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REPUBLIC DIESEL, INC. MEDICAL AND PRESCRIPTION DRUG PLAN 401k Plan overview

Plan NameREPUBLIC DIESEL, INC. MEDICAL AND PRESCRIPTION DRUG PLAN
Plan identification number 501

REPUBLIC DIESEL, INC. MEDICAL AND PRESCRIPTION DRUG PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

REPUBLIC DIESEL INC. has sponsored the creation of one or more 401k plans.

Company Name:REPUBLIC DIESEL INC.
Employer identification number (EIN):611358528
NAIC Classification:441300
NAIC Description: Automotive Parts, Accessories, and Tire Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan REPUBLIC DIESEL, INC. MEDICAL AND PRESCRIPTION DRUG PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-03-01LOUIS A. WILLINGER2020-11-18
5012014-04-01
5012013-04-01
5012012-04-01LOUIS A. WILLINGER
5012011-04-01LOUIS A. WILLINGER
5012010-04-01LOUIS A. WILLINGER
5012008-04-01LOUIS A. WILLINGER
5012007-04-01LOUIS A. WILLINGER

Plan Statistics for REPUBLIC DIESEL, INC. MEDICAL AND PRESCRIPTION DRUG PLAN

401k plan membership statisitcs for REPUBLIC DIESEL, INC. MEDICAL AND PRESCRIPTION DRUG PLAN

Measure Date Value
2019: REPUBLIC DIESEL, INC. MEDICAL AND PRESCRIPTION DRUG PLAN 2019 401k membership
Total participants, beginning-of-year2019-03-01127
Total number of active participants reported on line 7a of the Form 55002019-03-01123
Number of retired or separated participants receiving benefits2019-03-016
Total of all active and inactive participants2019-03-01129
2014: REPUBLIC DIESEL, INC. MEDICAL AND PRESCRIPTION DRUG PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-01106
Total number of active participants reported on line 7a of the Form 55002014-04-0155
Number of retired or separated participants receiving benefits2014-04-010
Total of all active and inactive participants2014-04-0155
2013: REPUBLIC DIESEL, INC. MEDICAL AND PRESCRIPTION DRUG PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-01106
Total number of active participants reported on line 7a of the Form 55002013-04-01104
Number of retired or separated participants receiving benefits2013-04-011
Total of all active and inactive participants2013-04-01105
2012: REPUBLIC DIESEL, INC. MEDICAL AND PRESCRIPTION DRUG PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-01128
Total number of active participants reported on line 7a of the Form 55002012-04-01127
Total of all active and inactive participants2012-04-01127
2011: REPUBLIC DIESEL, INC. MEDICAL AND PRESCRIPTION DRUG PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-01114
Total number of active participants reported on line 7a of the Form 55002011-04-01123
Total of all active and inactive participants2011-04-01123
2010: REPUBLIC DIESEL, INC. MEDICAL AND PRESCRIPTION DRUG PLAN 2010 401k membership
Total participants, beginning-of-year2010-04-01110
Total number of active participants reported on line 7a of the Form 55002010-04-01114
Number of retired or separated participants receiving benefits2010-04-010
Number of other retired or separated participants entitled to future benefits2010-04-010
Total of all active and inactive participants2010-04-01114
2008: REPUBLIC DIESEL, INC. MEDICAL AND PRESCRIPTION DRUG PLAN 2008 401k membership
Total participants, beginning-of-year2008-04-01112
Total number of active participants reported on line 7a of the Form 55002008-04-01109
Number of retired or separated participants receiving benefits2008-04-015
Number of other retired or separated participants entitled to future benefits2008-04-010
Total of all active and inactive participants2008-04-01114
2007: REPUBLIC DIESEL, INC. MEDICAL AND PRESCRIPTION DRUG PLAN 2007 401k membership
Total participants, beginning-of-year2007-04-01105
Total number of active participants reported on line 7a of the Form 55002007-04-01112
Number of retired or separated participants receiving benefits2007-04-013
Number of other retired or separated participants entitled to future benefits2007-04-010
Total of all active and inactive participants2007-04-01115

