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ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE 401k Plan overview

Plan NameROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE
Plan identification number 502

ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

ROYAL TIRE INC has sponsored the creation of one or more 401k plans.

Company Name:ROYAL TIRE INC
Employer identification number (EIN):410855664
NAIC Classification:423800

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-07-01
5022021-07-01
5022020-07-01
5022019-07-01
5022019-07-01
5022018-07-01
5022017-07-01LYNN BRAUN LYNN BRAUN2018-10-24
5022016-07-01DOREEN MEIER DOREEN MEIER2017-09-28
5022015-07-01DOREEN MEIER DOREEN MEIER2016-09-12
5022014-07-01DOREEN MEIER DOREEN MEIER2015-10-07
5022013-07-01DOREEN MEIER DOREEN MEIER2014-11-04
5022012-07-01DOREEN MEIER DOREEN MEIER2013-09-30
5022011-07-01DOREEN MEIER DOREEN MEIER2012-10-05
5022010-07-01DOREEN MEIER DOREEN MEIER2012-01-05
5022009-07-01CHRISTINE FELLMAN-WOLF CHRISTINE FELLMAN-WOLF2011-01-09

Plan Statistics for ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE

401k plan membership statisitcs for ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE

Measure Date Value
2022: ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE 2022 401k membership
Total participants, beginning-of-year2022-07-01218
Total number of active participants reported on line 7a of the Form 55002022-07-010
Number of retired or separated participants receiving benefits2022-07-010
Number of other retired or separated participants entitled to future benefits2022-07-010
Total of all active and inactive participants2022-07-010
2021: ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE 2021 401k membership
Total participants, beginning-of-year2021-07-01202
Total number of active participants reported on line 7a of the Form 55002021-07-01218
Total of all active and inactive participants2021-07-01218
2020: ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE 2020 401k membership
Total participants, beginning-of-year2020-07-01197
Total number of active participants reported on line 7a of the Form 55002020-07-01202
Total of all active and inactive participants2020-07-01202
2019: ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE 2019 401k membership
Total participants, beginning-of-year2019-07-01196
Total number of active participants reported on line 7a of the Form 55002019-07-01197
Total of all active and inactive participants2019-07-01197
2018: ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE 2018 401k membership
Total participants, beginning-of-year2018-07-01202
Total number of active participants reported on line 7a of the Form 55002018-07-01196
Total of all active and inactive participants2018-07-01196
2017: ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE 2017 401k membership
Total participants, beginning-of-year2017-07-01203
Total number of active participants reported on line 7a of the Form 55002017-07-01202
Total of all active and inactive participants2017-07-01202
2016: ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE 2016 401k membership
Total participants, beginning-of-year2016-07-01247
Total number of active participants reported on line 7a of the Form 55002016-07-01203
Total of all active and inactive participants2016-07-01203
2015: ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE 2015 401k membership
Total participants, beginning-of-year2015-07-01252
Total number of active participants reported on line 7a of the Form 55002015-07-01247
Total of all active and inactive participants2015-07-01247
2014: ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE 2014 401k membership
Total participants, beginning-of-year2014-07-01440
Total number of active participants reported on line 7a of the Form 55002014-07-01252
Total of all active and inactive participants2014-07-01252
2013: ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE 2013 401k membership
Total participants, beginning-of-year2013-07-01351
Total number of active participants reported on line 7a of the Form 55002013-07-01440
Total of all active and inactive participants2013-07-01440
2012: ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE 2012 401k membership
Total participants, beginning-of-year2012-07-01320
Total number of active participants reported on line 7a of the Form 55002012-07-01351
Total of all active and inactive participants2012-07-01351
2011: ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE 2011 401k membership
Total participants, beginning-of-year2011-07-01152
Total number of active participants reported on line 7a of the Form 55002011-07-01320
Total of all active and inactive participants2011-07-01320
2010: ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE 2010 401k membership
Total participants, beginning-of-year2010-07-01171
Total number of active participants reported on line 7a of the Form 55002010-07-01152
Total of all active and inactive participants2010-07-01152
2009: ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE 2009 401k membership
Total participants, beginning-of-year2009-07-01170
Total number of active participants reported on line 7a of the Form 55002009-07-01171
Total of all active and inactive participants2009-07-01171

Form 5500 Responses for ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE

2022: ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01This submission is the final filingYes
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan funding arrangement – General assets of the sponsorYes
2022-07-01Plan benefit arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – General assets of the sponsorYes
2021: ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – General assets of the sponsorYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – General assets of the sponsorYes
2020: ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – General assets of the sponsorYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – General assets of the sponsorYes
2019: ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – General assets of the sponsorYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – General assets of the sponsorYes
2018: ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – General assets of the sponsorYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – General assets of the sponsorYes
2017: ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – General assets of the sponsorYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – General assets of the sponsorYes
2016: ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – General assets of the sponsorYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – General assets of the sponsorYes
2015: ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – General assets of the sponsorYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – General assets of the sponsorYes
2014: ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – General assets of the sponsorYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – General assets of the sponsorYes
2013: ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – General assets of the sponsorYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – General assets of the sponsorYes
2012: ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – General assets of the sponsorYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – General assets of the sponsorYes
2011: ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – General assets of the sponsorYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – General assets of the sponsorYes
2010: ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan funding arrangement – General assets of the sponsorYes
2010-07-01Plan benefit arrangement – InsuranceYes
2010-07-01Plan benefit arrangement – General assets of the sponsorYes
2009: ROYAL TIRE INC GROUP VOLUNTARY DENTAL PPO INSURANCE 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01This submission is the final filingNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – General assets of the sponsorYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number911093
Policy instance 1
Insurance contract or identification number911093
Number of Individuals Covered0
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $20,661
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $173,701
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,661
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number911093
Policy instance 1
Insurance contract or identification number911093
Number of Individuals Covered218
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $25,490
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $224,337
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,490
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number911093
Policy instance 1
Insurance contract or identification number911093
Number of Individuals Covered202
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $19,060
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $136,851
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,060
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number911093
Policy instance 1
Insurance contract or identification number911093
Number of Individuals Covered197
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $17,239
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $134,510
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,239
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number911093
Policy instance 1
Insurance contract or identification number911093
Number of Individuals Covered196
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $20,122
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $136,805
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,122
Insurance broker organization code?3
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5471088
Policy instance 1
Insurance contract or identification number5471088
Number of Individuals Covered202
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $17,912
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $126,656
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,912
Insurance broker organization code?3
Insurance broker nameMAHOWALD INSURANCE AGENCY

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