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T.G. NICKEL & ASSOCIATES, LLC. - DENTAL AND VISION PLAN 401k Plan overview

Plan NameT.G. NICKEL & ASSOCIATES, LLC. - DENTAL AND VISION PLAN
Plan identification number 503

T.G. NICKEL & ASSOCIATES, LLC. - DENTAL AND VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental
  • Vision
  • 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.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

T. G. NICKEL & ASSOCIATES, LLC has sponsored the creation of one or more 401k plans.

Company Name:T. G. NICKEL & ASSOCIATES, LLC
Employer identification number (EIN):270141230
NAIC Classification:236200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan T.G. NICKEL & ASSOCIATES, LLC. - DENTAL AND VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032019-08-01MICHELLE KRASSOPOULOS2020-11-24
5032018-08-01MICHELLE KRASSAPOULOS2020-05-14
5032017-08-01
5032016-08-01

Plan Statistics for T.G. NICKEL & ASSOCIATES, LLC. - DENTAL AND VISION PLAN

401k plan membership statisitcs for T.G. NICKEL & ASSOCIATES, LLC. - DENTAL AND VISION PLAN

Measure Date Value
2019: T.G. NICKEL & ASSOCIATES, LLC. - DENTAL AND VISION PLAN 2019 401k membership
Total participants, beginning-of-year2019-08-01170
Total number of active participants reported on line 7a of the Form 55002019-08-010
Number of retired or separated participants receiving benefits2019-08-010
Number of other retired or separated participants entitled to future benefits2019-08-010
Total of all active and inactive participants2019-08-010
2018: T.G. NICKEL & ASSOCIATES, LLC. - DENTAL AND VISION PLAN 2018 401k membership
Total participants, beginning-of-year2018-08-01166
Total number of active participants reported on line 7a of the Form 55002018-08-01170
Number of retired or separated participants receiving benefits2018-08-010
Number of other retired or separated participants entitled to future benefits2018-08-010
Total of all active and inactive participants2018-08-01170
Number of employers contributing to the scheme2018-08-010
2017: T.G. NICKEL & ASSOCIATES, LLC. - DENTAL AND VISION PLAN 2017 401k membership
Total participants, beginning-of-year2017-08-0176
Total number of active participants reported on line 7a of the Form 55002017-08-01166
Number of retired or separated participants receiving benefits2017-08-010
Number of other retired or separated participants entitled to future benefits2017-08-010
Total of all active and inactive participants2017-08-01166
Number of employers contributing to the scheme2017-08-010
2016: T.G. NICKEL & ASSOCIATES, LLC. - DENTAL AND VISION PLAN 2016 401k membership
Total participants, beginning-of-year2016-08-01100
Total number of active participants reported on line 7a of the Form 55002016-08-0176
Number of retired or separated participants receiving benefits2016-08-010
Number of other retired or separated participants entitled to future benefits2016-08-010
Total of all active and inactive participants2016-08-0176

Form 5500 Responses for T.G. NICKEL & ASSOCIATES, LLC. - DENTAL AND VISION PLAN

2019: T.G. NICKEL & ASSOCIATES, LLC. - DENTAL AND VISION PLAN 2019 form 5500 responses
2019-08-01Type of plan entitySingle employer plan
2019-08-01Submission has been amendedNo
2019-08-01This submission is the final filingYes
2019-08-01This return/report is a short plan year return/report (less than 12 months)No
2019-08-01Plan is a collectively bargained planNo
2019-08-01Plan funding arrangement – InsuranceYes
2019-08-01Plan benefit arrangement – InsuranceYes
2018: T.G. NICKEL & ASSOCIATES, LLC. - DENTAL AND VISION PLAN 2018 form 5500 responses
2018-08-01Type of plan entitySingle employer plan
2018-08-01Plan funding arrangement – InsuranceYes
2018-08-01Plan benefit arrangement – InsuranceYes
2017: T.G. NICKEL & ASSOCIATES, LLC. - DENTAL AND VISION PLAN 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – InsuranceYes
2016: T.G. NICKEL & ASSOCIATES, LLC. - DENTAL AND VISION PLAN 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01First time form 5500 has been submittedYes
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00541449
Policy instance 1
Insurance contract or identification number00541449
Number of Individuals Covered166
Insurance policy start date2019-08-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $4,761
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedOPTIONAL LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT
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 CarrierUSD $47,199
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,761
Insurance broker organization code?0
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number541449
Policy instance 1
Insurance contract or identification number541449
Number of Individuals Covered170
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $17,346
Total amount of fees paid to insurance companyUSD $10,929
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $278,493
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,346
Amount paid for insurance broker fees10929
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00541449
Policy instance 1
Insurance contract or identification number00541449
Number of Individuals Covered166
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $16,752
Total amount of fees paid to insurance companyUSD $6,527
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $259,240
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,955
Amount paid for insurance broker fees6527
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
Insurance broker nameMARSH AND MCLENNAN AGENCY

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