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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
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

Plan Statistics for AMERICAN CONCRETE SUPPLY, INC. SUPPLEMENTAL INSURANCE PLAN

401k plan membership statisitcs for AMERICAN CONCRETE SUPPLY, INC. SUPPLEMENTAL INSURANCE PLAN

Measure Date Value
2022: AMERICAN CONCRETE SUPPLY, INC. SUPPLEMENTAL INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01136
Total number of active participants reported on line 7a of the Form 55002022-01-01120
Total of all active and inactive participants2022-01-01120
2021: AMERICAN CONCRETE SUPPLY, INC. SUPPLEMENTAL INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01114
Total number of active participants reported on line 7a of the Form 55002021-01-01136
Total of all active and inactive participants2021-01-01136
2020: AMERICAN CONCRETE SUPPLY, INC. SUPPLEMENTAL INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01134
Total number of active participants reported on line 7a of the Form 55002020-01-01114
Total of all active and inactive participants2020-01-01114
2019: AMERICAN CONCRETE SUPPLY, INC. SUPPLEMENTAL INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01114
Total number of active participants reported on line 7a of the Form 55002019-01-01134
Total of all active and inactive participants2019-01-01134
2018: AMERICAN CONCRETE SUPPLY, INC. SUPPLEMENTAL INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01105
Total number of active participants reported on line 7a of the Form 55002018-01-01114
Total of all active and inactive participants2018-01-01114
2017: AMERICAN CONCRETE SUPPLY, INC. SUPPLEMENTAL INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01103
Total number of active participants reported on line 7a of the Form 55002017-01-01105
Total of all active and inactive participants2017-01-01105
Total participants2017-01-01105

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

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 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
Insurance broker organization code?3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberAFA49
Policy instance 1
Insurance contract or identification numberAFA49
Number of Individuals Covered136
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $22,613
Total amount of fees paid to insurance companyUSD $1,380
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $22,613
Amount paid for insurance broker fees1380
Insurance broker organization code?3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberMF640
Policy instance 1
Insurance contract or identification numberMF640
Number of Individuals Covered114
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $25,556
Total amount of fees paid to insurance companyUSD $879
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number87488
Policy instance 1
Insurance contract or identification number87488
Number of Individuals Covered134
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $44,801
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00535161
Policy instance 1
Insurance contract or identification number00535161
Number of Individuals Covered114
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $14,321
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00535161
Policy instance 1
Insurance contract or identification number00535161
Number of Individuals Covered105
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $11,835
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $11,835
Insurance broker organization code?3
Insurance broker nameAFFILIATED INS OF PENSACOLA INC

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