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PERMIAN FORD LINCOLN, INC. GROUP HEALTH INSURANCE PLAN 401k Plan overview

Plan NamePERMIAN FORD LINCOLN, INC. GROUP HEALTH INSURANCE PLAN
Plan identification number 501

PERMIAN FORD LINCOLN, INC. GROUP HEALTH INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

PERMIAN FORD-LINCOLN-MERCURY, INC. has sponsored the creation of one or more 401k plans.

Company Name:PERMIAN FORD-LINCOLN-MERCURY, INC.
Employer identification number (EIN):850203221
NAIC Classification:441110
NAIC Description:New Car Dealers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PERMIAN FORD LINCOLN, INC. GROUP HEALTH INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-06-01
5012018-06-01

Plan Statistics for PERMIAN FORD LINCOLN, INC. GROUP HEALTH INSURANCE PLAN

401k plan membership statisitcs for PERMIAN FORD LINCOLN, INC. GROUP HEALTH INSURANCE PLAN

Measure Date Value
2019: PERMIAN FORD LINCOLN, INC. GROUP HEALTH INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-06-01155
Total number of active participants reported on line 7a of the Form 55002019-06-010
Number of retired or separated participants receiving benefits2019-06-010
Number of other retired or separated participants entitled to future benefits2019-06-010
Total of all active and inactive participants2019-06-010
2018: PERMIAN FORD LINCOLN, INC. GROUP HEALTH INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-06-01155
Total number of active participants reported on line 7a of the Form 55002018-06-01155
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 participants2018-06-01155

Form 5500 Responses for PERMIAN FORD LINCOLN, INC. GROUP HEALTH INSURANCE PLAN

2019: PERMIAN FORD LINCOLN, INC. GROUP HEALTH INSURANCE PLAN 2019 form 5500 responses
2019-06-01Type of plan entitySingle employer plan
2019-06-01Submission has been amendedNo
2019-06-01This submission is the final filingYes
2019-06-01This return/report is a short plan year return/report (less than 12 months)No
2019-06-01Plan is a collectively bargained planNo
2019-06-01Plan funding arrangement – InsuranceYes
2019-06-01Plan benefit arrangement – InsuranceYes
2018: PERMIAN FORD LINCOLN, INC. GROUP HEALTH INSURANCE PLAN 2018 form 5500 responses
2018-06-01Type of plan entitySingle employer plan
2018-06-01First time form 5500 has been submittedYes
2018-06-01Submission has been amendedNo
2018-06-01This submission is the final filingNo
2018-06-01This return/report is a short plan year return/report (less than 12 months)No
2018-06-01Plan is a collectively bargained planNo
2018-06-01Plan funding arrangement – InsuranceYes
2018-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number06F5309
Policy instance 1
Insurance contract or identification number06F5309
Number of Individuals Covered215
Insurance policy start date2019-06-01
Insurance policy end date2020-05-31
Total amount of commissions paid to insurance brokerUSD $35,804
Total amount of fees paid to insurance companyUSD $6,755
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $894,418
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,039
Amount paid for insurance broker fees6755
Additional information about fees paid to insurance brokerBONUS AMOUNT
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number201530
Policy instance 1
Insurance contract or identification number201530
Number of Individuals Covered155
Insurance policy start date2018-06-01
Insurance policy end date2019-05-31
Total amount of commissions paid to insurance brokerUSD $43,389
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $548,655
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $43,389
Insurance broker organization code?3

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