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WORTH ROSS HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameWORTH ROSS HEALTH AND WELFARE PLAN
Plan identification number 501

WORTH ROSS HEALTH AND WELFARE PLAN Benefits

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

401k Sponsoring company profile

WORTH ROSS MANAGEMENT CO. INC., AAMC has sponsored the creation of one or more 401k plans.

Company Name:WORTH ROSS MANAGEMENT CO. INC., AAMC
Employer identification number (EIN):030380975
NAIC Classification:531510

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WORTH ROSS HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-10-01
5012020-10-01JAMARA RODRIGUEZ2022-04-04
5012020-10-01JAMARA RODRIGUEZ2022-04-04
5012019-10-01JAMARA RODRIGUEZ2022-04-04
5012019-10-01JAMARA RODRIGUEZ2022-04-04
5012018-10-01ANDREA COX2020-03-05
5012017-10-01ANDREA M. COX2019-03-29
5012016-10-01
5012016-10-01ANDREA M. COX2019-04-04
5012016-06-01
5012015-06-01

Plan Statistics for WORTH ROSS HEALTH AND WELFARE PLAN

401k plan membership statisitcs for WORTH ROSS HEALTH AND WELFARE PLAN

Measure Date Value
2021: WORTH ROSS HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-01261
Total number of active participants reported on line 7a of the Form 55002021-10-01299
Number of retired or separated participants receiving benefits2021-10-015
Number of other retired or separated participants entitled to future benefits2021-10-013
Total of all active and inactive participants2021-10-01307
2020: WORTH ROSS HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-01312
Total number of active participants reported on line 7a of the Form 55002020-10-01301
Number of retired or separated participants receiving benefits2020-10-016
Number of other retired or separated participants entitled to future benefits2020-10-010
Total of all active and inactive participants2020-10-01307
2019: WORTH ROSS HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01258
Total number of active participants reported on line 7a of the Form 55002019-10-01291
Number of retired or separated participants receiving benefits2019-10-011
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-01292
2018: WORTH ROSS HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01235
Total number of active participants reported on line 7a of the Form 55002018-10-01250
Number of retired or separated participants receiving benefits2018-10-010
Number of other retired or separated participants entitled to future benefits2018-10-010
Total of all active and inactive participants2018-10-01250
Number of employers contributing to the scheme2018-10-010
2017: WORTH ROSS HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01173
Total number of active participants reported on line 7a of the Form 55002017-10-01198
Number of retired or separated participants receiving benefits2017-10-012
Number of other retired or separated participants entitled to future benefits2017-10-010
Total of all active and inactive participants2017-10-01200
Number of employers contributing to the scheme2017-10-010
2016: WORTH ROSS HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-01148
Total number of active participants reported on line 7a of the Form 55002016-10-01166
Number of retired or separated participants receiving benefits2016-10-012
Number of other retired or separated participants entitled to future benefits2016-10-010
Total of all active and inactive participants2016-10-01168
Number of employers contributing to the scheme2016-10-010
Total participants, beginning-of-year2016-06-01148
Total number of active participants reported on line 7a of the Form 55002016-06-01148
Number of retired or separated participants receiving benefits2016-06-010
Number of other retired or separated participants entitled to future benefits2016-06-010
Total of all active and inactive participants2016-06-01148
2015: WORTH ROSS HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-06-01101
Total number of active participants reported on line 7a of the Form 55002015-06-01148
Number of retired or separated participants receiving benefits2015-06-010
Number of other retired or separated participants entitled to future benefits2015-06-010
Total of all active and inactive participants2015-06-01148

Form 5500 Responses for WORTH ROSS HEALTH AND WELFARE PLAN

2021: WORTH ROSS HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Submission has been amendedNo
2021-10-01This submission is the final filingNo
2021-10-01This return/report is a short plan year return/report (less than 12 months)No
2021-10-01Plan is a collectively bargained planNo
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan funding arrangement – General assets of the sponsorYes
2021-10-01Plan benefit arrangement – InsuranceYes
2021-10-01Plan benefit arrangement – General assets of the sponsorYes
2020: WORTH ROSS HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Submission has been amendedYes
2020-10-01This submission is the final filingNo
2020-10-01This return/report is a short plan year return/report (less than 12 months)No
2020-10-01Plan is a collectively bargained planNo
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan funding arrangement – General assets of the sponsorYes
2020-10-01Plan benefit arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – General assets of the sponsorYes
2019: WORTH ROSS HEALTH AND WELFARE PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Submission has been amendedNo
2019-10-01This submission is the final filingNo
2019-10-01This return/report is a short plan year return/report (less than 12 months)No
2019-10-01Plan is a collectively bargained planNo
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan funding arrangement – General assets of the sponsorYes
2019-10-01Plan benefit arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – General assets of the sponsorYes
2018: WORTH ROSS HEALTH AND WELFARE PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – InsuranceYes
2017: WORTH ROSS HEALTH AND WELFARE PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – InsuranceYes
2016: WORTH ROSS HEALTH AND WELFARE PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – InsuranceYes
2016-06-01Type of plan entitySingle employer plan
2016-06-01Submission has been amendedNo
2016-06-01This submission is the final filingNo
2016-06-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-06-01Plan is a collectively bargained planNo
2016-06-01Plan funding arrangement – InsuranceYes
2016-06-01Plan benefit arrangement – InsuranceYes
2015: WORTH ROSS HEALTH AND WELFARE PLAN 2015 form 5500 responses
2015-06-01Type of plan entitySingle employer plan
2015-06-01First time form 5500 has been submittedYes
2015-06-01Submission has been amendedNo
2015-06-01This submission is the final filingNo
2015-06-01This return/report is a short plan year return/report (less than 12 months)No
2015-06-01Plan is a collectively bargained planNo
2015-06-01Plan funding arrangement – InsuranceYes
2015-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number246547
Policy instance 1
Insurance contract or identification number246547
Number of Individuals Covered382
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $102,884
Total amount of fees paid to insurance companyUSD $3,295
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
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 $2,017,556
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $102,884
Amount paid for insurance broker fees3295
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number246547
Policy instance 1
Insurance contract or identification number246547
Number of Individuals Covered372
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $115,975
Total amount of fees paid to insurance companyUSD $3,303
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
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 $1,704,817
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $115,975
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerNA
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number246547
Policy instance 1
Insurance contract or identification number246547
Number of Individuals Covered290
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $86,300
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,436,663
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $86,300
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number909139
Policy instance 1
Insurance contract or identification number909139
Number of Individuals Covered322
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $6,589
Total amount of fees paid to insurance companyUSD $57,709
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,133,336
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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