401k Plan data: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN plan

JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 401k Plan overview

Plan Name	JENSENS FINEST FOODS HEALTH AND WELFARE PLAN
Plan identification number	501

JENSENS FINEST FOODS HEALTH AND WELFARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

JENSENS FINEST FOODS has sponsored the creation of one or more 401k plans.

Company Name: JENSENS FINEST FOODS

Employer identification number (EIN): 952260279

NAIC Classification: 445110
NAIC Description: Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JENSENS FINEST FOODS HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-12-01 MATTHEW ZACK 2024-09-05
501 2021-12-01 MATTHEW ZACK 2023-06-23
501 2020-12-01 MATT ZACK 2022-05-25
501 2019-12-01 MATT ZACK 2021-10-15
501 2018-12-01 MATT ZACK 2021-10-15
501 2017-12-01 MATT ZACK 2021-10-15
501 2017-12-01 MARK NAGLE 2021-10-15
501 2015-12-01
501 2014-12-01
501 2013-12-01
501 2012-12-01 MATT ZACK
501 2011-12-01 MATT ZACK
501 2010-12-01 MATT ZACK
501 2009-12-01 LORI ARDIS

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2022-12-01	MATTHEW ZACK	2024-09-05
501	2021-12-01	MATTHEW ZACK	2023-06-23
501	2020-12-01	MATT ZACK	2022-05-25
501	2019-12-01	MATT ZACK	2021-10-15
501	2018-12-01	MATT ZACK	2021-10-15
501	2017-12-01	MATT ZACK	2021-10-15
501	2017-12-01	MARK NAGLE	2021-10-15
501	2015-12-01
501	2014-12-01
501	2013-12-01
501	2012-12-01	MATT ZACK
501	2011-12-01	MATT ZACK
501	2010-12-01	MATT ZACK
501	2009-12-01	LORI ARDIS

Plan Statistics for JENSENS FINEST FOODS HEALTH AND WELFARE PLAN

401k plan membership statisitcs for JENSENS FINEST FOODS HEALTH AND WELFARE PLAN

Measure Date Value
2022: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year 2022-12-01 192
Total number of active participants reported on line 7a of the Form 5500 2022-12-01 180
Number of retired or separated participants receiving benefits 2022-12-01 0
Number of other retired or separated participants entitled to future benefits 2022-12-01 0
Total of all active and inactive participants 2022-12-01 180
Number of employers contributing to the scheme 2022-12-01 0
2021: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year 2021-12-01 127
Total number of active participants reported on line 7a of the Form 5500 2021-12-01 192
Number of retired or separated participants receiving benefits 2021-12-01 0
Number of other retired or separated participants entitled to future benefits 2021-12-01 0
Total of all active and inactive participants 2021-12-01 192
Number of employers contributing to the scheme 2021-12-01 0
2020: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year 2020-12-01 138
Total number of active participants reported on line 7a of the Form 5500 2020-12-01 127
Number of retired or separated participants receiving benefits 2020-12-01 0
Number of other retired or separated participants entitled to future benefits 2020-12-01 0
Total of all active and inactive participants 2020-12-01 127
Number of employers contributing to the scheme 2020-12-01 0
2019: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year 2019-12-01 231
Total number of active participants reported on line 7a of the Form 5500 2019-12-01 216
Number of retired or separated participants receiving benefits 2019-12-01 0
Number of other retired or separated participants entitled to future benefits 2019-12-01 0
Total of all active and inactive participants 2019-12-01 216
2018: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year 2018-12-01 231
Total number of active participants reported on line 7a of the Form 5500 2018-12-01 236
Number of retired or separated participants receiving benefits 2018-12-01 0
Number of other retired or separated participants entitled to future benefits 2018-12-01 0
Total of all active and inactive participants 2018-12-01 236
2017: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-12-01 151
Total number of active participants reported on line 7a of the Form 5500 2017-12-01 231
Number of retired or separated participants receiving benefits 2017-12-01 0
Number of other retired or separated participants entitled to future benefits 2017-12-01 0
Total of all active and inactive participants 2017-12-01 231
2015: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-12-01 170
Total number of active participants reported on line 7a of the Form 5500 2015-12-01 131
Total of all active and inactive participants 2015-12-01 131
2014: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-12-01 114
Total number of active participants reported on line 7a of the Form 5500 2014-12-01 170
Total of all active and inactive participants 2014-12-01 170
2013: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-12-01 123
Total number of active participants reported on line 7a of the Form 5500 2013-12-01 114
Total of all active and inactive participants 2013-12-01 114
2012: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-12-01 146
Total number of active participants reported on line 7a of the Form 5500 2012-12-01 123
Total of all active and inactive participants 2012-12-01 123
2011: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-12-01 149
Total number of active participants reported on line 7a of the Form 5500 2011-12-01 146
Total of all active and inactive participants 2011-12-01 146
2010: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2010 401k membership
Total participants, beginning-of-year 2010-12-01 217
Total number of active participants reported on line 7a of the Form 5500 2010-12-01 149
Total of all active and inactive participants 2010-12-01 149
2009: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-12-01 183
Total number of active participants reported on line 7a of the Form 5500 2009-12-01 217
Number of retired or separated participants receiving benefits 2009-12-01 0
Number of other retired or separated participants entitled to future benefits 2009-12-01 0
Total of all active and inactive participants 2009-12-01 217

