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COMMERCIAL PAVING AND COATING INSURANCE PROGRAM 401k Plan overview

Plan NameCOMMERCIAL PAVING AND COATING INSURANCE PROGRAM
Plan identification number 501

COMMERCIAL PAVING AND COATING INSURANCE PROGRAM Benefits

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

401k Sponsoring company profile

COMMERCIAL PAVING AND COATING has sponsored the creation of one or more 401k plans.

Company Name:COMMERCIAL PAVING AND COATING
Employer identification number (EIN):953921198
NAIC Classification:236200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMERCIAL PAVING AND COATING INSURANCE PROGRAM

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012024-01-01MARIA ARCIAGA
5012023-01-01ADRIAN LOERA2024-06-19
5012022-01-01MARIA ARCIAGA2023-07-06
5012021-01-01ADRIAN LOERA2022-09-27
5012020-01-01ADRIAN LOERA2021-09-26
5012019-01-01ADRIAN LOERA2020-07-19
5012018-01-01
5012017-01-01
5012016-01-01ADRIAN LOERA
5012015-04-01LIZBETH GARCIA

Financial Data on COMMERCIAL PAVING AND COATING INSURANCE PROGRAM

Measure Date Value
2023 : COMMERCIAL PAVING AND COATING INSURANCE PROGRAM 2023 401k financial data
Total plan liabilities at end of year2023-12-31$0
Total plan liabilities at beginning of year2023-12-31$0
Total income from all sources2023-12-31$265,603
Expenses. Total of all expenses incurred2023-12-31$249,372
Benefits paid (including direct rollovers)2023-12-31$260,905
Total plan assets at end of year2023-12-31$16,791
Total plan assets at beginning of year2023-12-31$560
Net income (gross income less expenses)2023-12-31$16,231
Net plan assets at end of year (total assets less liabilities)2023-12-31$16,791
Net plan assets at beginning of year (total assets less liabilities)2023-12-31$560
Total contributions received or receivable from employer(s)2023-12-31$265,603
Expenses. Administrative service providers (salaries,fees and commissions)2023-12-31$-11,533
2022 : COMMERCIAL PAVING AND COATING INSURANCE PROGRAM 2022 401k financial data
Total income from all sources2022-12-31$271,074
Expenses. Total of all expenses incurred2022-12-31$274,120
Benefits paid (including direct rollovers)2022-12-31$269,362
Total plan assets at end of year2022-12-31$560
Total plan assets at beginning of year2022-12-31$3,606
Net income (gross income less expenses)2022-12-31$-3,046
Net plan assets at end of year (total assets less liabilities)2022-12-31$560
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$3,606
Total contributions received or receivable from employer(s)2022-12-31$271,074
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$4,758
2021 : COMMERCIAL PAVING AND COATING INSURANCE PROGRAM 2021 401k financial data
Total income from all sources2021-12-31$251,094
Expenses. Total of all expenses incurred2021-12-31$270,361
Benefits paid (including direct rollovers)2021-12-31$257,464
Total plan assets at end of year2021-12-31$3,606
Total plan assets at beginning of year2021-12-31$22,873
Net income (gross income less expenses)2021-12-31$-19,267
Net plan assets at end of year (total assets less liabilities)2021-12-31$3,606
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$22,873
Total contributions received or receivable from employer(s)2021-12-31$251,094
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$12,897
2020 : COMMERCIAL PAVING AND COATING INSURANCE PROGRAM 2020 401k financial data
Total income from all sources2020-12-31$261,281
Expenses. Total of all expenses incurred2020-12-31$258,062
Benefits paid (including direct rollovers)2020-12-31$253,980
Total plan assets at end of year2020-12-31$22,873
Total plan assets at beginning of year2020-12-31$19,654
Net income (gross income less expenses)2020-12-31$3,219
Net plan assets at end of year (total assets less liabilities)2020-12-31$22,873
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$19,654
Total contributions received or receivable from employer(s)2020-12-31$261,281
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$4,082
2019 : COMMERCIAL PAVING AND COATING INSURANCE PROGRAM 2019 401k financial data
Total income from all sources2019-12-31$282,668
Expenses. Total of all expenses incurred2019-12-31$273,618
Benefits paid (including direct rollovers)2019-12-31$267,067
Total plan assets at end of year2019-12-31$19,654
Total plan assets at beginning of year2019-12-31$10,604
Net income (gross income less expenses)2019-12-31$9,050
Net plan assets at end of year (total assets less liabilities)2019-12-31$19,654
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$10,604
Total contributions received or receivable from employer(s)2019-12-31$282,668
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$6,551
2018 : COMMERCIAL PAVING AND COATING INSURANCE PROGRAM 2018 401k financial data
Total income from all sources2018-12-31$280,884
Expenses. Total of all expenses incurred2018-12-31$286,630
Benefits paid (including direct rollovers)2018-12-31$279,993
Total plan assets at end of year2018-12-31$10,604
Total plan assets at beginning of year2018-12-31$16,350
Net income (gross income less expenses)2018-12-31$-5,746
Net plan assets at end of year (total assets less liabilities)2018-12-31$10,604
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$16,350
Total contributions received or receivable from employer(s)2018-12-31$280,884
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$6,637
2017 : COMMERCIAL PAVING AND COATING INSURANCE PROGRAM 2017 401k financial data
Total income from all sources2017-12-31$279,156
Expenses. Total of all expenses incurred2017-12-31$279,817
Benefits paid (including direct rollovers)2017-12-31$277,719
Total plan assets at end of year2017-12-31$16,350
Total plan assets at beginning of year2017-12-31$17,011
Net income (gross income less expenses)2017-12-31$-661
Net plan assets at end of year (total assets less liabilities)2017-12-31$16,350
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$17,011
Total contributions received or receivable from employer(s)2017-12-31$279,156
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$2,098
2016 : COMMERCIAL PAVING AND COATING INSURANCE PROGRAM 2016 401k financial data
Total income from all sources2016-12-31$293,552
Expenses. Total of all expenses incurred2016-12-31$293,237
Benefits paid (including direct rollovers)2016-12-31$287,890
Total plan assets at end of year2016-12-31$17,011
Total plan assets at beginning of year2016-12-31$16,696
Net income (gross income less expenses)2016-12-31$315
Net plan assets at end of year (total assets less liabilities)2016-12-31$17,011
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$16,696
Total contributions received or receivable from employer(s)2016-12-31$293,552
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$5,347
2015 : COMMERCIAL PAVING AND COATING INSURANCE PROGRAM 2015 401k financial data
Total income from all sources2015-12-31$203,772
Expenses. Total of all expenses incurred2015-12-31$187,076
Benefits paid (including direct rollovers)2015-12-31$184,122
Total plan assets at end of year2015-12-31$16,696
Total plan assets at beginning of year2015-12-31$0
Net income (gross income less expenses)2015-12-31$16,696
Net plan assets at end of year (total assets less liabilities)2015-12-31$16,696
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$0
Total contributions received or receivable from employer(s)2015-12-31$203,772
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$2,954

