401k Plan data: PITTSBURGH GLASS WORKS, LLC HEALTH AND WELFARE PLAN FOR EVANSVILLE UNION EMPLOYEES plan

PITTSBURGH GLASS WORKS, LLC HEALTH AND WELFARE PLAN FOR EVANSVILLE UNION EMPLOYEES 401k Plan overview

Plan Name	PITTSBURGH GLASS WORKS, LLC HEALTH AND WELFARE PLAN FOR EVANSVILLE UNION EMPLOYEES
Plan identification number	508

PITTSBURGH GLASS WORKS, LLC HEALTH AND WELFARE PLAN FOR EVANSVILLE UNION EMPLOYEES 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 Other welfare benefit cover

401k Sponsoring company profile

PITTSBURGH GLASS WORKS, LLC has sponsored the creation of one or more 401k plans.

Company Name: PITTSBURGH GLASS WORKS, LLC

Employer identification number (EIN): 262998228

NAIC Classification: 423100

Additional information about PITTSBURGH GLASS WORKS, LLC

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2017-07-31

Company Identification Number: 0802779983

Legal Registered Office Address: 400 GUYS RUN RD

CHESWICK
United States of America (USA)
15024

More information about PITTSBURGH GLASS WORKS, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PITTSBURGH GLASS WORKS, LLC HEALTH AND WELFARE PLAN FOR EVANSVILLE UNION EMPLOYEES

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
508 2014-01-01 JOHN YAROWENKO JOHN YAROWENKO 2015-10-14
508 2013-01-01
508 2012-01-01 JEFFREY GRONBECK
508 2011-01-01 JEFFREY GRONBECK

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
508	2014-01-01	JOHN YAROWENKO	JOHN YAROWENKO	2015-10-14
508	2013-01-01
508	2012-01-01	JEFFREY GRONBECK
508	2011-01-01	JEFFREY GRONBECK

Plan Statistics for PITTSBURGH GLASS WORKS, LLC HEALTH AND WELFARE PLAN FOR EVANSVILLE UNION EMPLOYEES

401k plan membership statisitcs for PITTSBURGH GLASS WORKS, LLC HEALTH AND WELFARE PLAN FOR EVANSVILLE UNION EMPLOYEES

Measure Date Value
2014: PITTSBURGH GLASS WORKS, LLC HEALTH AND WELFARE PLAN FOR EVANSVILLE UNION EMPLOYEES 2014 401k membership
Total participants, beginning-of-year 2014-01-01 478
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 0
2013: PITTSBURGH GLASS WORKS, LLC HEALTH AND WELFARE PLAN FOR EVANSVILLE UNION EMPLOYEES 2013 401k membership
Total participants, beginning-of-year 2013-01-01 530
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 475
Number of retired or separated participants receiving benefits 2013-01-01 3
Total of all active and inactive participants 2013-01-01 478
2012: PITTSBURGH GLASS WORKS, LLC HEALTH AND WELFARE PLAN FOR EVANSVILLE UNION EMPLOYEES 2012 401k membership
Total participants, beginning-of-year 2012-01-01 512
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 525
Number of retired or separated participants receiving benefits 2012-01-01 5
Total of all active and inactive participants 2012-01-01 530
2011: PITTSBURGH GLASS WORKS, LLC HEALTH AND WELFARE PLAN FOR EVANSVILLE UNION EMPLOYEES 2011 401k membership
Total participants, beginning-of-year 2011-01-01 402
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 502
Number of retired or separated participants receiving benefits 2011-01-01 10
Total of all active and inactive participants 2011-01-01 512

