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GRAND COUNTRY, INC DENTAL & VISION PLAN 401k Plan overview

Plan NameGRAND COUNTRY, INC DENTAL & VISION PLAN
Plan identification number 502

GRAND COUNTRY, INC DENTAL & VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental
  • Vision
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

GRAND COUNTRY, INC has sponsored the creation of one or more 401k plans.

Company Name:GRAND COUNTRY, INC
Employer identification number (EIN):431107960
NAIC Classification:453220
NAIC Description:Gift, Novelty, and Souvenir Stores

Additional information about GRAND COUNTRY, INC

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 1970-02-03
Company Identification Number: 359083

More information about GRAND COUNTRY, INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GRAND COUNTRY, INC DENTAL & VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-05-01B. GLENN ROBINSON2023-11-05
5022021-05-01B. GLENN ROBINSON2022-12-18
5022020-05-01B. GLENN ROBINSON2021-10-28
5022019-05-01B. GLENN ROBINSON2020-11-24

Plan Statistics for GRAND COUNTRY, INC DENTAL & VISION PLAN

401k plan membership statisitcs for GRAND COUNTRY, INC DENTAL & VISION PLAN

Measure Date Value
2022: GRAND COUNTRY, INC DENTAL & VISION PLAN 2022 401k membership
Total participants, beginning-of-year2022-05-01104
Total number of active participants reported on line 7a of the Form 55002022-05-0186
Number of retired or separated participants receiving benefits2022-05-011
Number of other retired or separated participants entitled to future benefits2022-05-010
Total of all active and inactive participants2022-05-0187
2021: GRAND COUNTRY, INC DENTAL & VISION PLAN 2021 401k membership
Total participants, beginning-of-year2021-05-01107
Total number of active participants reported on line 7a of the Form 55002021-05-01102
Number of retired or separated participants receiving benefits2021-05-010
Number of other retired or separated participants entitled to future benefits2021-05-010
Total of all active and inactive participants2021-05-01102
2020: GRAND COUNTRY, INC DENTAL & VISION PLAN 2020 401k membership
Total participants, beginning-of-year2020-05-01104
Total number of active participants reported on line 7a of the Form 55002020-05-01110
Number of retired or separated participants receiving benefits2020-05-011
Number of other retired or separated participants entitled to future benefits2020-05-010
Total of all active and inactive participants2020-05-01111
2019: GRAND COUNTRY, INC DENTAL & VISION PLAN 2019 401k membership
Total participants, beginning-of-year2019-05-01109
Total number of active participants reported on line 7a of the Form 55002019-05-01108
Number of retired or separated participants receiving benefits2019-05-011
Number of other retired or separated participants entitled to future benefits2019-05-010
Total of all active and inactive participants2019-05-01109

Form 5500 Responses for GRAND COUNTRY, INC DENTAL & VISION PLAN

2022: GRAND COUNTRY, INC DENTAL & VISION PLAN 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Submission has been amendedNo
2022-05-01This submission is the final filingNo
2022-05-01This return/report is a short plan year return/report (less than 12 months)No
2022-05-01Plan is a collectively bargained planNo
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan benefit arrangement – InsuranceYes
2021: GRAND COUNTRY, INC DENTAL & VISION PLAN 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01Submission has been amendedNo
2021-05-01This submission is the final filingNo
2021-05-01This return/report is a short plan year return/report (less than 12 months)No
2021-05-01Plan is a collectively bargained planNo
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan benefit arrangement – InsuranceYes
2020: GRAND COUNTRY, INC DENTAL & VISION PLAN 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01Submission has been amendedNo
2020-05-01This submission is the final filingNo
2020-05-01This return/report is a short plan year return/report (less than 12 months)No
2020-05-01Plan is a collectively bargained planNo
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan benefit arrangement – InsuranceYes
2019: GRAND COUNTRY, INC DENTAL & VISION PLAN 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01First time form 5500 has been submittedYes
2019-05-01Submission has been amendedNo
2019-05-01This submission is the final filingNo
2019-05-01This return/report is a short plan year return/report (less than 12 months)No
2019-05-01Plan is a collectively bargained planNo
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05944063
Policy instance 1
Insurance contract or identification numberKM05944063
Number of Individuals Covered225
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $6,913
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $68,651
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,913
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05944063
Policy instance 1
Insurance contract or identification numberKM05944063
Number of Individuals Covered238
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $7,456
Total amount of fees paid to insurance companyUSD $1,321
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $74,350
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,456
Amount paid for insurance broker fees1321
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION NON-MONETARY COMPENSATION
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5944063
Policy instance 1
Insurance contract or identification number5944063
Number of Individuals Covered244
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $7,027
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $70,242
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,027
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5944063
Policy instance 1
Insurance contract or identification number5944063
Number of Individuals Covered249
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $7,797
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $78,250
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,797
Insurance broker organization code?3

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