401k Plan data: MURGADO MOTOR WERKS LIFE AND HEALTH CARE PLAN plan

MURGADO MOTOR WERKS LIFE AND HEALTH CARE PLAN 401k Plan overview

Plan Name	MURGADO MOTOR WERKS LIFE AND HEALTH CARE PLAN
Plan identification number	501

MURGADO MOTOR WERKS LIFE AND HEALTH CARE PLAN 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

401k Sponsoring company profile

MURGADO MOTOR WERKS LLC has sponsored the creation of one or more 401k plans.

Company Name: MURGADO MOTOR WERKS LLC

Employer identification number (EIN): 921197270

NAIC Classification: 441110
NAIC Description: New Car Dealers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MURGADO MOTOR WERKS LIFE AND HEALTH CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-01-01 JAMARA RODRIGUEZ 2024-07-09

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2023-01-01	JAMARA RODRIGUEZ	2024-07-09

Plan Statistics for MURGADO MOTOR WERKS LIFE AND HEALTH CARE PLAN

401k plan membership statisitcs for MURGADO MOTOR WERKS LIFE AND HEALTH CARE PLAN

Measure Date Value
2023: MURGADO MOTOR WERKS LIFE AND HEALTH CARE PLAN 2023 401k membership
Total participants, beginning-of-year 2023-01-01 318
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 323
Number of retired or separated participants receiving benefits 2023-01-01 5
Number of other retired or separated participants entitled to future benefits 2023-01-01 0
Total of all active and inactive participants 2023-01-01 328

Measure	Date	Value
2023: MURGADO MOTOR WERKS LIFE AND HEALTH CARE PLAN 2023 401k membership
Total participants, beginning-of-year	2023-01-01	318
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	323
Number of retired or separated participants receiving benefits	2023-01-01	5
Number of other retired or separated participants entitled to future benefits	2023-01-01	0
Total of all active and inactive participants	2023-01-01	328

Form 5500 Responses for MURGADO MOTOR WERKS LIFE AND HEALTH CARE PLAN

2023: MURGADO MOTOR WERKS LIFE AND HEALTH CARE PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Submission has been amended	No
2023-01-01	This submission is the final filing	No
2023-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2023-01-01	Plan is a collectively bargained plan	No
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )

Policy contract number

V7022

Policy instance

Insurance contract or identification number	V7022
Number of Individuals Covered	48
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $5,635
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENT, CRITICAL ILLNESS, CANCER, HOSPITAL, DISABILITY
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $34,210
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 number

10087971001,02

Policy instance

Insurance contract or identification number	10087971001,02
Number of Individuals Covered	309
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $1,766
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $17,662
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )

Policy contract number

VF023646

Policy instance

Insurance contract or identification number	VF023646
Number of Individuals Covered	321
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $21,820
Total amount of fees paid to insurance company	USD $6,985
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	AD&D
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $131,576
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	MURGADO MOTOR WERKS LLC
Employer identification number (EIN):	921197270
NAIC Classification:	441110
NAIC Description:	New Car Dealers