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WELFARE BENEFIT PLAN FOR EMPLOYEES OF BEARING DISTRIBUTORS, INC. 401k Plan overview

Plan NameWELFARE BENEFIT PLAN FOR EMPLOYEES OF BEARING DISTRIBUTORS, INC.
Plan identification number 501

WELFARE BENEFIT PLAN FOR EMPLOYEES OF BEARING DISTRIBUTORS, INC. Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or 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

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

Company Name:DEBORDE HOLDINGS, INC.
Employer identification number (EIN):570278203
NAIC Classification:423800

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WELFARE BENEFIT PLAN FOR EMPLOYEES OF BEARING DISTRIBUTORS, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-01-01MICHAEL OSMUNDSON MICHAEL OSMUNDSON2016-07-29
5012014-01-01MICHAEL OSMUNDSON MICHAEL OSMUNDSON2015-07-31
5012013-01-01MICHAEL OSMUNDSON MICHAEL OSMUNDSON2014-09-17
5012012-09-01GARY DEBORDE
5012011-09-01GARY DEBORDE
5012009-09-01GARY DEBORDE
5012009-09-01 GARY DEBORDE2011-03-30
5012009-09-01GARY DEBORDE
5012009-09-01 GARY DEBORDE2011-03-31
5012009-09-01 GARY DEBORDE2011-03-29

Plan Statistics for WELFARE BENEFIT PLAN FOR EMPLOYEES OF BEARING DISTRIBUTORS, INC.

401k plan membership statisitcs for WELFARE BENEFIT PLAN FOR EMPLOYEES OF BEARING DISTRIBUTORS, INC.

Measure Date Value
2015: WELFARE BENEFIT PLAN FOR EMPLOYEES OF BEARING DISTRIBUTORS, INC. 2015 401k membership
Total participants, beginning-of-year2015-01-0190
Total number of active participants reported on line 7a of the Form 55002015-01-0185
Total of all active and inactive participants2015-01-0185
Total participants2015-01-0185
2014: WELFARE BENEFIT PLAN FOR EMPLOYEES OF BEARING DISTRIBUTORS, INC. 2014 401k membership
Total participants, beginning-of-year2014-01-0188
Total number of active participants reported on line 7a of the Form 55002014-01-0188
Total of all active and inactive participants2014-01-0188
Total participants2014-01-0188
2013: WELFARE BENEFIT PLAN FOR EMPLOYEES OF BEARING DISTRIBUTORS, INC. 2013 401k membership
Total participants, beginning-of-year2013-01-0186
Total number of active participants reported on line 7a of the Form 55002013-01-0188
Total of all active and inactive participants2013-01-0188
Total participants2013-01-0188
2012: WELFARE BENEFIT PLAN FOR EMPLOYEES OF BEARING DISTRIBUTORS, INC. 2012 401k membership
Total participants, beginning-of-year2012-09-0186
Total number of active participants reported on line 7a of the Form 55002012-09-0186
Total of all active and inactive participants2012-09-0186
Total participants2012-09-0186
2011: WELFARE BENEFIT PLAN FOR EMPLOYEES OF BEARING DISTRIBUTORS, INC. 2011 401k membership
Total participants, beginning-of-year2011-09-0194
Total number of active participants reported on line 7a of the Form 55002011-09-0186
Total of all active and inactive participants2011-09-0186
Total participants2011-09-0186
2009: WELFARE BENEFIT PLAN FOR EMPLOYEES OF BEARING DISTRIBUTORS, INC. 2009 401k membership
Total participants, beginning-of-year2009-09-0197
Total number of active participants reported on line 7a of the Form 55002009-09-0190
Number of retired or separated participants receiving benefits2009-09-011
Total of all active and inactive participants2009-09-0191
Total participants2009-09-0191

Form 5500 Responses for WELFARE BENEFIT PLAN FOR EMPLOYEES OF BEARING DISTRIBUTORS, INC.

