BEVERLY INDUSTRIES COMPANY HEAL 401k Plan overview
| Plan Name | BEVERLY INDUSTRIES COMPANY HEAL |
| Plan identification number | 501 |
BEVERLY INDUSTRIES COMPANY HEAL Benefits
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits | - Health (other than dental or vision)
- Dental
- Vision
|
401k Sponsoring company profile
BEVERLY INDUSTRIES, LLC has sponsored the creation of one or more 401k plans.
Additional information about BEVERLY INDUSTRIES, LLC
| Jurisdiction of Incorporation: | Michigan Secretary of State |
| Incorporation Date: | 2011-03-08 |
| Company Identification Number: | D55845 |
| Legal Registered Office Address: |
6540 E PALMER AVE DETROIT
United States of America (USA)
48211
|
More information about BEVERLY INDUSTRIES, LLC
Form 5500 Filing Information
Submission information for form 5500 for 401k plan BEVERLY INDUSTRIES COMPANY HEAL
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 501 | 2017-08-01 | | | | |
Plan Statistics for BEVERLY INDUSTRIES COMPANY HEAL
401k plan membership statisitcs for BEVERLY INDUSTRIES COMPANY HEAL
| Measure | Date | Value |
|---|
| 2017: BEVERLY INDUSTRIES COMPANY HEAL 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-08-01 | 121 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-08-01 | 107 |
| Number of retired or separated participants receiving benefits | 2017-08-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2017-08-01 | 0 |
| Total of all active and inactive participants | 2017-08-01 | 108 |
| Number of employers contributing to the scheme | 2017-08-01 | 0 |
Form 5500 Responses for BEVERLY INDUSTRIES COMPANY HEAL
| 2017: BEVERLY INDUSTRIES COMPANY HEAL 2017 form 5500 responses |
|---|
| 2017-08-01 | Type of plan entity | Single employer plan |
| 2017-08-01 | First time form 5500 has been submitted | Yes |
| 2017-08-01 | Plan funding arrangement – Insurance | Yes |
| 2017-08-01 | Plan benefit arrangement – Insurance | Yes |
Insurance Providers Used on plan
| BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 ) |
| Policy contract number | 78C48ERC |
| Policy instance | 1 |
| Insurance contract or identification number | 78C48ERC | | Number of Individuals Covered | 128 | | Insurance policy start date | 2017-08-01 | | Insurance policy end date | 2018-07-31 | | Total amount of commissions paid to insurance broker | USD $23,210 | | Total amount of fees paid to insurance company | USD $12,600 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $685,710 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 469514 |
| Policy instance | 2 |
| Insurance contract or identification number | 469514 | | Number of Individuals Covered | 125 | | Insurance policy start date | 2017-08-01 | | Insurance policy end date | 2018-07-31 | | Total amount of commissions paid to insurance broker | USD $3,520 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $57,556 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
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