401k Plan data: H. G. REYNOLDS LEASING, LLC plan

H. G. REYNOLDS LEASING, LLC 401k Plan overview

Plan Name	H. G. REYNOLDS LEASING, LLC
Plan identification number	501

H. G. REYNOLDS LEASING, LLC Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

H.G. REYNOLDS COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name: H.G. REYNOLDS COMPANY, INC.

Employer identification number (EIN): 570546212

NAIC Classification: 236200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan H. G. REYNOLDS LEASING, LLC

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-10-01
501 2021-10-01
501 2021-03-01

Plan Statistics for H. G. REYNOLDS LEASING, LLC

401k plan membership statisitcs for H. G. REYNOLDS LEASING, LLC

Measure Date Value
2022: H. G. REYNOLDS LEASING, LLC 2022 401k membership
Total participants, beginning-of-year 2022-10-01 60
Total number of active participants reported on line 7a of the Form 5500 2022-10-01 57
Total of all active and inactive participants 2022-10-01 57
Total participants 2022-10-01 57
2021: H. G. REYNOLDS LEASING, LLC 2021 401k membership
Total participants, beginning-of-year 2021-10-01 69
Total number of active participants reported on line 7a of the Form 5500 2021-10-01 60
Total of all active and inactive participants 2021-10-01 60
Total participants 2021-10-01 60
Total participants, beginning-of-year 2021-03-01 78
Total number of active participants reported on line 7a of the Form 5500 2021-03-01 69
Total of all active and inactive participants 2021-03-01 69
Total participants 2021-03-01 69

Measure	Date	Value
2022: H. G. REYNOLDS LEASING, LLC 2022 401k membership
Total participants, beginning-of-year	2022-10-01	60
Total number of active participants reported on line 7a of the Form 5500	2022-10-01	57
Total of all active and inactive participants	2022-10-01	57
Total participants	2022-10-01	57
2021: H. G. REYNOLDS LEASING, LLC 2021 401k membership
Total participants, beginning-of-year	2021-10-01	69
Total number of active participants reported on line 7a of the Form 5500	2021-10-01	60
Total of all active and inactive participants	2021-10-01	60
Total participants	2021-10-01	60
Total participants, beginning-of-year	2021-03-01	78
Total number of active participants reported on line 7a of the Form 5500	2021-03-01	69
Total of all active and inactive participants	2021-03-01	69
Total participants	2021-03-01	69

Form 5500 Responses for H. G. REYNOLDS LEASING, LLC

2022: H. G. REYNOLDS LEASING, LLC 2022 form 5500 responses
2022-10-01	Type of plan entity	Single employer plan
2022-10-01	Submission has been amended	No
2022-10-01	This submission is the final filing	No
2022-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-10-01	Plan is a collectively bargained plan	No
2022-10-01	Plan funding arrangement – Insurance	Yes
2022-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-10-01	Plan benefit arrangement – Insurance	Yes
2021: H. G. REYNOLDS LEASING, LLC 2021 form 5500 responses
2021-10-01	Type of plan entity	Single employer plan
2021-10-01	Submission has been amended	No
2021-10-01	This submission is the final filing	No
2021-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-10-01	Plan is a collectively bargained plan	No
2021-10-01	Plan funding arrangement – Insurance	Yes
2021-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-10-01	Plan benefit arrangement – Insurance	Yes
2021-03-01	Type of plan entity	Single employer plan
2021-03-01	Submission has been amended	No
2021-03-01	This submission is the final filing	No
2021-03-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2021-03-01	Plan is a collectively bargained plan	No
2021-03-01	Plan funding arrangement – Insurance	Yes
2021-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-03-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 )

Policy contract number

06738

Policy instance

Insurance contract or identification number	06738
Number of Individuals Covered	57
Insurance policy start date	2022-10-01
Insurance policy end date	2023-09-30
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 )

Policy contract number

06738

Policy instance

Insurance contract or identification number	06738
Number of Individuals Covered	60
Insurance policy start date	2021-10-01
Insurance policy end date	2022-09-30
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 )

Policy contract number

06738

Policy instance

Insurance contract or identification number	06738
Number of Individuals Covered	69
Insurance policy start date	2021-03-01
Insurance policy end date	2021-09-30
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	H.G. REYNOLDS COMPANY, INC.
Employer identification number (EIN):	570546212
NAIC Classification:	236200