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HORIZON BEVERAGE CO, INC. GROUP HEALTH 401k Plan overview

Plan NameHORIZON BEVERAGE CO, INC. GROUP HEALTH
Plan identification number 503

HORIZON BEVERAGE CO, INC. GROUP HEALTH Benefits

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

401k Sponsoring company profile

HORIZON BEVERAGE COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name:HORIZON BEVERAGE COMPANY, INC.
Employer identification number (EIN):041123650
NAIC Classification:425120
NAIC Description:Wholesale Trade Agents and Brokers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HORIZON BEVERAGE CO, INC. GROUP HEALTH

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032021-01-01DAVID HOLMBERG2022-05-27
5032020-01-01DAVID A. HOLMBERG2021-09-29
5032019-01-01DAVID A. HOLMBERG2020-09-04
5032018-01-01DAVID A. HOLMBERG2019-07-29
5032017-01-01
5032016-01-01DAVID HOLMBERG DAVID HOLMBERG2017-06-02
5032016-01-01 DAVID HOLMBERG2017-06-02
5032015-01-01LYNN MORLEY LYNN MORLEY2016-04-20
5032014-01-01LYNN MORLEY LYNN MORLEY2015-10-13
5032013-01-01
5032012-01-01LYNN MORLEY
5032011-01-01LYNN MORLEY
5032010-01-01LYNN MORLEY
5032009-01-01LYNN MORLEY

Plan Statistics for HORIZON BEVERAGE CO, INC. GROUP HEALTH

401k plan membership statisitcs for HORIZON BEVERAGE CO, INC. GROUP HEALTH

Measure Date Value
2021: HORIZON BEVERAGE CO, INC. GROUP HEALTH 2021 401k membership
Total participants, beginning-of-year2021-01-01405
Total number of active participants reported on line 7a of the Form 55002021-01-010
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-010
Number of employers contributing to the scheme2021-01-010
2020: HORIZON BEVERAGE CO, INC. GROUP HEALTH 2020 401k membership
Total participants, beginning-of-year2020-01-01299
Total number of active participants reported on line 7a of the Form 55002020-01-01444
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01444
Number of employers contributing to the scheme2020-01-010
2019: HORIZON BEVERAGE CO, INC. GROUP HEALTH 2019 401k membership
Total participants, beginning-of-year2019-01-01429
Total number of active participants reported on line 7a of the Form 55002019-01-01299
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01299
Number of employers contributing to the scheme2019-01-010
2018: HORIZON BEVERAGE CO, INC. GROUP HEALTH 2018 401k membership
Total participants, beginning-of-year2018-01-011,075
Total number of active participants reported on line 7a of the Form 55002018-01-01429
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01429
Number of employers contributing to the scheme2018-01-010
2017: HORIZON BEVERAGE CO, INC. GROUP HEALTH 2017 401k membership
Total participants, beginning-of-year2017-01-011,070
Total number of active participants reported on line 7a of the Form 55002017-01-011,075
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-011,075
2016: HORIZON BEVERAGE CO, INC. GROUP HEALTH 2016 401k membership
Total participants, beginning-of-year2016-01-011,045
Total number of active participants reported on line 7a of the Form 55002016-01-011,069
Number of retired or separated participants receiving benefits2016-01-011
Total of all active and inactive participants2016-01-011,070
2015: HORIZON BEVERAGE CO, INC. GROUP HEALTH 2015 401k membership
Total participants, beginning-of-year2015-01-011,079
Total number of active participants reported on line 7a of the Form 55002015-01-011,045
Total of all active and inactive participants2015-01-011,045
2014: HORIZON BEVERAGE CO, INC. GROUP HEALTH 2014 401k membership
Total participants, beginning-of-year2014-01-011,075
Total number of active participants reported on line 7a of the Form 55002014-01-011,079
Number of retired or separated participants receiving benefits2014-01-010
Total of all active and inactive participants2014-01-011,079
2013: HORIZON BEVERAGE CO, INC. GROUP HEALTH 2013 401k membership
Total participants, beginning-of-year2013-01-01954
Total number of active participants reported on line 7a of the Form 55002013-01-011,075
Total of all active and inactive participants2013-01-011,075
2012: HORIZON BEVERAGE CO, INC. GROUP HEALTH 2012 401k membership
Total participants, beginning-of-year2012-01-01943
Total number of active participants reported on line 7a of the Form 55002012-01-01954
Total of all active and inactive participants2012-01-01954
2011: HORIZON BEVERAGE CO, INC. GROUP HEALTH 2011 401k membership
Total participants, beginning-of-year2011-01-01890
Total number of active participants reported on line 7a of the Form 55002011-01-01943
Total of all active and inactive participants2011-01-01943
2010: HORIZON BEVERAGE CO, INC. GROUP HEALTH 2010 401k membership
Total participants, beginning-of-year2010-01-01602
Total number of active participants reported on line 7a of the Form 55002010-01-01890
Total of all active and inactive participants2010-01-01890
2009: HORIZON BEVERAGE CO, INC. GROUP HEALTH 2009 401k membership
Total participants, beginning-of-year2009-01-01235
Total number of active participants reported on line 7a of the Form 55002009-01-01602
Total of all active and inactive participants2009-01-01602

