ABC AUTO PARTS, LTD. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N
401k plan membership statisitcs for ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N
| Measure | Date | Value |
|---|
| 2023: ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2023 401k membership |
|---|
| Total participants, beginning-of-year | 2023-02-01 | 258 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-02-01 | 378 |
| Number of retired or separated participants receiving benefits | 2023-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2023-02-01 | 0 |
| Total of all active and inactive participants | 2023-02-01 | 378 |
| 2022: ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-02-01 | 288 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-02-01 | 258 |
| Number of retired or separated participants receiving benefits | 2022-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-02-01 | 0 |
| Total of all active and inactive participants | 2022-02-01 | 258 |
| 2021: ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-02-01 | 299 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-02-01 | 287 |
| Number of retired or separated participants receiving benefits | 2021-02-01 | 1 |
| Total of all active and inactive participants | 2021-02-01 | 288 |
| Total participants | 2021-02-01 | 288 |
| 2020: ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-02-01 | 294 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-02-01 | 298 |
| Number of other retired or separated participants entitled to future benefits | 2020-02-01 | 1 |
| Total of all active and inactive participants | 2020-02-01 | 299 |
| Total participants | 2020-02-01 | 299 |
| 2019: ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-02-01 | 284 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-02-01 | 293 |
| Number of retired or separated participants receiving benefits | 2019-02-01 | 1 |
| Total of all active and inactive participants | 2019-02-01 | 294 |
| Total participants | 2019-02-01 | 294 |
| 2018: ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-02-01 | 261 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-02-01 | 284 |
| Total of all active and inactive participants | 2018-02-01 | 284 |
| Total participants | 2018-02-01 | 284 |
| 2017: ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-02-01 | 263 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-02-01 | 260 |
| Number of retired or separated participants receiving benefits | 2017-02-01 | 1 |
| Total of all active and inactive participants | 2017-02-01 | 261 |
| Total participants | 2017-02-01 | 261 |
| 2016: ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-02-01 | 213 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-02-01 | 228 |
| Total of all active and inactive participants | 2016-02-01 | 228 |
| Total participants | 2016-02-01 | 228 |
| 2015: ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-02-01 | 224 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-02-01 | 213 |
| Total of all active and inactive participants | 2015-02-01 | 213 |
| Total participants | 2015-02-01 | 0 |
| Total participants, beginning-of-year | 2015-01-01 | 349 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 338 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-01-01 | 0 |
| Total of all active and inactive participants | 2015-01-01 | 338 |
| Total participants | 2015-01-01 | 338 |
| 2014: ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-02-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-02-01 | 0 |
| Total of all active and inactive participants | 2014-02-01 | 0 |
| Total participants | 2014-02-01 | 0 |
| Total participants, beginning-of-year | 2014-01-01 | 354 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 349 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 0 |
| Total of all active and inactive participants | 2014-01-01 | 349 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2014-01-01 | 0 |
| 2013: ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-02-01 | 72 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-02-01 | 72 |
| Total of all active and inactive participants | 2013-02-01 | 72 |
| Total participants, beginning-of-year | 2013-01-01 | 353 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 354 |
| Number of retired or separated participants receiving benefits | 2013-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2013-01-01 | 0 |
| Total of all active and inactive participants | 2013-01-01 | 354 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2013-01-01 | 0 |
| 2012: ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-02-01 | 71 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-02-01 | 72 |
| Total of all active and inactive participants | 2012-02-01 | 72 |
| Total participants, beginning-of-year | 2012-01-01 | 340 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 351 |
| Number of retired or separated participants receiving benefits | 2012-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-01-01 | 0 |
| Total of all active and inactive participants | 2012-01-01 | 351 |
| 2011: ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-02-01 | 71 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-02-01 | 71 |
| Total of all active and inactive participants | 2011-02-01 | 71 |
| 2009: ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-02-01 | 74 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-02-01 | 69 |
| Total of all active and inactive participants | 2009-02-01 | 69 |
| Measure | Date | Value |
|---|
| 2015 : ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2015 401k financial data |
|---|
| Total income from all sources (including contributions) | 2015-01-31 | $1,751,139 |
