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TRI-STATE ARMATURE & ELECTRICAL WORKS, INC. GROUP INSURANCE PLAN 401k Plan overview

Plan NameTRI-STATE ARMATURE & ELECTRICAL WORKS, INC. GROUP INSURANCE PLAN
Plan identification number 501

TRI-STATE ARMATURE & ELECTRICAL WORKS, INC. GROUP INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

TRI-STATE ARMATURE & ELECTRICAL WORKS INC has sponsored the creation of one or more 401k plans.

Company Name:TRI-STATE ARMATURE & ELECTRICAL WORKS INC
Employer identification number (EIN):620387690
NAIC Classification:238210
NAIC Description:Electrical Contractors and Other Wiring Installation Contractors

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TRI-STATE ARMATURE & ELECTRICAL WORKS, INC. GROUP INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012016-01-04SHARON CARD
5012015-01-04SHARON CARD
5012014-01-04SHARON CARD
5012013-01-04SHARON CARD
5012012-01-04SHARON CARD SHARON CARD2013-06-24
5012011-01-04SHARON CARD SHARON CARD2012-06-12
5012009-01-04SHARON CARD SHARON CARD2010-08-05

Plan Statistics for TRI-STATE ARMATURE & ELECTRICAL WORKS, INC. GROUP INSURANCE PLAN

401k plan membership statisitcs for TRI-STATE ARMATURE & ELECTRICAL WORKS, INC. GROUP INSURANCE PLAN

Measure Date Value
2016: TRI-STATE ARMATURE & ELECTRICAL WORKS, INC. GROUP INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-04103
Total number of active participants reported on line 7a of the Form 55002016-01-0471
Number of retired or separated participants receiving benefits2016-01-0429
Number of other retired or separated participants entitled to future benefits2016-01-040
Total of all active and inactive participants2016-01-04100
2015: TRI-STATE ARMATURE & ELECTRICAL WORKS, INC. GROUP INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-04106
Total number of active participants reported on line 7a of the Form 55002015-01-0474
Number of retired or separated participants receiving benefits2015-01-0432
Number of other retired or separated participants entitled to future benefits2015-01-040
Total of all active and inactive participants2015-01-04106
2014: TRI-STATE ARMATURE & ELECTRICAL WORKS, INC. GROUP INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-04105
Total number of active participants reported on line 7a of the Form 55002014-01-0475
Number of retired or separated participants receiving benefits2014-01-0432
Number of other retired or separated participants entitled to future benefits2014-01-040
Total of all active and inactive participants2014-01-04107
2013: TRI-STATE ARMATURE & ELECTRICAL WORKS, INC. GROUP INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-04109
Total number of active participants reported on line 7a of the Form 55002013-01-0475
Number of retired or separated participants receiving benefits2013-01-0430
Number of other retired or separated participants entitled to future benefits2013-01-040
Total of all active and inactive participants2013-01-04105
2012: TRI-STATE ARMATURE & ELECTRICAL WORKS, INC. GROUP INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-04111
Total number of active participants reported on line 7a of the Form 55002012-01-0478
Number of retired or separated participants receiving benefits2012-01-0431
Total of all active and inactive participants2012-01-04109
2011: TRI-STATE ARMATURE & ELECTRICAL WORKS, INC. GROUP INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-04113
Total number of active participants reported on line 7a of the Form 55002011-01-0482
Number of retired or separated participants receiving benefits2011-01-0429
Total of all active and inactive participants2011-01-04111
2009: TRI-STATE ARMATURE & ELECTRICAL WORKS, INC. GROUP INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-04130
Total number of active participants reported on line 7a of the Form 55002009-01-0489
Number of retired or separated participants receiving benefits2009-01-0431
Number of other retired or separated participants entitled to future benefits2009-01-040
Total of all active and inactive participants2009-01-04120

Form 5500 Responses for TRI-STATE ARMATURE & ELECTRICAL WORKS, INC. GROUP INSURANCE PLAN

