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UKROP'S SUPER MARKETS, INC. WELFARE BENEFITS WRAP PLAN 401k Plan overview

Plan NameUKROP'S SUPER MARKETS, INC. WELFARE BENEFITS WRAP PLAN
Plan identification number 507

UKROP'S SUPER MARKETS, INC. WELFARE BENEFITS WRAP PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental

401k Sponsoring company profile

UKROP'S SUPER MARKETS, INC. has sponsored the creation of one or more 401k plans.

Company Name:UKROP'S SUPER MARKETS, INC.
Employer identification number (EIN):540967106
NAIC Classification:445110
NAIC Description:Supermarkets and Other Grocery (except Convenience) Stores

Additional information about UKROP'S SUPER MARKETS, INC.

Jurisdiction of Incorporation: Virginia Secretary of State
Incorporation Date: 1974-08-05
Company Identification Number: 0154216
Legal Registered Office Address: 2001 MAYWILL ST

RICHMOND
United States of America (USA)
23230

More information about UKROP'S SUPER MARKETS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UKROP'S SUPER MARKETS, INC. WELFARE BENEFITS WRAP PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5072022-01-01JOHN ZEHEB2023-10-11
5072021-01-01JOHN ZEHEB2022-09-27
5072020-01-01JOHN ZEHEB2021-09-14

Plan Statistics for UKROP'S SUPER MARKETS, INC. WELFARE BENEFITS WRAP PLAN

401k plan membership statisitcs for UKROP'S SUPER MARKETS, INC. WELFARE BENEFITS WRAP PLAN

Measure Date Value
2022: UKROP'S SUPER MARKETS, INC. WELFARE BENEFITS WRAP PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01342
Total number of active participants reported on line 7a of the Form 55002022-01-01322
Total of all active and inactive participants2022-01-01322
2021: UKROP'S SUPER MARKETS, INC. WELFARE BENEFITS WRAP PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01450
Total number of active participants reported on line 7a of the Form 55002021-01-01342
Total of all active and inactive participants2021-01-01342
2020: UKROP'S SUPER MARKETS, INC. WELFARE BENEFITS WRAP PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01474
Total number of active participants reported on line 7a of the Form 55002020-01-01449
Number of retired or separated participants receiving benefits2020-01-011
Total of all active and inactive participants2020-01-01450

Form 5500 Responses for UKROP'S SUPER MARKETS, INC. WELFARE BENEFITS WRAP PLAN

2022: UKROP'S SUPER MARKETS, INC. WELFARE BENEFITS WRAP PLAN 2022 form 5500 responses
2022-01-01Type of plan entityMulitple employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: UKROP'S SUPER MARKETS, INC. WELFARE BENEFITS WRAP PLAN 2021 form 5500 responses
2021-01-01Type of plan entityMulitple employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: UKROP'S SUPER MARKETS, INC. WELFARE BENEFITS WRAP PLAN 2020 form 5500 responses
2020-01-01Type of plan entityMulitple employer plan
2020-01-01First time form 5500 has been submittedYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HEALTHKEEPERS, INC (National Association of Insurance Commissioners NAIC id number: 95169 )
Policy contract numberVA3274
Policy instance 1
Insurance contract or identification numberVA3274
Number of Individuals Covered412
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,556
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,435,210
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1556
Insurance broker organization code?3
DELTA DENTAL OF VIRGINIA (National Association of Insurance Commissioners NAIC id number: 55611 )
Policy contract number00000000814
Policy instance 2
Insurance contract or identification number00000000814
Number of Individuals Covered499
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHKEEPERS, INC (National Association of Insurance Commissioners NAIC id number: 95169 )
Policy contract numberVA3274
Policy instance 1
Insurance contract or identification numberVA3274
Number of Individuals Covered524
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,863
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,612,880
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1863
Insurance broker organization code?3
HEALTHKEEPERS, INC (National Association of Insurance Commissioners NAIC id number: 95169 )
Policy contract numberG1608
Policy instance 1
Insurance contract or identification numberG1608
Number of Individuals Covered449
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,965,264
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract numberVA3274
Policy instance 2
Insurance contract or identification numberVA3274
Number of Individuals Covered453
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,691
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $94,397
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1691
Insurance broker organization code?3

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