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PERSONNEL STAFFING, INC. HEALTH & WELFARE PLAN 401k Plan overview

Plan NamePERSONNEL STAFFING, INC. HEALTH & WELFARE PLAN
Plan identification number 514

PERSONNEL STAFFING, INC. HEALTH & WELFARE PLAN Benefits

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

401k Sponsoring company profile

PERSONNEL STAFFING, INC. has sponsored the creation of one or more 401k plans.

Company Name:PERSONNEL STAFFING, INC.
Employer identification number (EIN):631039675
NAIC Classification:561300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PERSONNEL STAFFING, INC. HEALTH & WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5142022-12-01MIKE PURKEY2024-05-20
5142021-12-01MIKE PURKEY2023-03-23
5142020-12-01MIKE PURKEY2022-03-30

Plan Statistics for PERSONNEL STAFFING, INC. HEALTH & WELFARE PLAN

401k plan membership statisitcs for PERSONNEL STAFFING, INC. HEALTH & WELFARE PLAN

Measure Date Value
2022: PERSONNEL STAFFING, INC. HEALTH & WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-12-01163
Total number of active participants reported on line 7a of the Form 55002022-12-01151
Number of retired or separated participants receiving benefits2022-12-010
Number of other retired or separated participants entitled to future benefits2022-12-010
Total of all active and inactive participants2022-12-01151
Number of employers contributing to the scheme2022-12-010
2021: PERSONNEL STAFFING, INC. HEALTH & WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-12-01189
Total number of active participants reported on line 7a of the Form 55002021-12-01177
Number of retired or separated participants receiving benefits2021-12-010
Number of other retired or separated participants entitled to future benefits2021-12-010
Total of all active and inactive participants2021-12-01177
Number of employers contributing to the scheme2021-12-010
2020: PERSONNEL STAFFING, INC. HEALTH & WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-01135
Total number of active participants reported on line 7a of the Form 55002020-12-01217
Number of retired or separated participants receiving benefits2020-12-010
Number of other retired or separated participants entitled to future benefits2020-12-010
Total of all active and inactive participants2020-12-01217
Number of employers contributing to the scheme2020-12-010

Form 5500 Responses for PERSONNEL STAFFING, INC. HEALTH & WELFARE PLAN

2022: PERSONNEL STAFFING, INC. HEALTH & WELFARE PLAN 2022 form 5500 responses
2022-12-01Type of plan entitySingle employer plan
2022-12-01Plan funding arrangement – InsuranceYes
2022-12-01Plan funding arrangement – General assets of the sponsorYes
2022-12-01Plan benefit arrangement – InsuranceYes
2022-12-01Plan benefit arrangement – General assets of the sponsorYes
2021: PERSONNEL STAFFING, INC. HEALTH & WELFARE PLAN 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan funding arrangement – General assets of the sponsorYes
2021-12-01Plan benefit arrangement – InsuranceYes
2021-12-01Plan benefit arrangement – General assets of the sponsorYes
2020: PERSONNEL STAFFING, INC. HEALTH & WELFARE PLAN 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01First time form 5500 has been submittedYes
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan funding arrangement – General assets of the sponsorYes
2020-12-01Plan benefit arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberPAIM2996100
Policy instance 1
Insurance contract or identification numberPAIM2996100
Number of Individuals Covered151
Insurance policy start date2022-12-01
Insurance policy end date2023-11-30
Total amount of commissions paid to insurance brokerUSD $22,662
Total amount of fees paid to insurance companyUSD $46,828
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $189,760
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees36666
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberPAIM2996100
Policy instance 1
Insurance contract or identification numberPAIM2996100
Number of Individuals Covered177
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $45,057
Total amount of fees paid to insurance companyUSD $50,410
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $260,527
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees50410
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberPAIM2996100
Policy instance 1
Insurance contract or identification numberPAIM2996100
Number of Individuals Covered195
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $36,786
Total amount of fees paid to insurance companyUSD $41,223
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $212,741
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees41223
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATION FEES
Insurance broker organization code?5

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