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E.L. HOLLINGSWORTH HEALTH INSURANCE PLAN 401k Plan overview

Plan NameE.L. HOLLINGSWORTH HEALTH INSURANCE PLAN
Plan identification number 503

E.L. HOLLINGSWORTH HEALTH INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

E L HOLLINGSWORTH & CO., INC has sponsored the creation of one or more 401k plans.

Company Name:E L HOLLINGSWORTH & CO., INC
Employer identification number (EIN):381808982
NAIC Classification:488510
NAIC Description:Freight Transportation Arrangement

Form 5500 Filing Information

Submission information for form 5500 for 401k plan E.L. HOLLINGSWORTH HEALTH INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032017-01-01JEFF BERLIN JEFF BERLIN2018-09-10
5032016-01-01JEFF BERLIN JEFF BERLIN2017-10-16
5032015-01-01JEFF BERLIN JEFF BERLIN2016-08-17
5032014-01-01JEFF BERLIN JEFF BERLIN2015-10-15
5032013-01-01JEFF BERLIN JEFF BERLIN2014-10-13
5032012-01-01JEFF BERLIN JEFF BERLIN2013-10-15
5032011-01-01JEFF BERLIN JEFF BERLIN2012-10-15
5032010-01-01JEFF BERLIN JEFF BERLIN2011-09-27
5032009-01-01JEFF BERLIN JEFF BERLIN2011-09-14

Plan Statistics for E.L. HOLLINGSWORTH HEALTH INSURANCE PLAN

401k plan membership statisitcs for E.L. HOLLINGSWORTH HEALTH INSURANCE PLAN

Measure Date Value
2017: E.L. HOLLINGSWORTH HEALTH INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01270
Total number of active participants reported on line 7a of the Form 55002017-01-01452
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 participants2017-01-01452
2016: E.L. HOLLINGSWORTH HEALTH INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01289
Total number of active participants reported on line 7a of the Form 55002016-01-01270
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 participants2016-01-01270
2015: E.L. HOLLINGSWORTH HEALTH INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01356
Total number of active participants reported on line 7a of the Form 55002015-01-01289
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 participants2015-01-01289
2014: E.L. HOLLINGSWORTH HEALTH INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01419
Total number of active participants reported on line 7a of the Form 55002014-01-01356
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 participants2014-01-01356
2013: E.L. HOLLINGSWORTH HEALTH INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01321
Total number of active participants reported on line 7a of the Form 55002013-01-01419
Total of all active and inactive participants2013-01-01419
2012: E.L. HOLLINGSWORTH HEALTH INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01112
Total number of active participants reported on line 7a of the Form 55002012-01-01321
Total of all active and inactive participants2012-01-01321
2011: E.L. HOLLINGSWORTH HEALTH INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01238
Total number of active participants reported on line 7a of the Form 55002011-01-01112
Total of all active and inactive participants2011-01-01112
2010: E.L. HOLLINGSWORTH HEALTH INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01363
Total number of active participants reported on line 7a of the Form 55002010-01-01238
Total of all active and inactive participants2010-01-01238
2009: E.L. HOLLINGSWORTH HEALTH INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-010
Total number of active participants reported on line 7a of the Form 55002009-01-01363
Total of all active and inactive participants2009-01-01363

Form 5500 Responses for E.L. HOLLINGSWORTH HEALTH INSURANCE PLAN

2017: E.L. HOLLINGSWORTH HEALTH INSURANCE PLAN 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: E.L. HOLLINGSWORTH HEALTH INSURANCE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: E.L. HOLLINGSWORTH HEALTH INSURANCE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: E.L. HOLLINGSWORTH HEALTH INSURANCE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: E.L. HOLLINGSWORTH HEALTH INSURANCE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: E.L. HOLLINGSWORTH HEALTH INSURANCE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: E.L. HOLLINGSWORTH HEALTH INSURANCE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: E.L. HOLLINGSWORTH HEALTH INSURANCE PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: E.L. HOLLINGSWORTH HEALTH INSURANCE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01First time form 5500 has been submittedYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberCLI 96345
Policy instance 1
Insurance contract or identification numberCLI 96345
Number of Individuals Covered174
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $15,973
Welfare Benefit Premiums Paid to CarrierUSD $532,418
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,973
Additional information about fees paid to insurance brokerPLACEMENT OF STOP-LOSS INSURANCE
Insurance broker organization code?3
Insurance broker nameASR HEALTH BENEFITS
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number412832
Policy instance 2
Insurance contract or identification number412832
Number of Individuals Covered44
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $14,261
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $95,079
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,555
Insurance broker organization code?3
Insurance broker nameCOMPLETE BENEFIT ALLIANCE LLC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number412833
Policy instance 3
Insurance contract or identification number412833
Number of Individuals Covered116
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $3,990
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,601
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,673
Insurance broker organization code?3
Insurance broker nameCOMPLETE BENEFIT ALLIANCE LLC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number413037
Policy instance 4
Insurance contract or identification number413037
Number of Individuals Covered452
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $2,607
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $32,431
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,607
Insurance broker organization code?3
Insurance broker nameHNI RISK SERVICES OF MICHIGAN
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0638577
Policy instance 5
Insurance contract or identification numberR0638577
Number of Individuals Covered95
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $9,497
Total amount of fees paid to insurance companyUSD $1,146
Other welfare benefits providedOTHER (SPECIFY)
Welfare Benefit Premiums Paid to CarrierUSD $14,319
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,647
Amount paid for insurance broker fees1146
Insurance broker organization code?3
Insurance broker nameHNI RISK SERVICES OF MICHIGAN
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0011035778
Policy instance 6
Insurance contract or identification number0011035778
Number of Individuals Covered46
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $10,167
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,074
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,117
Insurance broker organization code?3
Insurance broker nameHNI RISK SERVICES OF MICHIGAN

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