insurance broker2022 Q1 GROW WITH US NEW BUSINESS INCENTIVE RISK
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5946552
Policy instance 2
Insurance contract or identification number5946552
Number of Individuals Covered212
Insurance policy start date2021-09-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $2,930
Total amount of fees paid to insurance companyUSD $564
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $40,616
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,930
Amount paid for insurance broker fees45
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number219816
Policy instance 1
Insurance contract or identification number219816
Number of Individuals Covered243
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $49,024
Total amount of fees paid to insurance companyUSD $1,995
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $976,983
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $49,024
Amount paid for insurance broker fees1995
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number219816
Policy instance 2
Insurance contract or identification number219816
Number of Individuals Covered253
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $15,486
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $311,491
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $15,486
Amount paid for insurance broker fees0
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5946552
Policy instance 1
Insurance contract or identification number5946552
Number of Individuals Covered209
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $3,242
Total amount of fees paid to insurance companyUSD $1,334
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $90,716
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,393
Amount paid for insurance broker fees21
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5946552
Policy instance 2
Insurance contract or identification number5946552
Number of Individuals Covered195
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $3,226
Total amount of fees paid to insurance companyUSD $1,274
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $85,412
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number77502FF2
Policy instance 1
Insurance contract or identification number77502FF2
Number of Individuals Covered210
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
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
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5946552
Policy instance 2
Insurance contract or identification number5946552
Number of Individuals Covered161
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $2,909
Total amount of fees paid to insurance companyUSD $1,014
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $77,683
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,909
Amount paid for insurance broker fees75
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number77502FF2
Policy instance 1
Insurance contract or identification number77502FF2
Number of Individuals Covered180
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
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
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5946552
Policy instance 2
Insurance contract or identification number5946552
Number of Individuals Covered171
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $3,052
Total amount of fees paid to insurance companyUSD $1,637
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $84,179
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,052
Amount paid for insurance broker fees64
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number77502FF2
Policy instance 1
Insurance contract or identification number77502FF2
Number of Individuals Covered200
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
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
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number77502FF2
Policy instance 1
Insurance contract or identification number77502FF2
Number of Individuals Covered230
Insurance policy start date2016-09-01
Insurance policy end date2017-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,286,698
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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