401k Plan data: VAN TRAN INDUSTRIES, INC. PLAN DOCUMENT AND SUMMARY PLAN DESCRIPTION FOR THE HEALTH AND WELFARE BENEFITS plan

VAN TRAN INDUSTRIES, INC. PLAN DOCUMENT AND SUMMARY PLAN DESCRIPTION FOR THE HEALTH AND WELFARE BENEFITS 401k Plan overview

Plan Name	VAN TRAN INDUSTRIES, INC. PLAN DOCUMENT AND SUMMARY PLAN DESCRIPTION FOR THE HEALTH AND WELFARE BENEFITS
Plan identification number	501

VAN TRAN INDUSTRIES, INC. PLAN DOCUMENT AND SUMMARY PLAN DESCRIPTION FOR THE HEALTH AND WELFARE BENEFITS Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Other welfare benefit cover

401k Sponsoring company profile

BRAZOS VALLEY CONTRACTING CO. has sponsored the creation of one or more 401k plans.

Company Name: BRAZOS VALLEY CONTRACTING CO.

Employer identification number (EIN): 742578579

NAIC Classification: 237210
NAIC Description: Land Subdivision

Additional information about BRAZOS VALLEY CONTRACTING CO.

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 1990-08-10

Company Identification Number: 0116272100

Legal Registered Office Address: PO BOX 154039

WACO
United States of America (USA)
76715

More information about BRAZOS VALLEY CONTRACTING CO.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VAN TRAN INDUSTRIES, INC. PLAN DOCUMENT AND SUMMARY PLAN DESCRIPTION FOR THE HEALTH AND WELFARE BENEFITS

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-01-01
501 2023-01-01 ALLISON BULKLEY

Form 5500 Responses for VAN TRAN INDUSTRIES, INC. PLAN DOCUMENT AND SUMMARY PLAN DESCRIPTION FOR THE HEALTH AND WELFARE BENEFITS

2023: VAN TRAN INDUSTRIES, INC. PLAN DOCUMENT AND SUMMARY PLAN DESCRIPTION FOR THE HEALTH AND WELFARE BENEFITS 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	First time form 5500 has been submitted	Yes
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 – Insurance	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

00L8236

Policy instance

Insurance contract or identification number	00L8236
Number of Individuals Covered	195
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $32,428
Total amount of fees paid to insurance company	USD $0
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 $685,877
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00545234

Policy instance

Insurance contract or identification number	00545234
Number of Individuals Covered	135
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $2,614
Total amount of fees paid to insurance company	USD $340
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	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	AD&D
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 $15,043
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

HYT18

Policy instance

Insurance contract or identification number	HYT18
Number of Individuals Covered	46
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $1,150
Total amount of fees paid to insurance company	USD $0
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	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	WORKSITE BENEFITS
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 $5,245
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	BRAZOS VALLEY CONTRACTING CO.
Employer identification number (EIN):	742578579
NAIC Classification:	237210
NAIC Description:	Land Subdivision

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	1990-08-10
Company Identification Number:	0116272100
Legal Registered Office Address:	PO BOX 154039 WACO United States of America (USA) 76715