401k Plan data: BEST SUPPLY BENEFIT PLAN plan

BEST SUPPLY BENEFIT PLAN 401k Plan overview

Plan Name	BEST SUPPLY BENEFIT PLAN
Plan identification number	501

BEST SUPPLY BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance) 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

BEST SUPPLY, INC. has sponsored the creation of one or more 401k plans.

Company Name: BEST SUPPLY, INC.

Employer identification number (EIN): 311562857

NAIC Classification: 444190
NAIC Description: Other Building Material Dealers

Additional information about BEST SUPPLY, INC.

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division

Incorporation Date: 1997-07-03

Company Identification Number: 983807

Legal Registered Office Address: 1300 EAST NINTH STREET
-
CLEVELAND
United States of America (USA)
44114

More information about BEST SUPPLY, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BEST SUPPLY BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-01-01 TRACY SMEARMAN 2024-07-31
501 2022-10-01 TRACY SMEARMAN 2023-08-30
501 2021-10-01 TRACY SMEARMAN 2023-08-28

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2023-01-01	TRACY SMEARMAN	2024-07-31
501	2022-10-01	TRACY SMEARMAN	2023-08-30
501	2021-10-01	TRACY SMEARMAN	2023-08-28

Form 5500 Responses for BEST SUPPLY BENEFIT PLAN

2023: BEST SUPPLY BENEFIT PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2022: BEST SUPPLY BENEFIT PLAN 2022 form 5500 responses
2022-10-01	Type of plan entity	Single employer plan
2022-10-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2022-10-01	Plan funding arrangement – Insurance	Yes
2022-10-01	Plan benefit arrangement – Insurance	Yes
2021: BEST SUPPLY BENEFIT PLAN 2021 form 5500 responses
2021-10-01	Type of plan entity	Single employer plan
2021-10-01	First time form 5500 has been submitted	Yes
2021-10-01	Plan funding arrangement – Insurance	Yes
2021-10-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

638156

Policy instance

Insurance contract or identification number	638156
Number of Individuals Covered	242
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $61,816
Total amount of fees paid to insurance company	USD $5,913
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $723,778
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

5399333

Policy instance

Insurance contract or identification number	5399333
Number of Individuals Covered	381
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $23,570
Total amount of fees paid to insurance company	USD $2,071
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $109,740
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )

Policy contract number

L01069

Policy instance

Insurance contract or identification number	L01069
Number of Individuals Covered	258
Insurance policy start date	2022-10-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $15,692
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $344,881
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )

Policy contract number

CM10001118

Policy instance

Insurance contract or identification number	CM10001118
Number of Individuals Covered	230
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $5,912
Total amount of fees paid to insurance company	USD $0
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $33,447
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )

Policy contract number

L01069

Policy instance

ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )

Policy contract number

CM1000118

Policy instance

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Company Name:	BEST SUPPLY, INC.
Employer identification number (EIN):	311562857
NAIC Classification:	444190
NAIC Description:	Other Building Material Dealers

Jurisdiction of Incorporation:	Ohio Secretary of State Business Services Division
Incorporation Date:	1997-07-03
Company Identification Number:	983807
Legal Registered Office Address:	1300 EAST NINTH STREET - CLEVELAND United States of America (USA) 44114