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PLUMBERS AND PIPEFITTERS LOCAL 625 HEALTH & WELFARE FUND 401k Plan overview

Plan NamePLUMBERS AND PIPEFITTERS LOCAL 625 HEALTH & WELFARE FUND
Plan identification number 501

PLUMBERS AND PIPEFITTERS LOCAL 625 HEALTH & WELFARE FUND 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

PLUMBERS AND PIPEFITTERS LOCAL 625 HEALTH & WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:PLUMBERS AND PIPEFITTERS LOCAL 625 HEALTH & WELFARE FUND
Employer identification number (EIN):882080702

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PLUMBERS AND PIPEFITTERS LOCAL 625 HEALTH & WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-06-01

Plan Statistics for PLUMBERS AND PIPEFITTERS LOCAL 625 HEALTH & WELFARE FUND

401k plan membership statisitcs for PLUMBERS AND PIPEFITTERS LOCAL 625 HEALTH & WELFARE FUND

Measure Date Value
2022: PLUMBERS AND PIPEFITTERS LOCAL 625 HEALTH & WELFARE FUND 2022 401k membership
Total participants, beginning-of-year2022-06-010
Total number of active participants reported on line 7a of the Form 55002022-06-01299
Number of retired or separated participants receiving benefits2022-06-01125
Number of other retired or separated participants entitled to future benefits2022-06-010
Total of all active and inactive participants2022-06-01424
Total participants2022-06-01424
Number of employers contributing to the scheme2022-06-0130

Financial Data on PLUMBERS AND PIPEFITTERS LOCAL 625 HEALTH & WELFARE FUND

Measure Date Value
2023 : PLUMBERS AND PIPEFITTERS LOCAL 625 HEALTH & WELFARE FUND 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-05-31$0
Total transfer of assets to this plan2023-05-31$2,093,797
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-05-31$1,584,143
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-05-31$0
Total income from all sources (including contributions)2023-05-31$5,977,839
Total loss/gain on sale of assets2023-05-31$0
Total of all expenses incurred2023-05-31$4,778,367
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-05-31$4,514,602
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-05-31$5,977,839
Value of total assets at end of year2023-05-31$4,877,412
Value of total assets at beginning of year2023-05-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-05-31$263,765
Total interest from all sources2023-05-31$0
Total dividends received (eg from common stock, registered investment company shares)2023-05-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-05-31No
Administrative expenses professional fees incurred2023-05-31$177,398
Was this plan covered by a fidelity bond2023-05-31Yes
Value of fidelity bond cover2023-05-31$500,000
Were there any nonexempt tranactions with any party-in-interest2023-05-31No
Contributions received from participants2023-05-31$37,090
Participant contributions at end of year2023-05-31$3,974
Income. Received or receivable in cash from other sources (including rollovers)2023-05-31$-770,796
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-05-31$1,393,797
Administrative expenses (other) incurred2023-05-31$11,280
Liabilities. Value of operating payables at end of year2023-05-31$885
Total non interest bearing cash at end of year2023-05-31$2,954,907
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-05-31No
Value of net income/loss2023-05-31$1,199,472
Value of net assets at end of year (total assets less liabilities)2023-05-31$3,293,269
Value of net assets at beginning of year (total assets less liabilities)2023-05-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-05-31No
Were any leases to which the plan was party in default or uncollectible2023-05-31No
Expenses. Payments to insurance carriers foe the provision of benefits2023-05-31$279,236
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-05-31No
Was there a failure to transmit to the plan any participant contributions2023-05-31No
Has the plan failed to provide any benefit when due under the plan2023-05-31No
Contributions received in cash from employer2023-05-31$6,711,545
Employer contributions (assets) at end of year2023-05-31$497,699
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-05-31$4,235,366
Contract administrator fees2023-05-31$75,087
Liabilities. Value of benefit claims payable at end of year2023-05-31$1,583,258
Assets. Value of buildings and other operty used in plan operation at end of year2023-05-31$27,035
Did the plan have assets held for investment2023-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-05-31No
Opinion of an independent qualified public accountant for this plan2023-05-31Unqualified
Accountancy firm name2023-05-31HARRIS, HARDIN & COMPANY, A.C
Accountancy firm EIN2023-05-31550756523

Form 5500 Responses for PLUMBERS AND PIPEFITTERS LOCAL 625 HEALTH & WELFARE FUND

2022: PLUMBERS AND PIPEFITTERS LOCAL 625 HEALTH & WELFARE FUND 2022 form 5500 responses
2022-06-01Type of plan entityMulti-employer plan
2022-06-01First time form 5500 has been submittedYes
2022-06-01Submission has been amendedNo
2022-06-01This submission is the final filingNo
2022-06-01This return/report is a short plan year return/report (less than 12 months)No
2022-06-01Plan is a collectively bargained planYes
2022-06-01Plan funding arrangement – TrustYes
2022-06-01Plan benefit arrangement – InsuranceYes
2022-06-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number5397
Policy instance 1
Insurance contract or identification number5397
Number of Individuals Covered301
Insurance policy start date2022-09-01
Insurance policy end date2023-05-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $20,258
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLSTATE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 82538 )
Policy contract numberO40929
Policy instance 2
Insurance contract or identification numberO40929
Number of Individuals Covered296
Insurance policy start date2022-06-01
Insurance policy end date2022-05-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedSTOP LOSS
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,831,649
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 number920228
Policy instance 3
Insurance contract or identification number920228
Number of Individuals Covered308
Insurance policy start date2023-02-01
Insurance policy end date2023-05-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,596
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number10200
Policy instance 4
Insurance contract or identification number10200
Number of Individuals Covered296
Insurance policy start date2022-06-01
Insurance policy end date2023-05-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $137,519
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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