Plan Name | HEALTH & LIFE INSURANCE PLAN OF CARROLL COMPANIES, INC. |
Plan identification number | 502 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | CARROLL COMPANIES, INC. |
Employer identification number (EIN): | 561087247 |
NAIC Classification: | 424990 |
NAIC Description: | Other Miscellaneous Nondurable Goods Merchant Wholesalers |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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502 | 2023-03-01 | JO EVELYN MILLER | 2024-08-14 | ||
502 | 2022-03-01 | JO EVELYN MILLER | 2024-08-14 | ||
502 | 2021-03-01 | JO EVELYN MILLER | 2022-09-29 |
Measure | Date | Value |
---|---|---|
2023: HEALTH & LIFE INSURANCE PLAN OF CARROLL COMPANIES, INC. 2023 401k membership | ||
Total participants, beginning-of-year | 2023-03-01 | 38 |
Total number of active participants reported on line 7a of the Form 5500 | 2023-03-01 | 38 |
Total of all active and inactive participants | 2023-03-01 | 38 |
2022: HEALTH & LIFE INSURANCE PLAN OF CARROLL COMPANIES, INC. 2022 401k membership | ||
Total participants, beginning-of-year | 2022-03-01 | 39 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-03-01 | 38 |
Total of all active and inactive participants | 2022-03-01 | 38 |
2021: HEALTH & LIFE INSURANCE PLAN OF CARROLL COMPANIES, INC. 2021 401k membership | ||
Total participants, beginning-of-year | 2021-03-01 | 64 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-03-01 | 64 |
Total of all active and inactive participants | 2021-03-01 | 64 |
2023: HEALTH & LIFE INSURANCE PLAN OF CARROLL COMPANIES, INC. 2023 form 5500 responses | ||
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2023-03-01 | Type of plan entity | Single employer plan |
2023-03-01 | Submission has been amended | No |
2023-03-01 | This submission is the final filing | No |
2023-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2023-03-01 | Plan is a collectively bargained plan | No |
2023-03-01 | Plan funding arrangement – Insurance | Yes |
2023-03-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2023-03-01 | Plan benefit arrangement – Insurance | Yes |
2023-03-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2022: HEALTH & LIFE INSURANCE PLAN OF CARROLL COMPANIES, INC. 2022 form 5500 responses | ||
2022-03-01 | Type of plan entity | Single employer plan |
2022-03-01 | Submission has been amended | Yes |
2022-03-01 | This submission is the final filing | No |
2022-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2022-03-01 | Plan is a collectively bargained plan | No |
2022-03-01 | Plan funding arrangement – Insurance | Yes |
2022-03-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2022-03-01 | Plan benefit arrangement – Insurance | Yes |
2022-03-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2021: HEALTH & LIFE INSURANCE PLAN OF CARROLL COMPANIES, INC. 2021 form 5500 responses | ||
2021-03-01 | Type of plan entity | Single employer plan |
2021-03-01 | Submission has been amended | No |
2021-03-01 | This submission is the final filing | No |
2021-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2021-03-01 | Plan is a collectively bargained plan | No |
2021-03-01 | Plan funding arrangement – Insurance | Yes |
2021-03-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2021-03-01 | Plan benefit arrangement – Insurance | Yes |
2021-03-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 141736549001 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
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BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 141736549001 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
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CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 00629227 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
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