401k Plan data: EYE MED VISION CARE PLAN plan

EYE MED VISION CARE PLAN 401k Plan overview

Plan Name	EYE MED VISION CARE PLAN
Plan identification number	504

EYE MED VISION CARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Vision

401k Sponsoring company profile

NORTHERN CONCRETE PIPE, INC. has sponsored the creation of one or more 401k plans.

Company Name: NORTHERN CONCRETE PIPE, INC.

Employer identification number (EIN): 381575052

NAIC Classification: 327300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EYE MED VISION CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2024-01-01 KEITH MANNING
504 2023-01-01
504 2023-01-01 KEITH MANNING
504 2022-01-01
504 2022-01-01 KEITH MANNING
504 2021-01-01
504 2021-01-01 KEITH MANNING
504 2020-01-01

Plan Statistics for EYE MED VISION CARE PLAN

401k plan membership statisitcs for EYE MED VISION CARE PLAN

Measure Date Value
2023: EYE MED VISION CARE PLAN 2023 401k membership
Total participants, beginning-of-year 2023-01-01 336
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 374
Total of all active and inactive participants 2023-01-01 374
Total participants 2023-01-01 374
2022: EYE MED VISION CARE PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 337
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 336
Total of all active and inactive participants 2022-01-01 336
Total participants 2022-01-01 336
2021: EYE MED VISION CARE PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 349
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 337
Total of all active and inactive participants 2021-01-01 337
Total participants 2021-01-01 337
2020: EYE MED VISION CARE PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 349
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 349
Total of all active and inactive participants 2020-01-01 349
Total participants 2020-01-01 349

Measure	Date	Value
2023: EYE MED VISION CARE PLAN 2023 401k membership
Total participants, beginning-of-year	2023-01-01	336
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	374
Total of all active and inactive participants	2023-01-01	374
Total participants	2023-01-01	374
2022: EYE MED VISION CARE PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	337
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	336
Total of all active and inactive participants	2022-01-01	336
Total participants	2022-01-01	336
2021: EYE MED VISION CARE PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	349
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	337
Total of all active and inactive participants	2021-01-01	337
Total participants	2021-01-01	337
2020: EYE MED VISION CARE PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	349
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	349
Total of all active and inactive participants	2020-01-01	349
Total participants	2020-01-01	349

Form 5500 Responses for EYE MED VISION CARE PLAN

2023: EYE MED VISION CARE PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Submission has been amended	No
2023-01-01	This submission is the final filing	No
2023-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2023-01-01	Plan is a collectively bargained plan	No
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2022: EYE MED VISION CARE PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2021: EYE MED VISION CARE PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2020: EYE MED VISION CARE PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	First time form 5500 has been submitted	Yes
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )

Policy contract number

97786551001

Policy instance

Insurance contract or identification number	97786551001
Number of Individuals Covered	374
Insurance policy start date	2022-12-01
Insurance policy end date	2023-11-30
Total amount of commissions paid to insurance broker	USD $2,116
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	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 $23,490
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )

Policy contract number

97786551001

Policy instance

Insurance contract or identification number	97786551001
Number of Individuals Covered	336
Insurance policy start date	2021-12-01
Insurance policy end date	2022-11-30
Total amount of commissions paid to insurance broker	USD $21,831
Total amount of fees paid to insurance company	USD $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 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	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 $21,960
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )

Policy contract number

97786551001

Policy instance

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )

Policy contract number

97786551001

Policy instance

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Company Name:	NORTHERN CONCRETE PIPE, INC.
Employer identification number (EIN):	381575052
NAIC Classification:	327300

Plan id#	Filing Submission Date	Name of Administrator
504	2024-01-01	KEITH MANNING
504	2023-01-01
504	2023-01-01	KEITH MANNING
504	2022-01-01
504	2022-01-01	KEITH MANNING
504	2021-01-01
504	2021-01-01	KEITH MANNING
504	2020-01-01