2016: TRI-STATE ARMATURE & ELECTRICAL WORKS, INC. GROUP INSURANCE PLAN 2016 form 5500 responses
2016-01-04Type of plan entitySingle employer plan
2016-01-04Submission has been amendedNo
2016-01-04This submission is the final filingNo
2016-01-04This return/report is a short plan year return/report (less than 12 months)No
2016-01-04Plan is a collectively bargained planNo
2016-01-04Plan funding arrangement – InsuranceYes
2016-01-04Plan benefit arrangement – InsuranceYes
2015: TRI-STATE ARMATURE & ELECTRICAL WORKS, INC. GROUP INSURANCE PLAN 2015 form 5500 responses
2015-01-04Type of plan entitySingle employer plan
2015-01-04Submission has been amendedNo
2015-01-04This submission is the final filingNo
2015-01-04This return/report is a short plan year return/report (less than 12 months)No
2015-01-04Plan is a collectively bargained planNo
2015-01-04Plan funding arrangement – InsuranceYes
2015-01-04Plan benefit arrangement – InsuranceYes
2014: TRI-STATE ARMATURE & ELECTRICAL WORKS, INC. GROUP INSURANCE PLAN 2014 form 5500 responses
2014-01-04Type of plan entitySingle employer plan
2014-01-04Submission has been amendedNo
2014-01-04This submission is the final filingNo
2014-01-04This return/report is a short plan year return/report (less than 12 months)No
2014-01-04Plan is a collectively bargained planNo
2014-01-04Plan funding arrangement – InsuranceYes
2014-01-04Plan benefit arrangement – InsuranceYes
2013: TRI-STATE ARMATURE & ELECTRICAL WORKS, INC. GROUP INSURANCE PLAN 2013 form 5500 responses
2013-01-04Type of plan entitySingle employer plan
2013-01-04Submission has been amendedNo
2013-01-04This submission is the final filingNo
2013-01-04This return/report is a short plan year return/report (less than 12 months)No
2013-01-04Plan is a collectively bargained planNo
2013-01-04Plan funding arrangement – InsuranceYes
2013-01-04Plan benefit arrangement – InsuranceYes
2012: TRI-STATE ARMATURE & ELECTRICAL WORKS, INC. GROUP INSURANCE PLAN 2012 form 5500 responses
2012-01-04Type of plan entitySingle employer plan
2012-01-04Submission has been amendedNo
2012-01-04This submission is the final filingNo
2012-01-04This return/report is a short plan year return/report (less than 12 months)No
2012-01-04Plan is a collectively bargained planNo
2012-01-04Plan funding arrangement – InsuranceYes
2012-01-04Plan benefit arrangement – InsuranceYes
2011: TRI-STATE ARMATURE & ELECTRICAL WORKS, INC. GROUP INSURANCE PLAN 2011 form 5500 responses
2011-01-04Type of plan entitySingle employer plan
2011-01-04Submission has been amendedNo
2011-01-04This submission is the final filingNo
2011-01-04This return/report is a short plan year return/report (less than 12 months)No
2011-01-04Plan is a collectively bargained planNo
2011-01-04Plan funding arrangement – InsuranceYes
2011-01-04Plan benefit arrangement – InsuranceYes
2009: TRI-STATE ARMATURE & ELECTRICAL WORKS, INC. GROUP INSURANCE PLAN 2009 form 5500 responses
2009-01-04Type of plan entitySingle employer plan
2009-01-04Submission has been amendedNo
2009-01-04This submission is the final filingNo
2009-01-04This return/report is a short plan year return/report (less than 12 months)No
2009-01-04Plan is a collectively bargained planNo
2009-01-04Plan funding arrangement – InsuranceYes
2009-01-04Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGM600279
Policy instance 1
Insurance contract or identification numberSGM600279
Number of Individuals Covered106
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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 $20,432
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGM600279
Policy instance 1
Insurance contract or identification numberSGM600279
Number of Individuals Covered107
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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 BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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 $17,952
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGM600279
Policy instance 1
Insurance contract or identification numberSGM600279
Number of Individuals Covered105
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
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 BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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 $18,723
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGM600279
Policy instance 1
Insurance contract or identification numberSGM600279
Number of Individuals Covered109
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $39
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,507
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $39
Insurance broker organization code?3
Insurance broker nameMERCER HEALTH AND BENEFITS
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGM600279
Policy instance 1
Insurance contract or identification numberSGM600279
Number of Individuals Covered111
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $155
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,573
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGM600279
Policy instance 1
Insurance contract or identification numberSGM600279
Number of Individuals Covered113
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $120
Total amount of fees paid to insurance companyUSD $0
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 BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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 $15,802
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $120
Insurance broker organization code?3
Insurance broker nameMERCER HEALTH & BENEFITS

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