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GROUP MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF CAROTEK, INC. 401k Plan overview

Plan NameGROUP MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF CAROTEK, INC.
Plan identification number 501

GROUP MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF CAROTEK, INC. Benefits

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

401k Sponsoring company profile

CAROTEK, INC. has sponsored the creation of one or more 401k plans.

Company Name:CAROTEK, INC.
Employer identification number (EIN):561712853
NAIC Classification:811310
NAIC Description:Commercial and Industrial Machinery and Equipment (except Automotive and Electronic) Repair and Maintenance

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF CAROTEK, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-11-01MARY ARGENAS2023-03-01
5012021-11-01MARY ARGENAS2024-02-26
5012020-11-01MARY ARGENAS2022-08-12
5012019-11-01MARY ARGENAS2021-06-01
5012018-11-01MARY ARGENAS2020-05-14
5012017-11-01MARY ARGENAS2019-05-07
5012016-11-01
5012015-11-01DERYL BELL DERYL BELL2017-05-31
5012015-11-01 DERYL BELL2017-05-22
5012014-11-01DERYL BELL
5012013-11-01DERYL BELL
5012012-11-01DERYL BELL
5012011-11-01DERYL BELL

Plan Statistics for GROUP MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF CAROTEK, INC.

401k plan membership statisitcs for GROUP MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF CAROTEK, INC.

Measure Date Value
2021: GROUP MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF CAROTEK, INC. 2021 401k membership
Total participants, beginning-of-year2021-11-01146
Total number of active participants reported on line 7a of the Form 55002021-11-01140
Number of retired or separated participants receiving benefits2021-11-010
Number of other retired or separated participants entitled to future benefits2021-11-0143
Total of all active and inactive participants2021-11-01183
Number of employers contributing to the scheme2021-11-010
2020: GROUP MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF CAROTEK, INC. 2020 401k membership
Total participants, beginning-of-year2020-11-01148
Total number of active participants reported on line 7a of the Form 55002020-11-01145
Number of retired or separated participants receiving benefits2020-11-013
Number of other retired or separated participants entitled to future benefits2020-11-0133
Total of all active and inactive participants2020-11-01181
Number of employers contributing to the scheme2020-11-010
2019: GROUP MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF CAROTEK, INC. 2019 401k membership
Total participants, beginning-of-year2019-11-01164
Total number of active participants reported on line 7a of the Form 55002019-11-01160
Number of retired or separated participants receiving benefits2019-11-011
Number of other retired or separated participants entitled to future benefits2019-11-0110
Total of all active and inactive participants2019-11-01171
Number of employers contributing to the scheme2019-11-010
2018: GROUP MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF CAROTEK, INC. 2018 401k membership
Total participants, beginning-of-year2018-11-01138
Total number of active participants reported on line 7a of the Form 55002018-11-01147
Number of retired or separated participants receiving benefits2018-11-011
Number of other retired or separated participants entitled to future benefits2018-11-010
Total of all active and inactive participants2018-11-01148
Number of employers contributing to the scheme2018-11-010
2017: GROUP MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF CAROTEK, INC. 2017 401k membership
Total participants, beginning-of-year2017-11-01162
Total number of active participants reported on line 7a of the Form 55002017-11-01159
Number of retired or separated participants receiving benefits2017-11-010
Number of other retired or separated participants entitled to future benefits2017-11-010
Total of all active and inactive participants2017-11-01159
Number of employers contributing to the scheme2017-11-010
2016: GROUP MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF CAROTEK, INC. 2016 401k membership
Total participants, beginning-of-year2016-11-01149
Total number of active participants reported on line 7a of the Form 55002016-11-01151
Number of retired or separated participants receiving benefits2016-11-010
Number of other retired or separated participants entitled to future benefits2016-11-010
Total of all active and inactive participants2016-11-01151
2015: GROUP MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF CAROTEK, INC. 2015 401k membership
Total participants, beginning-of-year2015-11-01142
Total number of active participants reported on line 7a of the Form 55002015-11-01149
Number of retired or separated participants receiving benefits2015-11-010
Number of other retired or separated participants entitled to future benefits2015-11-010
Total of all active and inactive participants2015-11-01149
2014: GROUP MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF CAROTEK, INC. 2014 401k membership
Total participants, beginning-of-year2014-11-01144
Total number of active participants reported on line 7a of the Form 55002014-11-01141
Number of retired or separated participants receiving benefits2014-11-011
Number of other retired or separated participants entitled to future benefits2014-11-010
Total of all active and inactive participants2014-11-01142
2013: GROUP MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF CAROTEK, INC. 2013 401k membership
Total participants, beginning-of-year2013-11-01132
Total number of active participants reported on line 7a of the Form 55002013-11-01144
Number of retired or separated participants receiving benefits2013-11-010
Number of other retired or separated participants entitled to future benefits2013-11-010
Total of all active and inactive participants2013-11-01144
2012: GROUP MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF CAROTEK, INC. 2012 401k membership
Total participants, beginning-of-year2012-11-01126
Total number of active participants reported on line 7a of the Form 55002012-11-01132
Number of retired or separated participants receiving benefits2012-11-010
Number of other retired or separated participants entitled to future benefits2012-11-010
Total of all active and inactive participants2012-11-01132
2011: GROUP MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF CAROTEK, INC. 2011 401k membership
Total participants, beginning-of-year2011-11-01111
Total number of active participants reported on line 7a of the Form 55002011-11-01125
Number of retired or separated participants receiving benefits2011-11-011
Number of other retired or separated participants entitled to future benefits2011-11-010
Total of all active and inactive participants2011-11-01126

Form 5500 Responses for GROUP MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF CAROTEK, INC.

