Plan Name | PBG PUERTO RICO RETIREE MEDICAL PLAN |
Plan identification number | 605 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | PBG PUERTO RICO LLC |
Employer identification number (EIN): | 660914590 |
NAIC Classification: | 325410 |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
---|---|---|---|---|---|
605 | 2023-01-01 | ||||
605 | 2022-01-01 | ||||
605 | 2021-01-01 | ||||
605 | 2020-11-16 | ||||
605 | 2020-11-16 |
Measure | Date | Value |
---|---|---|
2023: PBG PUERTO RICO RETIREE MEDICAL PLAN 2023 401k membership | ||
Total participants, beginning-of-year | 2023-01-01 | 24 |
Total number of active participants reported on line 7a of the Form 5500 | 2023-01-01 | 0 |
Number of retired or separated participants receiving benefits | 2023-01-01 | 25 |
Number of other retired or separated participants entitled to future benefits | 2023-01-01 | 0 |
Total of all active and inactive participants | 2023-01-01 | 25 |
2022: PBG PUERTO RICO RETIREE MEDICAL PLAN 2022 401k membership | ||
Total participants, beginning-of-year | 2022-01-01 | 20 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 0 |
Number of retired or separated participants receiving benefits | 2022-01-01 | 24 |
Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 0 |
Total of all active and inactive participants | 2022-01-01 | 24 |
2021: PBG PUERTO RICO RETIREE MEDICAL PLAN 2021 401k membership | ||
Total participants, beginning-of-year | 2021-01-01 | 0 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 0 |
Number of retired or separated participants receiving benefits | 2021-01-01 | 20 |
Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 0 |
Total of all active and inactive participants | 2021-01-01 | 20 |
2020: PBG PUERTO RICO RETIREE MEDICAL PLAN 2020 401k membership | ||
Total participants, beginning-of-year | 2020-11-16 | 0 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-11-16 | 0 |
Number of retired or separated participants receiving benefits | 2020-11-16 | 0 |
Number of other retired or separated participants entitled to future benefits | 2020-11-16 | 0 |
Total of all active and inactive participants | 2020-11-16 | 0 |
2023: PBG PUERTO RICO RETIREE MEDICAL PLAN 2023 form 5500 responses | ||
---|---|---|
2023-01-01 | Type of plan entity | Single employer plan |
2023-01-01 | Submission has been amended | No |
2023-01-01 | This submission is the final filing | No |
2023-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2023-01-01 | Plan is a collectively bargained plan | No |
2023-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2023-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2022: PBG PUERTO RICO RETIREE MEDICAL PLAN 2022 form 5500 responses | ||
2022-01-01 | Type of plan entity | Single employer plan |
2022-01-01 | Submission has been amended | No |
2022-01-01 | This submission is the final filing | No |
2022-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2022-01-01 | Plan is a collectively bargained plan | No |
2022-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2022-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2021: PBG PUERTO RICO RETIREE MEDICAL PLAN 2021 form 5500 responses | ||
2021-01-01 | Type of plan entity | Single employer plan |
2021-01-01 | Submission has been amended | No |
2021-01-01 | This submission is the final filing | No |
2021-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2021-01-01 | Plan is a collectively bargained plan | No |
2021-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2021-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2020: PBG PUERTO RICO RETIREE MEDICAL PLAN 2020 form 5500 responses | ||
2020-11-16 | Type of plan entity | Single employer plan |
2020-11-16 | First time form 5500 has been submitted | Yes |
2020-11-16 | Submission has been amended | Yes |
2020-11-16 | This submission is the final filing | No |
2020-11-16 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2020-11-16 | Plan is a collectively bargained plan | No |
2020-11-16 | Plan funding arrangement – Insurance | Yes |
2020-11-16 | Plan benefit arrangement – Insurance | Yes |
DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 63249 ) | |||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 2291 | ||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||
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