401k Plan data: PROFESSIONAL PERSONNEL SERVICES, INC. plan

PROFESSIONAL PERSONNEL SERVICES, INC. 401k Plan overview

Plan Name	PROFESSIONAL PERSONNEL SERVICES, INC.
Plan identification number	510

PROFESSIONAL PERSONNEL SERVICES, INC. Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness)

401k Sponsoring company profile

PROFESSIONAL PERSONNEL SERVICES, INC has sponsored the creation of one or more 401k plans.

Company Name: PROFESSIONAL PERSONNEL SERVICES, INC

Employer identification number (EIN): 621527002

NAIC Classification: 561300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PROFESSIONAL PERSONNEL SERVICES, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
510 2020-01-01
510 2019-01-01
510 2018-01-01 TAMMY THOMPSON TAMMY THOMPSON 2019-07-19

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
510	2020-01-01
510	2019-01-01
510	2018-01-01	TAMMY THOMPSON	TAMMY THOMPSON	2019-07-19

Plan Statistics for PROFESSIONAL PERSONNEL SERVICES, INC.

401k plan membership statisitcs for PROFESSIONAL PERSONNEL SERVICES, INC.

Measure Date Value
2020: PROFESSIONAL PERSONNEL SERVICES, INC. 2020 401k membership
Total participants, beginning-of-year 2020-01-01 1,496
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 1,175
Total of all active and inactive participants 2020-01-01 1,175
Total participants 2020-01-01 1,175
2019: PROFESSIONAL PERSONNEL SERVICES, INC. 2019 401k membership
Total participants, beginning-of-year 2019-01-01 1,588
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 1,342
Total of all active and inactive participants 2019-01-01 1,342
Total participants 2019-01-01 1,342
2018: PROFESSIONAL PERSONNEL SERVICES, INC. 2018 401k membership
Total participants, beginning-of-year 2018-01-01 1,105
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 1,445
Total of all active and inactive participants 2018-01-01 1,445
Total participants 2018-01-01 1,445

Measure	Date	Value
2020: PROFESSIONAL PERSONNEL SERVICES, INC. 2020 401k membership
Total participants, beginning-of-year	2020-01-01	1,496
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	1,175
Total of all active and inactive participants	2020-01-01	1,175
Total participants	2020-01-01	1,175
2019: PROFESSIONAL PERSONNEL SERVICES, INC. 2019 401k membership
Total participants, beginning-of-year	2019-01-01	1,588
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	1,342
Total of all active and inactive participants	2019-01-01	1,342
Total participants	2019-01-01	1,342
2018: PROFESSIONAL PERSONNEL SERVICES, INC. 2018 401k membership
Total participants, beginning-of-year	2018-01-01	1,105
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	1,445
Total of all active and inactive participants	2018-01-01	1,445
Total participants	2018-01-01	1,445

Form 5500 Responses for PROFESSIONAL PERSONNEL SERVICES, INC.

2020: PROFESSIONAL PERSONNEL SERVICES, INC. 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: PROFESSIONAL PERSONNEL SERVICES, INC. 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: PROFESSIONAL PERSONNEL SERVICES, INC. 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 )

Policy contract number

2954300

Policy instance

Insurance contract or identification number	2954300
Number of Individuals Covered	902
Insurance policy start date	2019-12-26
Insurance policy end date	2020-12-25
Are there contracts with allocated funds for individual policies?	0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $478,700
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	95304
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	THIRD PARTY ADMINISTRATOR

FOUR EVER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80985 )

Policy contract number

2954300

Policy instance

Insurance contract or identification number	2954300
Number of Individuals Covered	273
Insurance policy start date	2019-12-26
Insurance policy end date	2020-12-25
Are there contracts with allocated funds for individual policies?	0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $24,406
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	3539
Additional information about fees paid to insurance broker	THIRD PARTY ADMINISTRATOR
Insurance broker organization code?	5

BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 )

Policy contract number

2954300

Policy instance

Insurance contract or identification number	2954300
Number of Individuals Covered	1039
Insurance policy start date	2018-12-26
Insurance policy end date	2019-12-25
Are there contracts with allocated funds for individual policies?	0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $536,150
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	77741
Additional information about fees paid to insurance broker	THIRD PARTY ADMINISTRATOR
Insurance broker organization code?	5

FOUR EVER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80985 )

Policy contract number

2954300

Policy instance

Insurance contract or identification number	2954300
Number of Individuals Covered	303
Insurance policy start date	2018-12-26
Insurance policy end date	2019-12-25
Are there contracts with allocated funds for individual policies?	0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $32,294
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	4683
Additional information about fees paid to insurance broker	THIRD PARTY ADMINISTRATOR
Insurance broker organization code?	5

BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 )

Policy contract number

2954300

Policy instance

Insurance contract or identification number	2954300
Number of Individuals Covered	1079
Insurance policy start date	2017-12-26
Insurance policy end date	2018-12-25
Are there contracts with allocated funds for individual policies?	0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $452,102
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	65554
Additional information about fees paid to insurance broker	THIRD PARTY ADMINISTRATOR
Insurance broker organization code?	5

FOUR EVER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80985 )

Policy contract number

2954300

Policy instance

Insurance contract or identification number	2954300
Number of Individuals Covered	366
Insurance policy start date	2017-12-26
Insurance policy end date	2018-12-25
Are there contracts with allocated funds for individual policies?	0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $25,041
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	4687
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	THIRD PARTY ADMINISTRATOR

Potentially related plans

PROFESSIONAL PERSONNEL SERVICES INC PROFIT SHARING PLAN AND TRUST [EIN = 541335723]

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Company Name:	PROFESSIONAL PERSONNEL SERVICES, INC
Employer identification number (EIN):	621527002
NAIC Classification:	561300