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WESTERN BUILDERS HEALTH BENEFITS PLAN 401k Plan overview

Plan NameWESTERN BUILDERS HEALTH BENEFITS PLAN
Plan identification number 501

WESTERN BUILDERS HEALTH BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Other welfare benefit cover

401k Sponsoring company profile

WESTERN BUILDERS has sponsored the creation of one or more 401k plans.

Company Name:WESTERN BUILDERS
Employer identification number (EIN):751423968
NAIC Classification:236200

Additional information about WESTERN BUILDERS

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1973-03-22
Company Identification Number: 0032188700
Legal Registered Office Address: PO BOX 15368

AMARILLO
United States of America (USA)
79105

More information about WESTERN BUILDERS

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WESTERN BUILDERS HEALTH BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-06-01
5012018-06-01
5012017-06-01CHRISTY KOCSIS
5012016-06-01CHRISTY KOCSIS

Plan Statistics for WESTERN BUILDERS HEALTH BENEFITS PLAN

401k plan membership statisitcs for WESTERN BUILDERS HEALTH BENEFITS PLAN

Measure Date Value
2020: WESTERN BUILDERS HEALTH BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-06-0147
Total number of active participants reported on line 7a of the Form 55002020-06-0145
Total of all active and inactive participants2020-06-0145
2018: WESTERN BUILDERS HEALTH BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year2018-06-0143
Total number of active participants reported on line 7a of the Form 55002018-06-0145
Total of all active and inactive participants2018-06-0145
2017: WESTERN BUILDERS HEALTH BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year2017-06-0150
Total number of active participants reported on line 7a of the Form 55002017-06-0148
Total of all active and inactive participants2017-06-0148
Total participants2017-06-0148
2016: WESTERN BUILDERS HEALTH BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year2016-06-0144
Total number of active participants reported on line 7a of the Form 55002016-06-0144
Total of all active and inactive participants2016-06-0144
Total participants2016-06-0144

Financial Data on WESTERN BUILDERS HEALTH BENEFITS PLAN

Measure Date Value
2021 : WESTERN BUILDERS HEALTH BENEFITS PLAN 2021 401k financial data
Total income from all sources2021-05-31$986,176
Expenses. Total of all expenses incurred2021-05-31$986,176
Benefits paid (including direct rollovers)2021-05-31$940,876
Total contributions received or receivable from participants2021-05-31$4,032
Expenses. Other expenses not covered elsewhere2021-05-31$30,576
Net income (gross income less expenses)2021-05-31$0
Total contributions received or receivable from employer(s)2021-05-31$982,144
Expenses. Administrative service providers (salaries,fees and commissions)2021-05-31$14,724
2019 : WESTERN BUILDERS HEALTH BENEFITS PLAN 2019 401k financial data
Total income from all sources2019-05-31$1,240,390
Expenses. Total of all expenses incurred2019-05-31$1,240,390
Benefits paid (including direct rollovers)2019-05-31$1,199,757
Total contributions received or receivable from participants2019-05-31$8,270
Expenses. Other expenses not covered elsewhere2019-05-31$24,194
Contributions received from other sources (not participants or employers)2019-05-31$212,536
Net income (gross income less expenses)2019-05-31$0
Total contributions received or receivable from employer(s)2019-05-31$1,019,584
Expenses. Administrative service providers (salaries,fees and commissions)2019-05-31$16,439
2018 : WESTERN BUILDERS HEALTH BENEFITS PLAN 2018 401k financial data
Total income from all sources2018-05-31$865,957
Expenses. Total of all expenses incurred2018-05-31$865,957
Benefits paid (including direct rollovers)2018-05-31$823,591
Total contributions received or receivable from participants2018-05-31$7,517
Expenses. Other expenses not covered elsewhere2018-05-31$28,009
Contributions received from other sources (not participants or employers)2018-05-31$24,517
Net income (gross income less expenses)2018-05-31$0
Total contributions received or receivable from employer(s)2018-05-31$833,923
Expenses. Administrative service providers (salaries,fees and commissions)2018-05-31$14,357
2017 : WESTERN BUILDERS HEALTH BENEFITS PLAN 2017 401k financial data
Total income from all sources2017-05-31$752,405
Expenses. Total of all expenses incurred2017-05-31$752,405
Benefits paid (including direct rollovers)2017-05-31$735,392
Total contributions received or receivable from participants2017-05-31$6,753
Contributions received from other sources (not participants or employers)2017-05-31$49,162
Net income (gross income less expenses)2017-05-31$0
Total contributions received or receivable from employer(s)2017-05-31$696,490
Expenses. Administrative service providers (salaries,fees and commissions)2017-05-31$17,013

