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SERPENTINI CHEVROLET GROUP HEALTH PLAN 401k Plan overview

Plan NameSERPENTINI CHEVROLET GROUP HEALTH PLAN
Plan identification number 501

SERPENTINI CHEVROLET GROUP HEALTH PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

SG CHEVROLET, LLC has sponsored the creation of one or more 401k plans.

Company Name:SG CHEVROLET, LLC
Employer identification number (EIN):270499407
NAIC Classification:441110
NAIC Description:New Car Dealers

Additional information about SG CHEVROLET, LLC

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 2009-07-02
Company Identification Number: 1867790
Legal Registered Office Address: 8748 BRECKSVILLE ROAD #210
-
BRECKSVILLE
United States of America (USA)
44141

More information about SG CHEVROLET, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SERPENTINI CHEVROLET GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012024-01-01MARIO BONACCI
5012023-06-01
5012023-06-01MARIO BONACCI
5012022-06-01
5012022-06-01MARIO BONACCI
5012011-06-01ROBERT SERPENTINI JR

Plan Statistics for SERPENTINI CHEVROLET GROUP HEALTH PLAN

401k plan membership statisitcs for SERPENTINI CHEVROLET GROUP HEALTH PLAN

Measure Date Value
2023: SERPENTINI CHEVROLET GROUP HEALTH PLAN 2023 401k membership
Total participants, beginning-of-year2023-06-01142
Total number of active participants reported on line 7a of the Form 55002023-06-01152
Number of retired or separated participants receiving benefits2023-06-010
Number of other retired or separated participants entitled to future benefits2023-06-010
Total of all active and inactive participants2023-06-01152
2022: SERPENTINI CHEVROLET GROUP HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year2022-06-01137
Total number of active participants reported on line 7a of the Form 55002022-06-01142
Number of retired or separated participants receiving benefits2022-06-010
Number of other retired or separated participants entitled to future benefits2022-06-010
Total of all active and inactive participants2022-06-01142
2011: SERPENTINI CHEVROLET GROUP HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year2011-06-0192
Total number of active participants reported on line 7a of the Form 55002011-06-01106
Total of all active and inactive participants2011-06-01106
Total participants2011-06-01106

Form 5500 Responses for SERPENTINI CHEVROLET GROUP HEALTH PLAN

2023: SERPENTINI CHEVROLET GROUP HEALTH PLAN 2023 form 5500 responses
2023-06-01Type of plan entitySingle employer plan
2023-06-01Submission has been amendedNo
2023-06-01This submission is the final filingNo
2023-06-01This return/report is a short plan year return/report (less than 12 months)Yes
2023-06-01Plan is a collectively bargained planNo
2023-06-01Plan funding arrangement – InsuranceYes
2023-06-01Plan funding arrangement – General assets of the sponsorYes
2023-06-01Plan benefit arrangement – InsuranceYes
2023-06-01Plan benefit arrangement – General assets of the sponsorYes
2022: SERPENTINI CHEVROLET GROUP HEALTH PLAN 2022 form 5500 responses
2022-06-01Type of plan entitySingle employer plan
2022-06-01Submission has been amendedNo
2022-06-01This submission is the final filingNo
2022-06-01This return/report is a short plan year return/report (less than 12 months)No
2022-06-01Plan is a collectively bargained planNo
2022-06-01Plan funding arrangement – InsuranceYes
2022-06-01Plan benefit arrangement – InsuranceYes
2011: SERPENTINI CHEVROLET GROUP HEALTH PLAN 2011 form 5500 responses
2011-06-01Type of plan entitySingle employer plan
2011-06-01First time form 5500 has been submittedYes
2011-06-01Submission has been amendedNo
2011-06-01This submission is the final filingNo
2011-06-01This return/report is a short plan year return/report (less than 12 months)No
2011-06-01Plan is a collectively bargained planNo
2011-06-01Plan funding arrangement – InsuranceYes
2011-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number0121221-01
Policy instance 1
Insurance contract or identification number0121221-01
Number of Individuals Covered334
Insurance policy start date2023-06-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $97,877
Total amount of fees paid to insurance companyUSD $12,269
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $10,312
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CONSUMERS LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62375 )
Policy contract number00000
Policy instance 2
Insurance contract or identification number00000
Number of Individuals Covered414
Insurance policy start date2023-06-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $1,021
Total amount of fees paid to insurance companyUSD $341
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $6,898
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CONSUMERS LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62375 )
Policy contract number00000
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00539560
Policy instance 2

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