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HELENA LABORATORIES CORP CAFETERIA 401k Plan overview

Plan NameHELENA LABORATORIES CORP CAFETERIA
Plan identification number 501

HELENA LABORATORIES CORP CAFETERIA Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Other welfare benefit cover

401k Sponsoring company profile

HELENA LABORATORIES CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:HELENA LABORATORIES CORPORATION
Employer identification number (EIN):741718734
NAIC Classification:339110

Additional information about HELENA LABORATORIES CORPORATION

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1972-05-05
Company Identification Number: 0030621200
Legal Registered Office Address: PO BOX 752

BEAUMONT
United States of America (USA)
77704

More information about HELENA LABORATORIES CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HELENA LABORATORIES CORP CAFETERIA

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-12-01JOE GOLIAS2023-03-24
5012020-12-01 JOE GOLIAS2022-07-18
5012019-12-01 JOE GOLIAS2021-08-30
5012018-12-01
5012017-12-01
5012016-12-01JOE GOLIAS JOE GOLIAS2018-06-13
5012016-12-01 JOE GOLIAS
5012015-12-01JOE GOLIAS
5012015-01-01NOEL BARTLETT NOEL BARTLETT2016-06-29
5012015-01-01NOEL BARTLETT NOEL BARTLETT2017-05-02
5012014-12-01JOE GOLIAS
5012013-12-01JOE GOLIAS
5012012-12-01JOE GOLIAS
5012011-12-01JOE GOLIAS
5012009-12-01JOE GOLIAS
5012008-12-01

Plan Statistics for HELENA LABORATORIES CORP CAFETERIA

401k plan membership statisitcs for HELENA LABORATORIES CORP CAFETERIA

Measure Date Value
2021: HELENA LABORATORIES CORP CAFETERIA 2021 401k membership
Total participants, beginning-of-year2021-12-01227
Total number of active participants reported on line 7a of the Form 55002021-12-01340
Number of retired or separated participants receiving benefits2021-12-0115
Number of other retired or separated participants entitled to future benefits2021-12-010
Total of all active and inactive participants2021-12-01355
2020: HELENA LABORATORIES CORP CAFETERIA 2020 401k membership
Total participants, beginning-of-year2020-12-01227
Total number of active participants reported on line 7a of the Form 55002020-12-01225
Total of all active and inactive participants2020-12-01225
2019: HELENA LABORATORIES CORP CAFETERIA 2019 401k membership
Total participants, beginning-of-year2019-12-01231
Total number of active participants reported on line 7a of the Form 55002019-12-01227
Total of all active and inactive participants2019-12-01227
2018: HELENA LABORATORIES CORP CAFETERIA 2018 401k membership
Total participants, beginning-of-year2018-12-01190
Total number of active participants reported on line 7a of the Form 55002018-12-01231
Number of retired or separated participants receiving benefits2018-12-010
Number of other retired or separated participants entitled to future benefits2018-12-010
Total of all active and inactive participants2018-12-01231
2017: HELENA LABORATORIES CORP CAFETERIA 2017 401k membership
Total participants, beginning-of-year2017-12-01197
Total number of active participants reported on line 7a of the Form 55002017-12-01190
Number of retired or separated participants receiving benefits2017-12-010
Number of other retired or separated participants entitled to future benefits2017-12-010
Total of all active and inactive participants2017-12-01190
2016: HELENA LABORATORIES CORP CAFETERIA 2016 401k membership
Total participants, beginning-of-year2016-12-01198
Total number of active participants reported on line 7a of the Form 55002016-12-01197
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 participants2016-12-01197
2015: HELENA LABORATORIES CORP CAFETERIA 2015 401k membership
Total participants, beginning-of-year2015-12-01200
Total number of active participants reported on line 7a of the Form 55002015-12-01198
Number of retired or separated participants receiving benefits2015-12-010
Number of other retired or separated participants entitled to future benefits2015-12-010
Total of all active and inactive participants2015-12-01198
Total participants, beginning-of-year2015-01-01229
Total number of active participants reported on line 7a of the Form 55002015-01-01222
Total of all active and inactive participants2015-01-01222
2014: HELENA LABORATORIES CORP CAFETERIA 2014 401k membership
Total participants, beginning-of-year2014-12-01205
Total number of active participants reported on line 7a of the Form 55002014-12-01200
Number of retired or separated participants receiving benefits2014-12-010
Number of other retired or separated participants entitled to future benefits2014-12-010
Total of all active and inactive participants2014-12-01200
2013: HELENA LABORATORIES CORP CAFETERIA 2013 401k membership
Total participants, beginning-of-year2013-12-01202
Total number of active participants reported on line 7a of the Form 55002013-12-01205
Total of all active and inactive participants2013-12-01205
2012: HELENA LABORATORIES CORP CAFETERIA 2012 401k membership
Total participants, beginning-of-year2012-12-01207
Total number of active participants reported on line 7a of the Form 55002012-12-01202
Total of all active and inactive participants2012-12-01202
Total participants2012-12-010
2011: HELENA LABORATORIES CORP CAFETERIA 2011 401k membership
Total participants, beginning-of-year2011-12-01216
Total number of active participants reported on line 7a of the Form 55002011-12-01207
Total of all active and inactive participants2011-12-01207
Total participants2011-12-01207
2009: HELENA LABORATORIES CORP CAFETERIA 2009 401k membership
Total participants, beginning-of-year2009-12-01202
Total number of active participants reported on line 7a of the Form 55002009-12-01207
Total of all active and inactive participants2009-12-01207
Total participants2009-12-01207

