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PIERCE COMPANIES DENTAL, VISION, & HEALTH PLAN 401k Plan overview

Plan NamePIERCE COMPANIES DENTAL, VISION, & HEALTH PLAN
Plan identification number 501

PIERCE COMPANIES DENTAL, VISION, & HEALTH PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

PIERCE FLOORING, INC. has sponsored the creation of one or more 401k plans.

Company Name:PIERCE FLOORING, INC.
Employer identification number (EIN):810229326
NAIC Classification:453930
NAIC Description:Manufactured (Mobile) Home Dealers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PIERCE COMPANIES DENTAL, VISION, & HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-04-01MEG ERLENBUSH2022-01-13
5012019-04-01MEG ERLENBUSH2021-01-14
5012018-04-01MEG ERLENBUSH2020-01-10
5012017-04-01

Plan Statistics for PIERCE COMPANIES DENTAL, VISION, & HEALTH PLAN

401k plan membership statisitcs for PIERCE COMPANIES DENTAL, VISION, & HEALTH PLAN

Measure Date Value
2020: PIERCE COMPANIES DENTAL, VISION, & HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-04-01201
Total number of active participants reported on line 7a of the Form 55002020-04-01206
Total of all active and inactive participants2020-04-01206
2019: PIERCE COMPANIES DENTAL, VISION, & HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-01201
Total number of active participants reported on line 7a of the Form 55002019-04-01212
Total of all active and inactive participants2019-04-01212
2018: PIERCE COMPANIES DENTAL, VISION, & HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-04-01166
Total number of active participants reported on line 7a of the Form 55002018-04-01154
Total of all active and inactive participants2018-04-01154
2017: PIERCE COMPANIES DENTAL, VISION, & HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-01148
Total number of active participants reported on line 7a of the Form 55002017-04-01132
Total of all active and inactive participants2017-04-01132

Form 5500 Responses for PIERCE COMPANIES DENTAL, VISION, & HEALTH PLAN

2020: PIERCE COMPANIES DENTAL, VISION, & HEALTH PLAN 2020 form 5500 responses
2020-04-01Type of plan entitySingle employer plan
2020-04-01This submission is the final filingYes
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan benefit arrangement – InsuranceYes
2019: PIERCE COMPANIES DENTAL, VISION, & HEALTH PLAN 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan funding arrangement – General assets of the sponsorYes
2019-04-01Plan benefit arrangement – InsuranceYes
2019-04-01Plan benefit arrangement – General assets of the sponsorYes
2018: PIERCE COMPANIES DENTAL, VISION, & HEALTH PLAN 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Plan funding arrangement – InsuranceYes
2018-04-01Plan benefit arrangement – InsuranceYes
2017: PIERCE COMPANIES DENTAL, VISION, & HEALTH PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01First time form 5500 has been submittedYes
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLLV0B7JR
Policy instance 1
Insurance contract or identification numberGLLV0B7JR
Number of Individuals Covered128
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $787
Total amount of fees paid to insurance companyUSD $349
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,750
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $787
Amount paid for insurance broker fees349
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0B7JR
Policy instance 2
Insurance contract or identification numberGLUG0B7JR
Number of Individuals Covered206
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $1,050
Total amount of fees paid to insurance companyUSD $169
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $10,503
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,050
Amount paid for insurance broker fees169
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGVTL0B7JR
Policy instance 3
Insurance contract or identification numberGVTL0B7JR
Number of Individuals Covered69
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $4,625
Total amount of fees paid to insurance companyUSD $744
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $30,834
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,625
Amount paid for insurance broker fees744
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5944120
Policy instance 1
Insurance contract or identification number5944120
Number of Individuals Covered331
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $12,900
Total amount of fees paid to insurance companyUSD $3,765
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $122,968
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,900
Amount paid for insurance broker fees3765
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05944120
Policy instance 1
Insurance contract or identification numberKM05944120
Number of Individuals Covered345
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $11,456
Total amount of fees paid to insurance companyUSD $5,813
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $118,984
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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