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ALICE AND OLIVIA LLC DENTAL AND VISION PLAN 401k Plan overview

Plan NameALICE AND OLIVIA LLC DENTAL AND VISION PLAN
Plan identification number 505

ALICE AND OLIVIA LLC DENTAL AND VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental
  • Vision

401k Sponsoring company profile

ALICE AND OLIVIA LLC has sponsored the creation of one or more 401k plans.

Company Name:ALICE AND OLIVIA LLC
Employer identification number (EIN):010580869
NAIC Classification:424300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ALICE AND OLIVIA LLC DENTAL AND VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052017-11-01
5052016-11-01MARK KODA

Plan Statistics for ALICE AND OLIVIA LLC DENTAL AND VISION PLAN

401k plan membership statisitcs for ALICE AND OLIVIA LLC DENTAL AND VISION PLAN

Measure Date Value
2017: ALICE AND OLIVIA LLC DENTAL AND VISION PLAN 2017 401k membership
Total participants, beginning-of-year2017-11-01180
Total number of active participants reported on line 7a of the Form 55002017-11-01186
Number of retired or separated participants receiving benefits2017-11-014
Number of other retired or separated participants entitled to future benefits2017-11-010
Total of all active and inactive participants2017-11-01190
2016: ALICE AND OLIVIA LLC DENTAL AND VISION PLAN 2016 401k membership
Total participants, beginning-of-year2016-11-01252
Total number of active participants reported on line 7a of the Form 55002016-11-01248
Number of retired or separated participants receiving benefits2016-11-0113
Number of other retired or separated participants entitled to future benefits2016-11-010
Total of all active and inactive participants2016-11-01261

Form 5500 Responses for ALICE AND OLIVIA LLC DENTAL AND VISION PLAN

2017: ALICE AND OLIVIA LLC DENTAL AND VISION PLAN 2017 form 5500 responses
2017-11-01Type of plan entitySingle employer plan
2017-11-01Submission has been amendedNo
2017-11-01This submission is the final filingNo
2017-11-01This return/report is a short plan year return/report (less than 12 months)No
2017-11-01Plan is a collectively bargained planNo
2017-11-01Plan funding arrangement – InsuranceYes
2017-11-01Plan benefit arrangement – InsuranceYes
2016: ALICE AND OLIVIA LLC DENTAL AND VISION PLAN 2016 form 5500 responses
2016-11-01Type of plan entitySingle employer plan
2016-11-01First time form 5500 has been submittedYes
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)No
2016-11-01Plan is a collectively bargained planNo
2016-11-01Plan funding arrangement – InsuranceYes
2016-11-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number906341
Policy instance 1
Insurance contract or identification number906341
Number of Individuals Covered251
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $1,432
Total amount of fees paid to insurance companyUSD $0
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 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 $14,472
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

Potentially related plans

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