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THE CHANTLAND-PVS COMPANY WELFARE BENEFIT PLAN 401k Plan overview

Plan NameTHE CHANTLAND-PVS COMPANY WELFARE BENEFIT PLAN
Plan identification number 505

THE CHANTLAND-PVS COMPANY WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental

401k Sponsoring company profile

THE CHANTLAND-PVS COMPANY has sponsored the creation of one or more 401k plans.

Company Name:THE CHANTLAND-PVS COMPANY
Employer identification number (EIN):383384276
NAIC Classification:333200

Additional information about THE CHANTLAND-PVS COMPANY

Jurisdiction of Incorporation: Michigan Secretary of State
Incorporation Date: 0000-00-00
Company Identification Number: 477450
Legal Registered Office Address: HARPER AVE DETROIT 48213


United States of America (USA)
10900

More information about THE CHANTLAND-PVS COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE CHANTLAND-PVS COMPANY WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052018-01-01GERALD HEATHMAN

Plan Statistics for THE CHANTLAND-PVS COMPANY WELFARE BENEFIT PLAN

401k plan membership statisitcs for THE CHANTLAND-PVS COMPANY WELFARE BENEFIT PLAN

Measure Date Value
2018: THE CHANTLAND-PVS COMPANY WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01219
Total number of active participants reported on line 7a of the Form 55002018-01-01215
Number of retired or separated participants receiving benefits2018-01-013
Total of all active and inactive participants2018-01-01218

Form 5500 Responses for THE CHANTLAND-PVS COMPANY WELFARE BENEFIT PLAN

2018: THE CHANTLAND-PVS COMPANY WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01First time form 5500 has been submittedYes
2018-01-01This submission is the final filingYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number417005411588
Policy instance 1
Insurance contract or identification number417005411588
Number of Individuals Covered186
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
Welfare Benefit Premiums Paid to CarrierUSD $351,752
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number879720G
Policy instance 2
Insurance contract or identification number879720G
Number of Individuals Covered215
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $16,945
Total amount of fees paid to insurance companyUSD $2,032
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $170,791
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,945
Insurance broker organization code?3
Amount paid for insurance broker fees2032
Additional information about fees paid to insurance brokerFEES PAID
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number60790-1216
Policy instance 3
Insurance contract or identification number60790-1216
Number of Individuals Covered160
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $3,284
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,989
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,720
Insurance broker organization code?3

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