| Total of all expenses incurred | 2015-01-31 | $1,751,621 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-01-31 | $1,560,490 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-01-31 | $1,751,139 |
| Value of total assets at end of year | 2015-01-31 | $320 |
| Value of total assets at beginning of year | 2015-01-31 | $802 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-01-31 | $191,131 |
| Total income from all sources | 2015-01-31 | $43,860 |
| Expenses. Total of all expenses incurred | 2015-01-31 | $96,340 |
| Benefits paid (including direct rollovers) | 2015-01-31 | $81,132 |
| Total plan assets at end of year | 2015-01-31 | $320 |
| Total plan assets at beginning of year | 2015-01-31 | $52,800 |
| Expenses. Other expenses not covered elsewhere | 2015-01-31 | $15,208 |
| Net income (gross income less expenses) | 2015-01-31 | $-52,480 |
| Net plan assets at end of year (total assets less liabilities) | 2015-01-31 | $320 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-01-31 | $52,800 |
| Total contributions received or receivable from employer(s) | 2015-01-31 | $43,860 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-01-31 | No |
| Was this plan covered by a fidelity bond | 2015-01-31 | Yes |
| Value of fidelity bond cover | 2015-01-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2015-01-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-01-31 | No |
| Contributions received from participants | 2015-01-31 | $685,278 |
| Total non interest bearing cash at end of year | 2015-01-31 | $320 |
| Total non interest bearing cash at beginning of year | 2015-01-31 | $802 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-01-31 | No |
| Value of net income/loss | 2015-01-31 | $-482 |
| Value of net assets at end of year (total assets less liabilities) | 2015-01-31 | $320 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-01-31 | $802 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-01-31 | No |
| Value of interest in common/collective trusts at end of year | 2015-01-31 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-01-31 | $609,170 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2015-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-01-31 | No |
| Contributions received in cash from employer | 2015-01-31 | $1,065,861 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-01-31 | $951,320 |
| Contract administrator fees | 2015-01-31 | $191,131 |
| Did the plan have assets held for investment | 2015-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-01-31 | Unqualified |
| Accountancy firm name | 2015-01-31 | CURTIS BLAKELY & CO., PC |
| Accountancy firm EIN | 2015-01-31 | 751546734 |
| 2014 : ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2014 401k financial data |
|---|
| Total income from all sources | 2014-01-31 | $1,734,937 |
| Expenses. Total of all expenses incurred | 2014-01-31 | $1,683,957 |
| Benefits paid (including direct rollovers) | 2014-01-31 | $1,637,079 |
| Total plan assets at end of year | 2014-01-31 | $52,800 |
| Total plan assets at beginning of year | 2014-01-31 | $1,820 |
| Expenses. Other expenses not covered elsewhere | 2014-01-31 | $46,878 |
| Net income (gross income less expenses) | 2014-01-31 | $50,980 |
| Net plan assets at end of year (total assets less liabilities) | 2014-01-31 | $52,800 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-01-31 | $1,820 |
| Total contributions received or receivable from employer(s) | 2014-01-31 | $1,734,937 |
| 2013 : ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2013 401k financial data |
|---|
| Total income from all sources | 2013-01-31 | $1,652,149 |
| Expenses. Total of all expenses incurred | 2013-01-31 | $1,661,353 |
| Benefits paid (including direct rollovers) | 2013-01-31 | $1,621,130 |
| Total plan assets at end of year | 2013-01-31 | $1,820 |
| Total plan assets at beginning of year | 2013-01-31 | $11,024 |
| Expenses. Other expenses not covered elsewhere | 2013-01-31 | $40,223 |
| Other income received | 2013-01-31 | $305,270 |
| Net income (gross income less expenses) | 2013-01-31 | $-9,204 |
| Net plan assets at end of year (total assets less liabilities) | 2013-01-31 | $1,820 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-01-31 | $11,024 |
| Total contributions received or receivable from employer(s) | 2013-01-31 | $1,346,879 |
| 2012 : ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2012 401k financial data |
|---|
| Total plan liabilities at beginning of year | 2012-01-31 | $28,625 |
| Total income from all sources | 2012-01-31 | $1,885,092 |
| Expenses. Total of all expenses incurred | 2012-01-31 | $1,874,068 |
| Benefits paid (including direct rollovers) | 2012-01-31 | $1,835,751 |
| Total plan assets at end of year | 2012-01-31 | $11,024 |
| Total plan assets at beginning of year | 2012-01-31 | $28,625 |
| Other income received | 2012-01-31 | $561,445 |
| Net income (gross income less expenses) | 2012-01-31 | $11,024 |
| Net plan assets at end of year (total assets less liabilities) | 2012-01-31 | $11,024 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-01-31 | $0 |
| Total contributions received or receivable from employer(s) | 2012-01-31 | $1,323,647 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2012-01-31 | $38,317 |
| 2011 : ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2011 401k financial data |
|---|
| Total plan liabilities at end of year | 2011-01-31 | $28,625 |
| Total plan liabilities at beginning of year | 2011-01-31 | $50,479 |
| Total income from all sources | 2011-01-31 | $1,193,390 |
| Expenses. Total of all expenses incurred | 2011-01-31 | $1,193,390 |
| Benefits paid (including direct rollovers) | 2011-01-31 | $1,156,217 |
| Total plan assets at end of year | 2011-01-31 | $28,625 |
| Total plan assets at beginning of year | 2011-01-31 | $50,479 |
