401k Plan data: SARRACCO MECHANICAL SERVICES, INC. plan

SARRACCO MECHANICAL SERVICES, INC. 401k Plan overview

Plan Name	SARRACCO MECHANICAL SERVICES, INC.
Plan identification number	501

SARRACCO MECHANICAL SERVICES, INC. Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

SARRACCO MECHANICAL SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name: SARRACCO MECHANICAL SERVICES, INC.

Employer identification number (EIN): 060935943

NAIC Classification: 238220
NAIC Description: Plumbing, Heating, and Air-Conditioning Contractors

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SARRACCO MECHANICAL SERVICES, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2020-01-01
501 2019-01-01
501 2018-01-01
501 2017-01-01 YVETTE WILMOT YVETTE WILMOT 2018-08-01
501 2016-01-01 YVETTE WILMOT YVETTE WILMOT 2017-07-28
501 2015-01-01 YVETTE WILMOT YVETTE WILMOT 2016-07-19
501 2014-01-01 YVETTE WILMOT YVETTE WILMOT 2015-07-29
501 2013-01-01 YVETTE WILMOT YVETTE WILMOT 2014-07-15
501 2012-01-01 YVETTE WILMOT YVETTE WILMOT 2013-07-25
501 2011-01-01 YVETTE WILMOT YVETTE WILMOT 2012-06-11

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2020-01-01
501	2019-01-01
501	2018-01-01
501	2017-01-01	YVETTE WILMOT	YVETTE WILMOT	2018-08-01
501	2016-01-01	YVETTE WILMOT	YVETTE WILMOT	2017-07-28
501	2015-01-01	YVETTE WILMOT	YVETTE WILMOT	2016-07-19
501	2014-01-01	YVETTE WILMOT	YVETTE WILMOT	2015-07-29
501	2013-01-01	YVETTE WILMOT	YVETTE WILMOT	2014-07-15
501	2012-01-01	YVETTE WILMOT	YVETTE WILMOT	2013-07-25
501	2011-01-01	YVETTE WILMOT	YVETTE WILMOT	2012-06-11

Plan Statistics for SARRACCO MECHANICAL SERVICES, INC.

401k plan membership statisitcs for SARRACCO MECHANICAL SERVICES, INC.

Measure Date Value
2020: SARRACCO MECHANICAL SERVICES, INC. 2020 401k membership
Total participants, beginning-of-year 2020-01-01 190
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 103
Total of all active and inactive participants 2020-01-01 103
2019: SARRACCO MECHANICAL SERVICES, INC. 2019 401k membership
Total participants, beginning-of-year 2019-01-01 187
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 190
Total of all active and inactive participants 2019-01-01 190
2018: SARRACCO MECHANICAL SERVICES, INC. 2018 401k membership
Total participants, beginning-of-year 2018-01-01 217
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 187
Total of all active and inactive participants 2018-01-01 187
2017: SARRACCO MECHANICAL SERVICES, INC. 2017 401k membership
Total participants, beginning-of-year 2017-01-01 205
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 217
Total of all active and inactive participants 2017-01-01 217
2016: SARRACCO MECHANICAL SERVICES, INC. 2016 401k membership
Total participants, beginning-of-year 2016-01-01 220
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 205
Total of all active and inactive participants 2016-01-01 205
2015: SARRACCO MECHANICAL SERVICES, INC. 2015 401k membership
Total participants, beginning-of-year 2015-01-01 243
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 220
Total of all active and inactive participants 2015-01-01 220
2014: SARRACCO MECHANICAL SERVICES, INC. 2014 401k membership
Total participants, beginning-of-year 2014-01-01 204
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 243
Total of all active and inactive participants 2014-01-01 243
2013: SARRACCO MECHANICAL SERVICES, INC. 2013 401k membership
Total participants, beginning-of-year 2013-01-01 250
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 204
Total of all active and inactive participants 2013-01-01 204
2012: SARRACCO MECHANICAL SERVICES, INC. 2012 401k membership
Total participants, beginning-of-year 2012-01-01 264
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 250
Total of all active and inactive participants 2012-01-01 250
2011: SARRACCO MECHANICAL SERVICES, INC. 2011 401k membership
Total participants, beginning-of-year 2011-01-01 106
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 264
Total of all active and inactive participants 2011-01-01 264

