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COURTESY AUTOMOTIVE GROUP DISABILITY PLAN 401k Plan overview

Plan NameCOURTESY AUTOMOTIVE GROUP DISABILITY PLAN
Plan identification number 503

COURTESY AUTOMOTIVE GROUP DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

COURTESY FORD, INC. has sponsored the creation of one or more 401k plans.

Company Name:COURTESY FORD, INC.
Employer identification number (EIN):580943526
NAIC Classification:441110
NAIC Description:New Car Dealers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COURTESY AUTOMOTIVE GROUP DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032022-12-01ASHLEY KELLY2024-08-30
5032021-12-01ASHLEY KELLY2024-08-30
5032020-12-01ASHLEY KELLY2024-08-30

Plan Statistics for COURTESY AUTOMOTIVE GROUP DISABILITY PLAN

401k plan membership statisitcs for COURTESY AUTOMOTIVE GROUP DISABILITY PLAN

Measure Date Value
2022: COURTESY AUTOMOTIVE GROUP DISABILITY PLAN 2022 401k membership
Total participants, beginning-of-year2022-12-01142
Total number of active participants reported on line 7a of the Form 55002022-12-010
Number of retired or separated participants receiving benefits2022-12-010
Number of other retired or separated participants entitled to future benefits2022-12-010
Total of all active and inactive participants2022-12-010
Number of employers contributing to the scheme2022-12-010
2021: COURTESY AUTOMOTIVE GROUP DISABILITY PLAN 2021 401k membership
Total participants, beginning-of-year2021-12-01149
Total number of active participants reported on line 7a of the Form 55002021-12-01142
Number of retired or separated participants receiving benefits2021-12-010
Number of other retired or separated participants entitled to future benefits2021-12-010
Total of all active and inactive participants2021-12-01142
Number of employers contributing to the scheme2021-12-010
2020: COURTESY AUTOMOTIVE GROUP DISABILITY PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-01126
Total number of active participants reported on line 7a of the Form 55002020-12-01129
Number of retired or separated participants receiving benefits2020-12-010
Number of other retired or separated participants entitled to future benefits2020-12-010
Total of all active and inactive participants2020-12-01129
Number of employers contributing to the scheme2020-12-010

Form 5500 Responses for COURTESY AUTOMOTIVE GROUP DISABILITY PLAN

2022: COURTESY AUTOMOTIVE GROUP DISABILITY PLAN 2022 form 5500 responses
2022-12-01Type of plan entitySingle employer plan
2022-12-01This submission is the final filingYes
2022-12-01Plan funding arrangement – InsuranceYes
2022-12-01Plan benefit arrangement – InsuranceYes
2021: COURTESY AUTOMOTIVE GROUP DISABILITY PLAN 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan benefit arrangement – InsuranceYes
2020: COURTESY AUTOMOTIVE GROUP DISABILITY PLAN 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01First time form 5500 has been submittedYes
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract number613642
Policy instance 1
Insurance contract or identification number613642
Number of Individuals Covered99
Insurance policy start date2022-12-01
Insurance policy end date2023-11-30
Total amount of commissions paid to insurance brokerUSD $15,300
Total amount of fees paid to insurance companyUSD $3,044
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $101,998
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $15,300
Amount paid for insurance broker fees3044
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract number613642
Policy instance 1
Insurance contract or identification number613642
Number of Individuals Covered142
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $22,922
Total amount of fees paid to insurance companyUSD $3,798
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $152,813
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $22,922
Amount paid for insurance broker fees3798
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract number613642
Policy instance 1
Insurance contract or identification number613642
Number of Individuals Covered129
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $18,275
Total amount of fees paid to insurance companyUSD $4,126
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $121,835
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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