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GROUP HEALTH PLAN OF JOBE MATERIALS LP 401k Plan overview

Plan NameGROUP HEALTH PLAN OF JOBE MATERIALS LP
Plan identification number 501

GROUP HEALTH PLAN OF JOBE MATERIALS LP Benefits

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

401k Sponsoring company profile

JOBE MATERIALS LP has sponsored the creation of one or more 401k plans.

Company Name:JOBE MATERIALS LP
Employer identification number (EIN):851133407
NAIC Classification:327300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP HEALTH PLAN OF JOBE MATERIALS LP

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-11-01
5012020-11-01
5012019-11-01
5012018-11-01
5012017-11-01
5012016-11-01MICHAEL HOCKENBERRY

Plan Statistics for GROUP HEALTH PLAN OF JOBE MATERIALS LP

401k plan membership statisitcs for GROUP HEALTH PLAN OF JOBE MATERIALS LP

Measure Date Value
2021: GROUP HEALTH PLAN OF JOBE MATERIALS LP 2021 401k membership
Total participants, beginning-of-year2021-11-01655
Total number of active participants reported on line 7a of the Form 55002021-11-01599
Total of all active and inactive participants2021-11-01599
2020: GROUP HEALTH PLAN OF JOBE MATERIALS LP 2020 401k membership
Total participants, beginning-of-year2020-11-01770
Total number of active participants reported on line 7a of the Form 55002020-11-01655
Total of all active and inactive participants2020-11-01655
2019: GROUP HEALTH PLAN OF JOBE MATERIALS LP 2019 401k membership
Total participants, beginning-of-year2019-11-01678
Total number of active participants reported on line 7a of the Form 55002019-11-01770
Total of all active and inactive participants2019-11-01770
2018: GROUP HEALTH PLAN OF JOBE MATERIALS LP 2018 401k membership
Total participants, beginning-of-year2018-11-01602
Total number of active participants reported on line 7a of the Form 55002018-11-01678
Total of all active and inactive participants2018-11-01678
2017: GROUP HEALTH PLAN OF JOBE MATERIALS LP 2017 401k membership
Total participants, beginning-of-year2017-11-01592
Total number of active participants reported on line 7a of the Form 55002017-11-01602
Total of all active and inactive participants2017-11-01602
2016: GROUP HEALTH PLAN OF JOBE MATERIALS LP 2016 401k membership
Total participants, beginning-of-year2016-11-01608
Total number of active participants reported on line 7a of the Form 55002016-11-01592
Total of all active and inactive participants2016-11-01592

