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PRAXAIR PUERTO RICO MEDICAL PLAN 401k Plan overview

Plan NamePRAXAIR PUERTO RICO MEDICAL PLAN
Plan identification number 501

PRAXAIR PUERTO RICO MEDICAL PLAN Benefits

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

401k Sponsoring company profile

PRAXAIR PUERTO RICO BV has sponsored the creation of one or more 401k plans.

Company Name:PRAXAIR PUERTO RICO BV
Employer identification number (EIN):660605193
NAIC Classification:221210
NAIC Description:Natural Gas Distribution

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PRAXAIR PUERTO RICO MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-08-01
5012019-08-01
5012018-08-01
5012017-08-01
5012014-08-01YVELISSE DE JESUS DIAZ YVELISSE DE JESUS DIAZ2016-02-25
5012013-08-01MELISSA ECHEGARAY MELISSA ECHEGARAY2015-02-27
5012012-08-01ADRIANA DEMELLO
5012011-08-01ADRIANA DEMELLO
5012009-08-01ADRIANA DEMELLO

Plan Statistics for PRAXAIR PUERTO RICO MEDICAL PLAN

401k plan membership statisitcs for PRAXAIR PUERTO RICO MEDICAL PLAN

Measure Date Value
2020: PRAXAIR PUERTO RICO MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-08-0190
Total number of active participants reported on line 7a of the Form 55002020-08-0190
Number of retired or separated participants receiving benefits2020-08-0113
Number of other retired or separated participants entitled to future benefits2020-08-010
Total of all active and inactive participants2020-08-01103
2019: PRAXAIR PUERTO RICO MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-08-0188
Total number of active participants reported on line 7a of the Form 55002019-08-0173
Number of retired or separated participants receiving benefits2019-08-0115
Number of other retired or separated participants entitled to future benefits2019-08-010
Total of all active and inactive participants2019-08-0188
2018: PRAXAIR PUERTO RICO MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-08-0188
Total number of active participants reported on line 7a of the Form 55002018-08-0173
Number of retired or separated participants receiving benefits2018-08-0115
Number of other retired or separated participants entitled to future benefits2018-08-010
Total of all active and inactive participants2018-08-0188
2017: PRAXAIR PUERTO RICO MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-08-0188
Total number of active participants reported on line 7a of the Form 55002017-08-0169
Number of retired or separated participants receiving benefits2017-08-0119
Number of other retired or separated participants entitled to future benefits2017-08-010
Total of all active and inactive participants2017-08-0188
2014: PRAXAIR PUERTO RICO MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-08-0197
Total number of active participants reported on line 7a of the Form 55002014-08-0173
Number of retired or separated participants receiving benefits2014-08-0115
Number of other retired or separated participants entitled to future benefits2014-08-010
Total of all active and inactive participants2014-08-0188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-08-010
2013: PRAXAIR PUERTO RICO MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-08-01108
Total number of active participants reported on line 7a of the Form 55002013-08-0180
Number of retired or separated participants receiving benefits2013-08-0117
Number of other retired or separated participants entitled to future benefits2013-08-010
Total of all active and inactive participants2013-08-0197
2012: PRAXAIR PUERTO RICO MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-08-0199
Total number of active participants reported on line 7a of the Form 55002012-08-0184
Number of retired or separated participants receiving benefits2012-08-0122
Number of other retired or separated participants entitled to future benefits2012-08-012
Total of all active and inactive participants2012-08-01108
2011: PRAXAIR PUERTO RICO MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-08-01100
Total number of active participants reported on line 7a of the Form 55002011-08-0176
Number of retired or separated participants receiving benefits2011-08-0121
Number of other retired or separated participants entitled to future benefits2011-08-012
Total of all active and inactive participants2011-08-0199
2009: PRAXAIR PUERTO RICO MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-08-01119
Total number of active participants reported on line 7a of the Form 55002009-08-0185
Number of retired or separated participants receiving benefits2009-08-0116
Number of other retired or separated participants entitled to future benefits2009-08-011
Total of all active and inactive participants2009-08-01102

