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DAVID GRAY ELECTRICAL, PLUMBING, HEATING & AIR HEALTH & WELFARE PLAN 401k Plan overview

Plan NameDAVID GRAY ELECTRICAL, PLUMBING, HEATING & AIR HEALTH & WELFARE PLAN
Plan identification number 501

DAVID GRAY ELECTRICAL, PLUMBING, HEATING & AIR HEALTH & WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

DAVID GRAY PLUMBING has sponsored the creation of one or more 401k plans.

Company Name:DAVID GRAY PLUMBING
Employer identification number (EIN):592480329
NAIC Classification:238220
NAIC Description:Plumbing, Heating, and Air-Conditioning Contractors

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DAVID GRAY ELECTRICAL, PLUMBING, HEATING & AIR HEALTH & WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-12-01

Plan Statistics for DAVID GRAY ELECTRICAL, PLUMBING, HEATING & AIR HEALTH & WELFARE PLAN

401k plan membership statisitcs for DAVID GRAY ELECTRICAL, PLUMBING, HEATING & AIR HEALTH & WELFARE PLAN

Measure Date Value
2022: DAVID GRAY ELECTRICAL, PLUMBING, HEATING & AIR HEALTH & WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-12-01150
Total number of active participants reported on line 7a of the Form 55002022-12-01160
Total of all active and inactive participants2022-12-01160
Total participants2022-12-01160

Form 5500 Responses for DAVID GRAY ELECTRICAL, PLUMBING, HEATING & AIR HEALTH & WELFARE PLAN

2022: DAVID GRAY ELECTRICAL, PLUMBING, HEATING & AIR HEALTH & WELFARE PLAN 2022 form 5500 responses
2022-12-01Type of plan entitySingle employer plan
2022-12-01First time form 5500 has been submittedYes
2022-12-01Submission has been amendedNo
2022-12-01This submission is the final filingNo
2022-12-01This return/report is a short plan year return/report (less than 12 months)No
2022-12-01Plan is a collectively bargained planNo
2022-12-01Plan funding arrangement – InsuranceYes
2022-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BIND MEDICAL (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract number78700072
Policy instance 1
Insurance contract or identification number78700072
Number of Individuals Covered89
Insurance policy start date2022-12-01
Insurance policy end date2023-11-30
Total amount of fees paid to insurance companyUSD $28,621
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 $544,123
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees28621
Additional information about fees paid to insurance brokerSERVICE FEE AGREEMENT
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number957372
Policy instance 2
Insurance contract or identification number957372
Number of Individuals Covered160
Insurance policy start date2022-12-01
Insurance policy end date2023-12-01
Total amount of commissions paid to insurance brokerUSD $21,030
Total amount of fees paid to insurance companyUSD $52,701
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 BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedCRITICAL ILLNESS
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 $161,246
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,030
Amount paid for insurance broker fees5271
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3

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