Financial Data on HELENA LABORATORIES CORP CAFETERIA

Measure Date Value
2019 : HELENA LABORATORIES CORP CAFETERIA 2019 401k financial data
Total income from all sources (including contributions)2019-11-30$2,400,468
Total of all expenses incurred2019-11-30$2,400,468
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-11-30$2,301,583
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-11-30$2,400,468
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-11-30$98,885
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-11-30No
Was this plan covered by a fidelity bond2019-11-30Yes
Value of fidelity bond cover2019-11-30$500,000
If this is an individual account plan, was there a blackout period2019-11-30No
Were there any nonexempt tranactions with any party-in-interest2019-11-30No
Contributions received from participants2019-11-30$1,455,975
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-11-30No
Value of net assets at end of year (total assets less liabilities)2019-11-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-11-30No
Were any leases to which the plan was party in default or uncollectible2019-11-30No
Expenses. Payments to insurance carriers foe the provision of benefits2019-11-30$386,870
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-11-30No
Was there a failure to transmit to the plan any participant contributions2019-11-30No
Has the plan failed to provide any benefit when due under the plan2019-11-30No
Contributions received in cash from employer2019-11-30$944,493
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-11-30$1,914,713
Contract administrator fees2019-11-30$98,885
Did the plan have assets held for investment2019-11-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-11-30No
Opinion of an independent qualified public accountant for this plan2019-11-30Unqualified
Accountancy firm name2019-11-30FMW, P.C., CPA'S
Accountancy firm EIN2019-11-30760154479
2018 : HELENA LABORATORIES CORP CAFETERIA 2018 401k financial data
Total income from all sources (including contributions)2018-11-30$2,355,675
Total of all expenses incurred2018-11-30$2,355,675
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-11-30$2,235,082
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-11-30$2,355,675
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-11-30$120,593
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-11-30No
Was this plan covered by a fidelity bond2018-11-30Yes
Value of fidelity bond cover2018-11-30$500,000
If this is an individual account plan, was there a blackout period2018-11-30No
Were there any nonexempt tranactions with any party-in-interest2018-11-30No
Contributions received from participants2018-11-30$1,364,892
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-11-30No
Value of net assets at end of year (total assets less liabilities)2018-11-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-11-30No
Were any leases to which the plan was party in default or uncollectible2018-11-30No
Expenses. Payments to insurance carriers foe the provision of benefits2018-11-30$328,975
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-11-30No
Was there a failure to transmit to the plan any participant contributions2018-11-30No
Has the plan failed to provide any benefit when due under the plan2018-11-30No
Contributions received in cash from employer2018-11-30$990,783
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-11-30$1,906,107
Contract administrator fees2018-11-30$120,593
Did the plan have assets held for investment2018-11-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-11-30No
Opinion of an independent qualified public accountant for this plan2018-11-30Unqualified
Accountancy firm name2018-11-30FMW, P.C., CPA'S
Accountancy firm EIN2018-11-30760154479
2017 : HELENA LABORATORIES CORP CAFETERIA 2017 401k financial data
Total income from all sources (including contributions)2017-11-30$2,322,609
Total of all expenses incurred2017-11-30$2,322,609
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-11-30$2,322,609
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-11-30$2,322,609
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-11-30No
Was this plan covered by a fidelity bond2017-11-30Yes
Value of fidelity bond cover2017-11-30$500,000
If this is an individual account plan, was there a blackout period2017-11-30No
Were there any nonexempt tranactions with any party-in-interest2017-11-30No
Contributions received from participants2017-11-30$1,348,175
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-11-30No
