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HONEST TEA HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameHONEST TEA HEALTH AND WELFARE PLAN
Plan identification number 501

HONEST TEA HEALTH AND WELFARE PLAN Benefits

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

HONEST TEA, INC. has sponsored the creation of one or more 401k plans.

Company Name:HONEST TEA, INC.
Employer identification number (EIN):522074457
NAIC Classification:312110
NAIC Description: Soft Drink and Ice Manufacturing

Additional information about HONEST TEA, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2007-07-05
Company Identification Number: 0800840799

More information about HONEST TEA, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HONEST TEA HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-02-01JOSEPH PITRA
5012014-02-01EDUARDO CASTRO
5012013-02-01JONATHAN CLARK JONATHAN CLARK2014-09-26
5012012-02-01DEBRA SCHWARTZ DEBRA SCHWARTZ2013-09-30
5012011-02-01DEBRA SCHWARTZ

Plan Statistics for HONEST TEA HEALTH AND WELFARE PLAN

401k plan membership statisitcs for HONEST TEA HEALTH AND WELFARE PLAN

Measure Date Value
2015: HONEST TEA HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-02-01114
Total number of active participants reported on line 7a of the Form 55002015-02-0156
Total of all active and inactive participants2015-02-0156
2014: HONEST TEA HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-02-0199
Total number of active participants reported on line 7a of the Form 55002014-02-01114
Number of retired or separated participants receiving benefits2014-02-010
Number of other retired or separated participants entitled to future benefits2014-02-010
Total of all active and inactive participants2014-02-01114
2013: HONEST TEA HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-02-01108
Total number of active participants reported on line 7a of the Form 55002013-02-0199
Total of all active and inactive participants2013-02-0199
2012: HONEST TEA HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-02-01112
Total number of active participants reported on line 7a of the Form 55002012-02-01108
Total of all active and inactive participants2012-02-01108
2011: HONEST TEA HEALTH AND WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-02-01116
Total number of active participants reported on line 7a of the Form 55002011-02-01112
Total of all active and inactive participants2011-02-01112
Total participants2011-02-01112

