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BREEN HOLDINGS BENEFIT PLAN 401k Plan overview

Plan NameBREEN HOLDINGS BENEFIT PLAN
Plan identification number 501

BREEN HOLDINGS BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

BREEN HOLDINGS has sponsored the creation of one or more 401k plans.

Company Name:BREEN HOLDINGS
Employer identification number (EIN):464486529
NAIC Classification:325900
NAIC Description:Other Chemical Product and Preparation Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BREEN HOLDINGS BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012018-05-01CASSANDRA BIRCHBAUER2019-11-17
5012017-05-01SCOTT SENOUR
5012016-05-01SCOTT SENOUR

Plan Statistics for BREEN HOLDINGS BENEFIT PLAN

401k plan membership statisitcs for BREEN HOLDINGS BENEFIT PLAN

Measure Date Value
2018: BREEN HOLDINGS BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-05-01229
Total number of active participants reported on line 7a of the Form 55002018-05-010
Number of retired or separated participants receiving benefits2018-05-010
Number of other retired or separated participants entitled to future benefits2018-05-010
Total of all active and inactive participants2018-05-010
Number of employers contributing to the scheme2018-05-010
2017: BREEN HOLDINGS BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-05-01204
Total number of active participants reported on line 7a of the Form 55002017-05-01229
Total of all active and inactive participants2017-05-01229
Total participants2017-05-01229
2016: BREEN HOLDINGS BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-05-01105
Total number of active participants reported on line 7a of the Form 55002016-05-01204
Total of all active and inactive participants2016-05-01204
Total participants2016-05-01204

Form 5500 Responses for BREEN HOLDINGS BENEFIT PLAN

2018: BREEN HOLDINGS BENEFIT PLAN 2018 form 5500 responses
2018-05-01Type of plan entitySingle employer plan
2018-05-01This submission is the final filingYes
2018-05-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan benefit arrangement – InsuranceYes
2017: BREEN HOLDINGS BENEFIT PLAN 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan benefit arrangement – InsuranceYes
2016: BREEN HOLDINGS BENEFIT PLAN 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01First time form 5500 has been submittedYes
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00512270
Policy instance 2
Insurance contract or identification number00512270
Number of Individuals Covered158
Insurance policy start date2018-05-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $4,535
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $43,566
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,535
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0908233
Policy instance 1
Insurance contract or identification number0908233
Number of Individuals Covered364
Insurance policy start date2018-05-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $20,385
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $774,502
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,385
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number908233
Policy instance 1
Insurance contract or identification number908233
Number of Individuals Covered229
Total amount of commissions paid to insurance brokerUSD $59,919
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,119,065
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $59,919
Insurance broker organization code?3
Insurance broker nameCHRISTENSEN GROUP INC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number0512270
Policy instance 2
Insurance contract or identification number0512270
Total amount of commissions paid to insurance brokerUSD $6,014
Dental Insurance Welfare BenefitYes
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 $57,742
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,014
Insurance broker organization code?3
Insurance broker nameCHRISTENSEN GROUP INC

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