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A & L SANDBLASTING & PAINTING, INC. PREMIUM ONLY PLAN 401k Plan overview

Plan NameA & L SANDBLASTING & PAINTING, INC. PREMIUM ONLY PLAN
Plan identification number 520

A & L SANDBLASTING & PAINTING, INC. PREMIUM ONLY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

A & L SANDBLASTING & PAINTING, INC. has sponsored the creation of one or more 401k plans.

Company Name:A & L SANDBLASTING & PAINTING, INC.
Employer identification number (EIN):760310369
NAIC Classification:238300

Additional information about A & L SANDBLASTING & PAINTING, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1990-04-27
Company Identification Number: 0115137900
Legal Registered Office Address: 2910 E P ST

DEER PARK
United States of America (USA)
77536

More information about A & L SANDBLASTING & PAINTING, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan A & L SANDBLASTING & PAINTING, INC. PREMIUM ONLY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5202017-01-01JAMES CARAWAY
5202016-11-01JAMES CARAWAY
5202015-11-01JAMES CARAWAY

Plan Statistics for A & L SANDBLASTING & PAINTING, INC. PREMIUM ONLY PLAN

401k plan membership statisitcs for A & L SANDBLASTING & PAINTING, INC. PREMIUM ONLY PLAN

Measure Date Value
2017: A & L SANDBLASTING & PAINTING, INC. PREMIUM ONLY PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01151
Total number of active participants reported on line 7a of the Form 55002017-01-0172
Number of retired or separated participants receiving benefits2017-01-010
Total of all active and inactive participants2017-01-0172
Total participants2017-01-0172
2016: A & L SANDBLASTING & PAINTING, INC. PREMIUM ONLY PLAN 2016 401k membership
Total participants, beginning-of-year2016-11-01122
Total number of active participants reported on line 7a of the Form 55002016-11-01132
Number of retired or separated participants receiving benefits2016-11-010
Total of all active and inactive participants2016-11-01132
Total participants2016-11-01132
2015: A & L SANDBLASTING & PAINTING, INC. PREMIUM ONLY PLAN 2015 401k membership
Total participants, beginning-of-year2015-11-01128
Total number of active participants reported on line 7a of the Form 55002015-11-01123
Number of retired or separated participants receiving benefits2015-11-010
Total of all active and inactive participants2015-11-01123
Total participants2015-11-01123

Form 5500 Responses for A & L SANDBLASTING & PAINTING, INC. PREMIUM ONLY PLAN

2017: A & L SANDBLASTING & PAINTING, INC. PREMIUM ONLY PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: A & L SANDBLASTING & PAINTING, INC. PREMIUM ONLY PLAN 2016 form 5500 responses
2016-11-01Type of plan entitySingle employer plan
2016-11-01Submission has been amendedNo
2016-11-01This submission is the final filingNo
2016-11-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-11-01Plan is a collectively bargained planNo
2016-11-01Plan funding arrangement – InsuranceYes
2016-11-01Plan benefit arrangement – InsuranceYes
2015: A & L SANDBLASTING & PAINTING, INC. PREMIUM ONLY PLAN 2015 form 5500 responses
2015-11-01Type of plan entitySingle employer plan
2015-11-01First time form 5500 has been submittedYes
2015-11-01Submission has been amendedNo
2015-11-01This submission is the final filingNo
2015-11-01This return/report is a short plan year return/report (less than 12 months)No
2015-11-01Plan is a collectively bargained planNo
2015-11-01Plan funding arrangement – InsuranceYes
2015-11-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number676437
Policy instance 1
Insurance contract or identification number676437
Number of Individuals Covered155
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $17,594
Total amount of fees paid to insurance companyUSD $3,165
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 BenefitYes
Vision Insurance Welfare BenefitYes
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 $656,021
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,594
Amount paid for insurance broker fees3165
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker nameHIGGINBOTHAM INSURANCE AGENCY INC

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