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ARCHITECTURAL DIVISION 8 HEALTH INSURANCE 401k Plan overview

Plan NameARCHITECTURAL DIVISION 8 HEALTH INSURANCE
Plan identification number 501

ARCHITECTURAL DIVISION 8 HEALTH INSURANCE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

ARCHITECTURAL DIVISION 8 has sponsored the creation of one or more 401k plans.

Company Name:ARCHITECTURAL DIVISION 8
Employer identification number (EIN):742579332
NAIC Classification:423300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ARCHITECTURAL DIVISION 8 HEALTH INSURANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-05-01
5012021-05-01
5012019-05-01
5012018-05-01
5012017-05-01GREG MURRAY GREG MURRAY2018-11-30
5012016-05-01GREG MURRAY GREG MURRAY2017-11-08

Plan Statistics for ARCHITECTURAL DIVISION 8 HEALTH INSURANCE

401k plan membership statisitcs for ARCHITECTURAL DIVISION 8 HEALTH INSURANCE

Measure Date Value
2022: ARCHITECTURAL DIVISION 8 HEALTH INSURANCE 2022 401k membership
Total participants, beginning-of-year2022-05-01191
Total number of active participants reported on line 7a of the Form 55002022-05-01160
Total of all active and inactive participants2022-05-01160
Total participants2022-05-01160
Number of employers contributing to the scheme2022-05-010
2021: ARCHITECTURAL DIVISION 8 HEALTH INSURANCE 2021 401k membership
Total participants, beginning-of-year2021-05-01213
Total number of active participants reported on line 7a of the Form 55002021-05-01191
Total of all active and inactive participants2021-05-01191
Total participants2021-05-01191
2019: ARCHITECTURAL DIVISION 8 HEALTH INSURANCE 2019 401k membership
Total participants, beginning-of-year2019-05-01167
Total number of active participants reported on line 7a of the Form 55002019-05-01208
Total of all active and inactive participants2019-05-01208
Total participants2019-05-01208
2018: ARCHITECTURAL DIVISION 8 HEALTH INSURANCE 2018 401k membership
Total participants, beginning-of-year2018-05-01158
Total number of active participants reported on line 7a of the Form 55002018-05-01167
Total of all active and inactive participants2018-05-01167
Total participants2018-05-01167
2017: ARCHITECTURAL DIVISION 8 HEALTH INSURANCE 2017 401k membership
Total participants, beginning-of-year2017-05-01134
Total number of active participants reported on line 7a of the Form 55002017-05-01158
Total of all active and inactive participants2017-05-01158
Total participants2017-05-01158
2016: ARCHITECTURAL DIVISION 8 HEALTH INSURANCE 2016 401k membership
Total participants, beginning-of-year2016-05-01115
Total number of active participants reported on line 7a of the Form 55002016-05-01134
Total of all active and inactive participants2016-05-01134
Total participants2016-05-01134

Financial Data on ARCHITECTURAL DIVISION 8 HEALTH INSURANCE

Measure Date Value
2020 : ARCHITECTURAL DIVISION 8 HEALTH INSURANCE 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-04-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-04-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-04-30$0
Total income from all sources (including contributions)2020-04-30$0
Total loss/gain on sale of assets2020-04-30$0
Total of all expenses incurred2020-04-30$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-04-30$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-04-30$0
Value of total assets at end of year2020-04-30$0
Value of total assets at beginning of year2020-04-30$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-04-30$0
Total interest from all sources2020-04-30$0
Total dividends received (eg from common stock, registered investment company shares)2020-04-30$0
Was this plan covered by a fidelity bond2020-04-30No
Value of net income/loss2020-04-30$0
Value of net assets at end of year (total assets less liabilities)2020-04-30$0
Value of net assets at beginning of year (total assets less liabilities)2020-04-30$0
Were any loans by the plan or fixed income obligations due to the plan in default2020-04-30No

Form 5500 Responses for ARCHITECTURAL DIVISION 8 HEALTH INSURANCE

2022: ARCHITECTURAL DIVISION 8 HEALTH INSURANCE 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Submission has been amendedNo
2022-05-01This submission is the final filingNo
2022-05-01This return/report is a short plan year return/report (less than 12 months)No
2022-05-01Plan is a collectively bargained planNo
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan benefit arrangement – InsuranceYes
2021: ARCHITECTURAL DIVISION 8 HEALTH INSURANCE 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01Submission has been amendedNo
2021-05-01This submission is the final filingNo
2021-05-01This return/report is a short plan year return/report (less than 12 months)No
2021-05-01Plan is a collectively bargained planNo
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan benefit arrangement – InsuranceYes
2019: ARCHITECTURAL DIVISION 8 HEALTH INSURANCE 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01Submission has been amendedNo
2019-05-01This submission is the final filingNo
2019-05-01This return/report is a short plan year return/report (less than 12 months)No
2019-05-01Plan is a collectively bargained planNo
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan benefit arrangement – InsuranceYes
2018: ARCHITECTURAL DIVISION 8 HEALTH INSURANCE 2018 form 5500 responses
2018-05-01Type of plan entitySingle employer plan
2018-05-01First time form 5500 has been submittedYes
2018-05-01Submission has been amendedNo
2018-05-01This submission is the final filingNo
2018-05-01This return/report is a short plan year return/report (less than 12 months)No
2018-05-01Plan is a collectively bargained planNo
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan benefit arrangement – InsuranceYes
2017: ARCHITECTURAL DIVISION 8 HEALTH INSURANCE 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01First time form 5500 has been submittedYes
2017-05-01Submission has been amendedNo
2017-05-01This submission is the final filingNo
2017-05-01This return/report is a short plan year return/report (less than 12 months)No
2017-05-01Plan is a collectively bargained planNo
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan benefit arrangement – InsuranceYes
2016: ARCHITECTURAL DIVISION 8 HEALTH INSURANCE 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01First time form 5500 has been submittedYes
2016-05-01Submission has been amendedNo
2016-05-01This submission is the final filingNo
2016-05-01This return/report is a short plan year return/report (less than 12 months)No
2016-05-01Plan is a collectively bargained planNo
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number77656
Policy instance 1
Insurance contract or identification number77656
Number of Individuals Covered160
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $37,016
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 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 BenefitNo
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
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number77656
Policy instance 1
Insurance contract or identification number77656
Number of Individuals Covered191
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $44,712
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 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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
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 $1,075,585
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $44,712
Insurance broker organization code?1
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number77656
Policy instance 1
Insurance contract or identification number77656
Number of Individuals Covered208
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $38,386
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 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 BenefitNo
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 $825,756
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $38,386
Insurance broker organization code?1
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number77656
Policy instance 1
Insurance contract or identification number77656
Number of Individuals Covered167
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $34,840
Total amount of fees paid to insurance companyUSD $698,297
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 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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
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 $698,297
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,048
Amount paid for insurance broker fees792
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?1
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number77656
Policy instance 1
Insurance contract or identification number77656
Number of Individuals Covered158
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $30,488
Total amount of fees paid to insurance companyUSD $614,030
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 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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
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 $614,030
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,488
Insurance broker organization code?1
Insurance broker nameSECURED BENEFITS LLC

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