Measure	Date	Value
2020: SARRACCO MECHANICAL SERVICES, INC. 2020 401k membership
Total participants, beginning-of-year	2020-01-01	190
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	103
Total of all active and inactive participants	2020-01-01	103
2019: SARRACCO MECHANICAL SERVICES, INC. 2019 401k membership
Total participants, beginning-of-year	2019-01-01	187
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	190
Total of all active and inactive participants	2019-01-01	190
2018: SARRACCO MECHANICAL SERVICES, INC. 2018 401k membership
Total participants, beginning-of-year	2018-01-01	217
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	187
Total of all active and inactive participants	2018-01-01	187
2017: SARRACCO MECHANICAL SERVICES, INC. 2017 401k membership
Total participants, beginning-of-year	2017-01-01	205
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	217
Total of all active and inactive participants	2017-01-01	217
2016: SARRACCO MECHANICAL SERVICES, INC. 2016 401k membership
Total participants, beginning-of-year	2016-01-01	220
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	205
Total of all active and inactive participants	2016-01-01	205
2015: SARRACCO MECHANICAL SERVICES, INC. 2015 401k membership
Total participants, beginning-of-year	2015-01-01	243
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	220
Total of all active and inactive participants	2015-01-01	220
2014: SARRACCO MECHANICAL SERVICES, INC. 2014 401k membership
Total participants, beginning-of-year	2014-01-01	204
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	243
Total of all active and inactive participants	2014-01-01	243
2013: SARRACCO MECHANICAL SERVICES, INC. 2013 401k membership
Total participants, beginning-of-year	2013-01-01	250
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	204
Total of all active and inactive participants	2013-01-01	204
2012: SARRACCO MECHANICAL SERVICES, INC. 2012 401k membership
Total participants, beginning-of-year	2012-01-01	264
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	250
Total of all active and inactive participants	2012-01-01	250
2011: SARRACCO MECHANICAL SERVICES, INC. 2011 401k membership
Total participants, beginning-of-year	2011-01-01	106
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	264
Total of all active and inactive participants	2011-01-01	264

Form 5500 Responses for SARRACCO MECHANICAL SERVICES, INC.

2020: SARRACCO MECHANICAL SERVICES, INC. 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: SARRACCO MECHANICAL SERVICES, INC. 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: SARRACCO MECHANICAL SERVICES, INC. 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: SARRACCO MECHANICAL SERVICES, INC. 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: SARRACCO MECHANICAL SERVICES, INC. 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: SARRACCO MECHANICAL SERVICES, INC. 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: SARRACCO MECHANICAL SERVICES, INC. 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: SARRACCO MECHANICAL SERVICES, INC. 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: SARRACCO MECHANICAL SERVICES, INC. 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: SARRACCO MECHANICAL SERVICES, INC. 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

0228553

Policy instance

Insurance contract or identification number	0228553
Number of Individuals Covered	81
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $50,328
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $40,889
Insurance broker organization code?	3

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

0904237

Policy instance

Insurance contract or identification number	0904237
Number of Individuals Covered	80
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $791
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $527
Insurance broker organization code?	3

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

SOK608055

Policy instance

Insurance contract or identification number	SOK608055
Insurance policy start date	2020-01-01
Insurance policy end date	2021-01-01
Total amount of commissions paid to insurance broker	USD $357
Total amount of fees paid to insurance company	USD $64
Other welfare benefits provided	BASIC AD&D
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $202
Additional information about fees paid to insurance broker	STANDARD COMMISSIONS
Amount paid for insurance broker fees	64

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

SGD611941

Policy instance

Insurance contract or identification number	SGD611941
Insurance policy start date	2020-01-01
Insurance policy end date	2021-01-01
Total amount of commissions paid to insurance broker	USD $2,072
Total amount of fees paid to insurance company	USD $764
Long Term Disability Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,002
Additional information about fees paid to insurance broker	SALES AND SERVICE
Amount paid for insurance broker fees	334

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

SGD611940

Policy instance

Insurance contract or identification number	SGD611940
Insurance policy start date	2020-01-01
Insurance policy end date	2021-01-01
Total amount of commissions paid to insurance broker	USD $1,305
Total amount of fees paid to insurance company	USD $652
Temporary Disability Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $577
Additional information about fees paid to insurance broker	SALES AND SERVICE
Amount paid for insurance broker fees	288

