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MOBIS WELFARE BENEFIT PLAN 401k Plan overview

Plan NameMOBIS WELFARE BENEFIT PLAN
Plan identification number 504

MOBIS WELFARE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

MOBIS PARTS AMERICA LLC has sponsored the creation of one or more 401k plans.

Company Name:MOBIS PARTS AMERICA LLC
Employer identification number (EIN):200262739
NAIC Classification:441300
NAIC Description: Automotive Parts, Accessories, and Tire Stores

Additional information about MOBIS PARTS AMERICA LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 3709264

More information about MOBIS PARTS AMERICA LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MOBIS WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042020-08-01
5042019-08-01
5042018-08-01
5042017-08-01MARY CALDERON
5042016-08-01JENNIFER SIDHOM
5042015-08-01SHERRY THOMAS
5042014-08-01SHERRY THOMAS
5042013-08-01SHERRY THOMAS
5042012-08-01SHERRY THOMAS
5042011-08-01SHERRY THOMAS
5042010-08-01SHERRY THOMAS
5042009-08-01SHERRY THOMAS

Plan Statistics for MOBIS WELFARE BENEFIT PLAN

401k plan membership statisitcs for MOBIS WELFARE BENEFIT PLAN

Measure Date Value
2020: MOBIS WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-08-01663
Total number of active participants reported on line 7a of the Form 55002020-08-01648
Number of retired or separated participants receiving benefits2020-08-013
Total of all active and inactive participants2020-08-01651
Total participants2020-08-01651
2019: MOBIS WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-08-01645
Total number of active participants reported on line 7a of the Form 55002019-08-01663
Number of retired or separated participants receiving benefits2019-08-014
Total of all active and inactive participants2019-08-01667
Total participants2019-08-01667
2018: MOBIS WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-08-01578
Total number of active participants reported on line 7a of the Form 55002018-08-01645
Total of all active and inactive participants2018-08-01645
Total participants2018-08-01645
2017: MOBIS WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-08-01566
Total number of active participants reported on line 7a of the Form 55002017-08-01578
Number of retired or separated participants receiving benefits2017-08-0112
Total of all active and inactive participants2017-08-01590
Total participants2017-08-01590
2016: MOBIS WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-08-01498
Total number of active participants reported on line 7a of the Form 55002016-08-01559
Number of retired or separated participants receiving benefits2016-08-017
Total of all active and inactive participants2016-08-01566
Total participants2016-08-01566
2015: MOBIS WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-08-01474
Total number of active participants reported on line 7a of the Form 55002015-08-01498
Total of all active and inactive participants2015-08-01498
Total participants2015-08-010
2014: MOBIS WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-08-01452
Total number of active participants reported on line 7a of the Form 55002014-08-01474
Total of all active and inactive participants2014-08-01474
Total participants2014-08-010
2013: MOBIS WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-08-01412
Total number of active participants reported on line 7a of the Form 55002013-08-01452
Total of all active and inactive participants2013-08-01452
Total participants2013-08-010
2012: MOBIS WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-08-01886
Total number of active participants reported on line 7a of the Form 55002012-08-01412
Total of all active and inactive participants2012-08-01412
Total participants2012-08-010
2011: MOBIS WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-08-01302
Total number of active participants reported on line 7a of the Form 55002011-08-01886
Total of all active and inactive participants2011-08-01886
Total participants2011-08-01886
2010: MOBIS WELFARE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-08-01301
Total number of active participants reported on line 7a of the Form 55002010-08-01302
Total of all active and inactive participants2010-08-01302
Total participants2010-08-01302
2009: MOBIS WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-08-01211
Total number of active participants reported on line 7a of the Form 55002009-08-01822
Total of all active and inactive participants2009-08-01822
Total participants2009-08-01822

Form 5500 Responses for MOBIS WELFARE BENEFIT PLAN

2020: MOBIS WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-08-01Type of plan entitySingle employer plan
2020-08-01Plan funding arrangement – InsuranceYes
2020-08-01Plan benefit arrangement – InsuranceYes
2019: MOBIS WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-08-01Type of plan entitySingle employer plan
2019-08-01Plan funding arrangement – InsuranceYes
2019-08-01Plan benefit arrangement – InsuranceYes
2018: MOBIS WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-08-01Type of plan entitySingle employer plan
2018-08-01Plan funding arrangement – InsuranceYes
2018-08-01Plan benefit arrangement – InsuranceYes
2017: MOBIS WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – InsuranceYes
2016: MOBIS WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – InsuranceYes
2015: MOBIS WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – InsuranceYes
2014: MOBIS WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-08-01Type of plan entitySingle employer plan
2014-08-01Plan funding arrangement – InsuranceYes
2014-08-01Plan benefit arrangement – InsuranceYes
2013: MOBIS WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-08-01Type of plan entitySingle employer plan
2013-08-01Plan funding arrangement – InsuranceYes
2013-08-01Plan benefit arrangement – InsuranceYes
2012: MOBIS WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-08-01Type of plan entitySingle employer plan
2012-08-01Plan funding arrangement – InsuranceYes
2012-08-01Plan benefit arrangement – InsuranceYes
2011: MOBIS WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-08-01Type of plan entitySingle employer plan
2011-08-01Plan funding arrangement – InsuranceYes
2011-08-01Plan benefit arrangement – InsuranceYes
2010: MOBIS WELFARE BENEFIT PLAN 2010 form 5500 responses
2010-08-01Type of plan entitySingle employer plan
2010-08-01Plan funding arrangement – InsuranceYes
2010-08-01Plan benefit arrangement – InsuranceYes
2009: MOBIS WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-08-01Type of plan entitySingle employer plan
2009-08-01First time form 5500 has been submittedYes
2009-08-01Plan funding arrangement – InsuranceYes
2009-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0149873-504
Policy instance 3
BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 )
Policy contract numberGA9086
Policy instance 2
BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 )
Policy contract numberGA9086
Policy instance 1
BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 )
Policy contract numberGA9086
Policy instance 2
BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 )
Policy contract numberGA9086
Policy instance 1
BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 )
Policy contract numberGA9086
Policy instance 2
BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 )
Policy contract numberGA9086
Policy instance 1
BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 )
Policy contract numberGA9086
Policy instance 2
BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 )
Policy contract numberGA9086
Policy instance 1
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0835187
Policy instance 2
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0835187HNO
Policy instance 1
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0835187HNO
Policy instance 2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0835187
Policy instance 1
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )
Policy contract number234546
Policy instance 1
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )
Policy contract number234546
Policy instance 1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number717158
Policy instance 1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0717158
Policy instance 1

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