Value of net assets at end of year (total assets less liabilities)2017-11-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-11-30No
Were any leases to which the plan was party in default or uncollectible2017-11-30No
Expenses. Payments to insurance carriers foe the provision of benefits2017-11-30$445,957
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-11-30No
Was there a failure to transmit to the plan any participant contributions2017-11-30No
Has the plan failed to provide any benefit when due under the plan2017-11-30No
Contributions received in cash from employer2017-11-30$974,434
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-11-30$1,876,652
Did the plan have assets held for investment2017-11-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-11-30No
Opinion of an independent qualified public accountant for this plan2017-11-30Unqualified
Accountancy firm name2017-11-30FMW, P.C., CPA'S
Accountancy firm EIN2017-11-30760154479
2016 : HELENA LABORATORIES CORP CAFETERIA 2016 401k financial data
Total income from all sources (including contributions)2016-11-30$2,254,793
Total of all expenses incurred2016-11-30$2,254,793
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-11-30$2,254,793
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-11-30$2,254,793
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-11-30No
Was this plan covered by a fidelity bond2016-11-30Yes
Value of fidelity bond cover2016-11-30$500,000
If this is an individual account plan, was there a blackout period2016-11-30No
Were there any nonexempt tranactions with any party-in-interest2016-11-30No
Contributions received from participants2016-11-30$1,334,803
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-11-30$150
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-11-30No
Value of net assets at end of year (total assets less liabilities)2016-11-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-11-30No
Were any leases to which the plan was party in default or uncollectible2016-11-30No
Expenses. Payments to insurance carriers foe the provision of benefits2016-11-30$417,593
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-11-30No
Was there a failure to transmit to the plan any participant contributions2016-11-30No
Has the plan failed to provide any benefit when due under the plan2016-11-30No
Contributions received in cash from employer2016-11-30$919,990
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-11-30$1,837,050
Did the plan have assets held for investment2016-11-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-11-30No
Opinion of an independent qualified public accountant for this plan2016-11-30Unqualified
Accountancy firm name2016-11-30FMW, P.C., CPA'S
Accountancy firm EIN2016-11-30760154479
2015 : HELENA LABORATORIES CORP CAFETERIA 2015 401k financial data
Total income from all sources (including contributions)2015-11-30$2,385,833
Total of all expenses incurred2015-11-30$2,385,833
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-11-30$2,385,833
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-11-30$2,385,833
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-11-30No
Was this plan covered by a fidelity bond2015-11-30Yes
Value of fidelity bond cover2015-11-30$500,000
If this is an individual account plan, was there a blackout period2015-11-30No
Were there any nonexempt tranactions with any party-in-interest2015-11-30No
Contributions received from participants2015-11-30$1,446,884
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-11-30No
Value of net assets at end of year (total assets less liabilities)2015-11-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-11-30No
Were any leases to which the plan was party in default or uncollectible2015-11-30No
Expenses. Payments to insurance carriers foe the provision of benefits2015-11-30$420,247
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-11-30No
Was there a failure to transmit to the plan any participant contributions2015-11-30No
Has the plan failed to provide any benefit when due under the plan2015-11-30No
Contributions received in cash from employer2015-11-30$938,949
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-11-30$1,965,586
Did the plan have assets held for investment2015-11-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-11-30No
Opinion of an independent qualified public accountant for this plan2015-11-30Unqualified
Accountancy firm name2015-11-30FMW, P.C., CPA'S
Accountancy firm EIN2015-11-30760154479
2014 : HELENA LABORATORIES CORP CAFETERIA 2014 401k financial data