Form 5500 Responses for REPUBLIC DIESEL, INC. MEDICAL AND PRESCRIPTION DRUG PLAN

2019: REPUBLIC DIESEL, INC. MEDICAL AND PRESCRIPTION DRUG PLAN 2019 form 5500 responses
2019-03-01Type of plan entitySingle employer plan
2019-03-01Plan funding arrangement – InsuranceYes
2019-03-01Plan benefit arrangement – InsuranceYes
2014: REPUBLIC DIESEL, INC. MEDICAL AND PRESCRIPTION DRUG PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Plan funding arrangement – General assets of the sponsorYes
2014-04-01Plan benefit arrangement – General assets of the sponsorYes
2013: REPUBLIC DIESEL, INC. MEDICAL AND PRESCRIPTION DRUG PLAN 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Plan funding arrangement – General assets of the sponsorYes
2013-04-01Plan benefit arrangement – General assets of the sponsorYes
2012: REPUBLIC DIESEL, INC. MEDICAL AND PRESCRIPTION DRUG PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Plan funding arrangement – General assets of the sponsorYes
2012-04-01Plan benefit arrangement – General assets of the sponsorYes
2011: REPUBLIC DIESEL, INC. MEDICAL AND PRESCRIPTION DRUG PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Plan funding arrangement – General assets of the sponsorYes
2011-04-01Plan benefit arrangement – General assets of the sponsorYes
2010: REPUBLIC DIESEL, INC. MEDICAL AND PRESCRIPTION DRUG PLAN 2010 form 5500 responses
2010-04-01Type of plan entitySingle employer plan
2010-04-01Plan funding arrangement – General assets of the sponsorYes
2010-04-01Plan benefit arrangement – General assets of the sponsorYes
2008: REPUBLIC DIESEL, INC. MEDICAL AND PRESCRIPTION DRUG PLAN 2008 form 5500 responses
2008-04-01Type of plan entitySingle employer plan
2008-04-01Plan funding arrangement – InsuranceYes
2008-04-01Plan benefit arrangement – InsuranceYes
2007: REPUBLIC DIESEL, INC. MEDICAL AND PRESCRIPTION DRUG PLAN 2007 form 5500 responses
2007-04-01Type of plan entitySingle employer plan
2007-04-01First time form 5500 has been submittedYes
2007-04-01Plan funding arrangement – InsuranceYes
2007-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 54739 )
Policy contract number641221
Policy instance 1
Insurance contract or identification number641221
Number of Individuals Covered103
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Total amount of commissions paid to insurance brokerUSD $2,753
Total amount of fees paid to insurance companyUSD $313
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $54,609
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,231
Amount paid for insurance broker fees313
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
HUMANA INSURANCE COMPANY OF KENTUCKY INC (National Association of Insurance Commissioners NAIC id number: 60219 )
Policy contract number641221
Policy instance 2
Insurance contract or identification number641221
Number of Individuals Covered124
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Total amount of commissions paid to insurance brokerUSD $4,096
Total amount of fees paid to insurance companyUSD $228
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $43,247
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,264
Amount paid for insurance broker fees228
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract number641221
Policy instance 3
Insurance contract or identification number641221
Number of Individuals Covered111
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Total amount of commissions paid to insurance brokerUSD $24,673
Total amount of fees paid to insurance companyUSD $1,056
Welfare Benefit Premiums Paid to CarrierUSD $1,109,569
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,411
Amount paid for insurance broker fees1056
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number641221
Policy instance 4
Insurance contract or identification number641221
Number of Individuals Covered113
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedHSA
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 54739 )
Policy contract number641221
Policy instance 5
Insurance contract or identification number641221
Number of Individuals Covered98
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Total amount of commissions paid to insurance brokerUSD $1,120
Total amount of fees paid to insurance companyUSD $71
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,651
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $841
Amount paid for insurance broker fees71
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
HUMANA INSURANCE COMPANY OF KENTUCKY INC (National Association of Insurance Commissioners NAIC id number: 60219 )
Policy contract number641221
Policy instance 6
Insurance contract or identification number641221
Number of Individuals Covered29
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Total amount of commissions paid to insurance brokerUSD $1,805
Total amount of fees paid to insurance companyUSD $51
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $13,162
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,312
Amount paid for insurance broker fees51
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract number641221
Policy instance 1
Insurance contract or identification number641221
Number of Individuals Covered109
Insurance policy start date2009-04-01
Insurance policy end date2010-02-28
Total amount of commissions paid to insurance brokerUSD $20,659
Total amount of fees paid to insurance companyUSD $4,427
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $528,158
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,659
Amount paid for insurance broker fees4427
Additional information about fees paid to insurance brokerVOLUME INCENTIVES
Insurance broker organization code?3
Insurance broker nameSCHWARTZ & ASSOCIATES INC.
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract number641221
Policy instance 1
Insurance contract or identification number641221
Number of Individuals Covered112
Insurance policy start date2008-04-01
Insurance policy end date2009-03-31
Total amount of commissions paid to insurance brokerUSD $19,831
Total amount of fees paid to insurance companyUSD $2,000
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $462,536
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,831
Amount paid for insurance broker fees2000
Additional information about fees paid to insurance brokerOTHER COMMISSIONS
Insurance broker organization code?3
Insurance broker nameSCHWARTZ & ASSOCIATES INC.
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract number641221
Policy instance 1
Insurance contract or identification number641221
Number of Individuals Covered105
Insurance policy start date2007-04-01
Insurance policy end date2008-03-31
Total amount of commissions paid to insurance brokerUSD $17,030
Total amount of fees paid to insurance companyUSD $1,470
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $465,022
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,030
Amount paid for insurance broker fees1470
Additional information about fees paid to insurance brokerVOLUME INCENTIVES
Insurance broker organization code?3
Insurance broker nameSCHWARTZ & ASSOCIATES INC

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