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SILVER LAKE CONSTRUCTION WELFARE BENEFIT PLAN 401k Plan overview

Plan NameSILVER LAKE CONSTRUCTION WELFARE BENEFIT PLAN
Plan identification number 501

SILVER LAKE CONSTRUCTION WELFARE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

SILVER LAKE CONSTRUCTION has sponsored the creation of one or more 401k plans.

Company Name:SILVER LAKE CONSTRUCTION
Employer identification number (EIN):472938066
NAIC Classification:236110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SILVER LAKE CONSTRUCTION WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-10-01BRETT WILLIS2024-01-08
5012021-10-01BRETT WILLIS2023-01-24
5012020-10-01BRETT WILLIS2022-02-21
5012019-10-01RICHARD BRETT WILLIS2021-02-10
5012018-10-01RICHARD BRETT WILLIS2020-03-04
5012017-10-01BRETT WILLIS2019-04-02
5012016-10-01
5012016-08-01RICHARD BRETT WILLIS
5012015-08-01RICHARD BRETT WILLIS

Plan Statistics for SILVER LAKE CONSTRUCTION WELFARE BENEFIT PLAN

401k plan membership statisitcs for SILVER LAKE CONSTRUCTION WELFARE BENEFIT PLAN

Measure Date Value
2022: SILVER LAKE CONSTRUCTION WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-10-01128
Total number of active participants reported on line 7a of the Form 55002022-10-01109
Number of retired or separated participants receiving benefits2022-10-011
Number of other retired or separated participants entitled to future benefits2022-10-010
Total of all active and inactive participants2022-10-01110
Number of employers contributing to the scheme2022-10-010
2021: SILVER LAKE CONSTRUCTION WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-01147
Total number of active participants reported on line 7a of the Form 55002021-10-01197
Number of retired or separated participants receiving benefits2021-10-010
Number of other retired or separated participants entitled to future benefits2021-10-010
Total of all active and inactive participants2021-10-01197
Number of employers contributing to the scheme2021-10-010
2020: SILVER LAKE CONSTRUCTION WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-01203
Total number of active participants reported on line 7a of the Form 55002020-10-01146
Number of retired or separated participants receiving benefits2020-10-011
Number of other retired or separated participants entitled to future benefits2020-10-010
Total of all active and inactive participants2020-10-01147
Number of employers contributing to the scheme2020-10-010
2019: SILVER LAKE CONSTRUCTION WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01119
Total number of active participants reported on line 7a of the Form 55002019-10-01127
Number of retired or separated participants receiving benefits2019-10-010
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-01127
Number of employers contributing to the scheme2019-10-010
2018: SILVER LAKE CONSTRUCTION WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01143
Total number of active participants reported on line 7a of the Form 55002018-10-01121
Number of retired or separated participants receiving benefits2018-10-010
Number of other retired or separated participants entitled to future benefits2018-10-010
Total of all active and inactive participants2018-10-01121
Number of employers contributing to the scheme2018-10-010
2017: SILVER LAKE CONSTRUCTION WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01140
Total number of active participants reported on line 7a of the Form 55002017-10-01109
Number of retired or separated participants receiving benefits2017-10-013
Number of other retired or separated participants entitled to future benefits2017-10-010
Total of all active and inactive participants2017-10-01112
Number of employers contributing to the scheme2017-10-010
2016: SILVER LAKE CONSTRUCTION WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-01241
Total number of active participants reported on line 7a of the Form 55002016-10-01105
Number of retired or separated participants receiving benefits2016-10-010
Number of other retired or separated participants entitled to future benefits2016-10-010
Total of all active and inactive participants2016-10-01105
Total participants, beginning-of-year2016-08-01239
Total number of active participants reported on line 7a of the Form 55002016-08-01241
Number of retired or separated participants receiving benefits2016-08-010
Number of other retired or separated participants entitled to future benefits2016-08-010
Total of all active and inactive participants2016-08-01241
2015: SILVER LAKE CONSTRUCTION WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-08-01100
Total number of active participants reported on line 7a of the Form 55002015-08-01239
Number of retired or separated participants receiving benefits2015-08-010
Number of other retired or separated participants entitled to future benefits2015-08-010
Total of all active and inactive participants2015-08-01239