Form 5500 Responses for WESTERN BUILDERS HEALTH BENEFITS PLAN

2020: WESTERN BUILDERS HEALTH BENEFITS PLAN 2020 form 5500 responses
2020-06-01Type of plan entitySingle employer plan
2020-06-01Plan funding arrangement – InsuranceYes
2020-06-01Plan funding arrangement – General assets of the sponsorYes
2020-06-01Plan benefit arrangement – InsuranceYes
2020-06-01Plan benefit arrangement – General assets of the sponsorYes
2018: WESTERN BUILDERS HEALTH BENEFITS PLAN 2018 form 5500 responses
2018-06-01Type of plan entitySingle employer plan
2018-06-01Plan funding arrangement – InsuranceYes
2018-06-01Plan funding arrangement – General assets of the sponsorYes
2018-06-01Plan benefit arrangement – InsuranceYes
2018-06-01Plan benefit arrangement – General assets of the sponsorYes
2017: WESTERN BUILDERS HEALTH BENEFITS PLAN 2017 form 5500 responses
2017-06-01Type of plan entitySingle employer plan
2017-06-01Plan funding arrangement – InsuranceYes
2017-06-01Plan funding arrangement – General assets of the sponsorYes
2017-06-01Plan benefit arrangement – InsuranceYes
2017-06-01Plan benefit arrangement – General assets of the sponsorYes
2016: WESTERN BUILDERS HEALTH BENEFITS PLAN 2016 form 5500 responses
2016-06-01Type of plan entitySingle employer plan
2016-06-01Plan funding arrangement – InsuranceYes
2016-06-01Plan funding arrangement – General assets of the sponsorYes
2016-06-01Plan benefit arrangement – InsuranceYes
2016-06-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

INTERMEDIARY INSURANCE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 52413 )
Policy contract numberSK04000
Policy instance 1
Insurance contract or identification numberSK04000
Number of Individuals Covered45
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
Total amount of fees paid to insurance companyUSD $25,312
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $169,611
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees25312
Additional information about fees paid to insurance brokerREINSURANCE FEE
Insurance broker organization code?5
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberSK04000
Policy instance 2
Insurance contract or identification numberSK04000
Number of Individuals Covered45
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
Total amount of commissions paid to insurance brokerUSD $1,058
Other welfare benefits providedTRANSPLANT POLICY
Welfare Benefit Premiums Paid to CarrierUSD $10,575
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,058
Insurance broker organization code?5
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberSK04000
Policy instance 3
Insurance contract or identification numberSK04000
Number of Individuals Covered39
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
Total amount of commissions paid to insurance brokerUSD $5,330
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $26,627
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,665
Insurance broker organization code?5
INTERMEDIARY INSURANCE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 52413 )
Policy contract numberSK04000
Policy instance 1
Insurance contract or identification numberSK04000
Number of Individuals Covered45
Insurance policy start date2018-06-01
Insurance policy end date2019-05-31
Total amount of fees paid to insurance companyUSD $24,194
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $115,287
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees24194
Additional information about fees paid to insurance brokerREINSURANCE FEE
Insurance broker organization code?5
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberSK04000
Policy instance 2
Insurance contract or identification numberSK04000
Number of Individuals Covered45
Insurance policy start date2018-06-01
Insurance policy end date2019-05-31
Total amount of commissions paid to insurance brokerUSD $1,061
Other welfare benefits providedTRANSPLANT POLICY
Welfare Benefit Premiums Paid to CarrierUSD $10,612
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,061
Insurance broker organization code?5
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberSK04000
Policy instance 3
Insurance contract or identification numberSK04000
Number of Individuals Covered45
Insurance policy start date2018-06-01
Insurance policy end date2019-05-31
Total amount of commissions paid to insurance brokerUSD $5,066
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $25,948
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,533
Insurance broker organization code?5
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract numberSK04000
Policy instance 2
Insurance contract or identification numberSK04000
Number of Individuals Covered48
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $999
Other welfare benefits providedTRANSPLANT POLICY
Welfare Benefit Premiums Paid to CarrierUSD $9,995
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INTERMEDIARY INSURANCE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 52413 )
Policy contract numberSK04000
Policy instance 1
Insurance contract or identification numberSK04000
Number of Individuals Covered48
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Total amount of fees paid to insurance companyUSD $25,225
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $149,446
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberSK04000
Policy instance 3
Insurance contract or identification numberSK04000
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $5,628
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $28,111
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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