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BOUCHER BROTHERS MANAGEMENT, INC. HEALTH PLAN 401k Plan overview

Plan NameBOUCHER BROTHERS MANAGEMENT, INC. HEALTH PLAN
Plan identification number 501

BOUCHER BROTHERS MANAGEMENT, INC. HEALTH PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

BOUCHER BROTHERS MANAGEMENT, INC. has sponsored the creation of one or more 401k plans.

Company Name:BOUCHER BROTHERS MANAGEMENT, INC.
Employer identification number (EIN):650884415
NAIC Classification:561900

Additional information about BOUCHER BROTHERS MANAGEMENT, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 1998-02-06
Company Identification Number: P98000012190
Legal Registered Office Address: c/o Divine Goodman Rasco & Watts-Fitzgeral

Coral Gables

33134

More information about BOUCHER BROTHERS MANAGEMENT, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BOUCHER BROTHERS MANAGEMENT, INC. HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-12-01ADAM CEDRATI2024-08-29
5012021-12-01ADAM CEDRATI2023-05-31
5012020-12-01ADAM CEDRATI2022-04-20
5012019-12-01ADAM A. CEDRATI2021-03-25
5012018-12-01ADAM CEDRATI2020-06-04
5012017-12-01
5012016-12-01ADAM CEDRATI
5012015-12-01ADAM CEDRATI

Plan Statistics for BOUCHER BROTHERS MANAGEMENT, INC. HEALTH PLAN

401k plan membership statisitcs for BOUCHER BROTHERS MANAGEMENT, INC. HEALTH PLAN

Measure Date Value
2022: BOUCHER BROTHERS MANAGEMENT, INC. HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year2022-12-01150
Total number of active participants reported on line 7a of the Form 55002022-12-01145
Number of retired or separated participants receiving benefits2022-12-011
Number of other retired or separated participants entitled to future benefits2022-12-010
Total of all active and inactive participants2022-12-01146
Number of employers contributing to the scheme2022-12-010
2021: BOUCHER BROTHERS MANAGEMENT, INC. HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-12-01125
Total number of active participants reported on line 7a of the Form 55002021-12-01108
Number of retired or separated participants receiving benefits2021-12-013
Number of other retired or separated participants entitled to future benefits2021-12-010
Total of all active and inactive participants2021-12-01111
Number of employers contributing to the scheme2021-12-010
2020: BOUCHER BROTHERS MANAGEMENT, INC. HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-01111
Total number of active participants reported on line 7a of the Form 55002020-12-01104
Number of retired or separated participants receiving benefits2020-12-010
Number of other retired or separated participants entitled to future benefits2020-12-010
Total of all active and inactive participants2020-12-01104
Number of employers contributing to the scheme2020-12-010
2019: BOUCHER BROTHERS MANAGEMENT, INC. HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-12-01144
Total number of active participants reported on line 7a of the Form 55002019-12-0188
Number of retired or separated participants receiving benefits2019-12-011
Number of other retired or separated participants entitled to future benefits2019-12-010
Total of all active and inactive participants2019-12-0189
Number of employers contributing to the scheme2019-12-010
2018: BOUCHER BROTHERS MANAGEMENT, INC. HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-12-01146
Total number of active participants reported on line 7a of the Form 55002018-12-01135
Number of retired or separated participants receiving benefits2018-12-011
Number of other retired or separated participants entitled to future benefits2018-12-010
Total of all active and inactive participants2018-12-01136
Number of employers contributing to the scheme2018-12-010
2017: BOUCHER BROTHERS MANAGEMENT, INC. HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-12-01191
Total number of active participants reported on line 7a of the Form 55002017-12-01142
Number of retired or separated participants receiving benefits2017-12-011
Number of other retired or separated participants entitled to future benefits2017-12-010
Total of all active and inactive participants2017-12-01143
2016: BOUCHER BROTHERS MANAGEMENT, INC. HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-12-01164
Total number of active participants reported on line 7a of the Form 55002016-12-01128
Number of retired or separated participants receiving benefits2016-12-010
Number of other retired or separated participants entitled to future benefits2016-12-010
Total of all active and inactive participants2016-12-01128
2015: BOUCHER BROTHERS MANAGEMENT, INC. HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-12-01130
Total number of active participants reported on line 7a of the Form 55002015-12-01109
Number of retired or separated participants receiving benefits2015-12-012
Number of other retired or separated participants entitled to future benefits2015-12-010
Total of all active and inactive participants2015-12-01111

