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PIONEER, LLC HEALTH & WELFARE PLAN 401k Plan overview

Plan NamePIONEER, LLC HEALTH & WELFARE PLAN
Plan identification number 501

PIONEER, LLC HEALTH & WELFARE PLAN Benefits

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

401k Sponsoring company profile

PIONEER, LLC has sponsored the creation of one or more 401k plans.

Company Name:PIONEER, LLC
Employer identification number (EIN):521815248
NAIC Classification:561720
NAIC Description:Janitorial Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PIONEER, LLC HEALTH & WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-12-01NIKO JOHNSON2024-06-21
5012021-12-01NIKO JOHNSON2024-06-21
5012020-12-01NIKO JOHNSON2024-06-24

Plan Statistics for PIONEER, LLC HEALTH & WELFARE PLAN

401k plan membership statisitcs for PIONEER, LLC HEALTH & WELFARE PLAN

Measure Date Value
2022: PIONEER, LLC HEALTH & WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-12-01217
Total number of active participants reported on line 7a of the Form 55002022-12-01178
Number of retired or separated participants receiving benefits2022-12-010
Number of other retired or separated participants entitled to future benefits2022-12-010
Total of all active and inactive participants2022-12-01178
Number of employers contributing to the scheme2022-12-010
2021: PIONEER, LLC HEALTH & WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-12-01169
Total number of active participants reported on line 7a of the Form 55002021-12-01217
Number of retired or separated participants receiving benefits2021-12-010
Number of other retired or separated participants entitled to future benefits2021-12-010
Total of all active and inactive participants2021-12-01217
Number of employers contributing to the scheme2021-12-010
2020: PIONEER, LLC HEALTH & WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-01169
Total number of active participants reported on line 7a of the Form 55002020-12-01169
Number of retired or separated participants receiving benefits2020-12-010
Number of other retired or separated participants entitled to future benefits2020-12-010
Total of all active and inactive participants2020-12-01169
Number of employers contributing to the scheme2020-12-010

Form 5500 Responses for PIONEER, LLC HEALTH & WELFARE PLAN

2022: PIONEER, LLC HEALTH & WELFARE PLAN 2022 form 5500 responses
2022-12-01Type of plan entitySingle employer plan
2022-12-01Plan funding arrangement – InsuranceYes
2022-12-01Plan benefit arrangement – InsuranceYes
2021: PIONEER, LLC HEALTH & WELFARE PLAN 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan benefit arrangement – InsuranceYes
2020: PIONEER, LLC HEALTH & WELFARE PLAN 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01First time form 5500 has been submittedYes
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

GHMSI (National Association of Insurance Commissioners NAIC id number: 53007 )
Policy contract number1X7U
Policy instance 1
Insurance contract or identification number1X7U
Number of Individuals Covered155
Insurance policy start date2022-12-01
Insurance policy end date2023-11-30
Total amount of commissions paid to insurance brokerUSD $2,621
Total amount of fees paid to insurance companyUSD $39,439
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,065,025
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,621
Amount paid for insurance broker fees27976
Additional information about fees paid to insurance brokerPERSISTENCY BONUS, PRODUCER SERVICE FEE
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number877206G
Policy instance 2
Insurance contract or identification number877206G
Number of Individuals Covered178
Insurance policy start date2022-12-01
Insurance policy end date2023-11-30
Total amount of commissions paid to insurance brokerUSD $5,589
Total amount of fees paid to insurance companyUSD $4,122
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $51,530
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,589
Amount paid for insurance broker fees4122
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
GHMSI (National Association of Insurance Commissioners NAIC id number: 53007 )
Policy contract number1X7U
Policy instance 1
Insurance contract or identification number1X7U
Number of Individuals Covered182
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $2,163
Total amount of fees paid to insurance companyUSD $45,969
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $882,606
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,163
Amount paid for insurance broker fees33665
Additional information about fees paid to insurance brokerPERSISTENCY BONUS, PRODUCER SERVICE FEES
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number877206G
Policy instance 2
Insurance contract or identification number877206G
Number of Individuals Covered217
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $5,100
Total amount of fees paid to insurance companyUSD $3,777
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $47,214
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,100
Amount paid for insurance broker fees3777
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?5
GHMSI (National Association of Insurance Commissioners NAIC id number: 53007 )
Policy contract number1X7U
Policy instance 1
Insurance contract or identification number1X7U
Number of Individuals Covered117
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $39,936
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $808,662
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number877206G
Policy instance 2
Insurance contract or identification number877206G
Number of Individuals Covered169
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $4,422
Total amount of fees paid to insurance companyUSD $3,012
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $37,644
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5374035
Policy instance 3
Insurance contract or identification number5374035
Number of Individuals Covered120
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $1,841
Total amount of fees paid to insurance companyUSD $1,914
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $28,468
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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