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STAR SHUTTLE HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameSTAR SHUTTLE HEALTH AND WELFARE PLAN
Plan identification number 501

STAR SHUTTLE HEALTH AND WELFARE PLAN Benefits

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

STAR SHUTTLE, INC. has sponsored the creation of one or more 401k plans.

Company Name:STAR SHUTTLE, INC.
Employer identification number (EIN):742624739
NAIC Classification:485990

Additional information about STAR SHUTTLE, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1992-02-13
Company Identification Number: 0122150100
Legal Registered Office Address: PO BOX 17967

SAN ANTONIO
United States of America (USA)
78217

More information about STAR SHUTTLE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan STAR SHUTTLE HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012018-06-01CHRISTINA CASAS2019-12-31
5012017-06-01
5012016-06-01
5012015-06-01CHRSITINA CASAS

Plan Statistics for STAR SHUTTLE HEALTH AND WELFARE PLAN

401k plan membership statisitcs for STAR SHUTTLE HEALTH AND WELFARE PLAN

Measure Date Value
2018: STAR SHUTTLE HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-06-01135
Total number of active participants reported on line 7a of the Form 55002018-06-0187
Number of retired or separated participants receiving benefits2018-06-010
Number of other retired or separated participants entitled to future benefits2018-06-010
Total of all active and inactive participants2018-06-0187
Number of employers contributing to the scheme2018-06-010
2017: STAR SHUTTLE HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-06-01132
Total number of active participants reported on line 7a of the Form 55002017-06-01132
Number of retired or separated participants receiving benefits2017-06-010
Number of other retired or separated participants entitled to future benefits2017-06-010
Total of all active and inactive participants2017-06-01132
Number of employers contributing to the scheme2017-06-010
2016: STAR SHUTTLE HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-06-01130
Total number of active participants reported on line 7a of the Form 55002016-06-01132
Number of retired or separated participants receiving benefits2016-06-010
Number of other retired or separated participants entitled to future benefits2016-06-010
Total of all active and inactive participants2016-06-01132
2015: STAR SHUTTLE HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-06-01130
Total number of active participants reported on line 7a of the Form 55002015-06-01132
Number of retired or separated participants receiving benefits2015-06-010
Number of other retired or separated participants entitled to future benefits2015-06-010
Total of all active and inactive participants2015-06-01132

Form 5500 Responses for STAR SHUTTLE HEALTH AND WELFARE PLAN

2018: STAR SHUTTLE HEALTH AND WELFARE PLAN 2018 form 5500 responses
2018-06-01Type of plan entitySingle employer plan
2018-06-01Plan funding arrangement – InsuranceYes
2018-06-01Plan funding arrangement – General assets of the sponsorYes
2018-06-01Plan benefit arrangement – InsuranceYes
2018-06-01Plan benefit arrangement – General assets of the sponsorYes
2017: STAR SHUTTLE HEALTH AND WELFARE PLAN 2017 form 5500 responses
2017-06-01Type of plan entitySingle employer plan
2017-06-01Plan funding arrangement – InsuranceYes
2017-06-01Plan funding arrangement – General assets of the sponsorYes
2017-06-01Plan benefit arrangement – InsuranceYes
2017-06-01Plan benefit arrangement – General assets of the sponsorYes
2016: STAR SHUTTLE HEALTH AND WELFARE PLAN 2016 form 5500 responses
2016-06-01Type of plan entitySingle employer plan
2016-06-01Submission has been amendedNo
2016-06-01This submission is the final filingNo
2016-06-01This return/report is a short plan year return/report (less than 12 months)No
2016-06-01Plan is a collectively bargained planNo
2016-06-01Plan funding arrangement – InsuranceYes
2016-06-01Plan funding arrangement – General assets of the sponsorYes
2016-06-01Plan benefit arrangement – InsuranceYes
2016-06-01Plan benefit arrangement – General assets of the sponsorYes
2015: STAR SHUTTLE HEALTH AND WELFARE PLAN 2015 form 5500 responses
2015-06-01Type of plan entitySingle employer plan
2015-06-01First time form 5500 has been submittedYes
2015-06-01Submission has been amendedNo
2015-06-01This submission is the final filingNo
2015-06-01This return/report is a short plan year return/report (less than 12 months)No
2015-06-01Plan is a collectively bargained planNo
2015-06-01Plan funding arrangement – InsuranceYes
2015-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number171838
Policy instance 1
Insurance contract or identification number171838
Number of Individuals Covered30
Insurance policy start date2018-06-01
Insurance policy end date2019-05-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $338
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $344,520
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees338
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5480717
Policy instance 2
Insurance contract or identification number5480717
Number of Individuals Covered49
Insurance policy start date2018-06-01
Insurance policy end date2019-05-30
Total amount of commissions paid to insurance brokerUSD $9,999
Total amount of fees paid to insurance companyUSD $2,236
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, HOSPITAL, CANCER
Welfare Benefit Premiums Paid to CarrierUSD $74,555
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,999
Amount paid for insurance broker fees2236
Additional information about fees paid to insurance brokerBONUS COMMISSIONS
Insurance broker organization code?3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF015221
Policy instance 3
Insurance contract or identification numberF015221
Number of Individuals Covered23
Insurance policy start date2018-06-01
Insurance policy end date2019-05-30
Total amount of commissions paid to insurance brokerUSD $5,191
Total amount of fees paid to insurance companyUSD $2,763
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $34,825
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,191
Amount paid for insurance broker fees2763
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
UNITED DENTAL CARE OF TEXAS INC (National Association of Insurance Commissioners NAIC id number: 95142 )
Policy contract number5480717
Policy instance 4
Insurance contract or identification number5480717
Number of Individuals Covered12
Insurance policy start date2018-06-01
Insurance policy end date2019-05-31
Total amount of commissions paid to insurance brokerUSD $409
Total amount of fees paid to insurance companyUSD $55
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,091
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $409
Amount paid for insurance broker fees55
Additional information about fees paid to insurance brokerBONUS COMMISIONS
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number171838
Policy instance 1
Insurance contract or identification number171838
Number of Individuals Covered58
Insurance policy start date2017-06-01
Insurance policy end date2018-05-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $3,630
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $451,638
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5480717
Policy instance 2
Insurance contract or identification number5480717
Number of Individuals Covered121
Insurance policy start date2017-06-01
Insurance policy end date2018-05-30
Total amount of commissions paid to insurance brokerUSD $13,015
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, CANCER
Welfare Benefit Premiums Paid to CarrierUSD $95,260
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 numberF015221
Policy instance 3
Insurance contract or identification numberF015221
Number of Individuals Covered74
Insurance policy start date2017-06-01
Insurance policy end date2018-05-30
Total amount of commissions paid to insurance brokerUSD $7,212
Total amount of fees paid to insurance companyUSD $1,283
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $48,976
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED DENTAL CARE OF TEXAS INC (National Association of Insurance Commissioners NAIC id number: 95142 )
Policy contract number5480717
Policy instance 4
Insurance contract or identification number5480717
Number of Individuals Covered12
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $269
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,693
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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