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PRUDENTIAL HEATING AND AIR CONDITIONING, INC. HEALTH AND WELFARE BENEFIT PLAN 401k Plan overview

Plan NamePRUDENTIAL HEATING AND AIR CONDITIONING, INC. HEALTH AND WELFARE BENEFIT PLAN
Plan identification number 501

PRUDENTIAL HEATING AND AIR CONDITIONING, INC. HEALTH AND WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

PRUDENTIAL HEATING & AIR CONDITIONING CO., INC has sponsored the creation of one or more 401k plans.

Company Name:PRUDENTIAL HEATING & AIR CONDITIONING CO., INC
Employer identification number (EIN):610415278
NAIC Classification:423700

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PRUDENTIAL HEATING AND AIR CONDITIONING, INC. HEALTH AND WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01NICK KRAMER2023-07-18
5012021-01-01NICK KRAMER2022-06-06

Plan Statistics for PRUDENTIAL HEATING AND AIR CONDITIONING, INC. HEALTH AND WELFARE BENEFIT PLAN

401k plan membership statisitcs for PRUDENTIAL HEATING AND AIR CONDITIONING, INC. HEALTH AND WELFARE BENEFIT PLAN

Measure Date Value
2022: PRUDENTIAL HEATING AND AIR CONDITIONING, INC. HEALTH AND WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01100
Total number of active participants reported on line 7a of the Form 55002022-01-01106
Total of all active and inactive participants2022-01-01106
2021: PRUDENTIAL HEATING AND AIR CONDITIONING, INC. HEALTH AND WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01109
Total number of active participants reported on line 7a of the Form 55002021-01-01100
Total of all active and inactive participants2021-01-01100

Form 5500 Responses for PRUDENTIAL HEATING AND AIR CONDITIONING, INC. HEALTH AND WELFARE BENEFIT PLAN

2022: PRUDENTIAL HEATING AND AIR CONDITIONING, INC. HEALTH AND WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: PRUDENTIAL HEATING AND AIR CONDITIONING, INC. HEALTH AND WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01First time form 5500 has been submittedYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract number809254
Policy instance 1
Insurance contract or identification number809254
Number of Individuals Covered72
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $12,678
Total amount of fees paid to insurance companyUSD $3,006
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $422,687
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,678
Amount paid for insurance broker fees3006
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 54739 )
Policy contract number809254
Policy instance 2
Insurance contract or identification number809254
Number of Individuals Covered69
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $4,291
Total amount of fees paid to insurance companyUSD $2,998
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $42,882
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,291
Amount paid for insurance broker fees2998
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00613701
Policy instance 3
Insurance contract or identification numberG 00613701
Number of Individuals Covered106
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $8,684
Total amount of fees paid to insurance companyUSD $2,129
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedVOLUNTARY LIFE
Welfare Benefit Premiums Paid to CarrierUSD $57,894
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,684
Amount paid for insurance broker fees2129
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract number809254
Policy instance 1
Insurance contract or identification number809254
Number of Individuals Covered70
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $13,207
Total amount of fees paid to insurance companyUSD $2,444
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $441,335
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,936
Amount paid for insurance broker fees1417
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 54739 )
Policy contract number809254
Policy instance 2
Insurance contract or identification number809254
Number of Individuals Covered68
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $3,963
Total amount of fees paid to insurance companyUSD $1,072
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $39,682
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,240
Amount paid for insurance broker fees491
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00613701
Policy instance 3
Insurance contract or identification numberG 00613701
Number of Individuals Covered100
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $7,839
Total amount of fees paid to insurance companyUSD $1,486
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedVOLUNTARY LIFE
Welfare Benefit Premiums Paid to CarrierUSD $52,262
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,562
Amount paid for insurance broker fees1486
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3

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