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TIRE WHOLESALERS COMPANY INC WELFARE BENEFITS PLAN 401k Plan overview

Plan NameTIRE WHOLESALERS COMPANY INC WELFARE BENEFITS PLAN
Plan identification number 503

TIRE WHOLESALERS COMPANY INC WELFARE BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision

401k Sponsoring company profile

TIRE WHOLESALERS COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name:TIRE WHOLESALERS COMPANY, INC.
Employer identification number (EIN):381919054
NAIC Classification:423100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TIRE WHOLESALERS COMPANY INC WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032022-01-01WILLIAM H VANDENBERGHE2023-06-19

Plan Statistics for TIRE WHOLESALERS COMPANY INC WELFARE BENEFITS PLAN

401k plan membership statisitcs for TIRE WHOLESALERS COMPANY INC WELFARE BENEFITS PLAN

Measure Date Value
2022: TIRE WHOLESALERS COMPANY INC WELFARE BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01142
Total number of active participants reported on line 7a of the Form 55002022-01-010
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-010
Number of employers contributing to the scheme2022-01-010

Form 5500 Responses for TIRE WHOLESALERS COMPANY INC WELFARE BENEFITS PLAN

2022: TIRE WHOLESALERS COMPANY INC WELFARE BENEFITS PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01First time form 5500 has been submittedYes
2022-01-01This submission is the final filingYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number07X1686
Policy instance 1
Insurance contract or identification number07X1686
Number of Individuals Covered171
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $40,764
Total amount of fees paid to insurance companyUSD $185
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,066,202
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $40,764
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBONUS

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