Measure	Date	Value
2022: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year	2022-12-01	192
Total number of active participants reported on line 7a of the Form 5500	2022-12-01	180
Number of retired or separated participants receiving benefits	2022-12-01	0
Number of other retired or separated participants entitled to future benefits	2022-12-01	0
Total of all active and inactive participants	2022-12-01	180
Number of employers contributing to the scheme	2022-12-01	0
2021: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year	2021-12-01	127
Total number of active participants reported on line 7a of the Form 5500	2021-12-01	192
Number of retired or separated participants receiving benefits	2021-12-01	0
Number of other retired or separated participants entitled to future benefits	2021-12-01	0
Total of all active and inactive participants	2021-12-01	192
Number of employers contributing to the scheme	2021-12-01	0
2020: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year	2020-12-01	138
Total number of active participants reported on line 7a of the Form 5500	2020-12-01	127
Number of retired or separated participants receiving benefits	2020-12-01	0
Number of other retired or separated participants entitled to future benefits	2020-12-01	0
Total of all active and inactive participants	2020-12-01	127
Number of employers contributing to the scheme	2020-12-01	0
2019: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year	2019-12-01	231
Total number of active participants reported on line 7a of the Form 5500	2019-12-01	216
Number of retired or separated participants receiving benefits	2019-12-01	0
Number of other retired or separated participants entitled to future benefits	2019-12-01	0
Total of all active and inactive participants	2019-12-01	216
2018: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year	2018-12-01	231
Total number of active participants reported on line 7a of the Form 5500	2018-12-01	236
Number of retired or separated participants receiving benefits	2018-12-01	0
Number of other retired or separated participants entitled to future benefits	2018-12-01	0
Total of all active and inactive participants	2018-12-01	236
2017: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-12-01	151
Total number of active participants reported on line 7a of the Form 5500	2017-12-01	231
Number of retired or separated participants receiving benefits	2017-12-01	0
Number of other retired or separated participants entitled to future benefits	2017-12-01	0
Total of all active and inactive participants	2017-12-01	231
2015: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-12-01	170
Total number of active participants reported on line 7a of the Form 5500	2015-12-01	131
Total of all active and inactive participants	2015-12-01	131
2014: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-12-01	114
Total number of active participants reported on line 7a of the Form 5500	2014-12-01	170
Total of all active and inactive participants	2014-12-01	170
2013: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-12-01	123
Total number of active participants reported on line 7a of the Form 5500	2013-12-01	114
Total of all active and inactive participants	2013-12-01	114
2012: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-12-01	146
Total number of active participants reported on line 7a of the Form 5500	2012-12-01	123
Total of all active and inactive participants	2012-12-01	123
2011: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-12-01	149
Total number of active participants reported on line 7a of the Form 5500	2011-12-01	146
Total of all active and inactive participants	2011-12-01	146
2010: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-12-01	217
Total number of active participants reported on line 7a of the Form 5500	2010-12-01	149
Total of all active and inactive participants	2010-12-01	149
2009: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-12-01	183
Total number of active participants reported on line 7a of the Form 5500	2009-12-01	217
Number of retired or separated participants receiving benefits	2009-12-01	0
Number of other retired or separated participants entitled to future benefits	2009-12-01	0
Total of all active and inactive participants	2009-12-01	217

