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CHRISTENSEN ENTERPRISES, INC. DBA ACTION GATOR TIRE COMPANY EMPLOYER HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameCHRISTENSEN ENTERPRISES, INC. DBA ACTION GATOR TIRE COMPANY EMPLOYER HEALTH AND WELFARE PLAN
Plan identification number 504

CHRISTENSEN ENTERPRISES, INC. DBA ACTION GATOR TIRE COMPANY EMPLOYER HEALTH AND WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

CHRISTENSEN ENTERPRISES, INC. DBA ACTION GATOR TIRE has sponsored the creation of one or more 401k plans.

Company Name:CHRISTENSEN ENTERPRISES, INC. DBA ACTION GATOR TIRE
Employer identification number (EIN):592911139
NAIC Classification:441300
NAIC Description: Automotive Parts, Accessories, and Tire Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHRISTENSEN ENTERPRISES, INC. DBA ACTION GATOR TIRE COMPANY EMPLOYER HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042020-06-01
5042019-06-01
5042016-06-01
5042015-06-01
5042014-06-01
5042013-06-01FRED CHRISTENSEN
5042012-06-01FREDDY CHRISTENSEN

Plan Statistics for CHRISTENSEN ENTERPRISES, INC. DBA ACTION GATOR TIRE COMPANY EMPLOYER HEALTH AND WELFARE PLAN

401k plan membership statisitcs for CHRISTENSEN ENTERPRISES, INC. DBA ACTION GATOR TIRE COMPANY EMPLOYER HEALTH AND WELFARE PLAN

Measure Date Value
2020: CHRISTENSEN ENTERPRISES, INC. DBA ACTION GATOR TIRE COMPANY EMPLOYER HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-06-01214
Total number of active participants reported on line 7a of the Form 55002020-06-01213
Number of retired or separated participants receiving benefits2020-06-010
Number of other retired or separated participants entitled to future benefits2020-06-010
Total of all active and inactive participants2020-06-01213
2019: CHRISTENSEN ENTERPRISES, INC. DBA ACTION GATOR TIRE COMPANY EMPLOYER HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-06-01216
Total number of active participants reported on line 7a of the Form 55002019-06-01198
Number of retired or separated participants receiving benefits2019-06-015
Number of other retired or separated participants entitled to future benefits2019-06-010
Total of all active and inactive participants2019-06-01203
2016: CHRISTENSEN ENTERPRISES, INC. DBA ACTION GATOR TIRE COMPANY EMPLOYER HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-06-01217
Total number of active participants reported on line 7a of the Form 55002016-06-01212
Number of retired or separated participants receiving benefits2016-06-013
Number of other retired or separated participants entitled to future benefits2016-06-010
Total of all active and inactive participants2016-06-01215
2015: CHRISTENSEN ENTERPRISES, INC. DBA ACTION GATOR TIRE COMPANY EMPLOYER HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-06-01149
Total number of active participants reported on line 7a of the Form 55002015-06-01217
Total of all active and inactive participants2015-06-01217
2014: CHRISTENSEN ENTERPRISES, INC. DBA ACTION GATOR TIRE COMPANY EMPLOYER HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-06-01143
Total number of active participants reported on line 7a of the Form 55002014-06-01149
Total of all active and inactive participants2014-06-01149
2013: CHRISTENSEN ENTERPRISES, INC. DBA ACTION GATOR TIRE COMPANY EMPLOYER HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-06-01169
Total number of active participants reported on line 7a of the Form 55002013-06-01143
Number of retired or separated participants receiving benefits2013-06-010
Number of other retired or separated participants entitled to future benefits2013-06-010
Total of all active and inactive participants2013-06-01143
2012: CHRISTENSEN ENTERPRISES, INC. DBA ACTION GATOR TIRE COMPANY EMPLOYER HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-06-01120
Total number of active participants reported on line 7a of the Form 55002012-06-01169
Number of retired or separated participants receiving benefits2012-06-010
Number of other retired or separated participants entitled to future benefits2012-06-010
Total of all active and inactive participants2012-06-01169

