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MISKELLY FURNITURE WAREHOUSE, INC. WELFARE PLAN 401k Plan overview

Plan NameMISKELLY FURNITURE WAREHOUSE, INC. WELFARE PLAN
Plan identification number 501

MISKELLY FURNITURE WAREHOUSE, INC. WELFARE PLAN Benefits

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

401k Sponsoring company profile

MISKELLY FURNITURE WAREHOUSE, INC. has sponsored the creation of one or more 401k plans.

Company Name:MISKELLY FURNITURE WAREHOUSE, INC.
Employer identification number (EIN):640616673
NAIC Classification:442110
NAIC Description:Furniture Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MISKELLY FURNITURE WAREHOUSE, INC. WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-09-01
5012017-09-01
5012016-09-01OSCAR MISKELLY OSCAR MISKELLY2018-06-15
5012015-09-01OSCAR MISKELLY OSCAR MISKELLY2017-01-18
5012014-09-01OSCAR MISKELLY OSCAR MISKELLY2016-01-13
5012013-09-01OSCAR MISKELLY OSCAR MISKELLY2015-01-06
5012012-09-01OSCAR MISKELLY OSCAR MISKELLY2014-01-10
5012011-09-01OSCAR MISKELLY OSCAR MISKELLY2012-12-12
5012009-09-01OSCAR MISKELLY OSCAR MISKELLY2011-01-12

Plan Statistics for MISKELLY FURNITURE WAREHOUSE, INC. WELFARE PLAN

401k plan membership statisitcs for MISKELLY FURNITURE WAREHOUSE, INC. WELFARE PLAN

Measure Date Value
2017: MISKELLY FURNITURE WAREHOUSE, INC. WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-09-01186
Total number of active participants reported on line 7a of the Form 55002017-09-01175
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 participants2017-09-01175
2016: MISKELLY FURNITURE WAREHOUSE, INC. WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-09-01186
Total number of active participants reported on line 7a of the Form 55002016-09-01186
Total of all active and inactive participants2016-09-01186
2015: MISKELLY FURNITURE WAREHOUSE, INC. WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-09-01190
Total number of active participants reported on line 7a of the Form 55002015-09-01190
Total of all active and inactive participants2015-09-01190
2014: MISKELLY FURNITURE WAREHOUSE, INC. WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-09-01174
Total number of active participants reported on line 7a of the Form 55002014-09-01174
Total of all active and inactive participants2014-09-01174
2013: MISKELLY FURNITURE WAREHOUSE, INC. WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-09-01169
Total number of active participants reported on line 7a of the Form 55002013-09-01169
Total of all active and inactive participants2013-09-01169
2012: MISKELLY FURNITURE WAREHOUSE, INC. WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-09-01159
Total number of active participants reported on line 7a of the Form 55002012-09-01159
Total of all active and inactive participants2012-09-01159
2011: MISKELLY FURNITURE WAREHOUSE, INC. WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-09-01161
Total number of active participants reported on line 7a of the Form 55002011-09-01161
Total of all active and inactive participants2011-09-01161
2009: MISKELLY FURNITURE WAREHOUSE, INC. WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-09-01183
Total number of active participants reported on line 7a of the Form 55002009-09-01171
Total of all active and inactive participants2009-09-01171
Total participants2009-09-010

