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PLUMCHOICE, INC. LIFE, LTD AND STD PLAN 401k Plan overview

Plan NamePLUMCHOICE, INC. LIFE, LTD AND STD PLAN
Plan identification number 501

PLUMCHOICE, INC. LIFE, LTD AND STD PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

PLUMCHOICE, INC. has sponsored the creation of one or more 401k plans.

Company Name:PLUMCHOICE, INC.
Employer identification number (EIN):412150040
NAIC Classification:541990
NAIC Description:All Other Professional, Scientific, and Technical Services

Additional information about PLUMCHOICE, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2011-02-18
Company Identification Number: 0801386701
Legal Registered Office Address: 900 CHELMSFORD ST STE 311

LOWELL
United States of America (USA)
01851

More information about PLUMCHOICE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PLUMCHOICE, INC. LIFE, LTD AND STD PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012016-02-01DAVID BLAHNIK
5012015-02-01JOHN CROWLEY
5012014-02-01
5012013-02-01
5012012-02-01HARRY KALAJIAN HARRY KALAJIAN2013-07-16
5012011-02-01HARRY KALAJIAN HARRY KALAJIAN2012-07-20
5012010-02-01HARRY KALAJIAN HARRY KALAJIAN2011-07-19
5012009-02-01DANIEL BAKER DANIEL BAKER2010-07-29

Plan Statistics for PLUMCHOICE, INC. LIFE, LTD AND STD PLAN

401k plan membership statisitcs for PLUMCHOICE, INC. LIFE, LTD AND STD PLAN

Measure Date Value
2016: PLUMCHOICE, INC. LIFE, LTD AND STD PLAN 2016 401k membership
Total participants, beginning-of-year2016-02-01480
Total number of active participants reported on line 7a of the Form 55002016-02-010
Number of retired or separated participants receiving benefits2016-02-010
Total of all active and inactive participants2016-02-010
2015: PLUMCHOICE, INC. LIFE, LTD AND STD PLAN 2015 401k membership
Total participants, beginning-of-year2015-02-01543
Total number of active participants reported on line 7a of the Form 55002015-02-01480
Number of retired or separated participants receiving benefits2015-02-010
Number of other retired or separated participants entitled to future benefits2015-02-010
Total of all active and inactive participants2015-02-01480
2014: PLUMCHOICE, INC. LIFE, LTD AND STD PLAN 2014 401k membership
Total participants, beginning-of-year2014-02-01414
Total number of active participants reported on line 7a of the Form 55002014-02-01543
Total of all active and inactive participants2014-02-01543
Total participants2014-02-01543
2013: PLUMCHOICE, INC. LIFE, LTD AND STD PLAN 2013 401k membership
Total participants, beginning-of-year2013-02-01381
Total number of active participants reported on line 7a of the Form 55002013-02-01414
Total of all active and inactive participants2013-02-01414
Total participants2013-02-01414
2012: PLUMCHOICE, INC. LIFE, LTD AND STD PLAN 2012 401k membership
Total participants, beginning-of-year2012-02-01439
Total number of active participants reported on line 7a of the Form 55002012-02-01381
Total of all active and inactive participants2012-02-01381
Total participants2012-02-01381
2011: PLUMCHOICE, INC. LIFE, LTD AND STD PLAN 2011 401k membership
Total participants, beginning-of-year2011-02-01398
Total number of active participants reported on line 7a of the Form 55002011-02-01439
Total of all active and inactive participants2011-02-01439
Total participants2011-02-01439
2010: PLUMCHOICE, INC. LIFE, LTD AND STD PLAN 2010 401k membership
Total participants, beginning-of-year2010-02-01311
Total number of active participants reported on line 7a of the Form 55002010-02-01398
Total of all active and inactive participants2010-02-01398
Total participants2010-02-01398
2009: PLUMCHOICE, INC. LIFE, LTD AND STD PLAN 2009 401k membership
Total participants, beginning-of-year2009-02-01194
Total number of active participants reported on line 7a of the Form 55002009-02-01311
Total of all active and inactive participants2009-02-01311
Total participants2009-02-01311

