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EYEMED VISION PLAN 401k Plan overview

Plan NameEYEMED VISION PLAN
Plan identification number 503

EYEMED VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Vision

401k Sponsoring company profile

INTERNATIONAL ICE CREAM CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:INTERNATIONAL ICE CREAM CORPORATION
Employer identification number (EIN):043086123
NAIC Classification:424400

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EYEMED VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032017-01-01

Plan Statistics for EYEMED VISION PLAN

401k plan membership statisitcs for EYEMED VISION PLAN

Measure Date Value
2017: EYEMED VISION PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01101
Total number of active participants reported on line 7a of the Form 55002017-01-010
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 participants2017-01-010

Form 5500 Responses for EYEMED VISION PLAN

2017: EYEMED VISION PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01First time form 5500 has been submittedYes
2017-01-01This submission is the final filingYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number98852781001
Policy instance 1
Insurance contract or identification number98852781001
Number of Individuals Covered215
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,260
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,909
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,185
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameEASTERN BENEFITS GROUP

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