Form 5500 Responses for BOUCHER BROTHERS MANAGEMENT, INC. HEALTH PLAN

2022: BOUCHER BROTHERS MANAGEMENT, INC. HEALTH PLAN 2022 form 5500 responses
2022-12-01Type of plan entitySingle employer plan
2022-12-01Plan funding arrangement – InsuranceYes
2022-12-01Plan benefit arrangement – InsuranceYes
2021: BOUCHER BROTHERS MANAGEMENT, INC. HEALTH PLAN 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan benefit arrangement – InsuranceYes
2020: BOUCHER BROTHERS MANAGEMENT, INC. HEALTH PLAN 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – InsuranceYes
2019: BOUCHER BROTHERS MANAGEMENT, INC. HEALTH PLAN 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan benefit arrangement – InsuranceYes
2018: BOUCHER BROTHERS MANAGEMENT, INC. HEALTH PLAN 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan benefit arrangement – InsuranceYes
2017: BOUCHER BROTHERS MANAGEMENT, INC. HEALTH PLAN 2017 form 5500 responses
2017-12-01Type of plan entitySingle employer plan
2017-12-01Submission has been amendedNo
2017-12-01This submission is the final filingNo
2017-12-01This return/report is a short plan year return/report (less than 12 months)No
2017-12-01Plan is a collectively bargained planNo
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan benefit arrangement – InsuranceYes
2016: BOUCHER BROTHERS MANAGEMENT, INC. HEALTH PLAN 2016 form 5500 responses
2016-12-01Type of plan entitySingle employer plan
2016-12-01Submission has been amendedNo
2016-12-01This submission is the final filingNo
2016-12-01This return/report is a short plan year return/report (less than 12 months)No
2016-12-01Plan is a collectively bargained planNo
2016-12-01Plan funding arrangement – InsuranceYes
2016-12-01Plan benefit arrangement – InsuranceYes
2015: BOUCHER BROTHERS MANAGEMENT, INC. HEALTH PLAN 2015 form 5500 responses
2015-12-01Type of plan entitySingle employer plan
2015-12-01First time form 5500 has been submittedYes
2015-12-01Submission has been amendedNo
2015-12-01This submission is the final filingNo
2015-12-01This return/report is a short plan year return/report (less than 12 months)No
2015-12-01Plan is a collectively bargained planNo
2015-12-01Plan funding arrangement – InsuranceYes
2015-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract numberB7766
Policy instance 1
Insurance contract or identification numberB7766
Number of Individuals Covered145
Insurance policy start date2022-12-01
Insurance policy end date2023-11-30
Total amount of commissions paid to insurance brokerUSD $75,043
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $75,043
Amount paid for insurance broker fees0
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract numberB7766
Policy instance 1
Insurance contract or identification numberB7766
Number of Individuals Covered124
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $55,157
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $55,157
Amount paid for insurance broker fees0
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract numberB7766
Policy instance 1
Insurance contract or identification numberB7766
Number of Individuals Covered101
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $42,141
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $42,141
Amount paid for insurance broker fees0
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract numberB7766
Policy instance 1
Insurance contract or identification numberB7766
Number of Individuals Covered89
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $38,963
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $38,963
Amount paid for insurance broker fees0
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract numberB7766
Policy instance 1
Insurance contract or identification numberB7766
Number of Individuals Covered132
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $46,989
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $46,989
Amount paid for insurance broker fees0
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract numberB7766
Policy instance 1
Insurance contract or identification numberB7766
Number of Individuals Covered143
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $54,709
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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