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INFRASAFE, LLC 401(K)SAVINGS PLAN 401k Plan overview

Plan NameINFRASAFE, LLC 401(K)SAVINGS PLAN
Plan identification number 001

INFRASAFE, LLC 401(K)SAVINGS PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

INFRASAFE, LLC has sponsored the creation of one or more 401k plans.

Company Name:INFRASAFE, LLC
Employer identification number (EIN):273248196
NAIC Classification:423600

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INFRASAFE, LLC 401(K)SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012018-01-01RICHARD N. CLIFTON JR.2019-05-13 RICHARD N. CLIFTON, JR.2019-05-13
0012017-01-01
0012016-01-01RICHARD N. CLIFTON JR.
0012015-01-01RICHARD N. CLIFTON JR.

Plan Statistics for INFRASAFE, LLC 401(K)SAVINGS PLAN

401k plan membership statisitcs for INFRASAFE, LLC 401(K)SAVINGS PLAN

Measure Date Value
2018: INFRASAFE, LLC 401(K)SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01225
Total number of active participants reported on line 7a of the Form 55002018-01-01149
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0161
Total of all active and inactive participants2018-01-01210
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01210
Number of participants with account balances2018-01-01177
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-018
2017: INFRASAFE, LLC 401(K)SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01207
Total number of active participants reported on line 7a of the Form 55002017-01-01162
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0150
Total of all active and inactive participants2017-01-01212
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01212
Number of participants with account balances2017-01-01165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0112
2016: INFRASAFE, LLC 401(K)SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01179
Total number of active participants reported on line 7a of the Form 55002016-01-01149
Number of retired or separated participants receiving benefits2016-01-0139
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-011
Total participants2016-01-01189
Number of participants with account balances2016-01-01157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0120
2015: INFRASAFE, LLC 401(K)SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01145
Total number of active participants reported on line 7a of the Form 55002015-01-01128
Number of retired or separated participants receiving benefits2015-01-014
Number of other retired or separated participants entitled to future benefits2015-01-0120
Total of all active and inactive participants2015-01-01152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01152
Number of participants with account balances2015-01-01114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-018

