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MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE 401k Plan overview

Plan NameMITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE
Plan identification number 501

MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE 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
  • Other welfare benefit cover

401k Sponsoring company profile

MITCHELL GROCERY CORP. has sponsored the creation of one or more 401k plans.

Company Name:MITCHELL GROCERY CORP.
Employer identification number (EIN):630499227
NAIC Classification:445110
NAIC Description:Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-07-01NICOLE LOHR2024-03-29
5012021-07-01GARY CAMERON2022-11-02
5012020-07-01GARY CAMERON2022-11-02
5012018-07-01GARY CAMERON2022-11-02
5012017-07-01GARY CAMERON2022-11-02
5012016-07-01GARY CAMERON2022-11-02
5012015-07-01GARY CAMERON2022-11-02
5012015-06-01GARY CAMERON2022-11-02
5012014-06-01GARY CAMERON2022-11-02
5012013-06-01GARY CAMERON2022-11-02
5012012-06-01DEBRA GLADDEN DAVID MITCHELL, PRESIDENT2013-12-05
5012011-06-01BILL WOODHAM DAVID MITCHELL, PRESIDENT2012-12-06
5012010-06-01BILL WOODHAM DAVID MITCHELL, PRESIDENT2011-10-19
5012009-06-01BILL WOODHAM DAVID MITCHELL, PRESIDENT2010-11-04
5012009-06-01BILL WOODHAM

Plan Statistics for MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE

401k plan membership statisitcs for MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE

Measure Date Value
2022: MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE 2022 401k membership
Total participants, beginning-of-year2022-07-01664
Total number of active participants reported on line 7a of the Form 55002022-07-01656
Number of retired or separated participants receiving benefits2022-07-014
Number of other retired or separated participants entitled to future benefits2022-07-010
Total of all active and inactive participants2022-07-01660
Total participants2022-07-01660
2021: MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE 2021 401k membership
Total participants, beginning-of-year2021-07-01665
Total number of active participants reported on line 7a of the Form 55002021-07-01664
Total of all active and inactive participants2021-07-01664
Total participants2021-07-01664
2020: MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE 2020 401k membership
Total participants, beginning-of-year2020-07-01986
Total number of active participants reported on line 7a of the Form 55002020-07-01665
Total of all active and inactive participants2020-07-01665
Total participants2020-07-01665
2018: MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE 2018 401k membership
Total participants, beginning-of-year2018-07-01729
Total number of active participants reported on line 7a of the Form 55002018-07-01679
Total of all active and inactive participants2018-07-01679
Total participants2018-07-01679
2017: MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE 2017 401k membership
Total participants, beginning-of-year2017-07-01763
Total number of active participants reported on line 7a of the Form 55002017-07-01729
Total of all active and inactive participants2017-07-01729
Total participants2017-07-01729
2016: MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE 2016 401k membership
Total participants, beginning-of-year2016-07-01800
Total number of active participants reported on line 7a of the Form 55002016-07-01763
Total of all active and inactive participants2016-07-01763
Total participants2016-07-01763
2015: MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE 2015 401k membership
Total participants, beginning-of-year2015-07-01741
Total number of active participants reported on line 7a of the Form 55002015-07-01800
Total of all active and inactive participants2015-07-01800
Total participants2015-07-01800
Total participants, beginning-of-year2015-06-01750
Total number of active participants reported on line 7a of the Form 55002015-06-01741
Total of all active and inactive participants2015-06-01741
Total participants2015-06-01741
2014: MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE 2014 401k membership
Total participants, beginning-of-year2014-06-01731
Total number of active participants reported on line 7a of the Form 55002014-06-01750
Total of all active and inactive participants2014-06-01750
Total participants2014-06-01750
2013: MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE 2013 401k membership
Total participants, beginning-of-year2013-06-01721
Total number of active participants reported on line 7a of the Form 55002013-06-01731
Total of all active and inactive participants2013-06-01731
Total participants2013-06-01731
2012: MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE 2012 401k membership
Total participants, beginning-of-year2012-06-01715
Total number of active participants reported on line 7a of the Form 55002012-06-01721
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 participants2012-06-01721
2011: MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE 2011 401k membership
Total participants, beginning-of-year2011-06-01721
Total number of active participants reported on line 7a of the Form 55002011-06-01715
Number of retired or separated participants receiving benefits2011-06-010
Number of other retired or separated participants entitled to future benefits2011-06-010
Total of all active and inactive participants2011-06-01715
2010: MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE 2010 401k membership
Total participants, beginning-of-year2010-06-01754
Total number of active participants reported on line 7a of the Form 55002010-06-01721
Total of all active and inactive participants2010-06-01721
2009: MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE 2009 401k membership
Total participants, beginning-of-year2009-06-01621
Total number of active participants reported on line 7a of the Form 55002009-06-01754
Number of retired or separated participants receiving benefits2009-06-010
Number of other retired or separated participants entitled to future benefits2009-06-010
Total of all active and inactive participants2009-06-01754

