401k Plan data: RELIABLE EQUIPMENT & SERVICE CO., INC. WELFARE BENEFIT PLAN plan

RELIABLE EQUIPMENT & SERVICE CO., INC. WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	RELIABLE EQUIPMENT & SERVICE CO., INC. WELFARE BENEFIT PLAN
Plan identification number	501

RELIABLE EQUIPMENT & SERVICE CO., INC. WELFARE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

RELIABLE EQUIPMENT & SERVICE CO., INC. has sponsored the creation of one or more 401k plans.

Company Name: RELIABLE EQUIPMENT & SERVICE CO., INC.

Employer identification number (EIN): 232046479

NAIC Classification: 423700

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RELIABLE EQUIPMENT & SERVICE CO., INC. WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-12-01 SCOTT POROSKI 2024-10-31

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2023-12-01	SCOTT POROSKI	2024-10-31

Plan Statistics for RELIABLE EQUIPMENT & SERVICE CO., INC. WELFARE BENEFIT PLAN

401k plan membership statisitcs for RELIABLE EQUIPMENT & SERVICE CO., INC. WELFARE BENEFIT PLAN

Measure Date Value
2023: RELIABLE EQUIPMENT & SERVICE CO., INC. WELFARE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year 2023-12-01 102
Total number of active participants reported on line 7a of the Form 5500 2023-12-01 102
Number of retired or separated participants receiving benefits 2023-12-01 4
Number of other retired or separated participants entitled to future benefits 2023-12-01 0
Total of all active and inactive participants 2023-12-01 106

Measure	Date	Value
2023: RELIABLE EQUIPMENT & SERVICE CO., INC. WELFARE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year	2023-12-01	102
Total number of active participants reported on line 7a of the Form 5500	2023-12-01	102
Number of retired or separated participants receiving benefits	2023-12-01	4
Number of other retired or separated participants entitled to future benefits	2023-12-01	0
Total of all active and inactive participants	2023-12-01	106

Form 5500 Responses for RELIABLE EQUIPMENT & SERVICE CO., INC. WELFARE BENEFIT PLAN

2023: RELIABLE EQUIPMENT & SERVICE CO., INC. WELFARE BENEFIT PLAN 2023 form 5500 responses
2023-12-01	Type of plan entity	Single employer plan
2023-12-01	First time form 5500 has been submitted	Yes
2023-12-01	Submission has been amended	No
2023-12-01	This submission is the final filing	No
2023-12-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2023-12-01	Plan is a collectively bargained plan	No
2023-12-01	Plan funding arrangement – Insurance	Yes
2023-12-01	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

03V3092

Policy instance

Insurance contract or identification number	03V3092
Number of Individuals Covered	148
Insurance policy start date	2023-06-01
Insurance policy end date	2024-05-31
Total amount of commissions paid to insurance broker	USD $6,153
Total amount of fees paid to insurance company	USD $900
Are there contracts with allocated funds for individual policies?	0
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	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
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 $45,186
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BIND MEDICAL (National Association of Insurance Commissioners NAIC id number: 52429 )

Policy contract number

78700206

Policy instance

Insurance contract or identification number	78700206
Number of Individuals Covered	178
Insurance policy start date	2023-06-01
Insurance policy end date	2024-05-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $38,364
Are there contracts with allocated funds for individual policies?	0
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	Yes
Dental Insurance Welfare Benefit	No
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 $932,662
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G000C4RK

Policy instance

Insurance contract or identification number	G000C4RK
Number of Individuals Covered	103
Insurance policy start date	2023-06-01
Insurance policy end date	2024-05-31
Total amount of commissions paid to insurance broker	USD $6,920
Total amount of fees paid to insurance company	USD $8,460
Are there contracts with allocated funds for individual policies?	0
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	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	AD&D
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 $69,194
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

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Company Name:	RELIABLE EQUIPMENT & SERVICE CO., INC.
Employer identification number (EIN):	232046479
NAIC Classification:	423700