Form 5500 Responses for PLUMCHOICE, INC. LIFE, LTD AND STD PLAN

2016: PLUMCHOICE, INC. LIFE, LTD AND STD PLAN 2016 form 5500 responses
2016-02-01Type of plan entitySingle employer plan
2016-02-01Submission has been amendedNo
2016-02-01This submission is the final filingYes
2016-02-01This return/report is a short plan year return/report (less than 12 months)No
2016-02-01Plan is a collectively bargained planNo
2016-02-01Plan funding arrangement – InsuranceYes
2016-02-01Plan benefit arrangement – InsuranceYes
2015: PLUMCHOICE, INC. LIFE, LTD AND STD PLAN 2015 form 5500 responses
2015-02-01Type of plan entitySingle employer plan
2015-02-01Submission has been amendedNo
2015-02-01This submission is the final filingNo
2015-02-01This return/report is a short plan year return/report (less than 12 months)No
2015-02-01Plan is a collectively bargained planNo
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan benefit arrangement – InsuranceYes
2014: PLUMCHOICE, INC. LIFE, LTD AND STD PLAN 2014 form 5500 responses
2014-02-01Type of plan entitySingle employer plan
2014-02-01Plan funding arrangement – InsuranceYes
2014-02-01Plan benefit arrangement – InsuranceYes
2013: PLUMCHOICE, INC. LIFE, LTD AND STD PLAN 2013 form 5500 responses
2013-02-01Type of plan entitySingle employer plan
2013-02-01Plan funding arrangement – InsuranceYes
2013-02-01Plan benefit arrangement – InsuranceYes
2012: PLUMCHOICE, INC. LIFE, LTD AND STD PLAN 2012 form 5500 responses
2012-02-01Type of plan entitySingle employer plan
2012-02-01Plan funding arrangement – InsuranceYes
2012-02-01Plan benefit arrangement – InsuranceYes
2011: PLUMCHOICE, INC. LIFE, LTD AND STD PLAN 2011 form 5500 responses
2011-02-01Type of plan entitySingle employer plan
2011-02-01Plan funding arrangement – InsuranceYes
2011-02-01Plan benefit arrangement – InsuranceYes
2010: PLUMCHOICE, INC. LIFE, LTD AND STD PLAN 2010 form 5500 responses
2010-02-01Type of plan entitySingle employer plan
2010-02-01Plan funding arrangement – InsuranceYes
2010-02-01Plan benefit arrangement – InsuranceYes
2009: PLUMCHOICE, INC. LIFE, LTD AND STD PLAN 2009 form 5500 responses
2009-02-01Type of plan entitySingle employer plan
2009-02-01Plan funding arrangement – InsuranceYes
2009-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number009378
Policy instance 1
Insurance contract or identification number009378
Number of Individuals Covered480
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $9,905
Total amount of fees paid to insurance companyUSD $0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $229,264
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,905
Insurance broker organization code?3
Insurance broker nameBROWN & BROWN OF MASSACHUSETTS
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number009378
Policy instance 3
Insurance contract or identification number009378
Number of Individuals Covered471
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $3,762
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $69,461
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,762
Insurance broker organization code?3
Insurance broker nameBROWN & BROWN OF MASS LLC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number009378
Policy instance 1
Insurance contract or identification number009378
Number of Individuals Covered543
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $3,490
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $77,149
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,490
Insurance broker organization code?3
Insurance broker nameBROWN & BROWN OF MASS LLC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number009378
Policy instance 2
Insurance contract or identification number009378
Number of Individuals Covered543
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $4,303
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $48,205
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,303
Insurance broker organization code?3
Insurance broker nameBROWN & BROWN OF MASS LLC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number009378
Policy instance 1
Insurance contract or identification number009378
Number of Individuals Covered414
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $2,975
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $75,489
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,975
Insurance broker organization code?3
Insurance broker nameBROWN & BROWN OF MASS LLC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number009378
Policy instance 2
Insurance contract or identification number009378
Number of Individuals Covered414
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $3,598
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $46,526
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,598
Insurance broker organization code?3
Insurance broker nameBROWN & BROWN OF MASS LLC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number009378
Policy instance 3
Insurance contract or identification number009378
Number of Individuals Covered403
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $3,223
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $68,609
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,223
Insurance broker organization code?3
Insurance broker nameBROWN & BROWN OF MASS LLC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number009378
Policy instance 1
Insurance contract or identification number009378
Number of Individuals Covered381
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $4,140
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $65,079
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,430
Insurance broker organization code?3
Insurance broker nameBROWN & BROWN OF MASS LLC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number009378
Policy instance 3
Insurance contract or identification number009378
Number of Individuals Covered381
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $4,311
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $37,712
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,741
Insurance broker organization code?3
Insurance broker nameBROWN & BROWN OF MASS LLC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number009378
Policy instance 2
Insurance contract or identification number009378
Number of Individuals Covered364
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $3,731
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $62,608
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,682
Insurance broker organization code?3
Insurance broker nameBROWN & BROWN OF MASS LLC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number009378
Policy instance 1
Insurance contract or identification number009378
Number of Individuals Covered439
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $3,227
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $66,994
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number009378
Policy instance 2
Insurance contract or identification number009378
Number of Individuals Covered439
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $4,098
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $43,410
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number009378
Policy instance 3
Insurance contract or identification number009378
Number of Individuals Covered412
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $3,053
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $44,628
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number009378
Policy instance 1
Insurance contract or identification number009378
Number of Individuals Covered398
Insurance policy start date2009-10-01
Insurance policy end date2010-09-30
Total amount of commissions paid to insurance brokerUSD $2,884
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $49,735
Commission paid to Insurance BrokerUSD $2,884
Insurance broker organization code?3
Insurance broker nameSTEPHEN PECK
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number009378
Policy instance 2
Insurance contract or identification number009378
Number of Individuals Covered397
Insurance policy start date2009-10-01
Insurance policy end date2010-09-30
Total amount of commissions paid to insurance brokerUSD $2,415
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $30,863
Commission paid to Insurance BrokerUSD $2,415
Insurance broker organization code?3
Insurance broker nameSTEPHEN PECK
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number009378
Policy instance 3
Insurance contract or identification number009378
Number of Individuals Covered398
Insurance policy start date2009-10-01
Insurance policy end date2010-09-30
Total amount of commissions paid to insurance brokerUSD $3,635
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $32,693
Commission paid to Insurance BrokerUSD $3,635
Insurance broker organization code?3
Insurance broker nameSTEPHEN PECK

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