2015: WELFARE BENEFIT PLAN FOR EMPLOYEES OF BEARING DISTRIBUTORS, INC. 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: WELFARE BENEFIT PLAN FOR EMPLOYEES OF BEARING DISTRIBUTORS, INC. 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: WELFARE BENEFIT PLAN FOR EMPLOYEES OF BEARING DISTRIBUTORS, INC. 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: WELFARE BENEFIT PLAN FOR EMPLOYEES OF BEARING DISTRIBUTORS, INC. 2012 form 5500 responses
2012-09-01Type of plan entitySingle employer plan
2012-09-01Submission has been amendedNo
2012-09-01This submission is the final filingNo
2012-09-01This return/report is a short plan year return/report (less than 12 months)Yes
2012-09-01Plan is a collectively bargained planNo
2012-09-01Plan funding arrangement – InsuranceYes
2012-09-01Plan benefit arrangement – InsuranceYes
2011: WELFARE BENEFIT PLAN FOR EMPLOYEES OF BEARING DISTRIBUTORS, INC. 2011 form 5500 responses
2011-09-01Type of plan entitySingle employer plan
2011-09-01Submission has been amendedNo
2011-09-01This submission is the final filingNo
2011-09-01This return/report is a short plan year return/report (less than 12 months)No
2011-09-01Plan is a collectively bargained planNo
2011-09-01Plan funding arrangement – InsuranceYes
2011-09-01Plan benefit arrangement – InsuranceYes
2009: WELFARE BENEFIT PLAN FOR EMPLOYEES OF BEARING DISTRIBUTORS, INC. 2009 form 5500 responses
2009-09-01Type of plan entitySingle employer plan
2009-09-01Submission has been amendedYes
2009-09-01This submission is the final filingNo
2009-09-01This return/report is a short plan year return/report (less than 12 months)No
2009-09-01Plan is a collectively bargained planNo
2009-09-01Plan funding arrangement – InsuranceYes
2009-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 )
Policy contract number70-85263-00
Policy instance 1
Insurance contract or identification number70-85263-00
Number of Individuals Covered100
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $31,422
Are there contracts with allocated funds for individual policies?No
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 BenefitNo
Vision Insurance Welfare BenefitNo
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 $615,109
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,422
Insurance broker organization code?3
Insurance broker nameKEY INSURANCE CONSULTANTS, INC.
UNITED HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 95378 )
Policy contract numberXUXO
Policy instance 1
Insurance contract or identification numberXUXO
Number of Individuals Covered107
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $32,556
Are there contracts with allocated funds for individual policies?No
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 BenefitNo
Vision Insurance Welfare BenefitNo
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 $651,120
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,556
Insurance broker organization code?3
Insurance broker nameKEY INSURANCE CONSULTANTS, INC.
BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 )
Policy contract numberBA443
Policy instance 1
Insurance contract or identification numberBA443
Number of Individuals Covered88
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $18,699
Are there contracts with allocated funds for individual policies?No
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 BenefitNo
Vision Insurance Welfare BenefitNo
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 $623,303
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,699
Insurance broker organization code?3
Insurance broker nameKEY INSURANCE CONSULTANTS
BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 )
Policy contract numberBA443
Policy instance 1
Insurance contract or identification numberBA443
Number of Individuals Covered86
Insurance policy start date2012-09-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $5,619
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $195,372
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,619
Insurance broker organization code?3
Insurance broker nameKEY INSURANCE CONSULTANTS INC
BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 )
Policy contract numberBA443
Policy instance 1
Insurance contract or identification numberBA443
Number of Individuals Covered86
Insurance policy start date2011-09-01
Insurance policy end date2012-08-31
Total amount of commissions paid to insurance brokerUSD $16,430
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $540,592
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 )
Policy contract numberBA443
Policy instance 1
Insurance contract or identification numberBA443
Number of Individuals Covered94
Insurance policy start date2010-09-01
Insurance policy end date2011-08-31
Total amount of commissions paid to insurance brokerUSD $18,719
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $535,986
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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