401k Plan data: ARHA CARES GROUP HEALTH PLAN plan

ARHA CARES GROUP HEALTH PLAN 401k Plan overview

Plan Name	ARHA CARES GROUP HEALTH PLAN
Plan identification number	501

ARHA CARES GROUP HEALTH PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Vision

401k Sponsoring company profile

ALABAMA RESTAURANT & HOSPITALITY ASSOCIATION EMPLOYEE BENEFIT TRUST has sponsored the creation of one or more 401k plans.

Company Name: ALABAMA RESTAURANT & HOSPITALITY ASSOCIATION EMPLOYEE BENEFIT TRUST

Employer identification number (EIN): 866693419

NAIC Classification: 525920
NAIC Description: Trusts, Estates, and Agency Accounts

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ARHA CARES GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-05-01 MINDY HANAN 2024-10-15
501 2022-05-01 MINDY HANAN 2023-12-21
501 2021-05-01 MINDY HANAN 2023-01-06

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2023-05-01	MINDY HANAN	2024-10-15
501	2022-05-01	MINDY HANAN	2023-12-21
501	2021-05-01	MINDY HANAN	2023-01-06

Form 5500 Responses for ARHA CARES GROUP HEALTH PLAN

2023: ARHA CARES GROUP HEALTH PLAN 2023 form 5500 responses
2023-05-01	Type of plan entity	Mulitple employer plan
2023-05-01	Plan funding arrangement – Insurance	Yes
2023-05-01	Plan benefit arrangement – Insurance	Yes
2022: ARHA CARES GROUP HEALTH PLAN 2022 form 5500 responses
2022-05-01	Type of plan entity	Mulitple employer plan
2022-05-01	Plan funding arrangement – Insurance	Yes
2022-05-01	Plan benefit arrangement – Insurance	Yes
2021: ARHA CARES GROUP HEALTH PLAN 2021 form 5500 responses
2021-05-01	Type of plan entity	Mulitple employer plan
2021-05-01	First time form 5500 has been submitted	Yes
2021-05-01	Plan funding arrangement – Insurance	Yes
2021-05-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

DENTEGRA INS CO (National Association of Insurance Commissioners NAIC id number: 73474 )

Policy contract number

21748

Policy instance

Insurance contract or identification number	21748
Number of Individuals Covered	5
Insurance policy start date	2023-05-01
Insurance policy end date	2024-04-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $733
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30110532

Policy instance

Insurance contract or identification number	30110532
Number of Individuals Covered	37
Insurance policy start date	2023-05-01
Insurance policy end date	2024-04-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $4,849
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )

Policy contract number

21737

Policy instance

Insurance contract or identification number	21737
Number of Individuals Covered	77
Insurance policy start date	2023-05-01
Insurance policy end date	2024-04-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $25,654
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MONUMENTAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 66281 )

Policy contract number

MZ0940196H0000A

Policy instance

Insurance contract or identification number	MZ0940196H0000A
Number of Individuals Covered	233
Insurance policy start date	2023-05-01
Insurance policy end date	2024-04-30
Total amount of commissions paid to insurance broker	USD $10,889
Total amount of fees paid to insurance company	USD $5,692
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $32,915
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )

Policy contract number

94565

Policy instance

Insurance contract or identification number	94565
Number of Individuals Covered	133
Insurance policy start date	2023-05-01
Insurance policy end date	2024-04-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

DENTEGRA INS CO (National Association of Insurance Commissioners NAIC id number: 73474 )

Policy contract number

21748

Policy instance

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30110532

Policy instance

DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )

Policy contract number

21737

Policy instance

GULF GUARANTY EMPLOYEE BENEFIT SERVICES, INC (National Association of Insurance Commissioners NAIC id number: 77976 )

Policy contract number

1422

Policy instance

BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )

Policy contract number

94565

Policy instance

GULF GUARANTY EMPLOYEE BENEFIT SERVICES, INC (National Association of Insurance Commissioners NAIC id number: 77976 )

Policy contract number

1422

Policy instance

BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )

Policy contract number

94565

Policy instance

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Company Name:	ALABAMA RESTAURANT & HOSPITALITY ASSOCIATION EMPLOYEE BENEFIT TRUST
Employer identification number (EIN):	866693419
NAIC Classification:	525920
NAIC Description:	Trusts, Estates, and Agency Accounts