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AMERICAN CONCRETE SUPPLY, INC. SUPPLEMENTAL INSURANCE PLAN 401k Plan overview

Plan NameAMERICAN CONCRETE SUPPLY, INC. SUPPLEMENTAL INSURANCE PLAN
Plan identification number 501

AMERICAN CONCRETE SUPPLY, INC. SUPPLEMENTAL INSURANCE PLAN Benefits

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

401k Sponsoring company profile

AMERICAN CONCRETE SUPPLY, INC. has sponsored the creation of one or more 401k plans.

Company Name:AMERICAN CONCRETE SUPPLY, INC.
Employer identification number (EIN):203009893
NAIC Classification:212320
NAIC Description: Sand, Gravel, Clay, and Ceramic and Refractory Minerals Mining and Quarrying

Additional information about AMERICAN CONCRETE SUPPLY, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 2005-03-10
Company Identification Number: P05000037337
Legal Registered Office Address: 501 Commendencia Street

Pensacola

32502

More information about AMERICAN CONCRETE SUPPLY, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICAN CONCRETE SUPPLY, INC. SUPPLEMENTAL INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01TRUDY M. CAMPBELL2024-06-06
5012022-01-01TRUDY M. CAMPBELL2023-09-22
5012021-01-01TRUDY M. CAMPBELL2022-10-18
5012020-01-01TRUDY M. CAMPBELL2021-10-07
5012019-01-01C R CAMPBELL SR2020-07-02
5012018-01-01
5012017-01-01

Form 5500 Responses for AMERICAN CONCRETE SUPPLY, INC. SUPPLEMENTAL INSURANCE PLAN

2023: AMERICAN CONCRETE SUPPLY, INC. SUPPLEMENTAL INSURANCE PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: AMERICAN CONCRETE SUPPLY, INC. SUPPLEMENTAL INSURANCE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: AMERICAN CONCRETE SUPPLY, INC. SUPPLEMENTAL INSURANCE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: AMERICAN CONCRETE SUPPLY, INC. SUPPLEMENTAL INSURANCE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: AMERICAN CONCRETE SUPPLY, INC. SUPPLEMENTAL INSURANCE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: AMERICAN CONCRETE SUPPLY, INC. SUPPLEMENTAL INSURANCE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: AMERICAN CONCRETE SUPPLY, INC. SUPPLEMENTAL INSURANCE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01First time form 5500 has been submittedYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberAFA49
Policy instance 1
Insurance contract or identification numberAFA49
Number of Individuals Covered110
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $18,911
Total amount of fees paid to insurance companyUSD $1,375
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
ATS UNDERWRITING/US FIRE (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number417002416033
Policy instance 2
Insurance contract or identification number417002416033
Number of Individuals Covered148
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $395,961
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number958016
Policy instance 3
Insurance contract or identification number958016
Number of Individuals Covered189
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $25,699
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberAFA49
Policy instance 1
Insurance contract or identification numberAFA49
Number of Individuals Covered120
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $30,947
Total amount of fees paid to insurance companyUSD $120
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberAFA49
Policy instance 1
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberMF640
Policy instance 1
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number87488
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00535161
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00535161
Policy instance 1

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