5 STAR SUPERMARKETS, LLC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan 5 STAR SUPERMARKETS MEDICAL PLAN
| Measure | Date | Value |
|---|
| 2016: 5 STAR SUPERMARKETS MEDICAL PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-04-01 | 107 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-04-01 | 103 |
| Total of all active and inactive participants | 2016-04-01 | 103 |
| 2015: 5 STAR SUPERMARKETS MEDICAL PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-04-01 | 117 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-04-01 | 107 |
| Total of all active and inactive participants | 2015-04-01 | 107 |
| 2014: 5 STAR SUPERMARKETS MEDICAL PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-04-01 | 120 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-04-01 | 117 |
| Total of all active and inactive participants | 2014-04-01 | 117 |
| 2013: 5 STAR SUPERMARKETS MEDICAL PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-04-01 | 119 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-04-01 | 120 |
| Total of all active and inactive participants | 2013-04-01 | 120 |
| 2012: 5 STAR SUPERMARKETS MEDICAL PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-04-01 | 127 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-04-01 | 119 |
| Total of all active and inactive participants | 2012-04-01 | 119 |
| 2011: 5 STAR SUPERMARKETS MEDICAL PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-04-01 | 97 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-04-01 | 127 |
| Total of all active and inactive participants | 2011-04-01 | 127 |
| 2016: 5 STAR SUPERMARKETS MEDICAL PLAN 2016 form 5500 responses |
|---|
| 2016-04-01 | Type of plan entity | Single employer plan |
| 2016-04-01 | Plan funding arrangement – Insurance | Yes |
| 2016-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: 5 STAR SUPERMARKETS MEDICAL PLAN 2015 form 5500 responses |
|---|
| 2015-04-01 | Type of plan entity | Single employer plan |
| 2015-04-01 | Plan funding arrangement – Insurance | Yes |
| 2015-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: 5 STAR SUPERMARKETS MEDICAL PLAN 2014 form 5500 responses |
|---|
| 2014-04-01 | Type of plan entity | Single employer plan |
| 2014-04-01 | Plan funding arrangement – Insurance | Yes |
| 2014-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: 5 STAR SUPERMARKETS MEDICAL PLAN 2013 form 5500 responses |
|---|
| 2013-04-01 | Type of plan entity | Single employer plan |
| 2013-04-01 | Plan funding arrangement – Insurance | Yes |
| 2013-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: 5 STAR SUPERMARKETS MEDICAL PLAN 2012 form 5500 responses |
|---|
| 2012-04-01 | Type of plan entity | Single employer plan |
| 2012-04-01 | Plan funding arrangement – Insurance | Yes |
| 2012-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: 5 STAR SUPERMARKETS MEDICAL PLAN 2011 form 5500 responses |
|---|
| 2011-04-01 | Type of plan entity | Single employer plan |
| 2011-04-01 | First time form 5500 has been submitted | Yes |
| 2011-04-01 | Plan funding arrangement – Insurance | Yes |
| 2011-04-01 | Plan benefit arrangement – Insurance | Yes |
| HPHC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18975 ) |
| Policy contract number | 043691 |
| Policy instance | 1 |
| Insurance contract or identification number | 043691 | | Number of Individuals Covered | 107 | | Insurance policy start date | 2015-04-01 | | Insurance policy end date | 2016-03-31 | | Total amount of commissions paid to insurance broker | USD $26,118 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $883,082 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $26,118 | | Insurance broker organization code? | 3 | | Insurance broker name | THE HEALTH CONSULTANTS GROUP, LLC |
|
| CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 ) |
| Policy contract number | 1635 |
| Policy instance | 1 |
| Insurance contract or identification number | 1635 | | Number of Individuals Covered | 117 | | Insurance policy start date | 2014-04-01 | | Insurance policy end date | 2015-03-31 | | Total amount of commissions paid to insurance broker | USD $23,461 | | Total amount of fees paid to insurance company | USD $6,264 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $928,857 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $23,461 | | Amount paid for insurance broker fees | 6264 | | Additional information about fees paid to insurance broker | BONUS | | Insurance broker organization code? | 3 | | Insurance broker name | THE HEALTH CONSULTANTS GROUP, LLC |
|
| CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 ) |
| Policy contract number | 1635 |
| Policy instance | 1 |
| Insurance contract or identification number | 1635 | | Number of Individuals Covered | 120 | | Insurance policy start date | 2013-04-01 | | Insurance policy end date | 2014-03-31 | | Total amount of commissions paid to insurance broker | USD $17,564 | | Total amount of fees paid to insurance company | USD $5,145 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $820,756 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $17,564 | | Amount paid for insurance broker fees | 5145 | | Additional information about fees paid to insurance broker | BONUS | | Insurance broker organization code? | 3 | | Insurance broker name | THE HEALTH CONSULTANTS GROUP, LLC |
|
| CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 ) |
| Policy contract number | 1635 |
| Policy instance | 1 |
| Insurance contract or identification number | 1635 | | Number of Individuals Covered | 119 | | Insurance policy start date | 2012-04-01 | | Insurance policy end date | 2013-03-31 | | Total amount of commissions paid to insurance broker | USD $24,904 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $851,294 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $24,904 | | Insurance broker organization code? | 3 | | Insurance broker name | THE HEALTH CONSULTANTS GROUP, LLC |
|
| CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 ) |
| Policy contract number | 1635 |
| Policy instance | 1 |
| Insurance contract or identification number | 1635 | | Number of Individuals Covered | 127 | | Insurance policy start date | 2011-04-01 | | Insurance policy end date | 2012-03-31 | | Total amount of commissions paid to insurance broker | USD $26,290 | | Total amount of fees paid to insurance company | USD $3,519 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $903,202 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
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