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PUGET PAVING & CONSTRUCTION, INC. HEALTH & WELFARE PROGRAM 401k Plan overview

Plan NamePUGET PAVING & CONSTRUCTION, INC. HEALTH & WELFARE PROGRAM
Plan identification number 501

PUGET PAVING & CONSTRUCTION, INC. HEALTH & WELFARE PROGRAM Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

PUGET PAVING & CONSTRUCTION, INC. has sponsored the creation of one or more 401k plans.

Company Name:PUGET PAVING & CONSTRUCTION, INC.
Employer identification number (EIN):911142171
NAIC Classification:238900

Additional information about PUGET PAVING & CONSTRUCTION, INC.

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 1981-04-30
Company Identification Number: 600403309
Legal Registered Office Address: 10910 26TH AVE S

TACOMA
United States of America (USA)
984998854

More information about PUGET PAVING & CONSTRUCTION, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PUGET PAVING & CONSTRUCTION, INC. HEALTH & WELFARE PROGRAM

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01GUNNAR GEHRING2023-06-27 GUNNAR GEHRING2023-06-27

Plan Statistics for PUGET PAVING & CONSTRUCTION, INC. HEALTH & WELFARE PROGRAM

401k plan membership statisitcs for PUGET PAVING & CONSTRUCTION, INC. HEALTH & WELFARE PROGRAM

Measure Date Value
2022: PUGET PAVING & CONSTRUCTION, INC. HEALTH & WELFARE PROGRAM 2022 401k membership
Total participants, beginning-of-year2022-01-0159
Total number of active participants reported on line 7a of the Form 55002022-01-0159
Total of all active and inactive participants2022-01-0159

Financial Data on PUGET PAVING & CONSTRUCTION, INC. HEALTH & WELFARE PROGRAM

Measure Date Value
2022 : PUGET PAVING & CONSTRUCTION, INC. HEALTH & WELFARE PROGRAM 2022 401k financial data
Total income from all sources2022-12-31$499,550
Expenses. Total of all expenses incurred2022-12-31$436,569
Benefits paid (including direct rollovers)2022-12-31$430,847
Total plan assets at end of year2022-12-31$62,981
Total plan assets at beginning of year2022-12-31$0
Net income (gross income less expenses)2022-12-31$62,981
Net plan assets at end of year (total assets less liabilities)2022-12-31$62,981
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$0
Total contributions received or receivable from employer(s)2022-12-31$499,550
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$5,722

Form 5500 Responses for PUGET PAVING & CONSTRUCTION, INC. HEALTH & WELFARE PROGRAM

2022: PUGET PAVING & CONSTRUCTION, INC. HEALTH & WELFARE PROGRAM 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HIA GUARDIAN (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number00036495
Policy instance 1
Insurance contract or identification number00036495
Number of Individuals Covered59
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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
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 $24,622
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 )
Policy contract number10053737
Policy instance 2
Insurance contract or identification number10053737
Number of Individuals Covered55
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $3,863
Total amount of fees paid to insurance companyUSD $0
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
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 $413,434
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $3,863
Insurance broker organization code?3

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