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COSTEX CORPORATION DENTAL AND VISION PLAN 401k Plan overview

Plan NameCOSTEX CORPORATION DENTAL AND VISION PLAN
Plan identification number 503

COSTEX CORPORATION DENTAL AND VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental
  • Vision

401k Sponsoring company profile

COSTEX CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:COSTEX CORPORATION
Employer identification number (EIN):591963036
NAIC Classification:811410
NAIC Description: Home and Garden Equipment and Appliance Repair and Maintenance

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COSTEX CORPORATION DENTAL AND VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032019-09-01DAVIANA THOMAS2024-01-18
5032018-09-01DAVIANA THOMAS2024-01-18
5032017-09-01DAVIANA THOMAS2024-01-18
5032017-02-01DAVIANA THOMAS2024-01-18
5032016-02-01DAVIANA THOMAS2024-01-18
5032015-02-01DAVIANA THOMAS2024-01-18
5032014-02-01DAVIANA THOMAS2024-01-18
5032013-02-01DAVIANA THOMAS2024-01-18

Plan Statistics for COSTEX CORPORATION DENTAL AND VISION PLAN

401k plan membership statisitcs for COSTEX CORPORATION DENTAL AND VISION PLAN

Measure Date Value
2019: COSTEX CORPORATION DENTAL AND VISION PLAN 2019 401k membership
Total participants, beginning-of-year2019-09-01102
Total number of active participants reported on line 7a of the Form 55002019-09-010
Number of retired or separated participants receiving benefits2019-09-010
Number of other retired or separated participants entitled to future benefits2019-09-010
Total of all active and inactive participants2019-09-010
Number of employers contributing to the scheme2019-09-010
2018: COSTEX CORPORATION DENTAL AND VISION PLAN 2018 401k membership
Total participants, beginning-of-year2018-09-01279
Total number of active participants reported on line 7a of the Form 55002018-09-01102
Number of retired or separated participants receiving benefits2018-09-010
Number of other retired or separated participants entitled to future benefits2018-09-010
Total of all active and inactive participants2018-09-01102
Number of employers contributing to the scheme2018-09-010
2017: COSTEX CORPORATION DENTAL AND VISION PLAN 2017 401k membership
Total participants, beginning-of-year2017-09-01256
Total number of active participants reported on line 7a of the Form 55002017-09-01279
Number of retired or separated participants receiving benefits2017-09-010
Number of other retired or separated participants entitled to future benefits2017-09-010
Total of all active and inactive participants2017-09-01279
Number of employers contributing to the scheme2017-09-010
Total participants, beginning-of-year2017-02-01237
Total number of active participants reported on line 7a of the Form 55002017-02-01256
Number of retired or separated participants receiving benefits2017-02-010
Number of other retired or separated participants entitled to future benefits2017-02-010
Total of all active and inactive participants2017-02-01256
Number of employers contributing to the scheme2017-02-010
2016: COSTEX CORPORATION DENTAL AND VISION PLAN 2016 401k membership
Total participants, beginning-of-year2016-02-01236
Total number of active participants reported on line 7a of the Form 55002016-02-01237
Number of retired or separated participants receiving benefits2016-02-010
Number of other retired or separated participants entitled to future benefits2016-02-010
Total of all active and inactive participants2016-02-01237
Number of employers contributing to the scheme2016-02-010
2015: COSTEX CORPORATION DENTAL AND VISION PLAN 2015 401k membership
Total participants, beginning-of-year2015-02-01223
Total number of active participants reported on line 7a of the Form 55002015-02-01236
Number of retired or separated participants receiving benefits2015-02-010
Number of other retired or separated participants entitled to future benefits2015-02-010
Total of all active and inactive participants2015-02-01236
Number of employers contributing to the scheme2015-02-010
2014: COSTEX CORPORATION DENTAL AND VISION PLAN 2014 401k membership
Total participants, beginning-of-year2014-02-01100
Total number of active participants reported on line 7a of the Form 55002014-02-01223
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 participants2014-02-01223
Number of employers contributing to the scheme2014-02-010
2013: COSTEX CORPORATION DENTAL AND VISION PLAN 2013 401k membership
Total participants, beginning-of-year2013-02-01100
Total number of active participants reported on line 7a of the Form 55002013-02-01100
Number of retired or separated participants receiving benefits2013-02-010
Number of other retired or separated participants entitled to future benefits2013-02-010
Total of all active and inactive participants2013-02-01100
Number of employers contributing to the scheme2013-02-010

