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SL CHASSE WELDING & FABRICATING HEALTH PLAN 401k Plan overview

Plan NameSL CHASSE WELDING & FABRICATING HEALTH PLAN
Plan identification number 501

SL CHASSE WELDING & FABRICATING HEALTH PLAN Benefits

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

401k Sponsoring company profile

S.L. CHASSE WELDING AND FABRICATING, INC. has sponsored the creation of one or more 401k plans.

Company Name:S.L. CHASSE WELDING AND FABRICATING, INC.
Employer identification number (EIN):020490941
NAIC Classification:332300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SL CHASSE WELDING & FABRICATING HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-11-01LORI CHASSE2024-02-05
5012021-11-01LORI CHASSE2023-05-22
5012020-11-01LORI CHASSE2022-02-10
5012019-11-01LORI CHASSE2021-05-17

Plan Statistics for SL CHASSE WELDING & FABRICATING HEALTH PLAN

401k plan membership statisitcs for SL CHASSE WELDING & FABRICATING HEALTH PLAN

Measure Date Value
2022: SL CHASSE WELDING & FABRICATING HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year2022-11-01176
Total number of active participants reported on line 7a of the Form 55002022-11-01198
Number of retired or separated participants receiving benefits2022-11-010
Number of other retired or separated participants entitled to future benefits2022-11-010
Total of all active and inactive participants2022-11-01198
Number of employers contributing to the scheme2022-11-010
2021: SL CHASSE WELDING & FABRICATING HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-11-01182
Total number of active participants reported on line 7a of the Form 55002021-11-01176
Number of retired or separated participants receiving benefits2021-11-010
Number of other retired or separated participants entitled to future benefits2021-11-010
Total of all active and inactive participants2021-11-01176
Number of employers contributing to the scheme2021-11-010
2020: SL CHASSE WELDING & FABRICATING HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-11-01164
Total number of active participants reported on line 7a of the Form 55002020-11-01182
Number of retired or separated participants receiving benefits2020-11-010
Number of other retired or separated participants entitled to future benefits2020-11-010
Total of all active and inactive participants2020-11-01182
Number of employers contributing to the scheme2020-11-010
2019: SL CHASSE WELDING & FABRICATING HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-11-01101
Total number of active participants reported on line 7a of the Form 55002019-11-01164
Number of retired or separated participants receiving benefits2019-11-010
Number of other retired or separated participants entitled to future benefits2019-11-010
Total of all active and inactive participants2019-11-01164
Number of employers contributing to the scheme2019-11-010

Form 5500 Responses for SL CHASSE WELDING & FABRICATING HEALTH PLAN

2022: SL CHASSE WELDING & FABRICATING HEALTH PLAN 2022 form 5500 responses
2022-11-01Type of plan entitySingle employer plan
2022-11-01Plan funding arrangement – InsuranceYes
2022-11-01Plan benefit arrangement – InsuranceYes
2021: SL CHASSE WELDING & FABRICATING HEALTH PLAN 2021 form 5500 responses
2021-11-01Type of plan entitySingle employer plan
2021-11-01Plan funding arrangement – InsuranceYes
2021-11-01Plan benefit arrangement – InsuranceYes
2020: SL CHASSE WELDING & FABRICATING HEALTH PLAN 2020 form 5500 responses
2020-11-01Type of plan entitySingle employer plan
2020-11-01Plan funding arrangement – InsuranceYes
2020-11-01Plan benefit arrangement – InsuranceYes
2019: SL CHASSE WELDING & FABRICATING HEALTH PLAN 2019 form 5500 responses
2019-11-01Type of plan entitySingle employer plan
2019-11-01First time form 5500 has been submittedYes
2019-11-01Plan funding arrangement – InsuranceYes
2019-11-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number364551
Policy instance 1
Insurance contract or identification number364551
Number of Individuals Covered198
Insurance policy start date2022-11-01
Insurance policy end date2023-10-31
Total amount of commissions paid to insurance brokerUSD $80,708
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,255,192
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $80,708
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number364551
Policy instance 1
Insurance contract or identification number364551
Number of Individuals Covered176
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,050,751
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TUFTS HEALTH FREEDOM INSURANCE (National Association of Insurance Commissioners NAIC id number: 15737 )
Policy contract number44807800
Policy instance 1
Insurance contract or identification number44807800
Number of Individuals Covered182
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $29,264
Total amount of fees paid to insurance companyUSD $11,810
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $844,533
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,264
Amount paid for insurance broker fees11810
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
TUFTS HEALTH FREEDOM INSURANCE (National Association of Insurance Commissioners NAIC id number: 15737 )
Policy contract number44807800
Policy instance 1
Insurance contract or identification number44807800
Number of Individuals Covered164
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $30,773
Total amount of fees paid to insurance companyUSD $6,834
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $777,833
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,773
Amount paid for insurance broker fees6834
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3

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