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SOUTHERN TIRE MART, LLC. WELFARE BENEFIT PLAN 401k Plan overview

Plan NameSOUTHERN TIRE MART, LLC. WELFARE BENEFIT PLAN
Plan identification number 501

SOUTHERN TIRE MART, LLC. WELFARE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

SOUTHERN TIRE MART, LLC has sponsored the creation of one or more 401k plans.

Company Name:SOUTHERN TIRE MART, LLC
Employer identification number (EIN):061689011
NAIC Classification:336100

Additional information about SOUTHERN TIRE MART, LLC

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2004-10-14
Company Identification Number: 0800401838
Legal Registered Office Address: 800 HIGHWAY 98 BYP

COLUMBIA
United States of America (USA)
39429

More information about SOUTHERN TIRE MART, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOUTHERN TIRE MART, LLC. WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01
5012016-01-01

Plan Statistics for SOUTHERN TIRE MART, LLC. WELFARE BENEFIT PLAN

401k plan membership statisitcs for SOUTHERN TIRE MART, LLC. WELFARE BENEFIT PLAN

Measure Date Value
2023: SOUTHERN TIRE MART, LLC. WELFARE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-016,960
Total number of active participants reported on line 7a of the Form 55002023-01-017,606
Total of all active and inactive participants2023-01-017,606
2022: SOUTHERN TIRE MART, LLC. WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-015,863
Total number of active participants reported on line 7a of the Form 55002022-01-016,960
Total of all active and inactive participants2022-01-016,960
2021: SOUTHERN TIRE MART, LLC. WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-015,680
Total number of active participants reported on line 7a of the Form 55002021-01-016,766
Total of all active and inactive participants2021-01-016,766
2020: SOUTHERN TIRE MART, LLC. WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-015,834
Total number of active participants reported on line 7a of the Form 55002020-01-015,680
Total of all active and inactive participants2020-01-015,680
2019: SOUTHERN TIRE MART, LLC. WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-010
Total number of active participants reported on line 7a of the Form 55002019-01-015,834
Total of all active and inactive participants2019-01-015,834
2018: SOUTHERN TIRE MART, LLC. WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-014,108
Total number of active participants reported on line 7a of the Form 55002018-01-010
Total of all active and inactive participants2018-01-010
2017: SOUTHERN TIRE MART, LLC. WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-013,862
Total number of active participants reported on line 7a of the Form 55002017-01-014,108
Total of all active and inactive participants2017-01-014,108
2016: SOUTHERN TIRE MART, LLC. WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-013,862
Total number of active participants reported on line 7a of the Form 55002016-01-013,862
Total of all active and inactive participants2016-01-013,862
Total participants2016-01-013,862

Form 5500 Responses for SOUTHERN TIRE MART, LLC. WELFARE BENEFIT PLAN

2023: SOUTHERN TIRE MART, LLC. WELFARE BENEFIT PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – General assets of the sponsorYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – General assets of the sponsorYes
2022: SOUTHERN TIRE MART, LLC. WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: SOUTHERN TIRE MART, LLC. WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: SOUTHERN TIRE MART, LLC. WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: SOUTHERN TIRE MART, LLC. WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: SOUTHERN TIRE MART, LLC. WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: SOUTHERN TIRE MART, LLC. WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: SOUTHERN TIRE MART, LLC. WELFARE BENEFIT PLAN 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 – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number906295
Policy instance 1
Insurance contract or identification number906295
Number of Individuals Covered7606
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $348,327
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $503,756
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number906295
Policy instance 1
Insurance contract or identification number906295
Number of Individuals Covered6960
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $467,244
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $391,379
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees467244
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number906295
Policy instance 1
Insurance contract or identification number906295
Number of Individuals Covered5863
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $20,869
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $309,378
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,869
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number906295
Policy instance 1
Insurance contract or identification number906295
Number of Individuals Covered5680
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $34,333
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $520,083
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,333
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number906295
Policy instance 1
Insurance contract or identification number906295
Number of Individuals Covered5834
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $32,877
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $488,240
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,877
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number906295
Policy instance 1
Insurance contract or identification number906295
Number of Individuals Covered0
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $25,526
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $359,575
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $25,526
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number906295
Policy instance 1
Insurance contract or identification number906295
Number of Individuals Covered4108
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $20,655
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $311,233
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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