Form 5500 Responses for CHRISTENSEN ENTERPRISES, INC. DBA ACTION GATOR TIRE COMPANY EMPLOYER HEALTH AND WELFARE PLAN

2020: CHRISTENSEN ENTERPRISES, INC. DBA ACTION GATOR TIRE COMPANY EMPLOYER HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-06-01Type of plan entitySingle employer plan
2020-06-01Submission has been amendedNo
2020-06-01This submission is the final filingNo
2020-06-01This return/report is a short plan year return/report (less than 12 months)No
2020-06-01Plan is a collectively bargained planNo
2020-06-01Plan funding arrangement – InsuranceYes
2020-06-01Plan benefit arrangement – InsuranceYes
2019: CHRISTENSEN ENTERPRISES, INC. DBA ACTION GATOR TIRE COMPANY EMPLOYER HEALTH AND WELFARE PLAN 2019 form 5500 responses
2019-06-01Type of plan entitySingle employer plan
2019-06-01Submission has been amendedNo
2019-06-01This submission is the final filingNo
2019-06-01This return/report is a short plan year return/report (less than 12 months)No
2019-06-01Plan is a collectively bargained planNo
2019-06-01Plan funding arrangement – InsuranceYes
2019-06-01Plan benefit arrangement – InsuranceYes
2016: CHRISTENSEN ENTERPRISES, INC. DBA ACTION GATOR TIRE COMPANY EMPLOYER HEALTH AND WELFARE PLAN 2016 form 5500 responses
2016-06-01Type of plan entitySingle employer plan
2016-06-01Submission has been amendedNo
2016-06-01This submission is the final filingNo
2016-06-01This return/report is a short plan year return/report (less than 12 months)No
2016-06-01Plan is a collectively bargained planNo
2016-06-01Plan funding arrangement – InsuranceYes
2016-06-01Plan benefit arrangement – InsuranceYes
2015: CHRISTENSEN ENTERPRISES, INC. DBA ACTION GATOR TIRE COMPANY EMPLOYER HEALTH AND WELFARE PLAN 2015 form 5500 responses
2015-06-01Type of plan entitySingle employer plan
2015-06-01Plan funding arrangement – InsuranceYes
2015-06-01Plan benefit arrangement – InsuranceYes
2014: CHRISTENSEN ENTERPRISES, INC. DBA ACTION GATOR TIRE COMPANY EMPLOYER HEALTH AND WELFARE PLAN 2014 form 5500 responses
2014-06-01Type of plan entitySingle employer plan
2014-06-01Plan funding arrangement – InsuranceYes
2014-06-01Plan benefit arrangement – InsuranceYes
2013: CHRISTENSEN ENTERPRISES, INC. DBA ACTION GATOR TIRE COMPANY EMPLOYER HEALTH AND WELFARE PLAN 2013 form 5500 responses
2013-06-01Type of plan entitySingle employer plan
2013-06-01Submission has been amendedNo
2013-06-01This submission is the final filingNo
2013-06-01This return/report is a short plan year return/report (less than 12 months)No
2013-06-01Plan is a collectively bargained planNo
2013-06-01Plan funding arrangement – InsuranceYes
2013-06-01Plan benefit arrangement – InsuranceYes
2012: CHRISTENSEN ENTERPRISES, INC. DBA ACTION GATOR TIRE COMPANY EMPLOYER HEALTH AND WELFARE PLAN 2012 form 5500 responses
2012-06-01Type of plan entitySingle employer plan
2012-06-01First time form 5500 has been submittedYes
2012-06-01Submission has been amendedNo
2012-06-01This submission is the final filingNo
2012-06-01This return/report is a short plan year return/report (less than 12 months)No
2012-06-01Plan is a collectively bargained planNo
2012-06-01Plan funding arrangement – InsuranceYes
2012-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract numberE5050042
Policy instance 5
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50041411
Policy instance 4
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10116701001
Policy instance 3
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 )
Policy contract numberE6333-4JC969
Policy instance 2
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract numberJ3928
Policy instance 1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0917622
Policy instance 1
STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 )
Policy contract number836736
Policy instance 2
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10116701001
Policy instance 3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number836735
Policy instance 4
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number836737
Policy instance 5
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 )
Policy contract number187L79
Policy instance 5
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 )
Policy contract number64785
Policy instance 4
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract number64785
Policy instance 3
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number101793901
Policy instance 2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number30040059
Policy instance 1
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 )
Policy contract number187L79
Policy instance 5
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberFCY65
Policy instance 4
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract number64785
Policy instance 3
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number64785
Policy instance 2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number30040059
Policy instance 1
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number64785
Policy instance 1
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract number64785
Policy instance 2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number30040059
Policy instance 3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberFCY65
Policy instance 4
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 )
Policy contract number25E0777
Policy instance 5
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 )
Policy contract number25E0777
Policy instance 6
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract numberE7646425
Policy instance 5
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberFCY65
Policy instance 4
ALLIED EYECARE, LLC D/B/A ADVANTICA EYECARE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00
Policy instance 3
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract number64785
Policy instance 2
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number64785
Policy instance 1

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