Form 5500 Responses for PRAXAIR PUERTO RICO MEDICAL PLAN

2020: PRAXAIR PUERTO RICO MEDICAL PLAN 2020 form 5500 responses
2020-08-01Type of plan entitySingle employer plan
2020-08-01Submission has been amendedNo
2020-08-01This submission is the final filingNo
2020-08-01This return/report is a short plan year return/report (less than 12 months)No
2020-08-01Plan is a collectively bargained planNo
2020-08-01Plan funding arrangement – InsuranceYes
2020-08-01Plan benefit arrangement – InsuranceYes
2019: PRAXAIR PUERTO RICO MEDICAL PLAN 2019 form 5500 responses
2019-08-01Type of plan entitySingle employer plan
2019-08-01Submission has been amendedNo
2019-08-01This submission is the final filingNo
2019-08-01This return/report is a short plan year return/report (less than 12 months)No
2019-08-01Plan is a collectively bargained planNo
2019-08-01Plan funding arrangement – InsuranceYes
2019-08-01Plan benefit arrangement – InsuranceYes
2018: PRAXAIR PUERTO RICO MEDICAL PLAN 2018 form 5500 responses
2018-08-01Type of plan entitySingle employer plan
2018-08-01Submission has been amendedNo
2018-08-01This submission is the final filingNo
2018-08-01This return/report is a short plan year return/report (less than 12 months)No
2018-08-01Plan is a collectively bargained planNo
2018-08-01Plan funding arrangement – InsuranceYes
2018-08-01Plan benefit arrangement – InsuranceYes
2017: PRAXAIR PUERTO RICO MEDICAL PLAN 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Submission has been amendedNo
2017-08-01This submission is the final filingNo
2017-08-01This return/report is a short plan year return/report (less than 12 months)No
2017-08-01Plan is a collectively bargained planNo
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – InsuranceYes
2014: PRAXAIR PUERTO RICO MEDICAL PLAN 2014 form 5500 responses
2014-08-01Type of plan entitySingle employer plan
2014-08-01Submission has been amendedNo
2014-08-01This submission is the final filingNo
2014-08-01This return/report is a short plan year return/report (less than 12 months)No
2014-08-01Plan is a collectively bargained planNo
2014-08-01Plan funding arrangement – InsuranceYes
2014-08-01Plan benefit arrangement – InsuranceYes
2013: PRAXAIR PUERTO RICO MEDICAL PLAN 2013 form 5500 responses
2013-08-01Type of plan entitySingle employer plan
2013-08-01Submission has been amendedNo
2013-08-01This submission is the final filingNo
2013-08-01This return/report is a short plan year return/report (less than 12 months)No
2013-08-01Plan is a collectively bargained planNo
2013-08-01Plan funding arrangement – InsuranceYes
2013-08-01Plan benefit arrangement – InsuranceYes
2012: PRAXAIR PUERTO RICO MEDICAL PLAN 2012 form 5500 responses
2012-08-01Type of plan entitySingle employer plan
2012-08-01Submission has been amendedNo
2012-08-01This submission is the final filingNo
2012-08-01This return/report is a short plan year return/report (less than 12 months)No
2012-08-01Plan is a collectively bargained planNo
2012-08-01Plan funding arrangement – InsuranceYes
2012-08-01Plan benefit arrangement – InsuranceYes
2011: PRAXAIR PUERTO RICO MEDICAL PLAN 2011 form 5500 responses
2011-08-01Type of plan entitySingle employer plan
2011-08-01Submission has been amendedNo
2011-08-01This submission is the final filingNo
2011-08-01This return/report is a short plan year return/report (less than 12 months)No
2011-08-01Plan is a collectively bargained planNo
2011-08-01Plan funding arrangement – InsuranceYes
2011-08-01Plan benefit arrangement – InsuranceYes
2009: PRAXAIR PUERTO RICO MEDICAL PLAN 2009 form 5500 responses
2009-08-01Type of plan entitySingle employer plan
2009-08-01Submission has been amendedNo
2009-08-01This submission is the final filingNo
2009-08-01This return/report is a short plan year return/report (less than 12 months)No
2009-08-01Plan is a collectively bargained planNo
2009-08-01Plan funding arrangement – InsuranceYes
2009-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MCS LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60030 )
Policy contract number79-791527
Policy instance 1
Insurance contract or identification number79-791527
Number of Individuals Covered90
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $16,448
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,448
Insurance broker organization code?3
MCS LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60030 )
Policy contract number79-791527
Policy instance 1
Insurance contract or identification number79-791527
Number of Individuals Covered92
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $17,090
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,665
Insurance broker organization code?3
MCS LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60030 )
Policy contract number79-791527
Policy instance 1
Insurance contract or identification number79-791527
Number of Individuals Covered88
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $16,153
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,153
Insurance broker organization code?3
MCS LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60030 )
Policy contract number79-791527
Policy instance 1
Insurance contract or identification number79-791527
Number of Individuals Covered88
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $16,499
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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