NAILL SERVICES, INC. AND WELLSITE SERVICES, INC. WELFARE BENEFIT PLAN 401k Plan overview
| Plan Name | NAILL SERVICES, INC. AND WELLSITE SERVICES, INC. WELFARE BENEFIT PLAN |
| Plan identification number | 501 |
NAILL SERVICES, INC. AND WELLSITE SERVICES, INC. WELFARE BENEFIT PLAN Benefits
| 401k Plan Type | Welfare 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
WELLSITE SERVICES, INC. has sponsored the creation of one or more 401k plans.
Additional information about WELLSITE SERVICES, INC.
| Jurisdiction of Incorporation: | Colorado Department of State |
| Incorporation Date: | 2013-03-26 |
| Company Identification Number: | 20131196084 |
| Legal Registered Office Address: |
3801 Carson Ave
Evans
United States of America (USA)
80620
|
More information about WELLSITE SERVICES, INC.
Form 5500 Filing Information
Submission information for form 5500 for 401k plan NAILL SERVICES, INC. AND WELLSITE SERVICES, INC. WELFARE BENEFIT PLAN
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 501 | 2017-03-01 | | | | |
Plan Statistics for NAILL SERVICES, INC. AND WELLSITE SERVICES, INC. WELFARE BENEFIT PLAN
401k plan membership statisitcs for NAILL SERVICES, INC. AND WELLSITE SERVICES, INC. WELFARE BENEFIT PLAN
| Measure | Date | Value |
|---|
| 2017: NAILL SERVICES, INC. AND WELLSITE SERVICES, INC. WELFARE BENEFIT PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-03-01 | 59 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-03-01 | 75 |
| Number of retired or separated participants receiving benefits | 2017-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-03-01 | 0 |
| Total of all active and inactive participants | 2017-03-01 | 75 |
Form 5500 Responses for NAILL SERVICES, INC. AND WELLSITE SERVICES, INC. WELFARE BENEFIT PLAN
| 2017: NAILL SERVICES, INC. AND WELLSITE SERVICES, INC. WELFARE BENEFIT PLAN 2017 form 5500 responses |
|---|
| 2017-03-01 | Type of plan entity | Single employer plan |
| 2017-03-01 | First time form 5500 has been submitted | Yes |
| 2017-03-01 | Plan funding arrangement – Insurance | Yes |
| 2017-03-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-03-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
Insurance Providers Used on plan
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | SGM608157 |
| Policy instance | 1 |
| Insurance contract or identification number | SGM608157 | | Number of Individuals Covered | 75 | | Insurance policy start date | 2017-03-01 | | Insurance policy end date | 2018-02-28 | | Total amount of commissions paid to insurance broker | USD $3,840 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $42,332 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $3,840 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | ASSUREDPARTNERS |
|
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