Form 5500 Responses for SILVER LAKE CONSTRUCTION WELFARE BENEFIT PLAN

2022: SILVER LAKE CONSTRUCTION WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-10-01Type of plan entitySingle employer plan
2022-10-01Plan funding arrangement – InsuranceYes
2022-10-01Plan benefit arrangement – InsuranceYes
2021: SILVER LAKE CONSTRUCTION WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan benefit arrangement – InsuranceYes
2020: SILVER LAKE CONSTRUCTION WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – InsuranceYes
2019: SILVER LAKE CONSTRUCTION WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – InsuranceYes
2018: SILVER LAKE CONSTRUCTION WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – InsuranceYes
2017: SILVER LAKE CONSTRUCTION WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – InsuranceYes
2016: SILVER LAKE CONSTRUCTION WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – InsuranceYes
2016-08-01Type of plan entitySingle employer plan
2016-08-01Submission has been amendedNo
2016-08-01This submission is the final filingNo
2016-08-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-08-01Plan is a collectively bargained planNo
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – InsuranceYes
2015: SILVER LAKE CONSTRUCTION WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01First time form 5500 has been submittedYes
2015-08-01Submission has been amendedNo
2015-08-01This submission is the final filingNo
2015-08-01This return/report is a short plan year return/report (less than 12 months)No
2015-08-01Plan is a collectively bargained planNo
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number905863
Policy instance 2
Insurance contract or identification number905863
Number of Individuals Covered204
Insurance policy start date2022-10-01
Insurance policy end date2023-09-30
Total amount of commissions paid to insurance brokerUSD $4,193
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $63,875
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,193
Amount paid for insurance broker fees0
Insurance broker organization code?3
HEALTH PLAN OF NEVADA (National Association of Insurance Commissioners NAIC id number: 96342 )
Policy contract number60003813
Policy instance 1
Insurance contract or identification number60003813
Number of Individuals Covered176
Insurance policy start date2022-10-01
Insurance policy end date2023-09-30
Total amount of commissions paid to insurance brokerUSD $23,931
Total amount of fees paid to insurance companyUSD $16,452
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $598,271
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $23,931
Amount paid for insurance broker fees16452
Additional information about fees paid to insurance brokerOVERRIDE COMPENSATION
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number905863
Policy instance 2
Insurance contract or identification number905863
Number of Individuals Covered222
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $4,718
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $81,831
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,718
Amount paid for insurance broker fees0
Insurance broker organization code?3
HEALTH PLAN OF NEVADA (National Association of Insurance Commissioners NAIC id number: 96342 )
Policy contract number60003813
Policy instance 1
Insurance contract or identification number60003813
Number of Individuals Covered197
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $30,675
Total amount of fees paid to insurance companyUSD $21,089
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $705,757
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $30,675
Amount paid for insurance broker fees21089
Additional information about fees paid to insurance brokerOVERRIDE COMPENSATION
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number905863
Policy instance 2
Insurance contract or identification number905863
Number of Individuals Covered267
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $4,878
Total amount of fees paid to insurance companyUSD $2,511
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $87,128
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,878
Amount paid for insurance broker fees2511
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
HEALTH PLAN OF NEVADA (National Association of Insurance Commissioners NAIC id number: 96342 )
Policy contract number60003813
Policy instance 1
Insurance contract or identification number60003813
Number of Individuals Covered236
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $28,297
Total amount of fees paid to insurance companyUSD $19,454
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $768,559
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $28,297
Amount paid for insurance broker fees19454
Additional information about fees paid to insurance brokerOVERRIDE COMPENSATION
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number905863
Policy instance 2
Insurance contract or identification number905863
Number of Individuals Covered230
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $1,892
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $82,831
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,892
Amount paid for insurance broker fees0
Insurance broker organization code?3
HEALTH PLAN OF NEVADA (National Association of Insurance Commissioners NAIC id number: 96342 )
Policy contract number60003813
Policy instance 1
Insurance contract or identification number60003813
Number of Individuals Covered203
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $28,787
Total amount of fees paid to insurance companyUSD $19,791
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $719,686
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $28,787
Amount paid for insurance broker fees19791
Additional information about fees paid to insurance brokerOVERRIDE COMPENSATION
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number905863
Policy instance 2
Insurance contract or identification number905863
Number of Individuals Covered210
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $5,138
Total amount of fees paid to insurance companyUSD $4,410
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $84,268
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,138
Amount paid for insurance broker fees4410
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
HEALTH PLAN OF NEVADA (National Association of Insurance Commissioners NAIC id number: 96342 )
Policy contract number60003813
Policy instance 1
Insurance contract or identification number60003813
Number of Individuals Covered202
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $28,801
Total amount of fees paid to insurance companyUSD $19,801
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $720,035
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $28,801
Amount paid for insurance broker fees19801
Additional information about fees paid to insurance brokerOVERRIDE COMPENSATION
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number905863
Policy instance 2
Insurance contract or identification number905863
Number of Individuals Covered256
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $4,432
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $86,873
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH PLAN OF NEVADA (National Association of Insurance Commissioners NAIC id number: 96342 )
Policy contract number60003813
Policy instance 1
Insurance contract or identification number60003813
Number of Individuals Covered233
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $28,070
Total amount of fees paid to insurance companyUSD $19,298
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $701,740
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH PLAN OF NEVADA (National Association of Insurance Commissioners NAIC id number: 96342 )
Policy contract number60003813
Policy instance 2
Insurance contract or identification number60003813
Number of Individuals Covered239
Insurance policy start date2015-10-01
Insurance policy end date2016-09-30
Total amount of commissions paid to insurance brokerUSD $17,844
Total amount of fees paid to insurance companyUSD $9,290
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
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 $601,888
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $17,844
Amount paid for insurance broker fees9290
Additional information about fees paid to insurance brokerOVERRIDE
Insurance broker organization code?3
Insurance broker nameDISTINTIVE INSURANCE
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number905863
Policy instance 1
Insurance contract or identification number905863
Number of Individuals Covered255
Insurance policy start date2015-08-01
Insurance policy end date2016-07-31
Total amount of commissions paid to insurance brokerUSD $5,016
Total amount of fees paid to insurance companyUSD $770
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 BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
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 $93,116
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,016
Amount paid for insurance broker fees770
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker nameDISTINCTIVE INSURANCE

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