Form 5500 Responses for COMMERCIAL PAVING AND COATING INSURANCE PROGRAM

2023: COMMERCIAL PAVING AND COATING INSURANCE PROGRAM 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: COMMERCIAL PAVING AND COATING INSURANCE 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
2021: COMMERCIAL PAVING AND COATING INSURANCE PROGRAM 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: COMMERCIAL PAVING AND COATING INSURANCE PROGRAM 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: COMMERCIAL PAVING AND COATING INSURANCE PROGRAM 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: COMMERCIAL PAVING AND COATING INSURANCE PROGRAM 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: COMMERCIAL PAVING AND COATING INSURANCE PROGRAM 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: COMMERCIAL PAVING AND COATING INSURANCE PROGRAM 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: COMMERCIAL PAVING AND COATING INSURANCE PROGRAM 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01First time form 5500 has been submittedYes
2015-04-01Submission has been amendedNo
2015-04-01This submission is the final filingNo
2015-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-04-01Plan is a collectively bargained planNo
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan funding arrangement – TrustYes
2015-04-01Plan benefit arrangement – InsuranceYes
2015-04-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number33264497
Policy instance 1
Insurance contract or identification number33264497
Number of Individuals Covered31
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
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 $260,823
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number33264497
Policy instance 1
Insurance contract or identification number33264497
Number of Individuals Covered35
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 $266,200
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number33264497
Policy instance 1
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number339361-0000
Policy instance 1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number33264497
Policy instance 2
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number339361-0000
Policy instance 1
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number339361-0000
Policy instance 1
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number339361-0000
Policy instance 1
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number339361-0000
Policy instance 1

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