| Other income received | 2011-01-31 | $179,192 |
| Net income (gross income less expenses) | 2011-01-31 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2011-01-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-01-31 | $0 |
| Total contributions received or receivable from employer(s) | 2011-01-31 | $1,014,198 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2011-01-31 | $37,173 |
| 2023: ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2023 form 5500 responses |
|---|
| 2023-02-01 | Type of plan entity | Single employer plan |
| 2023-02-01 | Submission has been amended | No |
| 2023-02-01 | This submission is the final filing | No |
| 2023-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2023-02-01 | Plan is a collectively bargained plan | No |
| 2023-02-01 | Plan funding arrangement – Insurance | Yes |
| 2023-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2022 form 5500 responses |
|---|
| 2022-02-01 | Type of plan entity | Single employer plan |
| 2022-02-01 | Submission has been amended | No |
| 2022-02-01 | This submission is the final filing | No |
| 2022-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-02-01 | Plan is a collectively bargained plan | No |
| 2022-02-01 | Plan funding arrangement – Insurance | Yes |
| 2022-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-02-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2021: ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2021 form 5500 responses |
|---|
| 2021-02-01 | Type of plan entity | Single employer plan |
| 2021-02-01 | Plan funding arrangement – Insurance | Yes |
| 2021-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-02-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2020: ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2020 form 5500 responses |
|---|
| 2020-02-01 | Type of plan entity | Single employer plan |
| 2020-02-01 | Plan funding arrangement – Insurance | Yes |
| 2020-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-02-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2019: ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2019 form 5500 responses |
|---|
| 2019-02-01 | Type of plan entity | Single employer plan |
| 2019-02-01 | Plan funding arrangement – Insurance | Yes |
| 2019-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-02-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2018: ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2018 form 5500 responses |
|---|
| 2018-02-01 | Type of plan entity | Single employer plan |
| 2018-02-01 | Plan funding arrangement – Insurance | Yes |
| 2018-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-02-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2017: ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2017 form 5500 responses |
|---|
| 2017-02-01 | Type of plan entity | Single employer plan |
| 2017-02-01 | Plan funding arrangement – Insurance | Yes |
| 2017-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-02-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2016: ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2016 form 5500 responses |
|---|
| 2016-02-01 | Type of plan entity | Single employer plan |
| 2016-02-01 | Plan funding arrangement – Insurance | Yes |
| 2016-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-02-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2015: ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2015 form 5500 responses |
|---|
| 2015-02-01 | Type of plan entity | Single employer plan |
| 2015-02-01 | Plan funding arrangement – Insurance | Yes |
| 2015-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-02-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2014 form 5500 responses |
|---|
| 2014-02-01 | Type of plan entity | Single employer plan |
| 2014-02-01 | Plan is a collectively bargained plan | Yes |
| 2014-02-01 | Plan funding arrangement – Insurance | Yes |
| 2014-02-01 | Plan funding arrangement – Trust | Yes |
| 2014-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-02-01 | Plan benefit arrangement - Trust | Yes |
| 2014-02-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Submission has been amended | No |
| 2014-01-01 | This submission is the final filing | No |
| 2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-01-01 | Plan is a collectively bargained plan | No |
| 2014-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2013: ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2013 form 5500 responses |
|---|
| 2013-02-01 | Type of plan entity | Single employer plan |
| 2013-02-01 | Plan funding arrangement – Insurance | Yes |
| 2013-02-01 | Plan funding arrangement – Trust | Yes |
| 2013-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-02-01 | Plan benefit arrangement - Trust | Yes |
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Submission has been amended | No |
| 2013-01-01 | This submission is the final filing | No |
| 2013-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-01-01 | Plan is a collectively bargained plan | No |
| 2013-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2012: ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2012 form 5500 responses |
|---|
| 2012-02-01 | Type of plan entity | Single employer plan |
| 2012-02-01 | Plan funding arrangement – Insurance | Yes |
| 2012-02-01 | Plan funding arrangement – Trust | Yes |
| 2012-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-02-01 | Plan benefit arrangement - Trust | Yes |
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Submission has been amended | No |
| 2012-01-01 | This submission is the final filing | No |
| 2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-01-01 | Plan is a collectively bargained plan | No |
