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TVC PRO-DRIVER, INC. WELFARE BENEFIT PLAN 401k Plan overview

Plan NameTVC PRO-DRIVER, INC. WELFARE BENEFIT PLAN
Plan identification number 501

TVC PRO-DRIVER, INC. WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Prepaid legal
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

TVC PRO-DRIVER, INC. has sponsored the creation of one or more 401k plans.

Company Name:TVC PRO-DRIVER, INC.
Employer identification number (EIN):731348352
NAIC Classification:488990

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TVC PRO-DRIVER, INC. WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-12-01MADEA YAGMUR2024-09-06
5012022-12-01MADEA YAGMUR2024-07-02
5012021-12-01
5012021-12-01MADEA YAGMUR
5012020-12-01

Plan Statistics for TVC PRO-DRIVER, INC. WELFARE BENEFIT PLAN

401k plan membership statisitcs for TVC PRO-DRIVER, INC. WELFARE BENEFIT PLAN

Measure Date Value
2023: TVC PRO-DRIVER, INC. WELFARE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year2023-12-010
Total number of active participants reported on line 7a of the Form 55002023-12-010
Number of retired or separated participants receiving benefits2023-12-010
Number of other retired or separated participants entitled to future benefits2023-12-010
Total of all active and inactive participants2023-12-010
Number of employers contributing to the scheme2023-12-010
2022: TVC PRO-DRIVER, INC. WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-12-01233
Total number of active participants reported on line 7a of the Form 55002022-12-01233
Number of retired or separated participants receiving benefits2022-12-010
Number of other retired or separated participants entitled to future benefits2022-12-010
Total of all active and inactive participants2022-12-01233
Number of employers contributing to the scheme2022-12-010
2021: TVC PRO-DRIVER, INC. WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-12-01117
Total number of active participants reported on line 7a of the Form 55002021-12-01230
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 participants2021-12-01233
2020: TVC PRO-DRIVER, INC. WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-01137
Total number of active participants reported on line 7a of the Form 55002020-12-01117
Number of retired or separated participants receiving benefits2020-12-0137
Number of other retired or separated participants entitled to future benefits2020-12-010
Total of all active and inactive participants2020-12-01154

Form 5500 Responses for TVC PRO-DRIVER, INC. WELFARE BENEFIT PLAN

2023: TVC PRO-DRIVER, INC. WELFARE BENEFIT PLAN 2023 form 5500 responses
2023-12-01Type of plan entitySingle employer plan
2023-12-01This submission is the final filingYes
2023-12-01This return/report is a short plan year return/report (less than 12 months)Yes
2023-12-01Plan funding arrangement – InsuranceYes
2023-12-01Plan funding arrangement – General assets of the sponsorYes
2023-12-01Plan benefit arrangement – InsuranceYes
2023-12-01Plan benefit arrangement – General assets of the sponsorYes
2022: TVC PRO-DRIVER, INC. WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-12-01Type of plan entitySingle employer plan
2022-12-01Plan funding arrangement – InsuranceYes
2022-12-01Plan funding arrangement – General assets of the sponsorYes
2022-12-01Plan benefit arrangement – InsuranceYes
2022-12-01Plan benefit arrangement – General assets of the sponsorYes
2021: TVC PRO-DRIVER, INC. WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01Submission has been amendedNo
2021-12-01This submission is the final filingNo
2021-12-01This return/report is a short plan year return/report (less than 12 months)No
2021-12-01Plan is a collectively bargained planNo
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan funding arrangement – General assets of the sponsorYes
2021-12-01Plan benefit arrangement – InsuranceYes
2021-12-01Plan benefit arrangement – General assets of the sponsorYes
2020: TVC PRO-DRIVER, INC. WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01First time form 5500 has been submittedYes
2020-12-01Submission has been amendedNo
2020-12-01This submission is the final filingNo
2020-12-01This return/report is a short plan year return/report (less than 12 months)No
2020-12-01Plan is a collectively bargained planNo
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan funding arrangement – General assets of the sponsorYes
2020-12-01Plan benefit arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

PRE-PAID LEGAL SERVICES DBA LEGAL SHIELD (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number302701
Policy instance 4
Insurance contract or identification number302701
Number of Individuals Covered53
Insurance policy start date2023-12-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $86
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedLEGAL
Welfare Benefit Premiums Paid to CarrierUSD $851
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberAGC0000173493
Policy instance 3
Insurance contract or identification numberAGC0000173493
Number of Individuals Covered65
Insurance policy start date2023-12-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $451
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $1,802
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF024976
Policy instance 2
Insurance contract or identification numberF024976
Number of Individuals Covered239
Insurance policy start date2023-12-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $901
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $8,751
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberY0830C
Policy instance 1
Insurance contract or identification numberY0830C
Number of Individuals Covered280
Insurance policy start date2023-12-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $7,407
Total amount of fees paid to insurance companyUSD $2,048
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $136,944
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRE-PAID LEGAL SERVICES DBA LEGAL SHIELD (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number302701
Policy instance 5
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberKKA12
Policy instance 4
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract numberAGC0000173493
Policy instance 3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF024976
Policy instance 2
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberY0830C
Policy instance 1
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF024976
Policy instance 3
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract numberAGC0000173493
Policy instance 2
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberY0830C
Policy instance 1
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberKKA12
Policy instance 4
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number173493
Policy instance 3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF024976
Policy instance 2
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberY0830C
Policy instance 1

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