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| Plan Name | BEST ROOFING SERVICES, LLC MEDICAL BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | BEST ROOFING SERVICES, LLC |
| Employer identification number (EIN): | 452411210 |
| NAIC Classification: | 238100 |
Additional information about BEST ROOFING SERVICES, LLC
| Jurisdiction of Incorporation: | Florida Department of State Division of Corporations |
| Incorporation Date: | 2011-05-26 |
| Company Identification Number: | L11000062260 |
| Legal Registered Office Address: |
3110 CHERRY PALM DR, SUITE 290 TAMPA 33619 |
More information about BEST ROOFING SERVICES, LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2016-09-01 | ||||
| 501 | 2015-09-01 | ||||
| 501 | 2014-09-01 |
| Measure | Date | Value |
|---|---|---|
| 2016: BEST ROOFING SERVICES, LLC MEDICAL BENEFIT PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-09-01 | 235 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-09-01 | 0 |
| Number of retired or separated participants receiving benefits | 2016-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-09-01 | 0 |
| Total of all active and inactive participants | 2016-09-01 | 0 |
| 2015: BEST ROOFING SERVICES, LLC MEDICAL BENEFIT PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-09-01 | 235 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-09-01 | 235 |
| Number of retired or separated participants receiving benefits | 2015-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-09-01 | 0 |
| Total of all active and inactive participants | 2015-09-01 | 235 |
| 2014: BEST ROOFING SERVICES, LLC MEDICAL BENEFIT PLAN 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-09-01 | 235 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-09-01 | 235 |
| Number of retired or separated participants receiving benefits | 2014-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-09-01 | 0 |
| Total of all active and inactive participants | 2014-09-01 | 235 |
| 2016: BEST ROOFING SERVICES, LLC MEDICAL BENEFIT PLAN 2016 form 5500 responses | ||
|---|---|---|
| 2016-09-01 | Type of plan entity | Single employer plan |
| 2016-09-01 | Submission has been amended | No |
| 2016-09-01 | This submission is the final filing | Yes |
| 2016-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-09-01 | Plan is a collectively bargained plan | No |
| 2016-09-01 | Plan funding arrangement – Insurance | Yes |
| 2016-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: BEST ROOFING SERVICES, LLC MEDICAL BENEFIT PLAN 2015 form 5500 responses | ||
| 2015-09-01 | Type of plan entity | Single employer plan |
| 2015-09-01 | Submission has been amended | No |
| 2015-09-01 | This submission is the final filing | No |
| 2015-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-09-01 | Plan is a collectively bargained plan | No |
| 2015-09-01 | Plan funding arrangement – Insurance | Yes |
| 2015-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: BEST ROOFING SERVICES, LLC MEDICAL BENEFIT PLAN 2014 form 5500 responses | ||
| 2014-09-01 | Type of plan entity | Single employer plan |
| 2014-09-01 | First time form 5500 has been submitted | Yes |
| 2014-09-01 | Submission has been amended | No |
| 2014-09-01 | This submission is the final filing | No |
| 2014-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-09-01 | Plan is a collectively bargained plan | No |
| 2014-09-01 | Plan funding arrangement – Insurance | Yes |
| 2014-09-01 | Plan benefit arrangement – Insurance | Yes |
| FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | E5675-F058E9 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | E5675-F058E9 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 0837819 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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