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RACE WINNING BRANDS LIFE AND DISABILITY PLAN 401k Plan overview

Plan NameRACE WINNING BRANDS LIFE AND DISABILITY PLAN
Plan identification number 504

RACE WINNING BRANDS LIFE AND DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • 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

RACE WINNING BRANDS has sponsored the creation of one or more 401k plans.

Company Name:RACE WINNING BRANDS
Employer identification number (EIN):814827266
NAIC Classification:336300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RACE WINNING BRANDS LIFE AND DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042019-01-01MILISA O'REILLY2020-09-21
5042018-05-15MILISA A. O'REILLY2019-08-26
5042017-05-15

Plan Statistics for RACE WINNING BRANDS LIFE AND DISABILITY PLAN

401k plan membership statisitcs for RACE WINNING BRANDS LIFE AND DISABILITY PLAN

Measure Date Value
2019: RACE WINNING BRANDS LIFE AND DISABILITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01527
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-010
Number of employers contributing to the scheme2019-01-010
2018: RACE WINNING BRANDS LIFE AND DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-05-15318
Total number of active participants reported on line 7a of the Form 55002018-05-15527
Number of retired or separated participants receiving benefits2018-05-150
Number of other retired or separated participants entitled to future benefits2018-05-150
Total of all active and inactive participants2018-05-15527
Number of employers contributing to the scheme2018-05-150
2017: RACE WINNING BRANDS LIFE AND DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-05-15292
Total number of active participants reported on line 7a of the Form 55002017-05-15318
Number of retired or separated participants receiving benefits2017-05-150
Number of other retired or separated participants entitled to future benefits2017-05-150
Total of all active and inactive participants2017-05-15318
Number of employers contributing to the scheme2017-05-150

Form 5500 Responses for RACE WINNING BRANDS LIFE AND DISABILITY PLAN

2019: RACE WINNING BRANDS LIFE AND DISABILITY PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01This submission is the final filingYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: RACE WINNING BRANDS LIFE AND DISABILITY PLAN 2018 form 5500 responses
2018-05-15Type of plan entitySingle employer plan
2018-05-15This return/report is a short plan year return/report (less than 12 months)Yes
2018-05-15Plan funding arrangement – InsuranceYes
2018-05-15Plan benefit arrangement – InsuranceYes
2017: RACE WINNING BRANDS LIFE AND DISABILITY PLAN 2017 form 5500 responses
2017-05-15Type of plan entitySingle employer plan
2017-05-15First time form 5500 has been submittedYes
2017-05-15Plan funding arrangement – InsuranceYes
2017-05-15Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number696967G
Policy instance 1
Insurance contract or identification number696967G
Number of Individuals Covered598
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $21,385
Total amount of fees paid to insurance companyUSD $6,534
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 $294,124
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,385
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBONUS
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number696967G
Policy instance 1
Insurance contract or identification number696967G
Number of Individuals Covered527
Insurance policy start date2018-05-15
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $10,947
Total amount of fees paid to insurance companyUSD $0
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 $195,828
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,947
Amount paid for insurance broker fees0
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number696967G
Policy instance 1
Insurance contract or identification number696967G
Number of Individuals Covered522
Insurance policy start date2017-05-15
Insurance policy end date2018-05-14
Total amount of commissions paid to insurance brokerUSD $15,412
Total amount of fees paid to insurance companyUSD $10,345
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 $173,426
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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