Form 5500 Responses for HORIZON BEVERAGE CO, INC. GROUP HEALTH

2021: HORIZON BEVERAGE CO, INC. GROUP HEALTH 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01This submission is the final filingYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: HORIZON BEVERAGE CO, INC. GROUP HEALTH 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: HORIZON BEVERAGE CO, INC. GROUP HEALTH 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: HORIZON BEVERAGE CO, INC. GROUP HEALTH 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: HORIZON BEVERAGE CO, INC. GROUP HEALTH 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: HORIZON BEVERAGE CO, INC. GROUP HEALTH 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: HORIZON BEVERAGE CO, INC. GROUP HEALTH 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: HORIZON BEVERAGE CO, INC. GROUP HEALTH 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: HORIZON BEVERAGE CO, INC. GROUP HEALTH 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: HORIZON BEVERAGE CO, INC. GROUP HEALTH 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: HORIZON BEVERAGE CO, INC. GROUP HEALTH 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: HORIZON BEVERAGE CO, INC. GROUP HEALTH 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: HORIZON BEVERAGE CO, INC. GROUP HEALTH 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number141310000
Policy instance 1
Insurance contract or identification number141310000
Number of Individuals Covered974
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $132,530
Total amount of fees paid to insurance companyUSD $0
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
Welfare Benefit Premiums Paid to CarrierUSD $6,570,851
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $132,530
Amount paid for insurance broker fees0
Insurance broker organization code?3
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number141310000
Policy instance 1
Insurance contract or identification number141310000
Number of Individuals Covered1044
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $53,948
Total amount of fees paid to insurance companyUSD $0
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
Welfare Benefit Premiums Paid to CarrierUSD $6,606,245
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $53,948
Amount paid for insurance broker fees0
Insurance broker organization code?3
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number141310000
Policy instance 1
Insurance contract or identification number141310000
Number of Individuals Covered704
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $1,025,818
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,705,376
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $1,025,818
Amount paid for insurance broker fees0
Insurance broker organization code?3
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number141310000
Policy instance 1
Insurance contract or identification number141310000
Number of Individuals Covered1085
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $76,758
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,132,548
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $76,758
Amount paid for insurance broker fees0
Insurance broker organization code?3
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number141310000
Policy instance 1
Insurance contract or identification number141310000
Number of Individuals Covered5367
Insurance policy start date2016-04-01
Insurance policy end date2017-03-31
Total amount of commissions paid to insurance brokerUSD $55,593
Total amount of fees paid to insurance companyUSD $0
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
Welfare Benefit Premiums Paid to CarrierUSD $5,057,251
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $55,593
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameEASTERN BENEFITS GROUP, LLC
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4937660
Policy instance 1
Insurance contract or identification number4937660
Number of Individuals Covered1045
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $71,894
Total amount of fees paid to insurance companyUSD $39,724
Health Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $71,894
Amount paid for insurance broker fees39724
Additional information about fees paid to insurance brokerBONUS (NOT CHARGED TO ACCOUNT)
Insurance broker organization code?3
Insurance broker nameEASTERN INSURANCE GROUP LLC
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4937660
Policy instance 1
Insurance contract or identification number4937660
Number of Individuals Covered1079
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $74,476
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $74,476
Insurance broker organization code?3
Insurance broker nameEASTERN INSURANCE GROUP LLC
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4937660
Policy instance 1
Insurance contract or identification number4937660
Number of Individuals Covered1075
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $72,019
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,117,077
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $72,019
Insurance broker organization code?3
Insurance broker nameEASTERN INSURANCE GROUP LLC
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4937660
Policy instance 1
Insurance contract or identification number4937660
Number of Individuals Covered954
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $63,587
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,325,667
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $63,587
Insurance broker organization code?3
Insurance broker nameEASTERN INSURANCE GROUP LLC
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4937660
Policy instance 1
Insurance contract or identification number4937660
Number of Individuals Covered943
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $77,742
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,063,867
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4937660
Policy instance 1
Insurance contract or identification number4937660
Number of Individuals Covered890
Insurance policy start date2009-04-01
Insurance policy end date2010-03-31
Total amount of commissions paid to insurance brokerUSD $53,555
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,335,070
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $53,555
Insurance broker organization code?3
Insurance broker nameSTICKLES INSURANCE AGENCY INC

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