Total income from all sources (including contributions)2014-11-30$2,107,282
Total of all expenses incurred2014-11-30$2,107,282
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-11-30$2,107,282
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-11-30$2,107,282
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-11-30No
Was this plan covered by a fidelity bond2014-11-30Yes
Value of fidelity bond cover2014-11-30$500,000
If this is an individual account plan, was there a blackout period2014-11-30No
Were there any nonexempt tranactions with any party-in-interest2014-11-30No
Contributions received from participants2014-11-30$880,354
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-11-30$148
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-11-30No
Value of net assets at end of year (total assets less liabilities)2014-11-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-11-30No
Were any leases to which the plan was party in default or uncollectible2014-11-30No
Expenses. Payments to insurance carriers foe the provision of benefits2014-11-30$381,502
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-11-30No
Was there a failure to transmit to the plan any participant contributions2014-11-30No
Has the plan failed to provide any benefit when due under the plan2014-11-30No
Contributions received in cash from employer2014-11-30$1,226,928
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-11-30$1,725,632
Did the plan have assets held for investment2014-11-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-11-30No
Opinion of an independent qualified public accountant for this plan2014-11-30Unqualified
Accountancy firm name2014-11-30FMW, P.C., CPA'S
Accountancy firm EIN2014-11-30760154479
2013 : HELENA LABORATORIES CORP CAFETERIA 2013 401k financial data
Total income from all sources (including contributions)2013-11-30$2,029,932
Total of all expenses incurred2013-11-30$2,029,932
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-11-30$2,029,932
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-11-30$2,029,932
Value of total assets at end of year2013-11-30$0
Were there any nonexempt tranactions with any party-in-interest2013-11-30No
Contributions received from participants2013-11-30$823,302
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-11-30$1,262
Were any loans by the plan or fixed income obligations due to the plan in default2013-11-30No
Were any leases to which the plan was party in default or uncollectible2013-11-30No
Value of interest in common/collective trusts at end of year2013-11-30$0
Expenses. Payments to insurance carriers foe the provision of benefits2013-11-30$361,152
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-11-30No
Has the plan failed to provide any benefit when due under the plan2013-11-30No
Contributions received in cash from employer2013-11-30$1,206,630
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-11-30$1,667,518
Did the plan have assets held for investment2013-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-11-30No
Opinion of an independent qualified public accountant for this plan2013-11-30Unqualified
Accountancy firm name2013-11-30BYRD SMITHEY & ASSOCIATES
Accountancy firm EIN2013-11-30760283386
2012 : HELENA LABORATORIES CORP CAFETERIA 2012 401k financial data
Total income from all sources (including contributions)2012-11-30$1,986,900
Total of all expenses incurred2012-11-30$1,986,900
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-11-30$1,986,900
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-11-30$1,986,900
Were there any nonexempt tranactions with any party-in-interest2012-11-30No
Contributions received from participants2012-11-30$779,451
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-11-30$710
Were any loans by the plan or fixed income obligations due to the plan in default2012-11-30No
Were any leases to which the plan was party in default or uncollectible2012-11-30No
Expenses. Payments to insurance carriers foe the provision of benefits2012-11-30$367,673
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-11-30No
Has the plan failed to provide any benefit when due under the plan2012-11-30No
Contributions received in cash from employer2012-11-30$1,207,449
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-11-30$1,618,517
Did the plan have assets held for investment2012-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-11-30No
Opinion of an independent qualified public accountant for this plan2012-11-30Unqualified
Accountancy firm name2012-11-30BYRD SMITHEY & ASSOCIATES
Accountancy firm EIN2012-11-30760283386