| 2012-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2011: ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2011 form 5500 responses |
|---|
| 2011-02-01 | Type of plan entity | Single employer plan |
| 2011-02-01 | Plan funding arrangement – Insurance | Yes |
| 2011-02-01 | Plan funding arrangement – Trust | Yes |
| 2011-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-02-01 | Plan benefit arrangement - Trust | Yes |
| 2009: ABC AUTO PARTS LTD OCCUPATIONAL INJURY BENEFIT PLA N 2009 form 5500 responses |
|---|
| 2009-02-01 | Type of plan entity | Single employer plan |
| 2009-02-01 | This submission is the final filing | No |
| 2009-02-01 | Plan funding arrangement – Insurance | Yes |
| 2009-02-01 | Plan funding arrangement – Trust | Yes |
| 2009-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-02-01 | Plan benefit arrangement - Trust | Yes |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GVTL0870H |
| Policy instance | 4 |
| Insurance contract or identification number | GVTL0870H | | Number of Individuals Covered | 173 | | Insurance policy start date | 2023-02-01 | | Insurance policy end date | 2024-01-31 | | Total amount of commissions paid to insurance broker | USD $7,041 | | Total amount of fees paid to insurance company | USD $2,748 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D VOLUNTARY | | 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 Carrier | USD $46,943 | | 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 number | 133970 |
| Policy instance | 3 |
| Insurance contract or identification number | 133970 | | Number of Individuals Covered | 378 | | Insurance policy start date | 2023-02-01 | | Insurance policy end date | 2024-01-31 | | Total amount of commissions paid to insurance broker | USD $32,107 | | Total amount of fees paid to insurance company | USD $17,335 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $481,985 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 307460 |
| Policy instance | 2 |
| Insurance contract or identification number | 307460 | | Number of Individuals Covered | 237 | | Insurance policy start date | 2023-02-01 | | Insurance policy end date | 2024-01-31 | | Total amount of commissions paid to insurance broker | USD $2,815 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $30,020 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLUG0870H |
| Policy instance | 1 |
| Insurance contract or identification number | GLUG0870H | | Number of Individuals Covered | 180 | | Insurance policy start date | 2023-02-01 | | Insurance policy end date | 2024-01-31 | | Total amount of commissions paid to insurance broker | USD $1,711 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | 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 Carrier | USD $8,556 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLUG0870H |
| Policy instance | 1 |
| NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 ) |
| Policy contract number | 307460 |
| Policy instance | 2 |
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
| Policy contract number | 133970 |
| Policy instance | 3 |
| NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 ) |
| Policy contract number | 307460 |
| Policy instance | 2 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000870H |
| Policy instance | 1 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000870H |
| Policy instance | 1 |
| NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 ) |
| Policy contract number | 307460 |
| Policy instance | 2 |
| NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 ) |
| Policy contract number | 307460 |
| Policy instance | 2 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000870H |
| Policy instance | 1 |
| NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 ) |
| Policy contract number | 307460 |
| Policy instance | 2 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000870H |
| Policy instance | 1 |
| NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 ) |
| Policy contract number | 307460 |
| Policy instance | 2 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000870H |
| Policy instance | 1 |
| NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 ) |
| Policy contract number | 307460-5 |
| Policy instance | 2 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000870H |
| Policy instance | 1 |
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | HCL31015 |
| Policy instance | 3 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000870H |
| Policy instance | 1 |
| NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 ) |
| Policy contract number | 307460-5 |
| Policy instance | 2 |
| IPROCERT (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 1 |
| MULTIPLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 3 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 2 |
| GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 4 |
| IPROCERT (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 1 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 2 |
| BEECHSTREET (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 3 |
| TRUSTMARK INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61425 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 4 |
| TRUSTMARK INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61425 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 4 |
| BEECHSTREET (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 3 |
| IPROCERT (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 1 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 2 |
| BEECHSTREET (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 3 |
| IPROCERT (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 1 |
| AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 4 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 2 |