Form 5500 Responses for MISKELLY FURNITURE WAREHOUSE, INC. WELFARE PLAN

2017: MISKELLY FURNITURE WAREHOUSE, INC. WELFARE PLAN 2017 form 5500 responses
2017-09-01Type of plan entitySingle employer plan
2017-09-01Submission has been amendedNo
2017-09-01This submission is the final filingNo
2017-09-01This return/report is a short plan year return/report (less than 12 months)No
2017-09-01Plan is a collectively bargained planNo
2017-09-01Plan funding arrangement – InsuranceYes
2017-09-01Plan benefit arrangement – InsuranceYes
2016: MISKELLY FURNITURE WAREHOUSE, INC. WELFARE PLAN 2016 form 5500 responses
2016-09-01Type of plan entitySingle employer plan
2016-09-01Submission has been amendedNo
2016-09-01This submission is the final filingNo
2016-09-01This return/report is a short plan year return/report (less than 12 months)No
2016-09-01Plan is a collectively bargained planNo
2016-09-01Plan funding arrangement – InsuranceYes
2016-09-01Plan benefit arrangement – InsuranceYes
2015: MISKELLY FURNITURE WAREHOUSE, INC. WELFARE PLAN 2015 form 5500 responses
2015-09-01Type of plan entitySingle employer plan
2015-09-01Submission has been amendedNo
2015-09-01This submission is the final filingNo
2015-09-01This return/report is a short plan year return/report (less than 12 months)No
2015-09-01Plan is a collectively bargained planNo
2015-09-01Plan funding arrangement – InsuranceYes
2015-09-01Plan benefit arrangement – InsuranceYes
2014: MISKELLY FURNITURE WAREHOUSE, INC. WELFARE PLAN 2014 form 5500 responses
2014-09-01Type of plan entitySingle employer plan
2014-09-01Submission has been amendedNo
2014-09-01This submission is the final filingNo
2014-09-01This return/report is a short plan year return/report (less than 12 months)No
2014-09-01Plan is a collectively bargained planNo
2014-09-01Plan funding arrangement – InsuranceYes
2014-09-01Plan benefit arrangement – InsuranceYes
2013: MISKELLY FURNITURE WAREHOUSE, INC. WELFARE PLAN 2013 form 5500 responses
2013-09-01Type of plan entitySingle employer plan
2013-09-01Submission has been amendedNo
2013-09-01This submission is the final filingNo
2013-09-01This return/report is a short plan year return/report (less than 12 months)No
2013-09-01Plan is a collectively bargained planNo
2013-09-01Plan funding arrangement – InsuranceYes
2013-09-01Plan benefit arrangement – InsuranceYes
2012: MISKELLY FURNITURE WAREHOUSE, INC. WELFARE PLAN 2012 form 5500 responses
2012-09-01Type of plan entitySingle employer plan
2012-09-01Submission has been amendedNo
2012-09-01This submission is the final filingNo
2012-09-01This return/report is a short plan year return/report (less than 12 months)No
2012-09-01Plan is a collectively bargained planNo
2012-09-01Plan funding arrangement – InsuranceYes
2012-09-01Plan benefit arrangement – InsuranceYes
2011: MISKELLY FURNITURE WAREHOUSE, INC. WELFARE PLAN 2011 form 5500 responses
2011-09-01Type of plan entitySingle employer plan
2011-09-01Submission has been amendedNo
2011-09-01This submission is the final filingNo
2011-09-01This return/report is a short plan year return/report (less than 12 months)No
2011-09-01Plan is a collectively bargained planNo
2011-09-01Plan funding arrangement – InsuranceYes
2011-09-01Plan benefit arrangement – InsuranceYes
2009: MISKELLY FURNITURE WAREHOUSE, INC. WELFARE PLAN 2009 form 5500 responses
2009-09-01Type of plan entitySingle employer plan
2009-09-01Submission has been amendedNo
2009-09-01This submission is the final filingNo
2009-09-01This return/report is a short plan year return/report (less than 12 months)No
2009-09-01Plan is a collectively bargained planNo
2009-09-01Plan funding arrangement – InsuranceYes
2009-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number867087G
Policy instance 1
Insurance contract or identification number867087G
Number of Individuals Covered175
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $13,111
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $87,410
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number867087G
Policy instance 1
Insurance contract or identification number867087G
Number of Individuals Covered190
Insurance policy start date2015-09-01
Insurance policy end date2016-08-31
Total amount of commissions paid to insurance brokerUSD $13,053
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $87,018
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,053
Insurance broker organization code?3
Insurance broker nameCARL BOUTWELL
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number867087G
Policy instance 1
Insurance contract or identification number867087G
Number of Individuals Covered174
Insurance policy start date2014-09-01
Insurance policy end date2015-08-31
Total amount of commissions paid to insurance brokerUSD $11,491
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $76,606
Commission paid to Insurance BrokerUSD $11,491
Insurance broker organization code?3
Insurance broker nameCARL BOUTWELL
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number867087G
Policy instance 1
Insurance contract or identification number867087G
Number of Individuals Covered169
Insurance policy start date2013-09-01
Insurance policy end date2014-08-31
Total amount of commissions paid to insurance brokerUSD $11,865
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $79,102
Commission paid to Insurance BrokerUSD $11,865
Insurance broker organization code?3
Insurance broker nameCARL BOUTWELL
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number867087G
Policy instance 1
Insurance contract or identification number867087G
Number of Individuals Covered159
Insurance policy start date2012-09-01
Insurance policy end date2013-08-31
Total amount of commissions paid to insurance brokerUSD $11,411
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $76,073
Commission paid to Insurance BrokerUSD $11,411
Insurance broker organization code?3
Insurance broker nameCARL BOUTWELL
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number867087G
Policy instance 1
Insurance contract or identification number867087G
Number of Individuals Covered161
Insurance policy start date2011-09-01
Insurance policy end date2012-08-31
Total amount of commissions paid to insurance brokerUSD $10,527
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $70,181
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number867087G
Policy instance 1
Insurance contract or identification number867087G
Number of Individuals Covered161
Insurance policy start date2010-09-01
Insurance policy end date2011-08-31
Total amount of commissions paid to insurance brokerUSD $10,663
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $71,150

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