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BUDNEY OVERHAUL & REPAIR MEDICAL PLAN 401k Plan overview

Plan NameBUDNEY OVERHAUL & REPAIR MEDICAL PLAN
Plan identification number 503

BUDNEY OVERHAUL & REPAIR MEDICAL PLAN Benefits

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

401k Sponsoring company profile

BUDNEY OVERHAUL & REPAIR, LTD. has sponsored the creation of one or more 401k plans.

Company Name:BUDNEY OVERHAUL & REPAIR, LTD.
Employer identification number (EIN):061285065
NAIC Classification:336410

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BUDNEY OVERHAUL & REPAIR MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032020-01-01JUDITH NEWBERG2021-09-14
5032019-01-01JUDITH NEWBERG2021-09-14
5032018-01-01JUDITH NEWBERG2021-09-14
5032017-01-01JUDITH NEWBERG2021-09-14
5032016-12-01JUDITH NEWBERG2021-09-14
5032015-12-01JUDITH NEWBERG2021-09-14
5032014-12-01JUDITH NEWBERG2021-09-14
5032013-12-01JUDITH NEWBERG2021-09-14
5032012-12-01JUDITH NEWBERG2021-09-14
5032011-12-01JUDITH NEWBERG2021-09-14
5032010-12-01JUDITH NEWBERG2021-09-14

Plan Statistics for BUDNEY OVERHAUL & REPAIR MEDICAL PLAN

401k plan membership statisitcs for BUDNEY OVERHAUL & REPAIR MEDICAL PLAN

Measure Date Value
2020: BUDNEY OVERHAUL & REPAIR MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01135
Total number of active participants reported on line 7a of the Form 55002020-01-010
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 participants2020-01-010
Number of employers contributing to the scheme2020-01-010
2019: BUDNEY OVERHAUL & REPAIR MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01134
Total number of active participants reported on line 7a of the Form 55002019-01-01135
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 participants2019-01-01135
Number of employers contributing to the scheme2019-01-010
2018: BUDNEY OVERHAUL & REPAIR MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01155
Total number of active participants reported on line 7a of the Form 55002018-01-01134
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 participants2018-01-01134
Number of employers contributing to the scheme2018-01-010
2017: BUDNEY OVERHAUL & REPAIR MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01192
Total number of active participants reported on line 7a of the Form 55002017-01-01155
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 participants2017-01-01155
Number of employers contributing to the scheme2017-01-010
2016: BUDNEY OVERHAUL & REPAIR MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-12-01138
Total number of active participants reported on line 7a of the Form 55002016-12-01192
Number of retired or separated participants receiving benefits2016-12-010
Number of other retired or separated participants entitled to future benefits2016-12-010
Total of all active and inactive participants2016-12-01192
Number of employers contributing to the scheme2016-12-010
2015: BUDNEY OVERHAUL & REPAIR MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-12-01117
Total number of active participants reported on line 7a of the Form 55002015-12-01138
Number of retired or separated participants receiving benefits2015-12-010
Number of other retired or separated participants entitled to future benefits2015-12-010
Total of all active and inactive participants2015-12-01138
Number of employers contributing to the scheme2015-12-010
2014: BUDNEY OVERHAUL & REPAIR MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-12-01119
Total number of active participants reported on line 7a of the Form 55002014-12-01117
Number of retired or separated participants receiving benefits2014-12-010
Number of other retired or separated participants entitled to future benefits2014-12-010
Total of all active and inactive participants2014-12-01117
Number of employers contributing to the scheme2014-12-010
2013: BUDNEY OVERHAUL & REPAIR MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-12-01109
Total number of active participants reported on line 7a of the Form 55002013-12-01119
Number of retired or separated participants receiving benefits2013-12-010
Number of other retired or separated participants entitled to future benefits2013-12-010
Total of all active and inactive participants2013-12-01119
Number of employers contributing to the scheme2013-12-010
2012: BUDNEY OVERHAUL & REPAIR MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-12-01110
Total number of active participants reported on line 7a of the Form 55002012-12-01109
Number of retired or separated participants receiving benefits2012-12-010
Number of other retired or separated participants entitled to future benefits2012-12-010
Total of all active and inactive participants2012-12-01109
Number of employers contributing to the scheme2012-12-010
2011: BUDNEY OVERHAUL & REPAIR MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-12-01103
Total number of active participants reported on line 7a of the Form 55002011-12-01110
Number of retired or separated participants receiving benefits2011-12-010
Number of other retired or separated participants entitled to future benefits2011-12-010
Total of all active and inactive participants2011-12-01110
Number of employers contributing to the scheme2011-12-010
2010: BUDNEY OVERHAUL & REPAIR MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-12-01100
Total number of active participants reported on line 7a of the Form 55002010-12-01103
Number of retired or separated participants receiving benefits2010-12-010
Number of other retired or separated participants entitled to future benefits2010-12-010
Total of all active and inactive participants2010-12-01103
Number of employers contributing to the scheme2010-12-010

