US EXPEDITERS, INC. DBA CPAP.COM 401k Plan overview
| Plan Name | US EXPEDITERS, INC. DBA CPAP.COM |
| Plan identification number | 501 |
US EXPEDITERS, INC. DBA CPAP.COM Benefits
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits | - Health (other than dental or vision)
- Life insurance
- Dental
- Vision
- Temporary disability (accident and sickness)
- Long-term disability cover
- Death benefits (include travel accident but not life insurance)
- Other welfare benefit cover
- 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
US EXPEDITERS, LLC has sponsored the creation of one or more 401k plans.
Additional information about US EXPEDITERS, LLC
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 1996-11-27 |
| Company Identification Number: | 0142345500 |
| Legal Registered Office Address: |
13235 N PROMENADE BLVD
STAFFORD
United States of America (USA)
77477
|
More information about US EXPEDITERS, LLC
Form 5500 Filing Information
Submission information for form 5500 for 401k plan US EXPEDITERS, INC. DBA CPAP.COM
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 501 | 2020-05-01 | CAROLYN GOODMAN | 2021-10-29 | | |
| 501 | 2019-05-01 | CAROLYN GOODMAN | 2020-11-10 | | |
Plan Statistics for US EXPEDITERS, INC. DBA CPAP.COM
401k plan membership statisitcs for US EXPEDITERS, INC. DBA CPAP.COM
| Measure | Date | Value |
|---|
| 2020: US EXPEDITERS, INC. DBA CPAP.COM 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-05-01 | 101 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-05-01 | 86 |
| Number of retired or separated participants receiving benefits | 2020-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-05-01 | 0 |
| Total of all active and inactive participants | 2020-05-01 | 86 |
| Number of employers contributing to the scheme | 2020-05-01 | 0 |
| 2019: US EXPEDITERS, INC. DBA CPAP.COM 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-05-01 | 106 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-05-01 | 88 |
| Number of retired or separated participants receiving benefits | 2019-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-05-01 | 3 |
| Total of all active and inactive participants | 2019-05-01 | 91 |
| Number of employers contributing to the scheme | 2019-05-01 | 0 |
Form 5500 Responses for US EXPEDITERS, INC. DBA CPAP.COM
| 2020: US EXPEDITERS, INC. DBA CPAP.COM 2020 form 5500 responses |
|---|
| 2020-05-01 | Type of plan entity | Single employer plan |
| 2020-05-01 | Plan funding arrangement – Insurance | Yes |
| 2020-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: US EXPEDITERS, INC. DBA CPAP.COM 2019 form 5500 responses |
|---|
| 2019-05-01 | Type of plan entity | Single employer plan |
| 2019-05-01 | First time form 5500 has been submitted | Yes |
| 2019-05-01 | Plan funding arrangement – Insurance | Yes |
| 2019-05-01 | Plan benefit arrangement – Insurance | Yes |
Insurance Providers Used on plan
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
| Policy contract number | 40223 |
| Policy instance | 1 |
| Insurance contract or identification number | 40223 | | Number of Individuals Covered | 163 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Total amount of commissions paid to insurance broker | USD $43,357 | | Total amount of fees paid to insurance company | USD $873 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $955,844 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $43,357 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Additional information about fees paid to insurance broker | SPECIAL PROGRAMS |
|
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
| Policy contract number | F025560 |
| Policy instance | 2 |
| Insurance contract or identification number | F025560 | | Number of Individuals Covered | 86 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Total amount of commissions paid to insurance broker | USD $6,142 | | Total amount of fees paid to insurance company | USD $1,499 | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM | | Welfare Benefit Premiums Paid to Carrier | USD $44,429 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,142 | | Amount paid for insurance broker fees | 1499 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 |
|
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
| Policy contract number | 040223 |
| Policy instance | 1 |
| Insurance contract or identification number | 040223 | | Number of Individuals Covered | 162 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Total amount of commissions paid to insurance broker | USD $45,425 | | Total amount of fees paid to insurance company | USD $864 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $870,400 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $31,283 | | Amount paid for insurance broker fees | 864 | | Additional information about fees paid to insurance broker | SPECIAL PROGRAMS | | Insurance broker organization code? | 3 |
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