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A1C HOLDINGS, LLC. 401k Plan overview

Plan NameA1C HOLDINGS, LLC.
Plan identification number 501

A1C HOLDINGS, LLC. Benefits

401k Plan TypeWelfare 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

401k Sponsoring company profile

A1C HOLDINGS, LLC. has sponsored the creation of one or more 401k plans.

Company Name:A1C HOLDINGS, LLC.
Employer identification number (EIN):800942502
NAIC Classification:424210
NAIC Description:Drugs and Druggists' Sundries Merchant Wholesalers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan A1C HOLDINGS, LLC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012018-12-01CHANTAL BROWN2020-04-23
5012017-12-01CHANTAL BROWN2019-03-27
5012016-12-01
5012015-12-01CHANTAL VEILLARD
5012014-12-01CHANTAL VEILLARD
5012013-12-01KAREN SPENCE
5012012-12-01KAREN E HODGSON-SPENCE

Plan Statistics for A1C HOLDINGS, LLC.

401k plan membership statisitcs for A1C HOLDINGS, LLC.

Measure Date Value
2018: A1C HOLDINGS, LLC. 2018 401k membership
Total participants, beginning-of-year2018-12-01180
Total number of active participants reported on line 7a of the Form 55002018-12-010
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 participants2018-12-010
Number of employers contributing to the scheme2018-12-010
2017: A1C HOLDINGS, LLC. 2017 401k membership
Total participants, beginning-of-year2017-12-01222
Total number of active participants reported on line 7a of the Form 55002017-12-01180
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 participants2017-12-01180
Number of employers contributing to the scheme2017-12-010
2016: A1C HOLDINGS, LLC. 2016 401k membership
Total participants, beginning-of-year2016-12-01212
Total number of active participants reported on line 7a of the Form 55002016-12-01222
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 participants2016-12-01222
2015: A1C HOLDINGS, LLC. 2015 401k membership
Total participants, beginning-of-year2015-12-01208
Total number of active participants reported on line 7a of the Form 55002015-12-01204
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 participants2015-12-01204
2014: A1C HOLDINGS, LLC. 2014 401k membership
Total participants, beginning-of-year2014-12-01232
Total number of active participants reported on line 7a of the Form 55002014-12-01208
Number of retired or separated participants receiving benefits2014-12-017
Number of other retired or separated participants entitled to future benefits2014-12-010
Total of all active and inactive participants2014-12-01215
2013: A1C HOLDINGS, LLC. 2013 401k membership
Total participants, beginning-of-year2013-12-01176
Total number of active participants reported on line 7a of the Form 55002013-12-01214
Number of retired or separated participants receiving benefits2013-12-0113
Number of other retired or separated participants entitled to future benefits2013-12-010
Total of all active and inactive participants2013-12-01227
2012: A1C HOLDINGS, LLC. 2012 401k membership
Total participants, beginning-of-year2012-12-01176
Total number of active participants reported on line 7a of the Form 55002012-12-01143
Number of retired or separated participants receiving benefits2012-12-0112
Number of other retired or separated participants entitled to future benefits2012-12-010
Total of all active and inactive participants2012-12-01155

Form 5500 Responses for A1C HOLDINGS, LLC.

2018: A1C HOLDINGS, LLC. 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01This submission is the final filingYes
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan benefit arrangement – InsuranceYes
2017: A1C HOLDINGS, LLC. 2017 form 5500 responses
2017-12-01Type of plan entitySingle employer plan
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan benefit arrangement – InsuranceYes
2016: A1C HOLDINGS, LLC. 2016 form 5500 responses
2016-12-01Type of plan entitySingle employer plan
2016-12-01Plan funding arrangement – InsuranceYes
2016-12-01Plan benefit arrangement – InsuranceYes
2015: A1C HOLDINGS, LLC. 2015 form 5500 responses
2015-12-01Type of plan entitySingle employer plan
2015-12-01Submission has been amendedNo
2015-12-01This submission is the final filingNo
2015-12-01This return/report is a short plan year return/report (less than 12 months)No
2015-12-01Plan is a collectively bargained planNo
2015-12-01Plan funding arrangement – InsuranceYes
2015-12-01Plan benefit arrangement – InsuranceYes
2014: A1C HOLDINGS, LLC. 2014 form 5500 responses
2014-12-01Type of plan entitySingle employer plan
2014-12-01Submission has been amendedNo
2014-12-01This submission is the final filingNo
2014-12-01This return/report is a short plan year return/report (less than 12 months)No
2014-12-01Plan is a collectively bargained planNo
2014-12-01Plan funding arrangement – InsuranceYes
2014-12-01Plan benefit arrangement – InsuranceYes
2013: A1C HOLDINGS, LLC. 2013 form 5500 responses
2013-12-01Type of plan entitySingle employer plan
2013-12-01Submission has been amendedNo
2013-12-01This submission is the final filingNo
2013-12-01This return/report is a short plan year return/report (less than 12 months)No
2013-12-01Plan is a collectively bargained planNo
2013-12-01Plan funding arrangement – InsuranceYes
2013-12-01Plan benefit arrangement – InsuranceYes
2012: A1C HOLDINGS, LLC. 2012 form 5500 responses
2012-12-01Type of plan entitySingle employer plan
2012-12-01Submission has been amendedNo
2012-12-01This submission is the final filingNo
2012-12-01This return/report is a short plan year return/report (less than 12 months)No
2012-12-01Plan is a collectively bargained planNo
2012-12-01Plan funding arrangement – InsuranceYes
2012-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number481955
Policy instance 2
Insurance contract or identification number481955
Number of Individuals Covered24
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $5,623
Total amount of fees paid to insurance companyUSD $5,806
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $68,179
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,623
Amount paid for insurance broker fees5806
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract numberS7254
Policy instance 1
Insurance contract or identification numberS7254
Number of Individuals Covered19
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $21,093
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,093
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number9820887
Policy instance 3
Insurance contract or identification number9820887
Number of Individuals Covered33
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $645
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,079
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $645
Amount paid for insurance broker fees0
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract numberS7254
Policy instance 1
Insurance contract or identification numberS7254
Number of Individuals Covered86
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $37,138
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number9820887
Policy instance 3
Insurance contract or identification number9820887
Number of Individuals Covered137
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $1,095
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,827
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number481955
Policy instance 2
Insurance contract or identification number481955
Number of Individuals Covered151
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $9,885
Total amount of fees paid to insurance companyUSD $7,009
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $120,269
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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