Form 5500 Responses for MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE

2022: MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Submission has been amendedNo
2022-07-01This submission is the final filingNo
2022-07-01This return/report is a short plan year return/report (less than 12 months)No
2022-07-01Plan is a collectively bargained planNo
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan funding arrangement – General assets of the sponsorYes
2022-07-01Plan benefit arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – General assets of the sponsorYes
2021: MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – General assets of the sponsorYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – General assets of the sponsorYes
2020: MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planNo
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – General assets of the sponsorYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – General assets of the sponsorYes
2018: MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planNo
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – General assets of the sponsorYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – General assets of the sponsorYes
2017: MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – General assets of the sponsorYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – General assets of the sponsorYes
2016: MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – General assets of the sponsorYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – General assets of the sponsorYes
2015: MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – General assets of the sponsorYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – General assets of the sponsorYes
2015-06-01Type of plan entitySingle employer plan
2015-06-01Submission has been amendedNo
2015-06-01This submission is the final filingNo
2015-06-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-06-01Plan is a collectively bargained planNo
2015-06-01Plan funding arrangement – InsuranceYes
2015-06-01Plan funding arrangement – General assets of the sponsorYes
2015-06-01Plan benefit arrangement – InsuranceYes
2015-06-01Plan benefit arrangement – General assets of the sponsorYes
2014: MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE 2014 form 5500 responses
2014-06-01Type of plan entitySingle employer plan
2014-06-01Submission has been amendedNo
2014-06-01This submission is the final filingNo
2014-06-01This return/report is a short plan year return/report (less than 12 months)No
2014-06-01Plan is a collectively bargained planNo
2014-06-01Plan funding arrangement – InsuranceYes
2014-06-01Plan funding arrangement – General assets of the sponsorYes
2014-06-01Plan benefit arrangement – InsuranceYes
2014-06-01Plan benefit arrangement – General assets of the sponsorYes
2013: MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE 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 funding arrangement – General assets of the sponsorYes
2013-06-01Plan benefit arrangement – InsuranceYes
2013-06-01Plan benefit arrangement – General assets of the sponsorYes
2012: MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE 2012 form 5500 responses
2012-06-01Type of plan entitySingle employer plan
2012-06-01Submission has been amendedYes
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 funding arrangement – General assets of the sponsorYes
2012-06-01Plan benefit arrangement – InsuranceYes
2012-06-01Plan benefit arrangement – General assets of the sponsorYes
2011: MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE 2011 form 5500 responses
2011-06-01Type of plan entitySingle employer plan
2011-06-01Submission has been amendedNo
2011-06-01This submission is the final filingNo
2011-06-01This return/report is a short plan year return/report (less than 12 months)No
2011-06-01Plan is a collectively bargained planNo
2011-06-01Plan funding arrangement – InsuranceYes
2011-06-01Plan funding arrangement – General assets of the sponsorYes
2011-06-01Plan benefit arrangement – InsuranceYes
2011-06-01Plan benefit arrangement – General assets of the sponsorYes
2010: MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE 2010 form 5500 responses
2010-06-01Type of plan entitySingle employer plan
2010-06-01Submission has been amendedNo
2010-06-01This submission is the final filingNo
2010-06-01This return/report is a short plan year return/report (less than 12 months)No
2010-06-01Plan is a collectively bargained planNo
2010-06-01Plan funding arrangement – InsuranceYes
2010-06-01Plan funding arrangement – General assets of the sponsorYes
2010-06-01Plan benefit arrangement – InsuranceYes
2010-06-01Plan benefit arrangement – General assets of the sponsorYes
2009: MITCHELL GROCERY CORP. GROUP HEALTH CARE AND LIFE 2009 form 5500 responses
2009-06-01Type of plan entitySingle employer plan
2009-06-01Submission has been amendedYes
2009-06-01This submission is the final filingNo
2009-06-01This return/report is a short plan year return/report (less than 12 months)No
2009-06-01Plan is a collectively bargained planNo
2009-06-01Plan funding arrangement – InsuranceYes
2009-06-01Plan funding arrangement – General assets of the sponsorYes
2009-06-01Plan benefit arrangement – InsuranceYes
2009-06-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGVTL0BDRV
Policy instance 6
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30105581
Policy instance 7
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUC 0BDRV
Policy instance 2
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0BDRV
Policy instance 1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUDE0BDRV
Policy instance 3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUDH0BDRV
Policy instance 4
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUPR0BDRV
Policy instance 5
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUC 0BDRV
Policy instance 2
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUDE0BDRV
Policy instance 3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUDH0BDRV
Policy instance 4
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUPR0BDRV
Policy instance 5
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGVTL0BDRV
Policy instance 6
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30105581
Policy instance 7
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0BDRV
Policy instance 1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGVTL0BDRV
Policy instance 6
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUPR0BDRV
Policy instance 5
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUDH0BDRV
Policy instance 4
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUDE0BDRV
Policy instance 3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUC 0BDRV
Policy instance 2
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0BDRV
Policy instance 1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUC 0BDRV
Policy instance 6
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number409670
Policy instance 1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGVTL0BDRV
Policy instance 10
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUPR0BDRV
Policy instance 9
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUDH0BDRV
Policy instance 8
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUDE0BDRV
Policy instance 7
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0BDRV
Policy instance 5
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0593608
Policy instance 4
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number409669
Policy instance 3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number409668
Policy instance 2
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number409669
Policy instance 1
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number409668
Policy instance 2
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number409670
Policy instance 4
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0593608
Policy instance 3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0593608
Policy instance 4
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number409670
Policy instance 3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number409669
Policy instance 2
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number409668
Policy instance 1
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number409670
Policy instance 2
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0593608
Policy instance 4
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number409668
Policy instance 3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number409669
Policy instance 1
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG00611220
Policy instance 1
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG00611220
Policy instance 1
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG00611220
Policy instance 1

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