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MILLERS'S EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan NameMILLERS'S EMPLOYEE BENEFIT PLAN
Plan identification number 501

MILLERS'S EMPLOYEE BENEFIT PLAN Benefits

401k Plan TypeWelfare 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)

401k Sponsoring company profile

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

Company Name:SKICO, INC.
Employer identification number (EIN):341367885
NAIC Classification:445110
NAIC Description:Supermarkets and Other Grocery (except Convenience) Stores

Additional information about SKICO, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 1996-12-20
Company Identification Number: P96000103512
Legal Registered Office Address: 1 PORTOFINO DRIVE, #903

PENSACOLA

32561

More information about SKICO, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MILLERS'S EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-02-01
5012020-02-01
5012019-02-01
5012018-02-01
5012017-02-01GARRY MILLER2018-08-21 GARRY MILLER2018-08-21
5012016-02-01GARRY MILLER2017-10-13 GARRY MILLER2017-10-13
5012015-02-01GARRY MILLER2016-08-25 GARRY MILLER2016-08-25
5012014-02-01GARRY MILLER2015-11-12 GARRY MILLER2015-11-12
5012013-02-01GARRY MILLER2014-10-08 GARRY MILLER2014-10-08
5012009-02-01GARRY MILLER

Plan Statistics for MILLERS'S EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for MILLERS'S EMPLOYEE BENEFIT PLAN

Measure Date Value
2021: MILLERS'S EMPLOYEE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-02-01219
Total number of active participants reported on line 7a of the Form 55002021-02-01184
Number of retired or separated participants receiving benefits2021-02-010
Number of other retired or separated participants entitled to future benefits2021-02-010
Total of all active and inactive participants2021-02-01184
2020: MILLERS'S EMPLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-02-01214
Total number of active participants reported on line 7a of the Form 55002020-02-01209
Number of retired or separated participants receiving benefits2020-02-010
Number of other retired or separated participants entitled to future benefits2020-02-010
Total of all active and inactive participants2020-02-01209
2019: MILLERS'S EMPLOYEE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-02-01133
Total number of active participants reported on line 7a of the Form 55002019-02-01124
Number of retired or separated participants receiving benefits2019-02-010
Number of other retired or separated participants entitled to future benefits2019-02-010
Total of all active and inactive participants2019-02-01124
2018: MILLERS'S EMPLOYEE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-02-01128
Total number of active participants reported on line 7a of the Form 55002018-02-01125
Number of retired or separated participants receiving benefits2018-02-010
Number of other retired or separated participants entitled to future benefits2018-02-010
Total of all active and inactive participants2018-02-01125
2009: MILLERS'S EMPLOYEE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-02-0197
Total number of active participants reported on line 7a of the Form 55002009-02-0199
Total of all active and inactive participants2009-02-0199
Total participants2009-02-0199

Financial Data on MILLERS'S EMPLOYEE BENEFIT PLAN

Measure Date Value
2013 : MILLERS'S EMPLOYEE BENEFIT PLAN 2013 401k financial data
Total plan liabilities at end of year2013-01-31$73,224
Total plan liabilities at beginning of year2013-01-31$73,975
Total income from all sources2013-01-31$713,330
Expenses. Total of all expenses incurred2013-01-31$805,618
Benefits paid (including direct rollovers)2013-01-31$542,320
Total plan assets at end of year2013-01-31$6,225
Total plan assets at beginning of year2013-01-31$99,264
Total contributions received or receivable from participants2013-01-31$177,088
Expenses. Other expenses not covered elsewhere2013-01-31$39,196
Contributions received from other sources (not participants or employers)2013-01-31$92,030
Net income (gross income less expenses)2013-01-31$-92,288
Net plan assets at end of year (total assets less liabilities)2013-01-31$-66,999
Net plan assets at beginning of year (total assets less liabilities)2013-01-31$25,289
Total contributions received or receivable from employer(s)2013-01-31$444,212
Expenses. Administrative service providers (salaries,fees and commissions)2013-01-31$224,102