Form 5500 Responses for BUDNEY OVERHAUL & REPAIR MEDICAL PLAN

2020: BUDNEY OVERHAUL & REPAIR MEDICAL PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01This submission is the final filingYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: BUDNEY OVERHAUL & REPAIR MEDICAL PLAN 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: BUDNEY OVERHAUL & REPAIR MEDICAL PLAN 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: BUDNEY OVERHAUL & REPAIR MEDICAL PLAN 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: BUDNEY OVERHAUL & REPAIR MEDICAL PLAN 2016 form 5500 responses
2016-12-01Type of plan entitySingle employer plan
2016-12-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-12-01Plan funding arrangement – InsuranceYes
2016-12-01Plan benefit arrangement – InsuranceYes
2015: BUDNEY OVERHAUL & REPAIR MEDICAL PLAN 2015 form 5500 responses
2015-12-01Type of plan entitySingle employer plan
2015-12-01Plan funding arrangement – InsuranceYes
2015-12-01Plan benefit arrangement – InsuranceYes
2014: BUDNEY OVERHAUL & REPAIR MEDICAL PLAN 2014 form 5500 responses
2014-12-01Type of plan entitySingle employer plan
2014-12-01Plan funding arrangement – InsuranceYes
2014-12-01Plan benefit arrangement – InsuranceYes
2013: BUDNEY OVERHAUL & REPAIR MEDICAL PLAN 2013 form 5500 responses
2013-12-01Type of plan entitySingle employer plan
2013-12-01Plan funding arrangement – InsuranceYes
2013-12-01Plan benefit arrangement – InsuranceYes
2012: BUDNEY OVERHAUL & REPAIR MEDICAL PLAN 2012 form 5500 responses
2012-12-01Type of plan entitySingle employer plan
2012-12-01Plan funding arrangement – InsuranceYes
2012-12-01Plan benefit arrangement – InsuranceYes
2011: BUDNEY OVERHAUL & REPAIR MEDICAL PLAN 2011 form 5500 responses
2011-12-01Type of plan entitySingle employer plan
2011-12-01Plan funding arrangement – InsuranceYes
2011-12-01Plan benefit arrangement – InsuranceYes
2010: BUDNEY OVERHAUL & REPAIR MEDICAL PLAN 2010 form 5500 responses
2010-12-01Type of plan entitySingle employer plan
2010-12-01First time form 5500 has been submittedYes
2010-12-01Plan funding arrangement – InsuranceYes
2010-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0221590
Policy instance 1
Insurance contract or identification number0221590
Number of Individuals Covered299
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $68,087
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,691,923
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $68,087
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 number0221590
Policy instance 1
Insurance contract or identification number0221590
Number of Individuals Covered318
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $69,568
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,886,229
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberBO4217
Policy instance 1
Insurance contract or identification numberBO4217
Number of Individuals Covered316
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $73,437
Total amount of fees paid to insurance companyUSD $8,372
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,879,459
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $73,437
Amount paid for insurance broker fees8372
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number800971
Policy instance 1
Insurance contract or identification number800971
Number of Individuals Covered329
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $42,773
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,758,276
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $42,773
Amount paid for insurance broker fees0
Insurance broker organization code?3
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number800971
Policy instance 1
Insurance contract or identification number800971
Number of Individuals Covered414
Insurance policy start date2016-01-01
Insurance policy end date2016-12-31
Total amount of commissions paid to insurance brokerUSD $27,030
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,557,473
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,030
Amount paid for insurance broker fees0
Insurance broker organization code?3
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number800971
Policy instance 1
Insurance contract or identification number800971
Number of Individuals Covered297
Insurance policy start date2015-12-01
Insurance policy end date2016-11-30
Total amount of commissions paid to insurance brokerUSD $27,018
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,549,759
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,018
Amount paid for insurance broker fees0
Insurance broker organization code?3
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number2212
Policy instance 1
Insurance contract or identification number2212
Number of Individuals Covered275
Insurance policy start date2014-12-01
Insurance policy end date2015-11-30
Total amount of commissions paid to insurance brokerUSD $67,636
Total amount of fees paid to insurance companyUSD $19,377
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,690,894
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $67,636
Amount paid for insurance broker fees19377
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number2212
Policy instance 1
Insurance contract or identification number2212
Number of Individuals Covered279
Insurance policy start date2013-12-01
Insurance policy end date2014-11-30
Total amount of commissions paid to insurance brokerUSD $63,008
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,575,199
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $63,008
Amount paid for insurance broker fees0
Insurance broker organization code?3
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberBQ4140
Policy instance 1
Insurance contract or identification numberBQ4140
Number of Individuals Covered256
Insurance policy start date2012-12-01
Insurance policy end date2013-11-30
Total amount of commissions paid to insurance brokerUSD $34,995
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,202,691
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $34,995
Amount paid for insurance broker fees0
Insurance broker organization code?3
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number2039
Policy instance 1
Insurance contract or identification number2039
Number of Individuals Covered259
Insurance policy start date2011-12-01
Insurance policy end date2012-11-30
Total amount of commissions paid to insurance brokerUSD $44,368
Total amount of fees paid to insurance companyUSD $10,400
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,229,432
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $44,368
Amount paid for insurance broker fees10400
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberBO4092
Policy instance 1
Insurance contract or identification numberBO4092
Number of Individuals Covered242
Insurance policy start date2010-12-01
Insurance policy end date2011-11-30
Total amount of commissions paid to insurance brokerUSD $43,585
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,181,833
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,796
Amount paid for insurance broker fees0
Insurance broker organization code?3

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