Form 5500 Responses for JENSENS FINEST FOODS HEALTH AND WELFARE PLAN

2022: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2022 form 5500 responses
2022-12-01	Type of plan entity	Single employer plan
2022-12-01	Plan funding arrangement – Insurance	Yes
2022-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-12-01	Plan benefit arrangement – Insurance	Yes
2022-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-12-01	Type of plan entity	Single employer plan
2021-12-01	Plan funding arrangement – Insurance	Yes
2021-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-12-01	Plan benefit arrangement – Insurance	Yes
2021-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-12-01	Type of plan entity	Single employer plan
2020-12-01	Plan funding arrangement – Insurance	Yes
2020-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-12-01	Plan benefit arrangement – Insurance	Yes
2020-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2019 form 5500 responses
2019-12-01	Type of plan entity	Single employer plan
2019-12-01	Submission has been amended	No
2019-12-01	This submission is the final filing	No
2019-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-12-01	Plan is a collectively bargained plan	No
2019-12-01	Plan funding arrangement – Insurance	Yes
2019-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-12-01	Plan benefit arrangement – Insurance	Yes
2019-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2018 form 5500 responses
2018-12-01	Type of plan entity	Single employer plan
2018-12-01	Submission has been amended	No
2018-12-01	This submission is the final filing	No
2018-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-12-01	Plan is a collectively bargained plan	No
2018-12-01	Plan funding arrangement – Insurance	Yes
2018-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-12-01	Plan benefit arrangement – Insurance	Yes
2018-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2017 form 5500 responses
2017-12-01	Type of plan entity	Single employer plan
2017-12-01	Submission has been amended	Yes
2017-12-01	This submission is the final filing	No
2017-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-12-01	Plan is a collectively bargained plan	No
2017-12-01	Plan funding arrangement – Insurance	Yes
2017-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-12-01	Plan benefit arrangement – Insurance	Yes
2017-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2015 form 5500 responses
2015-12-01	Type of plan entity	Single employer plan
2015-12-01	Plan funding arrangement – Insurance	Yes
2015-12-01	Plan benefit arrangement – Insurance	Yes
2014: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2014 form 5500 responses
2014-12-01	Type of plan entity	Single employer plan
2014-12-01	Plan funding arrangement – Insurance	Yes
2014-12-01	Plan benefit arrangement – Insurance	Yes
2013: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2013 form 5500 responses
2013-12-01	Type of plan entity	Single employer plan
2013-12-01	Plan funding arrangement – Insurance	Yes
2013-12-01	Plan benefit arrangement – Insurance	Yes
2012: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2012 form 5500 responses
2012-12-01	Type of plan entity	Single employer plan
2012-12-01	Plan funding arrangement – Insurance	Yes
2012-12-01	Plan benefit arrangement – Insurance	Yes
2011: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2011 form 5500 responses
2011-12-01	Type of plan entity	Single employer plan
2011-12-01	Plan funding arrangement – Insurance	Yes
2011-12-01	Plan benefit arrangement – Insurance	Yes
2010: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2010 form 5500 responses
2010-12-01	Type of plan entity	Single employer plan
2010-12-01	Plan funding arrangement – Insurance	Yes
2010-12-01	Plan benefit arrangement – Insurance	Yes
2009: JENSENS FINEST FOODS HEALTH AND WELFARE PLAN 2009 form 5500 responses
2009-12-01	Type of plan entity	Single employer plan
2009-12-01	Submission has been amended	No
2009-12-01	This submission is the final filing	No
2009-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-12-01	Plan is a collectively bargained plan	No
2009-12-01	Plan funding arrangement – Insurance	Yes
2009-12-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number	5943338
Policy instance	2
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5943338
Policy instance	1
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number	5943338
Policy instance	2
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5943338
Policy instance	1
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number	5943338
Policy instance	2
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5943338
Policy instance	1
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number	TS05943338
Policy instance	2
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TS05943338
Policy instance	1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TS05943338
Policy instance	1
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number	TS05943338
Policy instance	2
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TS05943338
Policy instance	1
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number	TS05943338
Policy instance	2
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	0806648HNO
Policy instance	2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	0806648
Policy instance	1
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract number	2024540
Policy instance	1
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract number	2024540
Policy instance	2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	800720
Policy instance	3
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract number	2024540
Policy instance	1
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract number	2024540
Policy instance	2
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )
Policy contract number	166032
Policy instance	1
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )
Policy contract number	166032
Policy instance	1
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number	KM05750427
Policy instance	4
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	800720
Policy instance	3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	KM05750427
Policy instance	2

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Company Name:	JENSENS FINEST FOODS
Employer identification number (EIN):	952260279
NAIC Classification:	445110
NAIC Description:	Supermarkets and Other Grocery (except Convenience) Stores