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KENT, CAMPA AND KATE INCORPORATED HEALTH & WELFARE PLAN 401k Plan overview

Plan NameKENT, CAMPA AND KATE INCORPORATED HEALTH & WELFARE PLAN
Plan identification number 501

KENT, CAMPA AND KATE INCORPORATED HEALTH & WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

KENT CAMPA AND KATE INCORPORAT has sponsored the creation of one or more 401k plans.

Company Name:KENT CAMPA AND KATE INCORPORAT
Employer identification number (EIN):461341922
NAIC Classification:561110
NAIC Description:Office Administrative Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KENT, CAMPA AND KATE INCORPORATED HEALTH & WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-12-01JOSEPH CAMPA2021-05-17
5012018-12-01JOSEPH CAMPA2020-04-22

Plan Statistics for KENT, CAMPA AND KATE INCORPORATED HEALTH & WELFARE PLAN

401k plan membership statisitcs for KENT, CAMPA AND KATE INCORPORATED HEALTH & WELFARE PLAN

Measure Date Value
2019: KENT, CAMPA AND KATE INCORPORATED HEALTH & WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-12-01116
Total number of active participants reported on line 7a of the Form 55002019-12-0154
Number of retired or separated participants receiving benefits2019-12-010
Number of other retired or separated participants entitled to future benefits2019-12-010
Total of all active and inactive participants2019-12-0154
Number of employers contributing to the scheme2019-12-010
2018: KENT, CAMPA AND KATE INCORPORATED HEALTH & WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-12-01115
Total number of active participants reported on line 7a of the Form 55002018-12-01116
Number of retired or separated participants receiving benefits2018-12-010
Number of other retired or separated participants entitled to future benefits2018-12-010
Total of all active and inactive participants2018-12-01116
Number of employers contributing to the scheme2018-12-010

Form 5500 Responses for KENT, CAMPA AND KATE INCORPORATED HEALTH & WELFARE PLAN

2019: KENT, CAMPA AND KATE INCORPORATED HEALTH & WELFARE PLAN 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan benefit arrangement – InsuranceYes
2018: KENT, CAMPA AND KATE INCORPORATED HEALTH & WELFARE PLAN 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01First time form 5500 has been submittedYes
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5955463
Policy instance 1
Insurance contract or identification number5955463
Number of Individuals Covered54
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $2,883
Total amount of fees paid to insurance companyUSD $107
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $28,549
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees30
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number08W1305
Policy instance 2
Insurance contract or identification number08W1305
Number of Individuals Covered18
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $10,216
Total amount of fees paid to insurance companyUSD $833
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $164,049
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,216
Amount paid for insurance broker fees833
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number520953
Policy instance 3
Insurance contract or identification number520953
Number of Individuals Covered37
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $6,618
Total amount of fees paid to insurance companyUSD $458
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $44,649
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,832
Amount paid for insurance broker fees458
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5955463
Policy instance 1
Insurance contract or identification number5955463
Number of Individuals Covered89
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $928
Total amount of fees paid to insurance companyUSD $87
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $7,352
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $928
Amount paid for insurance broker fees87
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION SUPPLEMENTAL COMPENSATION
Insurance broker organization code?3

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