Form 5500 Responses for HONEST TEA HEALTH AND WELFARE PLAN

2015: HONEST TEA HEALTH AND WELFARE PLAN 2015 form 5500 responses
2015-02-01Type of plan entitySingle employer plan
2015-02-01Submission has been amendedNo
2015-02-01This submission is the final filingNo
2015-02-01This return/report is a short plan year return/report (less than 12 months)No
2015-02-01Plan is a collectively bargained planNo
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan benefit arrangement – InsuranceYes
2014: HONEST TEA HEALTH AND WELFARE PLAN 2014 form 5500 responses
2014-02-01Type of plan entitySingle employer plan
2014-02-01Submission has been amendedNo
2014-02-01This submission is the final filingNo
2014-02-01This return/report is a short plan year return/report (less than 12 months)No
2014-02-01Plan is a collectively bargained planNo
2014-02-01Plan funding arrangement – InsuranceYes
2014-02-01Plan benefit arrangement – InsuranceYes
2013: HONEST TEA HEALTH AND WELFARE PLAN 2013 form 5500 responses
2013-02-01Type of plan entitySingle employer plan
2013-02-01Submission has been amendedNo
2013-02-01This submission is the final filingNo
2013-02-01This return/report is a short plan year return/report (less than 12 months)No
2013-02-01Plan is a collectively bargained planNo
2013-02-01Plan funding arrangement – InsuranceYes
2013-02-01Plan benefit arrangement – InsuranceYes
2012: HONEST TEA HEALTH AND WELFARE PLAN 2012 form 5500 responses
2012-02-01Type of plan entitySingle employer plan
2012-02-01Submission has been amendedNo
2012-02-01This submission is the final filingNo
2012-02-01This return/report is a short plan year return/report (less than 12 months)No
2012-02-01Plan is a collectively bargained planNo
2012-02-01Plan funding arrangement – InsuranceYes
2012-02-01Plan benefit arrangement – InsuranceYes
2011: HONEST TEA HEALTH AND WELFARE PLAN 2011 form 5500 responses
2011-02-01Type of plan entitySingle employer plan
2011-02-01Plan funding arrangement – InsuranceYes
2011-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number159443
Policy instance 3
Insurance contract or identification number159443
Number of Individuals Covered39
Insurance policy start date2015-03-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $3,341
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $26,145
Commission paid to Insurance BrokerUSD $3,341
Insurance broker organization code?3
Insurance broker nameBENEFIT PARTNERS-ALLIANT INC.
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5586217
Policy instance 2
Insurance contract or identification number5586217
Number of Individuals Covered56
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,934
Total amount of fees paid to insurance companyUSD $43
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $33,371
Commission paid to Insurance BrokerUSD $1,934
Amount paid for insurance broker fees43
Additional information about fees paid to insurance brokerNON-MONETARY
Insurance broker organization code?3
Insurance broker nameBENEFIT PARTNERS ALLIANT INC.
GHMSI (National Association of Insurance Commissioners NAIC id number: 53007 )
Policy contract numberWB38
Policy instance 1
Insurance contract or identification numberWB38
Number of Individuals Covered32
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $13,263
Total amount of fees paid to insurance companyUSD $3,821
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $377,204
Commission paid to Insurance BrokerUSD $13,263
Amount paid for insurance broker fees19
Additional information about fees paid to insurance brokerNON-MONETARY
Insurance broker organization code?3
Insurance broker nameINSURANCE MARKETING CENTER
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05586217
Policy instance 2
Insurance contract or identification numberTM05586217
Number of Individuals Covered114
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $2,266
Total amount of fees paid to insurance companyUSD $17
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $44,951
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,266
Amount paid for insurance broker fees17
Additional information about fees paid to insurance brokerNON-MONETARY
Insurance broker organization code?3
Insurance broker nameBENEFIT PARTNERS ALLIANT INC.
GHMSI (National Association of Insurance Commissioners NAIC id number: 53007 )
Policy contract numberWB38
Policy instance 1
Insurance contract or identification numberWB38
Number of Individuals Covered48
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $18,260
Total amount of fees paid to insurance companyUSD $11,106
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $515,524
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,260
Amount paid for insurance broker fees5799
Additional information about fees paid to insurance brokerNON-MONETARY
Insurance broker organization code?3
Insurance broker nameINSURANCE MARKETING CENTER
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AA1J
Policy instance 3
Insurance contract or identification numberG000AA1J
Number of Individuals Covered49
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $7,397
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $40,666
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,397
Insurance broker organization code?3
Insurance broker nameBENEFIT PARTNERS-ALLIANT INC.
GHMSI (National Association of Insurance Commissioners NAIC id number: 53007 )
Policy contract numberWB38
Policy instance 1
Insurance contract or identification numberWB38
Number of Individuals Covered99
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $26,373
Total amount of fees paid to insurance companyUSD $7,709
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $750,377
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,373
Amount paid for insurance broker fees38
Additional information about fees paid to insurance brokerNON-MONETARY
Insurance broker organization code?3
Insurance broker nameINSURANCE MARKETING CENTER
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AA1J
Policy instance 2
Insurance contract or identification numberG000AA1J
Number of Individuals Covered55
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $15,686
Total amount of fees paid to insurance companyUSD $2,895
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $86,360
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,686
Amount paid for insurance broker fees2895
Additional information about fees paid to insurance brokerOTHER BROKER COMPENSATION
Insurance broker organization code?3
Insurance broker nameBENEFIT PARTNERS ALLIANT, INC.
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05586217
Policy instance 3
Insurance contract or identification numberTM05586217
Number of Individuals Covered286
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $3,249
Total amount of fees paid to insurance companyUSD $11
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $89,542
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,249
Amount paid for insurance broker fees11
Additional information about fees paid to insurance brokerNON-MONETARY
Insurance broker organization code?3
Insurance broker nameBENEFIT PARTNERS ALLIANT, INC.
GHMSI (National Association of Insurance Commissioners NAIC id number: 53007 )
Policy contract numberWB38
Policy instance 1
Insurance contract or identification numberWB38
Number of Individuals Covered94
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $24,359
Total amount of fees paid to insurance companyUSD $14,799
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $692,829
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,359
Amount paid for insurance broker fees6812
Additional information about fees paid to insurance brokerMEDICAL CONTRACTS, NON-MONETARY
Insurance broker organization code?3
Insurance broker nameINSURANCE MARKETING CENTER
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05586217
Policy instance 3
Insurance contract or identification numberTM05586217
Number of Individuals Covered250
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $3,144
Total amount of fees paid to insurance companyUSD $15
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $75,000
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,144
Amount paid for insurance broker fees15
Additional information about fees paid to insurance brokerNON-MONETARY COMP
Insurance broker organization code?3
Insurance broker nameBENEFIT PARTNERS ALLIANT, INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AA1J
Policy instance 2
Insurance contract or identification numberG000AA1J
Number of Individuals Covered108
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $16,182
Total amount of fees paid to insurance companyUSD $2,907
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $89,130
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,182
Amount paid for insurance broker fees2907
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameBENEFIT PARTNERS ALLIANT, INC.
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05586217
Policy instance 1
Insurance contract or identification numberTM05586217
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $3,107
Total amount of fees paid to insurance companyUSD $140
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $79,468
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AAIJ
Policy instance 2
Insurance contract or identification numberG000AAIJ
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $17,925
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $90,330
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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