401k Plan data: PRICE ENGINEERING COMPANY, LLC GROUP BENEFITS PROGRAM plan

PRICE ENGINEERING COMPANY, LLC GROUP BENEFITS PROGRAM 401k Plan overview

Plan Name	PRICE ENGINEERING COMPANY, LLC GROUP BENEFITS PROGRAM
Plan identification number	505

PRICE ENGINEERING COMPANY, LLC GROUP BENEFITS PROGRAM Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Temporary disability (accident and sickness) Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

PRICE ENGINEERING COMPANY, LLC has sponsored the creation of one or more 401k plans.

Company Name: PRICE ENGINEERING COMPANY, LLC

Employer identification number (EIN): 390933202

NAIC Classification: 541330
NAIC Description: Engineering Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PRICE ENGINEERING COMPANY, LLC GROUP BENEFITS PROGRAM

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
505 2018-03-22 KEITH KRUTWIG KEITH KRUTWIG 2019-04-10

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
505	2018-03-22	KEITH KRUTWIG		KEITH KRUTWIG	2019-04-10

Plan Statistics for PRICE ENGINEERING COMPANY, LLC GROUP BENEFITS PROGRAM

401k plan membership statisitcs for PRICE ENGINEERING COMPANY, LLC GROUP BENEFITS PROGRAM

Measure Date Value
2018: PRICE ENGINEERING COMPANY, LLC GROUP BENEFITS PROGRAM 2018 401k membership
Total participants, beginning-of-year 2018-03-22 129
Total number of active participants reported on line 7a of the Form 5500 2018-03-22 0
Total of all active and inactive participants 2018-03-22 0

Measure	Date	Value
2018: PRICE ENGINEERING COMPANY, LLC GROUP BENEFITS PROGRAM 2018 401k membership
Total participants, beginning-of-year	2018-03-22	129
Total number of active participants reported on line 7a of the Form 5500	2018-03-22	0
Total of all active and inactive participants	2018-03-22	0

Form 5500 Responses for PRICE ENGINEERING COMPANY, LLC GROUP BENEFITS PROGRAM

2018: PRICE ENGINEERING COMPANY, LLC GROUP BENEFITS PROGRAM 2018 form 5500 responses
2018-03-22	Type of plan entity	Single employer plan
2018-03-22	First time form 5500 has been submitted	Yes
2018-03-22	Submission has been amended	No
2018-03-22	This submission is the final filing	Yes
2018-03-22	This return/report is a short plan year return/report (less than 12 months)	Yes
2018-03-22	Plan is a collectively bargained plan	No
2018-03-22	Plan funding arrangement – Insurance	Yes
2018-03-22	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

293951

Policy instance

Insurance contract or identification number	293951
Number of Individuals Covered	182
Insurance policy start date	2018-03-22
Insurance policy end date	2018-10-31
Total amount of commissions paid to insurance broker	USD $22,636
Total amount of fees paid to insurance company	USD $252
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	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
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 $751,363
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,042
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	BONUS

DELTA DENTAL OF WISCONSIN (National Association of Insurance Commissioners NAIC id number: 54046 )

Policy contract number

1150800000

Policy instance

Insurance contract or identification number	1150800000
Number of Individuals Covered	88
Insurance policy start date	2018-04-01
Insurance policy end date	2018-10-31
Total amount of commissions paid to insurance broker	USD $2,400
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	Yes
Vision Insurance Welfare Benefit	No
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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,400
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00544245

Policy instance

Insurance contract or identification number	00544245
Number of Individuals Covered	112
Insurance policy start date	2018-03-22
Insurance policy end date	2018-10-31
Total amount of commissions paid to insurance broker	USD $3,537
Total amount of fees paid to insurance company	USD $339
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	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	AD&D, OPT LIFE, OPT AD&D
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 $23,786
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,128
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION

Potentially related plans

PRICE ENGINEERING COMPANY, INC. EMPLOYEES' RETIREMENT PLAN [EIN = 465439846]

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Company Name:	PRICE ENGINEERING COMPANY, LLC
Employer identification number (EIN):	390933202
NAIC Classification:	541330
NAIC Description:	Engineering Services