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B & H CONSTRUCTION VISION AND DISABILITY PLAN 401k Plan overview

Plan NameB & H CONSTRUCTION VISION AND DISABILITY PLAN
Plan identification number 504

B & H CONSTRUCTION VISION AND DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Vision
  • Temporary disability (accident and sickness)
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

B & H CONSTRUCTION, LLC has sponsored the creation of one or more 401k plans.

Company Name:B & H CONSTRUCTION, LLC
Employer identification number (EIN):731374355
NAIC Classification:212110
NAIC Description: Coal Mining

Additional information about B & H CONSTRUCTION, LLC

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 2005-03-25
Company Identification Number: L05000029923
Legal Registered Office Address: 1201 HAYS STREET

TALLAHASSEE

32301

More information about B & H CONSTRUCTION, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan B & H CONSTRUCTION VISION AND DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042022-05-01KELLI BELLER2023-08-01
5042021-05-01KELLI BELLER2022-11-29
5042020-05-01KELLI BELLER2022-01-05
5042019-05-01KELLI BELLER2021-01-29
5042018-05-01DAWN BELLER2020-01-28

Plan Statistics for B & H CONSTRUCTION VISION AND DISABILITY PLAN

401k plan membership statisitcs for B & H CONSTRUCTION VISION AND DISABILITY PLAN

Measure Date Value
2022: B & H CONSTRUCTION VISION AND DISABILITY PLAN 2022 401k membership
Total participants, beginning-of-year2022-05-01158
Total number of active participants reported on line 7a of the Form 55002022-05-01165
Number of retired or separated participants receiving benefits2022-05-010
Number of other retired or separated participants entitled to future benefits2022-05-010
Total of all active and inactive participants2022-05-01165
Number of employers contributing to the scheme2022-05-010
2021: B & H CONSTRUCTION VISION AND DISABILITY PLAN 2021 401k membership
Total participants, beginning-of-year2021-05-01113
Total number of active participants reported on line 7a of the Form 55002021-05-01158
Number of retired or separated participants receiving benefits2021-05-010
Number of other retired or separated participants entitled to future benefits2021-05-010
Total of all active and inactive participants2021-05-01158
Number of employers contributing to the scheme2021-05-010
2020: B & H CONSTRUCTION VISION AND DISABILITY PLAN 2020 401k membership
Total participants, beginning-of-year2020-05-01109
Total number of active participants reported on line 7a of the Form 55002020-05-01113
Number of retired or separated participants receiving benefits2020-05-010
Number of other retired or separated participants entitled to future benefits2020-05-010
Total of all active and inactive participants2020-05-01113
Number of employers contributing to the scheme2020-05-010
2019: B & H CONSTRUCTION VISION AND DISABILITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-05-0169
Total number of active participants reported on line 7a of the Form 55002019-05-01109
Number of retired or separated participants receiving benefits2019-05-010
Number of other retired or separated participants entitled to future benefits2019-05-010
Total of all active and inactive participants2019-05-01109
Number of employers contributing to the scheme2019-05-010
2018: B & H CONSTRUCTION VISION AND DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-05-01100
Total number of active participants reported on line 7a of the Form 55002018-05-0169
Number of retired or separated participants receiving benefits2018-05-010
Number of other retired or separated participants entitled to future benefits2018-05-010
Total of all active and inactive participants2018-05-0169
Number of employers contributing to the scheme2018-05-010

Form 5500 Responses for B & H CONSTRUCTION VISION AND DISABILITY PLAN

2022: B & H CONSTRUCTION VISION AND DISABILITY PLAN 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan benefit arrangement – InsuranceYes
2021: B & H CONSTRUCTION VISION AND DISABILITY PLAN 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan benefit arrangement – InsuranceYes
2020: B & H CONSTRUCTION VISION AND DISABILITY PLAN 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan benefit arrangement – InsuranceYes
2019: B & H CONSTRUCTION VISION AND DISABILITY PLAN 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan benefit arrangement – InsuranceYes
2018: B & H CONSTRUCTION VISION AND DISABILITY PLAN 2018 form 5500 responses
2018-05-01Type of plan entitySingle employer plan
2018-05-01First time form 5500 has been submittedYes
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30104474
Policy instance 1
Insurance contract or identification number30104474
Number of Individuals Covered302
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $1,643
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $36,700
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,643
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number441537
Policy instance 2
Insurance contract or identification number441537
Number of Individuals Covered388
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $10,552
Total amount of fees paid to insurance companyUSD $879
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $85,256
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,552
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30104474
Policy instance 1
Insurance contract or identification number30104474
Number of Individuals Covered263
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $1,319
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $29,726
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $715
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number441537
Policy instance 2
Insurance contract or identification number441537
Number of Individuals Covered371
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $9,856
Total amount of fees paid to insurance companyUSD $1,609
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $64,371
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,856
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number908039
Policy instance 1
Insurance contract or identification number908039
Number of Individuals Covered265
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $10,480
Total amount of fees paid to insurance companyUSD $1,470
Vision Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $79,789
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,480
Amount paid for insurance broker fees1470
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number908039
Policy instance 1
Insurance contract or identification number908039
Number of Individuals Covered257
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $8,925
Total amount of fees paid to insurance companyUSD $2,412
Vision Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $72,672
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,925
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBONUS
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number908039
Policy instance 1
Insurance contract or identification number908039
Number of Individuals Covered163
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $6,644
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $48,459
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,644
Amount paid for insurance broker fees0
Insurance broker organization code?3

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