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ALIXA RX HEALTH AND WELFARE PLAN - EMPLOYER PAID LIFE AND AD AND D 401k Plan overview

Plan NameALIXA RX HEALTH AND WELFARE PLAN - EMPLOYER PAID LIFE AND AD AND D
Plan identification number 504

ALIXA RX HEALTH AND WELFARE PLAN - EMPLOYER PAID LIFE AND AD AND D Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

ALIXA RX LLC has sponsored the creation of one or more 401k plans.

Company Name:ALIXA RX LLC
Employer identification number (EIN):364717407
NAIC Classification:446110
NAIC Description:Pharmacies and Drug Stores

Additional information about ALIXA RX LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 5074116

More information about ALIXA RX LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ALIXA RX HEALTH AND WELFARE PLAN - EMPLOYER PAID LIFE AND AD AND D

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042018-01-01SCOTT BROWN2019-10-02
5042017-01-01
5042016-01-01
5042015-01-01SCOTT BROWN
5042014-01-01SCOTT BROWN

Plan Statistics for ALIXA RX HEALTH AND WELFARE PLAN - EMPLOYER PAID LIFE AND AD AND D

401k plan membership statisitcs for ALIXA RX HEALTH AND WELFARE PLAN - EMPLOYER PAID LIFE AND AD AND D

Measure Date Value
2018: ALIXA RX HEALTH AND WELFARE PLAN - EMPLOYER PAID LIFE AND AD AND D 2018 401k membership
Total participants, beginning-of-year2018-01-01568
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-010
Number of employers contributing to the scheme2018-01-010
2017: ALIXA RX HEALTH AND WELFARE PLAN - EMPLOYER PAID LIFE AND AD AND D 2017 401k membership
Total participants, beginning-of-year2017-01-01480
Total number of active participants reported on line 7a of the Form 55002017-01-01577
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01577
2016: ALIXA RX HEALTH AND WELFARE PLAN - EMPLOYER PAID LIFE AND AD AND D 2016 401k membership
Total participants, beginning-of-year2016-01-01412
Total number of active participants reported on line 7a of the Form 55002016-01-01470
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01470
2015: ALIXA RX HEALTH AND WELFARE PLAN - EMPLOYER PAID LIFE AND AD AND D 2015 401k membership
Total participants, beginning-of-year2015-01-01464
Total number of active participants reported on line 7a of the Form 55002015-01-01412
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01412
2014: ALIXA RX HEALTH AND WELFARE PLAN - EMPLOYER PAID LIFE AND AD AND D 2014 401k membership
Total participants, beginning-of-year2014-01-01349
Total number of active participants reported on line 7a of the Form 55002014-01-01464
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01464

Form 5500 Responses for ALIXA RX HEALTH AND WELFARE PLAN - EMPLOYER PAID LIFE AND AD AND D

2018: ALIXA RX HEALTH AND WELFARE PLAN - EMPLOYER PAID LIFE AND AD AND D 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01This submission is the final filingYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: ALIXA RX HEALTH AND WELFARE PLAN - EMPLOYER PAID LIFE AND AD AND D 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: ALIXA RX HEALTH AND WELFARE PLAN - EMPLOYER PAID LIFE AND AD AND D 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: ALIXA RX HEALTH AND WELFARE PLAN - EMPLOYER PAID LIFE AND AD AND D 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: ALIXA RX HEALTH AND WELFARE PLAN - EMPLOYER PAID LIFE AND AD AND D 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01First time form 5500 has been submittedYes
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX967667
Policy instance 1
Insurance contract or identification numberFLX967667
Number of Individuals Covered568
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $63,599
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX967667
Policy instance 1
Insurance contract or identification numberFLX967667
Number of Individuals Covered577
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $74,470
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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