Form 5500 Responses for COSTEX CORPORATION DENTAL AND VISION PLAN

2019: COSTEX CORPORATION DENTAL AND VISION PLAN 2019 form 5500 responses
2019-09-01Type of plan entitySingle employer plan
2019-09-01This submission is the final filingYes
2019-09-01Plan funding arrangement – InsuranceYes
2019-09-01Plan benefit arrangement – InsuranceYes
2018: COSTEX CORPORATION DENTAL AND VISION PLAN 2018 form 5500 responses
2018-09-01Type of plan entitySingle employer plan
2018-09-01Plan funding arrangement – InsuranceYes
2018-09-01Plan benefit arrangement – InsuranceYes
2017: COSTEX CORPORATION DENTAL AND VISION PLAN 2017 form 5500 responses
2017-09-01Type of plan entitySingle employer plan
2017-09-01Plan funding arrangement – InsuranceYes
2017-09-01Plan benefit arrangement – InsuranceYes
2017-02-01Type of plan entitySingle employer plan
2017-02-01This return/report is a short plan year return/report (less than 12 months)Yes
2017-02-01Plan funding arrangement – InsuranceYes
2017-02-01Plan benefit arrangement – InsuranceYes
2016: COSTEX CORPORATION DENTAL AND VISION PLAN 2016 form 5500 responses
2016-02-01Type of plan entitySingle employer plan
2016-02-01Plan funding arrangement – InsuranceYes
2016-02-01Plan benefit arrangement – InsuranceYes
2015: COSTEX CORPORATION DENTAL AND VISION PLAN 2015 form 5500 responses
2015-02-01Type of plan entitySingle employer plan
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan benefit arrangement – InsuranceYes
2014: COSTEX CORPORATION DENTAL AND VISION PLAN 2014 form 5500 responses
2014-02-01Type of plan entitySingle employer plan
2014-02-01Plan funding arrangement – InsuranceYes
2014-02-01Plan benefit arrangement – InsuranceYes
2013: COSTEX CORPORATION DENTAL AND VISION PLAN 2013 form 5500 responses
2013-02-01Type of plan entitySingle employer plan
2013-02-01First time form 5500 has been submittedYes
2013-02-01Plan funding arrangement – InsuranceYes
2013-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 )
Policy contract numberY1222 - 1D992E
Policy instance 2
Insurance contract or identification numberY1222 - 1D992E
Number of Individuals Covered135
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $4,491
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $84,506
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number94227
Policy instance 1
Insurance contract or identification number94227
Number of Individuals Covered135
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberY1222 - 1D992E
Policy instance 2
Insurance contract or identification numberY1222 - 1D992E
Number of Individuals Covered102
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 )
Policy contract numberY1222 - 1D992E
Policy instance 1
Insurance contract or identification numberY1222 - 1D992E
Number of Individuals Covered102
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $5,505
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $59,357
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberY1222 - 1D992E
Policy instance 3
Insurance contract or identification numberY1222 - 1D992E
Number of Individuals Covered279
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number347938
Policy instance 2
Insurance contract or identification number347938
Number of Individuals Covered295
Insurance policy start date2018-04-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $2,840
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $55,977
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number347938
Policy instance 1
Insurance contract or identification number347938
Number of Individuals Covered279
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $3,981
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $132,061
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberY1222 - 1D992E
Policy instance 2
Insurance contract or identification numberY1222 - 1D992E
Number of Individuals Covered256
Insurance policy start date2017-02-01
Insurance policy end date2017-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number347938
Policy instance 1
Insurance contract or identification number347938
Number of Individuals Covered256
Insurance policy start date2016-04-01
Insurance policy end date2017-03-31
Total amount of commissions paid to insurance brokerUSD $3,832
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $122,123
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberY1222 - 1D992E
Policy instance 2
Insurance contract or identification numberY1222 - 1D992E
Number of Individuals Covered237
Insurance policy start date2016-02-01
Insurance policy end date2017-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number347938
Policy instance 1
Insurance contract or identification number347938
Number of Individuals Covered237
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $3,757
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $117,136
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberY1222 - 1D992E
Policy instance 2
Insurance contract or identification numberY1222 - 1D992E
Number of Individuals Covered236
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number347938
Policy instance 1
Insurance contract or identification number347938
Number of Individuals Covered236
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $3,696
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $113,051
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberY1222 - 1D992E
Policy instance 2
Insurance contract or identification numberY1222 - 1D992E
Number of Individuals Covered223
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number347938
Policy instance 1
Insurance contract or identification number347938
Number of Individuals Covered223
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $3,613
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $107,504
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA BEHAVIORAL HEALTH, LLC (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberY1222 - 1D992E
Policy instance 2
Insurance contract or identification numberY1222 - 1D992E
Number of Individuals Covered100
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number347938
Policy instance 1
Insurance contract or identification number347938
Number of Individuals Covered100
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
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?Yes

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