401k Plan data: BE AND K BUILDING GROUP DENTAL PLAN plan

BE AND K BUILDING GROUP DENTAL PLAN 401k Plan overview

Plan Name	BE AND K BUILDING GROUP DENTAL PLAN
Plan identification number	502

BE AND K BUILDING GROUP DENTAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

BE&K BUILDING GROUP has sponsored the creation of one or more 401k plans.

Company Name: BE&K BUILDING GROUP

Employer identification number (EIN): 141912053

NAIC Classification: 236200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BE AND K BUILDING GROUP DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2016-08-01 CANDACE WATSON
502 2016-08-01
502 2015-08-01 CANDACE WATSON

Plan Statistics for BE AND K BUILDING GROUP DENTAL PLAN

401k plan membership statisitcs for BE AND K BUILDING GROUP DENTAL PLAN

Measure Date Value
2016: BE AND K BUILDING GROUP DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-08-01 117
Total number of active participants reported on line 7a of the Form 5500 2016-08-01 104
Number of retired or separated participants receiving benefits 2016-08-01 2
Number of other retired or separated participants entitled to future benefits 2016-08-01 0
Total of all active and inactive participants 2016-08-01 106
2015: BE AND K BUILDING GROUP DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-08-01 145
Total number of active participants reported on line 7a of the Form 5500 2015-08-01 117
Number of retired or separated participants receiving benefits 2015-08-01 0
Number of other retired or separated participants entitled to future benefits 2015-08-01 0
Total of all active and inactive participants 2015-08-01 117

Measure	Date	Value
2016: BE AND K BUILDING GROUP DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-08-01	117
Total number of active participants reported on line 7a of the Form 5500	2016-08-01	104
Number of retired or separated participants receiving benefits	2016-08-01	2
Number of other retired or separated participants entitled to future benefits	2016-08-01	0
Total of all active and inactive participants	2016-08-01	106
2015: BE AND K BUILDING GROUP DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-08-01	145
Total number of active participants reported on line 7a of the Form 5500	2015-08-01	117
Number of retired or separated participants receiving benefits	2015-08-01	0
Number of other retired or separated participants entitled to future benefits	2015-08-01	0
Total of all active and inactive participants	2015-08-01	117

Form 5500 Responses for BE AND K BUILDING GROUP DENTAL PLAN

2016: BE AND K BUILDING GROUP DENTAL PLAN 2016 form 5500 responses
2016-08-01	Type of plan entity	Single employer plan
2016-08-01	Submission has been amended	No
2016-08-01	This submission is the final filing	No
2016-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-08-01	Plan is a collectively bargained plan	No
2016-08-01	Plan funding arrangement – Insurance	Yes
2016-08-01	Plan benefit arrangement – Insurance	Yes
2015: BE AND K BUILDING GROUP DENTAL PLAN 2015 form 5500 responses
2015-08-01	Type of plan entity	Single employer plan
2015-08-01	First time form 5500 has been submitted	Yes
2015-08-01	Submission has been amended	No
2015-08-01	This submission is the final filing	No
2015-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-08-01	Plan is a collectively bargained plan	No
2015-08-01	Plan funding arrangement – Insurance	Yes
2015-08-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

3339006

Policy instance

Insurance contract or identification number	3339006
Number of Individuals Covered	119
Insurance policy start date	2015-08-01
Insurance policy end date	2016-07-31
Total amount of commissions paid to insurance broker	USD $11,440
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $115,377
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $11,440
Insurance broker organization code?	3
Insurance broker name	ASSURANCE AGENCY

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Company Name:	BE&K BUILDING GROUP
Employer identification number (EIN):	141912053
NAIC Classification:	236200

Plan id#	Filing Submission Date	Name of Administrator
502	2016-08-01	CANDACE WATSON
502	2016-08-01
502	2015-08-01	CANDACE WATSON