Measure	Date	Value
2014: PITTSBURGH GLASS WORKS, LLC HEALTH AND WELFARE PLAN FOR EVANSVILLE UNION EMPLOYEES 2014 401k membership
Total participants, beginning-of-year	2014-01-01	478
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	0
2013: PITTSBURGH GLASS WORKS, LLC HEALTH AND WELFARE PLAN FOR EVANSVILLE UNION EMPLOYEES 2013 401k membership
Total participants, beginning-of-year	2013-01-01	530
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	475
Number of retired or separated participants receiving benefits	2013-01-01	3
Total of all active and inactive participants	2013-01-01	478
2012: PITTSBURGH GLASS WORKS, LLC HEALTH AND WELFARE PLAN FOR EVANSVILLE UNION EMPLOYEES 2012 401k membership
Total participants, beginning-of-year	2012-01-01	512
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	525
Number of retired or separated participants receiving benefits	2012-01-01	5
Total of all active and inactive participants	2012-01-01	530
2011: PITTSBURGH GLASS WORKS, LLC HEALTH AND WELFARE PLAN FOR EVANSVILLE UNION EMPLOYEES 2011 401k membership
Total participants, beginning-of-year	2011-01-01	402
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	502
Number of retired or separated participants receiving benefits	2011-01-01	10
Total of all active and inactive participants	2011-01-01	512

Form 5500 Responses for PITTSBURGH GLASS WORKS, LLC HEALTH AND WELFARE PLAN FOR EVANSVILLE UNION EMPLOYEES

2014: PITTSBURGH GLASS WORKS, LLC HEALTH AND WELFARE PLAN FOR EVANSVILLE UNION EMPLOYEES 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	This submission is the final filing	Yes
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: PITTSBURGH GLASS WORKS, LLC HEALTH AND WELFARE PLAN FOR EVANSVILLE UNION EMPLOYEES 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 funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: PITTSBURGH GLASS WORKS, LLC HEALTH AND WELFARE PLAN FOR EVANSVILLE UNION EMPLOYEES 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 funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: PITTSBURGH GLASS WORKS, LLC HEALTH AND WELFARE PLAN FOR EVANSVILLE UNION EMPLOYEES 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	First time form 5500 has been submitted	Yes
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30043052

Policy instance

Insurance contract or identification number	30043052
Number of Individuals Covered	0
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $426
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
Vision 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 $426
Insurance broker organization code?	3
Insurance broker name	BENEFIT ADVISORS SERVICES GROUP

DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )

Policy contract number

16691

Policy instance

Insurance contract or identification number	16691
Number of Individuals Covered	0
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $7,115
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
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $129,359
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,115
Insurance broker organization code?	3
Insurance broker name	JAMES B. OSWALD CO.

FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )

Policy contract number

000099074613

Policy instance

Insurance contract or identification number	000099074613
Number of Individuals Covered	0
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $53
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
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $1,067
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $53
Insurance broker organization code?	3
Insurance broker name	JAMES B. OSWALD CO.

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0143747

Policy instance

Insurance contract or identification number	0143747
Number of Individuals Covered	0
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $5,459
Total amount of fees paid to insurance company	USD $5,418
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	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $173,439
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,459
Amount paid for insurance broker fees	5418
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMPENSATION
Insurance broker organization code?	3
Insurance broker name	JAMES B. OSWALD CO.

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

Policy contract number

OK 964616

Policy instance

Insurance contract or identification number	OK 964616
Number of Individuals Covered	485
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $356
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
Other welfare benefits provided	ACCIDENTAL DEATH
Welfare Benefit Premiums Paid to Carrier	USD $19,444
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $356
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Insurance broker name	THE JAMES B OSWALD COMPANY

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

Policy contract number

FLX962954

Policy instance

Insurance contract or identification number	FLX962954
Number of Individuals Covered	490
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $2,395
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
Welfare Benefit Premiums Paid to Carrier	USD $214,711
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,395
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Insurance broker name	THE JAMES B OSWALD COMPANY

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

Policy contract number

FLK960471

Policy instance

Insurance contract or identification number	FLK960471
Number of Individuals Covered	415
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $9,506
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
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $81,752
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,506
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Insurance broker name	THE JAMES B OSWALD COMPANY

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0143747

Policy instance

Insurance contract or identification number	0143747
Number of Individuals Covered	637
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $9,771
Total amount of fees paid to insurance company	USD $3,357
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $195,877
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,771
Amount paid for insurance broker fees	3357
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMPENSATION
Insurance broker organization code?	3
Insurance broker name	JAMES B OSWALD CO