Form 5500 Responses for MILLERS'S EMPLOYEE BENEFIT PLAN

2021: MILLERS'S EMPLOYEE BENEFIT PLAN 2021 form 5500 responses
2021-02-01Type of plan entitySingle employer plan
2021-02-01Plan funding arrangement – InsuranceYes
2021-02-01Plan funding arrangement – General assets of the sponsorYes
2021-02-01Plan benefit arrangement – InsuranceYes
2021-02-01Plan benefit arrangement – General assets of the sponsorYes
2020: MILLERS'S EMPLOYEE BENEFIT PLAN 2020 form 5500 responses
2020-02-01Type of plan entitySingle employer plan
2020-02-01Plan funding arrangement – InsuranceYes
2020-02-01Plan funding arrangement – General assets of the sponsorYes
2020-02-01Plan benefit arrangement – InsuranceYes
2020-02-01Plan benefit arrangement – General assets of the sponsorYes
2019: MILLERS'S EMPLOYEE BENEFIT PLAN 2019 form 5500 responses
2019-02-01Type of plan entitySingle employer plan
2019-02-01Plan funding arrangement – InsuranceYes
2019-02-01Plan funding arrangement – General assets of the sponsorYes
2019-02-01Plan benefit arrangement – InsuranceYes
2019-02-01Plan benefit arrangement – General assets of the sponsorYes
2018: MILLERS'S EMPLOYEE BENEFIT PLAN 2018 form 5500 responses
2018-02-01Type of plan entitySingle employer plan
2018-02-01Plan funding arrangement – InsuranceYes
2018-02-01Plan funding arrangement – General assets of the sponsorYes
2018-02-01Plan benefit arrangement – InsuranceYes
2018-02-01Plan benefit arrangement – General assets of the sponsorYes
2009: MILLERS'S EMPLOYEE BENEFIT PLAN 2009 form 5500 responses
2009-02-01Type of plan entitySingle employer plan
2009-02-01Plan funding arrangement – InsuranceYes
2009-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE NORTH RIVER INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 21105 )
Policy contract number1723
Policy instance 1
Insurance contract or identification number1723
Number of Individuals Covered105
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
Total amount of commissions paid to insurance brokerUSD $1,762
Total amount of fees paid to insurance companyUSD $18,270
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $262,987
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees18270
Additional information about fees paid to insurance brokerBROKER OF RECORD
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $1,762
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number944932
Policy instance 2
Insurance contract or identification number944932
Number of Individuals Covered246
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
Total amount of commissions paid to insurance brokerUSD $2,015
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,620
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,268
Additional information about fees paid to insurance brokerAGENT OF RECORD OTHER COMPENSATION
Insurance broker organization code?3
THE NORTH RIVER INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 21105 )
Policy contract number1723
Policy instance 1
Insurance contract or identification number1723
Number of Individuals Covered109
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $1,898
Total amount of fees paid to insurance companyUSD $19,754
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $243,579
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees19754
Additional information about fees paid to insurance brokerBROKER OF RECORD
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $1,898
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000B5DY
Policy instance 2
Insurance contract or identification numberG000B5DY
Number of Individuals Covered198
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $1,495
Total amount of fees paid to insurance companyUSD $730
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,955
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,495
Amount paid for insurance broker fees730
Additional information about fees paid to insurance brokerAGENT OF RECORD OTHER COMPENSATION
Insurance broker organization code?3
GREAT MIDWEST INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18694 )
Policy contract number1723
Policy instance 1
Insurance contract or identification number1723
Number of Individuals Covered114
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $1,730
Total amount of fees paid to insurance companyUSD $19,376
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $234,880
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees19376
Additional information about fees paid to insurance brokerBROKER OF RECORD
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $1,730
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000B5DY
Policy instance 2
Insurance contract or identification numberG000B5DY
Number of Individuals Covered114
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $1,228
Total amount of fees paid to insurance companyUSD $351
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,272
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,228
Amount paid for insurance broker fees351
Additional information about fees paid to insurance brokerAGENT OF RECORD OTHER COMPENSATION
Insurance broker organization code?3
GREAT MIDWEST INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18694 )
Policy contract number1723
Policy instance 1
Insurance contract or identification number1723
Number of Individuals Covered108
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $1,749
Total amount of fees paid to insurance companyUSD $19,447
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $221,154
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees19447
Additional information about fees paid to insurance brokerBROKER OF RECORD
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $1,749
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000B5DY
Policy instance 2
Insurance contract or identification numberG000B5DY
Number of Individuals Covered108
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $1,173
Total amount of fees paid to insurance companyUSD $283
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,730
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,173
Amount paid for insurance broker fees283
Additional information about fees paid to insurance brokerAGENT OF RECORD OTHER COMPENSATION
Insurance broker organization code?3
KANSAS CITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number
Policy instance 1
Number of Individuals Covered97
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $9,943
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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