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BURROWS MILLWORK, INC. BENEFIT PLAN 401k Plan overview

Plan NameBURROWS MILLWORK, INC. BENEFIT PLAN
Plan identification number 501

BURROWS MILLWORK, INC. BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

BURROWS MILLWORKS has sponsored the creation of one or more 401k plans.

Company Name:BURROWS MILLWORKS
Employer identification number (EIN):742396157
NAIC Classification:238300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BURROWS MILLWORK, INC. BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-12-01PAMELA BARTEE2021-08-18
5012018-12-01PAMELA BARTEE2020-06-29
5012017-12-01PAMELA BARTEE2019-07-22
5012016-12-01
5012015-12-01
5012014-12-01

Plan Statistics for BURROWS MILLWORK, INC. BENEFIT PLAN

401k plan membership statisitcs for BURROWS MILLWORK, INC. BENEFIT PLAN

Measure Date Value
2019: BURROWS MILLWORK, INC. BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-12-01104
Total number of active participants reported on line 7a of the Form 55002019-12-0190
Total of all active and inactive participants2019-12-0190
2018: BURROWS MILLWORK, INC. BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-12-01113
Total number of active participants reported on line 7a of the Form 55002018-12-01104
Total of all active and inactive participants2018-12-01104
2017: BURROWS MILLWORK, INC. BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-12-01108
Total number of active participants reported on line 7a of the Form 55002017-12-01113
Total of all active and inactive participants2017-12-01113
2016: BURROWS MILLWORK, INC. BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-12-01108
Total number of active participants reported on line 7a of the Form 55002016-12-01108
Total of all active and inactive participants2016-12-01108
2015: BURROWS MILLWORK, INC. BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-12-01117
Total number of active participants reported on line 7a of the Form 55002015-12-01108
Total of all active and inactive participants2015-12-01108
2014: BURROWS MILLWORK, INC. BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-12-01107
Total number of active participants reported on line 7a of the Form 55002014-12-01117
Total of all active and inactive participants2014-12-01117