Form 5500 Responses for HELENA LABORATORIES CORP CAFETERIA

2021: HELENA LABORATORIES CORP CAFETERIA 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: HELENA LABORATORIES CORP CAFETERIA 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01Plan funding arrangement – General assets of the sponsorYes
2020-12-01Plan benefit arrangement – InsuranceYes
2019: HELENA LABORATORIES CORP CAFETERIA 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Plan funding arrangement – General assets of the sponsorYes
2019-12-01Plan benefit arrangement – InsuranceYes
2018: HELENA LABORATORIES CORP CAFETERIA 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01Plan funding arrangement – TrustYes
2018-12-01Plan benefit arrangement – InsuranceYes
2017: HELENA LABORATORIES CORP CAFETERIA 2017 form 5500 responses
2017-12-01Type of plan entitySingle employer plan
2017-12-01Plan funding arrangement – TrustYes
2017-12-01Plan benefit arrangement – InsuranceYes
2016: HELENA LABORATORIES CORP CAFETERIA 2016 form 5500 responses
2016-12-01Type of plan entitySingle employer plan
2016-12-01Submission has been amendedYes
2016-12-01Plan funding arrangement – TrustYes
2016-12-01Plan benefit arrangement – InsuranceYes
2015: HELENA LABORATORIES CORP CAFETERIA 2015 form 5500 responses
2015-12-01Type of plan entitySingle employer plan
2015-12-01Plan funding arrangement – TrustYes
2015-12-01Plan benefit arrangement – InsuranceYes
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: HELENA LABORATORIES CORP CAFETERIA 2014 form 5500 responses
2014-12-01Type of plan entitySingle employer plan
2014-12-01Plan funding arrangement – TrustYes
2014-12-01Plan benefit arrangement – InsuranceYes
2013: HELENA LABORATORIES CORP CAFETERIA 2013 form 5500 responses
2013-12-01Type of plan entitySingle employer plan
2013-12-01Plan funding arrangement – TrustYes
2013-12-01Plan benefit arrangement – InsuranceYes
2012: HELENA LABORATORIES CORP CAFETERIA 2012 form 5500 responses
2012-12-01Type of plan entityDFE (Diect Filing Entity)
2012-12-01Plan funding arrangement – TrustYes
2012-12-01Plan benefit arrangement – InsuranceYes
2011: HELENA LABORATORIES CORP CAFETERIA 2011 form 5500 responses
2011-12-01Type of plan entityDFE (Diect Filing Entity)
2011-12-01Plan funding arrangement – TrustYes
2011-12-01Plan benefit arrangement – InsuranceYes
2009: HELENA LABORATORIES CORP CAFETERIA 2009 form 5500 responses
2009-12-01Type of plan entityDFE (Diect Filing Entity)
2009-12-01Plan funding arrangement – TrustYes
2009-12-01Plan benefit arrangement – InsuranceYes
2008: HELENA LABORATORIES CORP CAFETERIA 2008 form 5500 responses
2008-12-01Type of plan entityDFE (Diect Filing Entity)
2008-12-01Submission has been amendedNo
2008-12-01This submission is the final filingNo
2008-12-01This return/report is a short plan year return/report (less than 12 months)No
2008-12-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberG25386
Policy instance 2
Insurance contract or identification numberG25386
Number of Individuals Covered355
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $2,150
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $21,503
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,150
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number25386
Policy instance 1
Insurance contract or identification number25386
Number of Individuals Covered225
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $43,366
Total amount of fees paid to insurance companyUSD $1,392
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
Welfare Benefit Premiums Paid to CarrierUSD $542,645
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $43,366
Amount paid for insurance broker fees1392
Additional information about fees paid to insurance brokerSPECIAL PROGRAM FEES
Insurance broker organization code?3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberG25386
Policy instance 2
Insurance contract or identification numberG25386
Number of Individuals Covered358
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $2,380
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,380
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number25386
Policy instance 1
Insurance contract or identification number25386
Number of Individuals Covered225
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $43,366
Total amount of fees paid to insurance companyUSD $1,392
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $542,645
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $43,366
Amount paid for insurance broker fees1392
Additional information about fees paid to insurance brokerSPECIAL PROGRAM FEES
Insurance broker organization code?3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberG25386
Policy instance 2
Insurance contract or identification numberG25386
Number of Individuals Covered361
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $2,416
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
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 number25386
Policy instance 1
Insurance contract or identification number25386
Number of Individuals Covered227
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $44,079
Total amount of fees paid to insurance companyUSD $2,100
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $397,337
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 number25386
Policy instance 2
Insurance contract or identification number25386
Number of Individuals Covered231
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $46,615
Total amount of fees paid to insurance companyUSD $2,328
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $390,201
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $46,615
Amount paid for insurance broker fees2328