Financial Data on INFRASAFE, LLC 401(K)SAVINGS PLAN

Measure Date Value
2018 : INFRASAFE, LLC 401(K)SAVINGS PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$113,315
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$386,030
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$326,031
Expenses. Certain deemed distributions of participant loans2018-12-31$12,355
Value of total corrective distributions2018-12-31$26,193
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$828,219
Value of total assets at end of year2018-12-31$10,279,539
Value of total assets at beginning of year2018-12-31$10,552,254
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$21,451
Total interest from all sources2018-12-31$8,889
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$692,198
Participant contributions at end of year2018-12-31$42,371
Participant contributions at beginning of year2018-12-31$64,436
Participant contributions at end of year2018-12-31$22,462
Participant contributions at beginning of year2018-12-31$53,475
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$23,609
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-272,715
Value of net assets at end of year (total assets less liabilities)2018-12-31$10,279,539
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$10,552,254
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$9,539,033
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$9,839,643
Interest on participant loans2018-12-31$2,590
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$6,299
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$671,791
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$585,865
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-723,793
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$112,412
Employer contributions (assets) at end of year2018-12-31$3,882
Employer contributions (assets) at beginning of year2018-12-31$8,835
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$326,031
Contract administrator fees2018-12-31$21,451
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31FRSCPA, PLLC
Accountancy firm EIN2018-12-31592482214
2017 : INFRASAFE, LLC 401(K)SAVINGS PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$16,225
Total income from all sources (including contributions)2017-12-31$2,177,113
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$276,483
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$271,397
Value of total corrective distributions2017-12-31$2,920
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$783,476
Value of total assets at end of year2017-12-31$10,552,254
Value of total assets at beginning of year2017-12-31$8,667,849
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$2,166
Total interest from all sources2017-12-31$7,875
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$659,441
Participant contributions at end of year2017-12-31$64,436
Participant contributions at beginning of year2017-12-31$67,657
Participant contributions at end of year2017-12-31$53,475
Participant contributions at beginning of year2017-12-31$39,212
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$20,380
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$1,900,630
Value of net assets at end of year (total assets less liabilities)2017-12-31$10,552,254
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$8,651,624
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$9,839,643
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$7,987,804
Interest on participant loans2017-12-31$2,229
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$5,646
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$585,865
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$566,350
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,385,762
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$103,655
Employer contributions (assets) at end of year2017-12-31$8,835
Employer contributions (assets) at beginning of year2017-12-31$6,826
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$271,397
Contract administrator fees2017-12-31$2,166
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$16,225
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31FRSCPA, PLLC
Accountancy firm EIN2017-12-31592482214
2016 : INFRASAFE, LLC 401(K)SAVINGS PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$16,225
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$2,412
Total income from all sources (including contributions)2016-12-31$1,419,990
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$139,111
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$120,807
Value of total corrective distributions2016-12-31$16,225
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$714,492
Value of total assets at end of year2016-12-31$8,667,849
Value of total assets at beginning of year2016-12-31$7,373,157
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$2,079
Total interest from all sources2016-12-31$7,628
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$609,797
Participant contributions at end of year2016-12-31$67,657
Participant contributions at beginning of year2016-12-31$66,860
Participant contributions at end of year2016-12-31$39,212
Participant contributions at beginning of year2016-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$3,401
Assets. Loans (other than to participants) at end of year2016-12-31$0
Assets. Loans (other than to participants) at beginning of year2016-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$1,280,879
Value of net assets at end of year (total assets less liabilities)2016-12-31$8,651,624
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$7,370,745
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$7,987,804
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$6,740,552
Interest on participant loans2016-12-31$1,978
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$5,650
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$566,350
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$502,745
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$697,870
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$101,294
Employer contributions (assets) at end of year2016-12-31$6,826
Employer contributions (assets) at beginning of year2016-12-31$63,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$120,807
Contract administrator fees2016-12-31$2,079
Liabilities. Value of benefit claims payable at end of year2016-12-31$16,225
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$2,412
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31FRSCPA PLLC
Accountancy firm EIN2016-12-31592482214
2015 : INFRASAFE, LLC 401(K)SAVINGS PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$2,412
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$673,675
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$125,093
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$108,161
Value of total corrective distributions2015-12-31$15,571
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$696,443
Value of total assets at end of year2015-12-31$7,373,157
Value of total assets at beginning of year2015-12-31$6,822,163
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$1,361
Total interest from all sources2015-12-31$7,126
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$556,023
Participant contributions at end of year2015-12-31$66,860
Participant contributions at beginning of year2015-12-31$71,689
Assets. Loans (other than to participants) at end of year2015-12-31$0
Assets. Loans (other than to participants) at beginning of year2015-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$548,582
Value of net assets at end of year (total assets less liabilities)2015-12-31$7,370,745
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$6,822,163
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$6,740,552
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$6,279,688
Interest on participant loans2015-12-31$2,295
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$4,831
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$502,745
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$470,786
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-29,894
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$140,420
Employer contributions (assets) at end of year2015-12-31$63,000
Employer contributions (assets) at beginning of year2015-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$108,161
Contract administrator fees2015-12-31$1,361
Liabilities. Value of benefit claims payable at end of year2015-12-31$2,412
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$0
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31FRSCPA PLLC
Accountancy firm EIN2015-12-31592482214

Form 5500 Responses for INFRASAFE, LLC 401(K)SAVINGS PLAN

2018: INFRASAFE, LLC 401(K)SAVINGS PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: INFRASAFE, LLC 401(K)SAVINGS PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: INFRASAFE, LLC 401(K)SAVINGS PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: INFRASAFE, LLC 401(K)SAVINGS PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number810421
Policy instance 1
Insurance contract or identification number810421
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number810421
Policy instance 1
Insurance contract or identification number810421
Number of Individuals Covered168
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $7,257
Total amount of fees paid to insurance companyUSD $4,546
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $7,257
Insurance broker organization code?3
Amount paid for insurance broker fees4546
Additional information about fees paid to insurance brokerTPA PARTNERSHIP PROGRAM
Insurance broker nameACO/DCS
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number810421
Policy instance 1
Insurance contract or identification number810421
Number of Individuals Covered115
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $3,483
Are there contracts with allocated funds for individual policies?No
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees3483
Additional information about fees paid to insurance brokerTPA PARTNERSHIP PROGRAM
Insurance broker organization code?5
Insurance broker nameDCS RETIREMENT GROUP

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