Form 5500 Responses for BURROWS MILLWORK, INC. BENEFIT PLAN

2019: BURROWS MILLWORK, INC. BENEFIT PLAN 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan funding arrangement – General assets of the sponsorYes
2019-12-01Plan benefit arrangement – InsuranceYes
2019-12-01Plan benefit arrangement – General assets of the sponsorYes
2018: BURROWS MILLWORK, INC. BENEFIT PLAN 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan funding arrangement – General assets of the sponsorYes
2018-12-01Plan benefit arrangement – InsuranceYes
2018-12-01Plan benefit arrangement – General assets of the sponsorYes
2017: BURROWS MILLWORK, INC. BENEFIT PLAN 2017 form 5500 responses
2017-12-01Type of plan entitySingle employer plan
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan funding arrangement – General assets of the sponsorYes
2017-12-01Plan benefit arrangement – InsuranceYes
2017-12-01Plan benefit arrangement – General assets of the sponsorYes
2016: BURROWS MILLWORK, INC. BENEFIT PLAN 2016 form 5500 responses
2016-12-01Type of plan entitySingle employer plan
2016-12-01Plan funding arrangement – InsuranceYes
2016-12-01Plan funding arrangement – General assets of the sponsorYes
2016-12-01Plan benefit arrangement – InsuranceYes
2016-12-01Plan benefit arrangement – General assets of the sponsorYes
2015: BURROWS MILLWORK, INC. BENEFIT PLAN 2015 form 5500 responses
2015-12-01Type of plan entitySingle employer plan
2015-12-01Plan funding arrangement – InsuranceYes
2015-12-01Plan benefit arrangement – InsuranceYes
2014: BURROWS MILLWORK, INC. BENEFIT PLAN 2014 form 5500 responses
2014-12-01Type of plan entitySingle employer plan
2014-12-01First time form 5500 has been submittedYes
2014-12-01Plan funding arrangement – InsuranceYes
2014-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ELITE UNDERWRITING (National Association of Insurance Commissioners NAIC id number: 18694 )
Policy contract numberGMICMSL20191052
Policy instance 5
Insurance contract or identification numberGMICMSL20191052
Number of Individuals Covered90
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $26,119
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $174,132
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,119
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCCLOT40134
Policy instance 4
Insurance contract or identification numberHCCLOT40134
Number of Individuals Covered90
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $1,396
Total amount of fees paid to insurance companyUSD $502
Other welfare benefits providedTRANSPLANT
Welfare Benefit Premiums Paid to CarrierUSD $13,978
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $698
Amount paid for insurance broker fees251
Additional information about fees paid to insurance brokerOVERRIDE
Insurance broker organization code?3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberB9T50
Policy instance 3
Insurance contract or identification numberB9T50
Number of Individuals Covered13
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $990
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedCANCER, STD, HOSPITAL INDEMNITY
Welfare Benefit Premiums Paid to CarrierUSD $10,772
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $594
Insurance broker organization code?3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberB9U52
Policy instance 2
Insurance contract or identification numberB9U52
Number of Individuals Covered4
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $147
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedCANCER, STD, HOSPITAL INDEMNITY
Welfare Benefit Premiums Paid to CarrierUSD $1,581
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $76
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1084470
Policy instance 1
Insurance contract or identification number1084470
Number of Individuals Covered75
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $5,559
Total amount of fees paid to insurance companyUSD $529
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $53,695
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,559
Amount paid for insurance broker fees529
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1084470
Policy instance 1
Insurance contract or identification number1084470
Number of Individuals Covered77
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $5,540
Total amount of fees paid to insurance companyUSD $35
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $51,578
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,179
Amount paid for insurance broker fees35
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCCLOT40134
Policy instance 5
Insurance contract or identification numberHCCLOT40134
Number of Individuals Covered104
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $15,038
Total amount of fees paid to insurance companyUSD $1,502
Other welfare benefits providedTRANSPLANT
Welfare Benefit Premiums Paid to CarrierUSD $15,038
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,519
Amount paid for insurance broker fees751
Additional information about fees paid to insurance brokerOVERRIDE
Insurance broker organization code?3
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberUS567-156
Policy instance 4
Insurance contract or identification numberUS567-156
Number of Individuals Covered104
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $28,310
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $188,733
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,310
Insurance broker organization code?3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberB9T50
Policy instance 3
Insurance contract or identification numberB9T50
Number of Individuals Covered14
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $1,102
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedCANCER, STD, HOSPITAL INDEMNITY
Welfare Benefit Premiums Paid to CarrierUSD $11,632
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $636
Insurance broker organization code?3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberB9U52
Policy instance 2
Insurance contract or identification numberB9U52
Number of Individuals Covered4
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $149
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedCANCER, STD, HOSPITAL INDEMNITY
Welfare Benefit Premiums Paid to CarrierUSD $1,647
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $76
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1084470
Policy instance 1
Insurance contract or identification number1084470
Number of Individuals Covered125
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $4,457
Total amount of fees paid to insurance companyUSD $2,167
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $48,393
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberB9U52
Policy instance 2
Insurance contract or identification numberB9U52
Number of Individuals Covered4
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $152
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedCANCER, STD, HOSPITAL INDEMNITY
Welfare Benefit Premiums Paid to CarrierUSD $1,720
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberUS567061
Policy instance 4
Insurance contract or identification numberUS567061
Number of Individuals Covered113
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $27,056
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $180,323
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATION UNION FIRE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number947-5696
Policy instance 5
Insurance contract or identification number947-5696
Number of Individuals Covered115
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $1,568
Total amount of fees paid to insurance companyUSD $564
Other welfare benefits providedTRANSPLANT
Welfare Benefit Premiums Paid to CarrierUSD $1,569
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberB9T50
Policy instance 3
Insurance contract or identification numberB9T50
Number of Individuals Covered16
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $1,354
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedCANCER, STD, HOSPITAL INDEMNITY
Welfare Benefit Premiums Paid to CarrierUSD $14,910
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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