2021: GROUP MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF CAROTEK, INC. 2021 form 5500 responses
2021-11-01Type of plan entitySingle employer plan
2021-11-01Submission has been amendedYes
2021-11-01This submission is the final filingYes
2021-11-01Plan funding arrangement – InsuranceYes
2021-11-01Plan benefit arrangement – InsuranceYes
2020: GROUP MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF CAROTEK, INC. 2020 form 5500 responses
2020-11-01Type of plan entitySingle employer plan
2020-11-01Plan funding arrangement – InsuranceYes
2020-11-01Plan benefit arrangement – InsuranceYes
2019: GROUP MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF CAROTEK, INC. 2019 form 5500 responses
2019-11-01Type of plan entitySingle employer plan
2019-11-01Plan funding arrangement – InsuranceYes
2019-11-01Plan benefit arrangement – InsuranceYes
2018: GROUP MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF CAROTEK, INC. 2018 form 5500 responses
2018-11-01Type of plan entitySingle employer plan
2018-11-01Plan funding arrangement – InsuranceYes
2018-11-01Plan benefit arrangement – InsuranceYes
2017: GROUP MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF CAROTEK, INC. 2017 form 5500 responses
2017-11-01Type of plan entitySingle employer plan
2017-11-01Plan funding arrangement – InsuranceYes
2017-11-01Plan benefit arrangement – InsuranceYes
2016: GROUP MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF CAROTEK, INC. 2016 form 5500 responses
2016-11-01Type of plan entitySingle employer plan
2016-11-01Plan funding arrangement – InsuranceYes
2016-11-01Plan benefit arrangement – InsuranceYes
2015: GROUP MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF CAROTEK, INC. 2015 form 5500 responses
2015-11-01Type of plan entitySingle employer plan
2015-11-01Submission has been amendedYes
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
2014: GROUP MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF CAROTEK, INC. 2014 form 5500 responses
2014-11-01Type of plan entitySingle employer plan
2014-11-01Submission has been amendedNo
2014-11-01This submission is the final filingNo
2014-11-01This return/report is a short plan year return/report (less than 12 months)No
2014-11-01Plan is a collectively bargained planNo
2014-11-01Plan funding arrangement – InsuranceYes
2014-11-01Plan benefit arrangement – InsuranceYes
2013: GROUP MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF CAROTEK, INC. 2013 form 5500 responses
2013-11-01Type of plan entitySingle employer plan
2013-11-01Submission has been amendedNo
2013-11-01This submission is the final filingNo
2013-11-01This return/report is a short plan year return/report (less than 12 months)No
2013-11-01Plan is a collectively bargained planNo
2013-11-01Plan funding arrangement – InsuranceYes
2013-11-01Plan benefit arrangement – InsuranceYes
2012: GROUP MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF CAROTEK, INC. 2012 form 5500 responses
2012-11-01Type of plan entitySingle employer plan
2012-11-01Submission has been amendedNo
2012-11-01This submission is the final filingNo
2012-11-01This return/report is a short plan year return/report (less than 12 months)No
2012-11-01Plan is a collectively bargained planNo
2012-11-01Plan funding arrangement – InsuranceYes
2012-11-01Plan benefit arrangement – InsuranceYes
2011: GROUP MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF CAROTEK, INC. 2011 form 5500 responses
2011-11-01Type of plan entitySingle employer plan
2011-11-01Submission has been amendedNo
2011-11-01This submission is the final filingNo
2011-11-01This return/report is a short plan year return/report (less than 12 months)No
2011-11-01Plan is a collectively bargained planNo
2011-11-01Plan funding arrangement – InsuranceYes
2011-11-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number14159114-1001
Policy instance 1
Insurance contract or identification number14159114-1001
Number of Individuals Covered299
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $71,516
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,809,257
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $71,516
Amount paid for insurance broker fees0
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number14159114-1001
Policy instance 1
Insurance contract or identification number14159114-1001
Number of Individuals Covered312
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $63,457
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,929,598
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $63,457
Amount paid for insurance broker fees0
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number14159114-1001
Policy instance 1
Insurance contract or identification number14159114-1001
Number of Individuals Covered362
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $67,952
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,888,824
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $67,449
Amount paid for insurance broker fees0
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number67281
Policy instance 1
Insurance contract or identification number67281
Number of Individuals Covered294
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $62,074
Total amount of fees paid to insurance companyUSD $494
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,611,109
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $62,074
Amount paid for insurance broker fees494
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 )
Policy contract numberCRTK1117
Policy instance 2
Insurance contract or identification numberCRTK1117
Number of Individuals Covered89
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $1,735
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,458
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,735
Amount paid for insurance broker fees0
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5947730
Policy instance 3
Insurance contract or identification number5947730
Number of Individuals Covered336
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $32,651
Total amount of fees paid to insurance companyUSD $10,902
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $186,943
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,901
Amount paid for insurance broker fees6754
Additional information about fees paid to insurance brokerADMINISTRATION FEES
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number67281
Policy instance 1
Insurance contract or identification number67281
Number of Individuals Covered297
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $66,037
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,513,147
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 )
Policy contract numberCRTK1117
Policy instance 2
Insurance contract or identification numberCRTK1117
Number of Individuals Covered78
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $1,659
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,822
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05947730
Policy instance 3
Insurance contract or identification numberTM05947730
Number of Individuals Covered501
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $11,574
Total amount of fees paid to insurance companyUSD $2,557
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $125,948
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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