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CHANTECAILLE BEAUTE INC MEDICAL PLAN 401k Plan overview

Plan NameCHANTECAILLE BEAUTE INC MEDICAL PLAN
Plan identification number 501

CHANTECAILLE BEAUTE INC MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

CHANTECAILLE BEAUTE INC has sponsored the creation of one or more 401k plans.

Company Name:CHANTECAILLE BEAUTE INC
Employer identification number (EIN):223562412
NAIC Classification:446120
NAIC Description:Cosmetics, Beauty Supplies, and Perfume Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHANTECAILLE BEAUTE INC MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-03-01ELENA ARGERICH2023-09-12
5012020-03-01ELENA ARGERICH2021-10-01
5012019-03-01ELENA ARGERICH2020-07-10

Plan Statistics for CHANTECAILLE BEAUTE INC MEDICAL PLAN

401k plan membership statisitcs for CHANTECAILLE BEAUTE INC MEDICAL PLAN

Measure Date Value
2022: CHANTECAILLE BEAUTE INC MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-03-01108
Total number of active participants reported on line 7a of the Form 55002022-03-01108
Number of retired or separated participants receiving benefits2022-03-010
Number of other retired or separated participants entitled to future benefits2022-03-010
Total of all active and inactive participants2022-03-01108
Number of employers contributing to the scheme2022-03-010
2020: CHANTECAILLE BEAUTE INC MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-03-01134
Total number of active participants reported on line 7a of the Form 55002020-03-0167
Number of retired or separated participants receiving benefits2020-03-010
Number of other retired or separated participants entitled to future benefits2020-03-010
Total of all active and inactive participants2020-03-0167
Number of employers contributing to the scheme2020-03-010
2019: CHANTECAILLE BEAUTE INC MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-03-01100
Total number of active participants reported on line 7a of the Form 55002019-03-01134
Number of retired or separated participants receiving benefits2019-03-010
Number of other retired or separated participants entitled to future benefits2019-03-010
Total of all active and inactive participants2019-03-01134
Number of employers contributing to the scheme2019-03-010

Form 5500 Responses for CHANTECAILLE BEAUTE INC MEDICAL PLAN

2022: CHANTECAILLE BEAUTE INC MEDICAL PLAN 2022 form 5500 responses
2022-03-01Type of plan entitySingle employer plan
2022-03-01Plan funding arrangement – InsuranceYes
2022-03-01Plan benefit arrangement – InsuranceYes
2020: CHANTECAILLE BEAUTE INC MEDICAL PLAN 2020 form 5500 responses
2020-03-01Type of plan entitySingle employer plan
2020-03-01Plan funding arrangement – InsuranceYes
2020-03-01Plan benefit arrangement – InsuranceYes
2019: CHANTECAILLE BEAUTE INC MEDICAL PLAN 2019 form 5500 responses
2019-03-01Type of plan entitySingle employer plan
2019-03-01First time form 5500 has been submittedYes
2019-03-01Plan funding arrangement – InsuranceYes
2019-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number300592
Policy instance 1
Insurance contract or identification number300592
Number of Individuals Covered144
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $42,477
Total amount of fees paid to insurance companyUSD $8,255
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,101,844
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $42,477
Amount paid for insurance broker fees8255
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number243839
Policy instance 1
Insurance contract or identification number243839
Number of Individuals Covered67
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $34,090
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $852,240
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,090
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 numberCB18240
Policy instance 1
Insurance contract or identification numberCB18240
Number of Individuals Covered174
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Total amount of commissions paid to insurance brokerUSD $53,097
Total amount of fees paid to insurance companyUSD $706
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,319,888
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $53,097
Amount paid for insurance broker fees706
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICES
Insurance broker organization code?3

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