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

Policy contract number

ABL962394

Policy instance

Insurance contract or identification number	ABL962394
Number of Individuals Covered	500
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $229
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
Other welfare benefits provided	BUSINESS TRAVEL ACCIDENTAL DEATH
Welfare Benefit Premiums Paid to Carrier	USD $1,529
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $229
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Insurance broker name	THE JAMES B OSWALD COMPANY

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

Policy contract number

OK 964616

Policy instance

Insurance contract or identification number	OK 964616
Number of Individuals Covered	537
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $309
Total amount of fees paid to insurance company	USD $293
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	ACCIDENTAL DEATH
Welfare Benefit Premiums Paid to Carrier	USD $21,034
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $309
Amount paid for insurance broker fees	293
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMMISSION
Insurance broker organization code?	3
Insurance broker name	THE JAMES B OSWALD COMPANY

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

Policy contract number

FLX962954

Policy instance

Insurance contract or identification number	FLX962954
Number of Individuals Covered	537
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $1,551
Total amount of fees paid to insurance company	USD $2,770
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
Welfare Benefit Premiums Paid to Carrier	USD $209,484
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,551
Amount paid for insurance broker fees	2770
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMMISSION
Insurance broker organization code?	3
Insurance broker name	THE JAMES B OSWALD COMPANY

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

Policy contract number

FLK960471

Policy instance

Insurance contract or identification number	FLK960471
Number of Individuals Covered	351
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $11,548
Total amount of fees paid to insurance company	USD $1,275
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $76,988
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $11,548
Amount paid for insurance broker fees	1275
Additional information about fees paid to insurance broker	OVERRIDE
Insurance broker organization code?	3
Insurance broker name	THE JAMES B OSWALD COMPANY

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

Policy contract number

ABL962394

Policy instance

Insurance contract or identification number	ABL962394
Number of Individuals Covered	514
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $160
Total amount of fees paid to insurance company	USD $16
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	BUSINESS TRAVEL ACCIDENTAL DEATH
Welfare Benefit Premiums Paid to Carrier	USD $1,065
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $160
Amount paid for insurance broker fees	16
Additional information about fees paid to insurance broker	OVERRIDE
Insurance broker organization code?	3
Insurance broker name	THE JAMES B OSWALD COMPANY

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0143747

Policy instance

Insurance contract or identification number	0143747
Number of Individuals Covered	658
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $10,688
Total amount of fees paid to insurance company	USD $3,449
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $180,764
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,688
Amount paid for insurance broker fees	3449
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMPENSATION
Insurance broker organization code?	3
Insurance broker name	JAMES B OSWALD CO

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

Policy contract number

OK 964616

Policy instance

Insurance contract or identification number	OK 964616
Number of Individuals Covered	508
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $385
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
Other welfare benefits provided	ACCIDENTAL DEATH
Welfare Benefit Premiums Paid to Carrier	USD $18,432
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

FLX962954

Policy instance

Insurance contract or identification number	FLX962954
Number of Individuals Covered	508
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $2,298
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
Welfare Benefit Premiums Paid to Carrier	USD $175,134
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

FLK960471

Policy instance

Insurance contract or identification number	FLK960471
Number of Individuals Covered	241
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $8,636
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
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $57,573
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0143747

Policy instance

Insurance contract or identification number	0143747
Number of Individuals Covered	524
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $5,783
Total amount of fees paid to insurance company	USD $2,303
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $145,210
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

ABL962394

Policy instance

Insurance contract or identification number	ABL962394
Number of Individuals Covered	452
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $148
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
Other welfare benefits provided	BUSINESS TRAVEL ACCIDENTAL DEATH
Welfare Benefit Premiums Paid to Carrier	USD $986
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Was this data useful?

If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us. Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer

The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Company Name:	PITTSBURGH GLASS WORKS, LLC
Employer identification number (EIN):	262998228
NAIC Classification:	423100

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2017-07-31
Company Identification Number:	0802779983
Legal Registered Office Address:	400 GUYS RUN RD CHESWICK United States of America (USA) 15024