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SOUTHWEST CONSTRUCTION SERVICES WELFARE BENEFIT PLAN 401k Plan overview

Plan NameSOUTHWEST CONSTRUCTION SERVICES WELFARE BENEFIT PLAN
Plan identification number 504

SOUTHWEST CONSTRUCTION SERVICES WELFARE 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)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

SOUTHWEST CONSTRUCTION SERVICES has sponsored the creation of one or more 401k plans.

Company Name:SOUTHWEST CONSTRUCTION SERVICES
Employer identification number (EIN):752580200
NAIC Classification:236200

Additional information about SOUTHWEST CONSTRUCTION SERVICES

Jurisdiction of Incorporation: Colorado Department of State
Incorporation Date: 2011-10-18
Company Identification Number: 20111579542
Legal Registered Office Address: 4550 london ln.

Colorado Springs
United States of America (USA)
80916

More information about SOUTHWEST CONSTRUCTION SERVICES

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOUTHWEST CONSTRUCTION SERVICES WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042022-05-01ROB CORBELLO2023-11-21
5042021-05-01ROB CORBELLO2022-11-22
5042020-05-01ROB CORBELLO2022-02-09

Plan Statistics for SOUTHWEST CONSTRUCTION SERVICES WELFARE BENEFIT PLAN

401k plan membership statisitcs for SOUTHWEST CONSTRUCTION SERVICES WELFARE BENEFIT PLAN

Measure Date Value
2022: SOUTHWEST CONSTRUCTION SERVICES WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-05-01175
Total number of active participants reported on line 7a of the Form 55002022-05-01196
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 participants2022-05-01196
Number of employers contributing to the scheme2022-05-010
2021: SOUTHWEST CONSTRUCTION SERVICES WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-05-01192
Total number of active participants reported on line 7a of the Form 55002021-05-01175
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 participants2021-05-01175
Number of employers contributing to the scheme2021-05-010
2020: SOUTHWEST CONSTRUCTION SERVICES WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-05-01160
Total number of active participants reported on line 7a of the Form 55002020-05-01192
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 participants2020-05-01192
Number of employers contributing to the scheme2020-05-010

Form 5500 Responses for SOUTHWEST CONSTRUCTION SERVICES WELFARE BENEFIT PLAN

2022: SOUTHWEST CONSTRUCTION SERVICES WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan funding arrangement – General assets of the sponsorYes
2022-05-01Plan benefit arrangement – InsuranceYes
2022-05-01Plan benefit arrangement – General assets of the sponsorYes
2021: SOUTHWEST CONSTRUCTION SERVICES WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan funding arrangement – General assets of the sponsorYes
2021-05-01Plan benefit arrangement – InsuranceYes
2021-05-01Plan benefit arrangement – General assets of the sponsorYes
2020: SOUTHWEST CONSTRUCTION SERVICES WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01First time form 5500 has been submittedYes
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan funding arrangement – General assets of the sponsorYes
2020-05-01Plan benefit arrangement – InsuranceYes
2020-05-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number143646
Policy instance 1
Insurance contract or identification number143646
Number of Individuals Covered273
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $10,950
Total amount of fees paid to insurance companyUSD $7,400
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $149,351
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,950
Amount paid for insurance broker fees7400
Additional information about fees paid to insurance broker2022 PINNACLE DENTAL MEDICAL VISION NEW BUSINESS INCENTIVE RISK, DIRECT COMPENSATION
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number887796G
Policy instance 2
Insurance contract or identification number887796G
Number of Individuals Covered196
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $18,826
Total amount of fees paid to insurance companyUSD $3,282
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $115,395
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,826
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBONUS
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95490 )
Policy contract number143646HNO
Policy instance 3
Insurance contract or identification number143646HNO
Number of Individuals Covered269
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $97,563
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,818,730
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees97563
Additional information about fees paid to insurance brokerDIRECT COMPENSATION
Insurance broker organization code?3
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-025947
Policy instance 1
Insurance contract or identification number010-025947
Number of Individuals Covered266
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $1,275
Total amount of fees paid to insurance companyUSD $375
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,754
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,275
Amount paid for insurance broker fees375
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number887796G
Policy instance 2
Insurance contract or identification number887796G
Number of Individuals Covered175
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $24,954
Total amount of fees paid to insurance companyUSD $5,706
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $166,352
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,954
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBONUS
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number911179
Policy instance 3
Insurance contract or identification number911179
Number of Individuals Covered235
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $7,616
Total amount of fees paid to insurance companyUSD $88,784
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,555,898
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,616
Amount paid for insurance broker fees88784
Additional information about fees paid to insurance brokerSERVICE FEE AGREEMENT
Insurance broker organization code?3
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-025947
Policy instance 1
Insurance contract or identification number010-025947
Number of Individuals Covered279
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $1,339
Total amount of fees paid to insurance companyUSD $4,582
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,390
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number887796G
Policy instance 2
Insurance contract or identification number887796G
Number of Individuals Covered192
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $14,400
Total amount of fees paid to insurance companyUSD $1,164
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $95,997
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number911179
Policy instance 3
Insurance contract or identification number911179
Number of Individuals Covered247
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $8,624
Total amount of fees paid to insurance companyUSD $96,957
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,616,499
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,624
Amount paid for insurance broker fees96957
Additional information about fees paid to insurance brokerSERVICE FEE AGREEMENT BONUS
Insurance broker organization code?3

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