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

SGM610839

Policy instance

Insurance contract or identification number	SGM610839
Insurance policy start date	2020-01-01
Insurance policy end date	2021-01-01
Total amount of commissions paid to insurance broker	USD $2,083
Total amount of fees paid to insurance company	USD $1,358
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,239
Additional information about fees paid to insurance broker	SALES AND SERVICE
Amount paid for insurance broker fees	528

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00444107

Policy instance

Insurance contract or identification number	00444107
Number of Individuals Covered	112
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $8,850
Dental Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	8850
Insurance broker organization code?	3

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

0228553

Policy instance

Insurance contract or identification number	0228553
Number of Individuals Covered	190
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $45,339
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $45,339
Insurance broker organization code?	3

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

0904237

Policy instance

Insurance contract or identification number	0904237
Number of Individuals Covered	89
Insurance policy start date	2019-01-01
Insurance policy end date	2109-12-31
Total amount of commissions paid to insurance broker	USD $637
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $637
Insurance broker organization code?	3

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00444107

Policy instance

Insurance contract or identification number	00444107
Number of Individuals Covered	117
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $8,765
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,765
Insurance broker organization code?	3

QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )

Policy contract number

LGS01969-18

Policy instance

Insurance contract or identification number	LGS01969-18
Number of Individuals Covered	187
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

0904237

Policy instance

Insurance contract or identification number	0904237
Number of Individuals Covered	197
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $671
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $671
Insurance broker organization code?	3
Insurance broker name	CHITTENDEN INSURANCE AGNECY INC

OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

SM21886

Policy instance

Insurance contract or identification number	SM21886
Number of Individuals Covered	217
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $46,056
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $46,056
Insurance broker organization code?	3
Insurance broker name	CHITTENDEN INSURANCE AGNECY INC

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00444107

Policy instance

Insurance contract or identification number	00444107
Number of Individuals Covered	118
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $9,074
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,074
Insurance broker organization code?	3
Insurance broker name	CHITTENDEN INSURANCE AGNECY INC

OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

SM21886

Policy instance

Insurance contract or identification number	SM21886
Number of Individuals Covered	220
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $46,620
Total amount of fees paid to insurance company	USD $3,000
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $46,620
Amount paid for insurance broker fees	3000
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3
Insurance broker name	CHITTENDEN INSURANCE AGNECY INC

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00444107

Policy instance

Insurance contract or identification number	00444107
Number of Individuals Covered	130
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $8,812
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,812
Insurance broker name	CHITTENDEN INSURANCE AGNECY INC

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00444107

Policy instance

Insurance contract or identification number	00444107
Number of Individuals Covered	134
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $8,588
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,588
Insurance broker name	CHITTENDEN INSURANCE AGNECY INC

CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )

Policy contract number

2219

Policy instance

Insurance contract or identification number	2219
Number of Individuals Covered	243
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $58,782
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $58,782
Additional information about fees paid to insurance broker	BONUS
Insurance broker name	CHITTENDEN INSURANCE AGNECY INC

WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )

Policy contract number

0656688

Policy instance

Insurance contract or identification number	0656688
Number of Individuals Covered	204
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $30,021
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $30,021
Insurance broker name	STIRLING BENEFITS INC

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00444107

Policy instance

Insurance contract or identification number	00444107
Number of Individuals Covered	131
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $6,389
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,389
Insurance broker name	CHITTENDEN INSURANCE AGNECY INC

WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )

Policy contract number

0656688

Policy instance

Insurance contract or identification number	0656688
Number of Individuals Covered	250
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $29,379
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $29,379
Insurance broker name	STIRLING BENEFITS INC

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00444107

Policy instance

Insurance contract or identification number	00444107
Number of Individuals Covered	120
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $6,083
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,083
Insurance broker name	CHITTENDEN INSURANCE AGNECY INC

OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

SM21040

Policy instance

Insurance contract or identification number	SM21040
Number of Individuals Covered	264
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $37,181
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $860,037
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00444107

Policy instance

Insurance contract or identification number	00444107
Number of Individuals Covered	125
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $5,870
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	SARRACCO MECHANICAL SERVICES, INC.
Employer identification number (EIN):	060935943
NAIC Classification:	238220
NAIC Description:	Plumbing, Heating, and Air-Conditioning Contractors