Additional information about fees paid to insurance brokerSPECIAL PROGRAM FEES
Insurance broker organization code?3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberG25386
Policy instance 1
Insurance contract or identification numberG25386
Number of Individuals Covered366
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $2,479
Life Insurance Welfare BenefitYes
Other welfare benefits providedOTHER (SPECIFY) - A.D.& D.
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,479
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number25386
Policy instance 2
Insurance contract or identification number25386
Number of Individuals Covered267
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $48,208
Total amount of fees paid to insurance companyUSD $2,340
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $329,551
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 numberG25386
Policy instance 1
Insurance contract or identification numberG25386
Number of Individuals Covered378
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $2,511
Life Insurance Welfare BenefitYes
Other welfare benefits providedOTHER (SPECIFY) - A.D.& D.
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 number025386
Policy instance 1
Insurance contract or identification number025386
Number of Individuals Covered280
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $51,981
Total amount of fees paid to insurance companyUSD $2,460
Are there contracts with allocated funds for individual policies?No
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
Welfare Benefit Premiums Paid to CarrierUSD $265,296
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $51,981
Amount paid for insurance broker fees2460
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
Insurance broker nameSHERLOCK INSURANCE AGENCY, INC.
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number25386
Policy instance 2
Insurance contract or identification number25386
Number of Individuals Covered280
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $51,981
Total amount of fees paid to insurance companyUSD $2,460
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $265,296
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $51,981
Amount paid for insurance broker fees2460
Additional information about fees paid to insurance brokerSPECIAL PROGRAM FEES
Insurance broker organization code?3
Insurance broker nameSHERLOCK INSURANCE AGENCY, INC.
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberG25386
Policy instance 1
Insurance contract or identification numberG25386
Number of Individuals Covered380
Insurance policy start date2014-12-01
Insurance policy end date2015-11-30
Total amount of commissions paid to insurance brokerUSD $2,441
Life Insurance Welfare BenefitYes
Other welfare benefits providedOTHER (SPECIFY) - A.D.& D.
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,441
Insurance broker organization code?3
Insurance broker nameCRAIG J. SHERLOCK
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberG25386
Policy instance 1
Insurance contract or identification numberG25386
Number of Individuals Covered374
Insurance policy start date2013-12-01
Insurance policy end date2014-11-30
Total amount of commissions paid to insurance brokerUSD $2,495
Life Insurance Welfare BenefitYes
Other welfare benefits providedOTHER (SPECIFY) - A.D.& D.
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,495
Insurance broker organization code?3
Insurance broker nameCRAIG J. SHERLOCK
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number25386
Policy instance 2
Insurance contract or identification number25386
Number of Individuals Covered284
Insurance policy start date2014-02-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $36,357
Total amount of fees paid to insurance companyUSD $2,448
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $220,889
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,357
Amount paid for insurance broker fees2448
Additional information about fees paid to insurance brokerSPECIAL PROGRAM FEES
Insurance broker organization code?3
Insurance broker nameSHERLOCK INSURANCE AGENCY, INC.
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number25386
Policy instance 1
Insurance contract or identification number25386
Number of Individuals Covered280
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $41,438
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $219,060
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $41,438
Insurance broker organization code?3
Insurance broker nameSHERLOCK INSURANCE AGENCY, INC.
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberG25386
Policy instance 2
Insurance contract or identification numberG25386
Number of Individuals Covered394
Insurance policy start date2012-12-01
Insurance policy end date2013-11-30
Total amount of commissions paid to insurance brokerUSD $2,518
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,518
Insurance broker organization code?3
Insurance broker nameCRAIG J SHERLOCK
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberG25386
Policy instance 2
Insurance contract or identification numberG25386
Number of Individuals Covered395
Insurance policy start date2011-12-01
Insurance policy end date2012-11-30
Total amount of commissions paid to insurance brokerUSD $2,353
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
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 number25386
Policy instance 1
Insurance contract or identification number25386
Number of Individuals Covered266
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $42,109
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $232,798
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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