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HOLIDAY COMPANIES LONG TERM DISABILITY PLAN 401k Plan overview

Plan NameHOLIDAY COMPANIES LONG TERM DISABILITY PLAN
Plan identification number 504

HOLIDAY COMPANIES LONG TERM DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Long-term disability cover

401k Sponsoring company profile

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

Company Name:HOLIDAY STATIONSTORES, INC.
Employer identification number (EIN):410880942
NAIC Classification:447100
NAIC Description: Gasoline Stations, Gas

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOLIDAY COMPANIES LONG TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042018-01-01
5042017-01-01RONALD A. ERICKSON RONALD A. ERICKSON2018-07-24
5042016-01-01RONALD A. ERICKSON RONALD A. ERICKSON2017-05-18
5042015-01-01RONALD A. ERICKSON RONALD A. ERICKSON2016-05-16
5042014-01-01RONALD A. ERICKSON RONALD A. ERICKSON2015-06-08
5042013-01-01RONALD A. ERICKSON RONALD A. ERICKSON2014-06-11
5042012-01-01RONALD A. ERICKSON RONALD A. ERICKSON2013-07-11
5042011-01-01RONALD A. ERICKSON RONALD A. ERICKSON2012-07-16
5042010-01-01RONALD A. ERICKSON RONALD A. ERICKSON2011-05-24
5042009-01-01RONALD A. ERICKSON RONALD A. ERICKSON2010-07-07

Plan Statistics for HOLIDAY COMPANIES LONG TERM DISABILITY PLAN

401k plan membership statisitcs for HOLIDAY COMPANIES LONG TERM DISABILITY PLAN

Measure Date Value
2018: HOLIDAY COMPANIES LONG TERM DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01779
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
2017: HOLIDAY COMPANIES LONG TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01788
Total number of active participants reported on line 7a of the Form 55002017-01-01779
Total of all active and inactive participants2017-01-01779
2016: HOLIDAY COMPANIES LONG TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-012,729
Total number of active participants reported on line 7a of the Form 55002016-01-01788
Total of all active and inactive participants2016-01-01788
2015: HOLIDAY COMPANIES LONG TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-012,599
Total number of active participants reported on line 7a of the Form 55002015-01-012,729
Total of all active and inactive participants2015-01-012,729
2014: HOLIDAY COMPANIES LONG TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,785
Total number of active participants reported on line 7a of the Form 55002014-01-012,599
Total of all active and inactive participants2014-01-012,599
2013: HOLIDAY COMPANIES LONG TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01818
Total number of active participants reported on line 7a of the Form 55002013-01-011,785
Total of all active and inactive participants2013-01-011,785
2012: HOLIDAY COMPANIES LONG TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01783
Total number of active participants reported on line 7a of the Form 55002012-01-01818
Total of all active and inactive participants2012-01-01818
2011: HOLIDAY COMPANIES LONG TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01791
Total number of active participants reported on line 7a of the Form 55002011-01-01783
Total of all active and inactive participants2011-01-01783
2010: HOLIDAY COMPANIES LONG TERM DISABILITY PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01812
Total number of active participants reported on line 7a of the Form 55002010-01-01791
Total of all active and inactive participants2010-01-01791
2009: HOLIDAY COMPANIES LONG TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01773
Total number of active participants reported on line 7a of the Form 55002009-01-01812
Total of all active and inactive participants2009-01-01812

Form 5500 Responses for HOLIDAY COMPANIES LONG TERM DISABILITY PLAN

2018: HOLIDAY COMPANIES LONG TERM DISABILITY PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingYes
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: HOLIDAY COMPANIES LONG TERM DISABILITY PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: HOLIDAY COMPANIES LONG TERM DISABILITY PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: HOLIDAY COMPANIES LONG TERM DISABILITY PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: HOLIDAY COMPANIES LONG TERM DISABILITY PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: HOLIDAY COMPANIES LONG TERM DISABILITY PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: HOLIDAY COMPANIES LONG TERM DISABILITY PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: HOLIDAY COMPANIES LONG TERM DISABILITY PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: HOLIDAY COMPANIES LONG TERM DISABILITY PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: HOLIDAY COMPANIES LONG TERM DISABILITY PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number402949G
Policy instance 1
Insurance contract or identification number402949G
Number of Individuals Covered707
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $20,179
Total amount of fees paid to insurance companyUSD $4,156
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $224,217
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,191
Amount paid for insurance broker fees2601
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number402949G
Policy instance 1
Insurance contract or identification number402949G
Number of Individuals Covered779
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $22,082
Total amount of fees paid to insurance companyUSD $5,455
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $245,360
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,082
Amount paid for insurance broker fees4581
Additional information about fees paid to insurance brokerCONTINGENT COMPENSATION
Insurance broker organization code?3
Insurance broker nameAON RISK SERVICES CENTRAL INC
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0119876
Policy instance 1
Insurance contract or identification number0119876
Number of Individuals Covered2729
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $11,341
Total amount of fees paid to insurance companyUSD $1,654
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $187,638
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,341
Amount paid for insurance broker fees1654
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameAON RISK SERVICES CENTRAL INC
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0119876
Policy instance 1
Insurance contract or identification number0119876
Number of Individuals Covered2599
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $17,459
Total amount of fees paid to insurance companyUSD $3,601
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $193,219
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,459
Amount paid for insurance broker fees3601
Insurance broker organization code?3
Insurance broker nameAON RISK SERVICES CENTRAL INC
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number675630GLT
Policy instance 1
Insurance contract or identification number675630GLT
Number of Individuals Covered1785
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $507
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,254
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees507
Insurance broker organization code?3
Insurance broker nameAON CONSULTING OF NEW JERSEY INC
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0119876
Policy instance 2
Insurance contract or identification number0119876
Number of Individuals Covered1785
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $16,547
Total amount of fees paid to insurance companyUSD $5,516
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $200,395
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,547
Amount paid for insurance broker fees5516
Insurance broker organization code?3
Insurance broker nameAON RISK SERVICES CENTRAL INC
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number675630GLT
Policy instance 1
Insurance contract or identification number675630GLT
Number of Individuals Covered818
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $15,001
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $248,424
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,001
Insurance broker organization code?3
Insurance broker nameAON RISK SERVICES CENTRAL INC
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number675630GLT
Policy instance 1
Insurance contract or identification number675630GLT
Number of Individuals Covered783
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $14,299
Total amount of fees paid to insurance companyUSD $578
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $218,663
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number675630GLT
Policy instance 1
Insurance contract or identification number675630GLT
Number of Individuals Covered791
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $13,929
Total amount of fees paid to insurance companyUSD $1,746
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $250,525
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,929
Insurance broker organization code?3
Amount paid for insurance broker fees1746
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker nameAON CONSULTING INC

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