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| Plan Name | CLARKSON INDUSTRIAL CONTRACTORS DBA BECK & POLLITZER USA HEALTH AND WELFARE BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | CLARKSON INDUSTRIAL CONTRACTORS INC . |
| Employer identification number (EIN): | 382805399 |
| NAIC Classification: | 238290 |
| NAIC Description: | Other Building Equipment Contractors |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-08-01 | DIANA JUNCO | |||
| 501 | 2022-08-01 | ||||
| 501 | 2022-08-01 | MARIA JIMENEZ | |||
| 501 | 2021-08-01 | ||||
| 501 | 2021-08-01 | MISSY SMITH |
| Measure | Date | Value |
|---|---|---|
| 2022: CLARKSON INDUSTRIAL CONTRACTORS DBA BECK & POLLITZER USA HEALTH AND WELFARE BENEFIT PLAN 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-08-01 | 114 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-08-01 | 108 |
| Number of retired or separated participants receiving benefits | 2022-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-08-01 | 6 |
| Total of all active and inactive participants | 2022-08-01 | 114 |
| 2021: CLARKSON INDUSTRIAL CONTRACTORS DBA BECK & POLLITZER USA HEALTH AND WELFARE BENEFIT PLAN 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-08-01 | 113 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-08-01 | 113 |
| Number of retired or separated participants receiving benefits | 2021-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-08-01 | 1 |
| Total of all active and inactive participants | 2021-08-01 | 114 |
| 2022: CLARKSON INDUSTRIAL CONTRACTORS DBA BECK & POLLITZER USA HEALTH AND WELFARE BENEFIT PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-08-01 | Type of plan entity | Single employer plan |
| 2022-08-01 | Submission has been amended | No |
| 2022-08-01 | This submission is the final filing | No |
| 2022-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-08-01 | Plan is a collectively bargained plan | No |
| 2022-08-01 | Plan funding arrangement – Insurance | Yes |
| 2022-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: CLARKSON INDUSTRIAL CONTRACTORS DBA BECK & POLLITZER USA HEALTH AND WELFARE BENEFIT PLAN 2021 form 5500 responses | ||
| 2021-08-01 | Type of plan entity | Single employer plan |
| 2021-08-01 | First time form 5500 has been submitted | Yes |
| 2021-08-01 | Submission has been amended | No |
| 2021-08-01 | This submission is the final filing | No |
| 2021-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-08-01 | Plan is a collectively bargained plan | No |
| 2021-08-01 | Plan funding arrangement – Insurance | Yes |
| 2021-08-01 | Plan benefit arrangement – Insurance | Yes |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |
| Policy contract number | G000BKRJ |
| Policy instance | 1 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |
| Policy contract number | 928224 |
| Policy instance | 2 |
| BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 ) | |
| Policy contract number | 04363 |
| Policy instance | 1 |
| BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 ) | |
| Policy contract number | 56015 |
| Policy instance | 2 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |
| Policy contract number | G000BKRJ |
| Policy instance | 3 |
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