Form 5500 Responses for GROUP HEALTH PLAN OF JOBE MATERIALS LP

2021: GROUP HEALTH PLAN OF JOBE MATERIALS LP 2021 form 5500 responses
2021-11-01Type of plan entitySingle employer plan
2021-11-01Plan funding arrangement – InsuranceYes
2021-11-01Plan funding arrangement – General assets of the sponsorYes
2021-11-01Plan benefit arrangement – InsuranceYes
2020: GROUP HEALTH PLAN OF JOBE MATERIALS LP 2020 form 5500 responses
2020-11-01Type of plan entitySingle employer plan
2020-11-01Plan funding arrangement – InsuranceYes
2020-11-01Plan funding arrangement – General assets of the sponsorYes
2020-11-01Plan benefit arrangement – InsuranceYes
2019: GROUP HEALTH PLAN OF JOBE MATERIALS LP 2019 form 5500 responses
2019-11-01Type of plan entitySingle employer plan
2019-11-01Plan funding arrangement – InsuranceYes
2019-11-01Plan funding arrangement – General assets of the sponsorYes
2019-11-01Plan benefit arrangement – InsuranceYes
2018: GROUP HEALTH PLAN OF JOBE MATERIALS LP 2018 form 5500 responses
2018-11-01Type of plan entitySingle employer plan
2018-11-01Plan funding arrangement – InsuranceYes
2018-11-01Plan funding arrangement – General assets of the sponsorYes
2018-11-01Plan benefit arrangement – InsuranceYes
2017: GROUP HEALTH PLAN OF JOBE MATERIALS LP 2017 form 5500 responses
2017-11-01Type of plan entitySingle employer plan
2017-11-01Plan funding arrangement – InsuranceYes
2017-11-01Plan funding arrangement – General assets of the sponsorYes
2017-11-01Plan benefit arrangement – InsuranceYes
2016: GROUP HEALTH PLAN OF JOBE MATERIALS LP 2016 form 5500 responses
2016-11-01Type of plan entitySingle employer plan
2016-11-01Plan funding arrangement – InsuranceYes
2016-11-01Plan funding arrangement – General assets of the sponsorYes
2016-11-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number002355
Policy instance 1
Insurance contract or identification number002355
Number of Individuals Covered599
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $150,172
Total amount of fees paid to insurance companyUSD $20,156
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $708,069
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $150,172
Amount paid for insurance broker fees20156
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00543731
Policy instance 4
Insurance contract or identification number00543731
Number of Individuals Covered537
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $6,170
Total amount of fees paid to insurance companyUSD $622
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $30,850
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,170
Amount paid for insurance broker fees622
Additional information about fees paid to insurance brokerOTHER FEES
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number773998
Policy instance 3
Insurance contract or identification number773998
Number of Individuals Covered114
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $5,260
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $52,450
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,260
Amount paid for insurance broker fees0
Insurance broker organization code?3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4722351
Policy instance 2
Insurance contract or identification numberE4722351
Number of Individuals Covered242
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $23,541
Total amount of fees paid to insurance companyUSD $5,971
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedCANCER
Welfare Benefit Premiums Paid to CarrierUSD $170,099
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,541
Amount paid for insurance broker fees5971
Additional information about fees paid to insurance brokerOTHER FEES
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number002355
Policy instance 1
Insurance contract or identification number002355
Number of Individuals Covered655
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $170,830
Total amount of fees paid to insurance companyUSD $5,544
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $648,247
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $170,830
Amount paid for insurance broker fees5544
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4722351
Policy instance 2
Insurance contract or identification numberE4722351
Number of Individuals Covered255
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $27,406
Total amount of fees paid to insurance companyUSD $7,007
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedCANCER
Welfare Benefit Premiums Paid to CarrierUSD $171,173
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,406
Amount paid for insurance broker fees7007
Additional information about fees paid to insurance brokerOTHER FEES
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number773998
Policy instance 3
Insurance contract or identification number773998
Number of Individuals Covered130
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $6,233
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $62,436
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,233
Amount paid for insurance broker fees0
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00543731
Policy instance 4
Insurance contract or identification number00543731
Number of Individuals Covered587
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $7,167
Total amount of fees paid to insurance companyUSD $723
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $35,837
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,167
Amount paid for insurance broker fees723
Additional information about fees paid to insurance brokerOTHER FEES
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00543731
Policy instance 4
Insurance contract or identification number00543731
Number of Individuals Covered684
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $7,180
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $35,899
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,180
Amount paid for insurance broker fees0
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number773998
Policy instance 3
Insurance contract or identification number773998
Number of Individuals Covered152
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $5,955
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $59,613
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,955
Amount paid for insurance broker fees0
Insurance broker organization code?3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4722351
Policy instance 2
Insurance contract or identification numberE4722351
Number of Individuals Covered271
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $28,414
Total amount of fees paid to insurance companyUSD $6,042
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedCANCER
Welfare Benefit Premiums Paid to CarrierUSD $160,011
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,414
Amount paid for insurance broker fees6042
Additional information about fees paid to insurance brokerOTHER FEES
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number002355
Policy instance 1
Insurance contract or identification number002355
Number of Individuals Covered770
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $174,108
Total amount of fees paid to insurance companyUSD $4,671
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $547,308
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $174,108
Amount paid for insurance broker fees4671
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4722351
Policy instance 2
Insurance contract or identification numberE4722351
Number of Individuals Covered256
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $26,344
Total amount of fees paid to insurance companyUSD $3,691
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedCANCER
Welfare Benefit Premiums Paid to CarrierUSD $164,346
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,344
Amount paid for insurance broker fees3691
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number2355
Policy instance 1
Insurance contract or identification number2355
Number of Individuals Covered678
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $153,318
Total amount of fees paid to insurance companyUSD $3,138
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $446,885
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $153,318
Amount paid for insurance broker fees3138
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number773998
Policy instance 3
Insurance contract or identification number773998
Number of Individuals Covered122
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $5,002
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $54,810
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,002
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00543731
Policy instance 4
Insurance contract or identification number00543731
Number of Individuals Covered567
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $5,726
Total amount of fees paid to insurance companyUSD $1,518
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD & D
Welfare Benefit Premiums Paid to CarrierUSD $28,629
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,726
Amount paid for insurance broker fees1518
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00543731
Policy instance 4
Insurance contract or identification number00543731
Number of Individuals Covered499
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $5,394
Total amount of fees paid to insurance companyUSD $80
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,969
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number773998
Policy instance 3
Insurance contract or identification number773998
Number of Individuals Covered115
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $5,753
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $57,527
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4722351
Policy instance 2
Insurance contract or identification numberE4722351
Number of Individuals Covered268
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $31,416
Total amount of fees paid to insurance companyUSD $3,943
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedCANCER
Welfare Benefit Premiums Paid to CarrierUSD $184,849
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number2355
Policy instance 1
Insurance contract or identification number2355
Number of Individuals Covered602
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $119,878
Total amount of fees paid to insurance companyUSD $1,821
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $419,874
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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