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THE CONVENTION STORE, INC. HEALTH & WELFARE BENEFIT PLAN 401k Plan overview

Plan NameTHE CONVENTION STORE, INC. HEALTH & WELFARE BENEFIT PLAN
Plan identification number 501

THE CONVENTION STORE, INC. HEALTH & WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

THE CONVENTION STORE, INC. has sponsored the creation of one or more 401k plans.

Company Name:THE CONVENTION STORE, INC.
Employer identification number (EIN):521481168
NAIC Classification:561500

Additional information about THE CONVENTION STORE, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2018-09-07
Company Identification Number: 0803113013
Legal Registered Office Address: 405 HEADQUARTERS DR STE 7

MILLERSVILLE
United States of America (USA)
21108

More information about THE CONVENTION STORE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE CONVENTION STORE, INC. HEALTH & WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-05-01REBEKAH STARNER REBEKAH STARNER2019-02-07
5012016-05-01REBEKAH STARNER REBEKAH STARNER2017-12-18
5012015-05-01REBEKAH STARNER REBEKAH STARNER2016-09-20
5012014-05-01REBEKAH STARNER REBEKAH STARNER2015-10-05
5012013-05-01REBEKAH STARNER REBEKAH STARNER2014-08-21
5012012-05-01REBEKAH STARNER REBEKAH STARNER2013-08-27
5012011-05-01REBEKAH STARNER REBEKAH STARNER2012-08-29
5012010-05-01REBEKAH STARNER REBEKAH STARNER2011-11-21

Plan Statistics for THE CONVENTION STORE, INC. HEALTH & WELFARE BENEFIT PLAN

401k plan membership statisitcs for THE CONVENTION STORE, INC. HEALTH & WELFARE BENEFIT PLAN

Measure Date Value
2017: THE CONVENTION STORE, INC. HEALTH & WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-05-0152
Total number of active participants reported on line 7a of the Form 55002017-05-0167
Total of all active and inactive participants2017-05-0167
2016: THE CONVENTION STORE, INC. HEALTH & WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-05-01244
Total number of active participants reported on line 7a of the Form 55002016-05-0152
Total of all active and inactive participants2016-05-0152
2015: THE CONVENTION STORE, INC. HEALTH & WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-01244
Total number of active participants reported on line 7a of the Form 55002015-05-01244
Total of all active and inactive participants2015-05-01244
2014: THE CONVENTION STORE, INC. HEALTH & WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-05-01243
Total number of active participants reported on line 7a of the Form 55002014-05-01244
Total of all active and inactive participants2014-05-01244
2013: THE CONVENTION STORE, INC. HEALTH & WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-05-01127
Total number of active participants reported on line 7a of the Form 55002013-05-01243
Total of all active and inactive participants2013-05-01243
2012: THE CONVENTION STORE, INC. HEALTH & WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-05-01130
Total number of active participants reported on line 7a of the Form 55002012-05-01127
Total of all active and inactive participants2012-05-01127
2011: THE CONVENTION STORE, INC. HEALTH & WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-05-01128
Total number of active participants reported on line 7a of the Form 55002011-05-01130
Total of all active and inactive participants2011-05-01130
2010: THE CONVENTION STORE, INC. HEALTH & WELFARE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-05-01120
Total number of active participants reported on line 7a of the Form 55002010-05-01128
Total of all active and inactive participants2010-05-01128

Form 5500 Responses for THE CONVENTION STORE, INC. HEALTH & WELFARE BENEFIT PLAN

2017: THE CONVENTION STORE, INC. HEALTH & WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan benefit arrangement – InsuranceYes
2016: THE CONVENTION STORE, INC. HEALTH & WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan benefit arrangement – InsuranceYes
2015: THE CONVENTION STORE, INC. HEALTH & WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan benefit arrangement – InsuranceYes
2014: THE CONVENTION STORE, INC. HEALTH & WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan benefit arrangement – InsuranceYes
2013: THE CONVENTION STORE, INC. HEALTH & WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan benefit arrangement – InsuranceYes
2012: THE CONVENTION STORE, INC. HEALTH & WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan benefit arrangement – InsuranceYes
2011: THE CONVENTION STORE, INC. HEALTH & WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan benefit arrangement – InsuranceYes
2010: THE CONVENTION STORE, INC. HEALTH & WELFARE BENEFIT PLAN 2010 form 5500 responses
2010-05-01Type of plan entitySingle employer plan
2010-05-01First time form 5500 has been submittedYes
2010-05-01Plan funding arrangement – InsuranceYes
2010-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

CAREFIRST BLUECHOICE (National Association of Insurance Commissioners NAIC id number: 96202 )
Policy contract number1ZWL
Policy instance 1
Insurance contract or identification number1ZWL
Number of Individuals Covered65
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $18,459
Total amount of fees paid to insurance companyUSD $9,379
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $369,175
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010216436
Policy instance 2
Insurance contract or identification number000010216436
Number of Individuals Covered67
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $1,349
Total amount of fees paid to insurance companyUSD $588
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,760
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number0001D032310
Policy instance 3
Insurance contract or identification number0001D032310
Number of Individuals Covered49
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $1,570
Total amount of fees paid to insurance companyUSD $856
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,116
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000400216435
Policy instance 4
Insurance contract or identification number000400216435
Number of Individuals Covered42
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $355
Total amount of fees paid to insurance companyUSD $177
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,547
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010216434
Policy instance 5
Insurance contract or identification number000010216434
Number of Individuals Covered67
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $1,029
Total amount of fees paid to insurance companyUSD $343
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,857
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010216433
Policy instance 6
Insurance contract or identification number000010216433
Number of Individuals Covered67
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $487
Total amount of fees paid to insurance companyUSD $176
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $3,516
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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