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HEALTH INSURANCE 401k Plan overview

Plan NameHEALTH INSURANCE
Plan identification number 503

HEALTH INSURANCE Benefits

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

401k Sponsoring company profile

DOLIME MINERALS COMPANY DBA AMERICAN CONSTRUCTION & ENGINEERING has sponsored the creation of one or more 401k plans.

Company Name:DOLIME MINERALS COMPANY DBA AMERICAN CONSTRUCTION & ENGINEERING
Employer identification number (EIN):592413698
NAIC Classification:238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEALTH INSURANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032018-10-01

Plan Statistics for HEALTH INSURANCE

401k plan membership statisitcs for HEALTH INSURANCE

Measure Date Value
2018: HEALTH INSURANCE 2018 401k membership
Total participants, beginning-of-year2018-10-01142
Total number of active participants reported on line 7a of the Form 55002018-10-01154
Number of retired or separated participants receiving benefits2018-10-010
Number of other retired or separated participants entitled to future benefits2018-10-010
Total of all active and inactive participants2018-10-01154

Form 5500 Responses for HEALTH INSURANCE

2018: HEALTH INSURANCE 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01First time form 5500 has been submittedYes
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number249300
Policy instance 1
Insurance contract or identification number249300
Number of Individuals Covered154
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $23,687
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $556,158
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,687
Insurance broker organization code?3

Potentially related plans

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