| Plan Name | GROUP DENTAL,VISION,LIFE AND AD&D PLAN OF VSS, LLC |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | VSS, LLC |
| Employer identification number (EIN): | 204783146 |
| NAIC Classification: | 443142 |
| NAIC Description: | Electronics Stores |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2019-01-01 | ||||
| 502 | 2018-01-01 | ||||
| 502 | 2017-01-01 | BILL GROTHE | BILL GROTHE | 2018-10-04 | |
| 502 | 2016-01-01 | BILL GROTHE | BILL GROTHE | 2017-07-13 | |
| 502 | 2015-01-01 | BILL GROTHE | BILL GROTHE | 2016-07-08 | |
| 502 | 2014-01-01 | DAVID L TRAXLER | DAVID L TRAXLER | 2015-07-27 |
| 2019: GROUP DENTAL,VISION,LIFE AND AD&D PLAN OF VSS, LLC 2019 form 5500 responses | ||
|---|---|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | This submission is the final filing | Yes |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: GROUP DENTAL,VISION,LIFE AND AD&D PLAN OF VSS, LLC 2018 form 5500 responses | ||
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: GROUP DENTAL,VISION,LIFE AND AD&D PLAN OF VSS, LLC 2017 form 5500 responses | ||
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: GROUP DENTAL,VISION,LIFE AND AD&D PLAN OF VSS, LLC 2016 form 5500 responses | ||
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: GROUP DENTAL,VISION,LIFE AND AD&D PLAN OF VSS, LLC 2015 form 5500 responses | ||
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: GROUP DENTAL,VISION,LIFE AND AD&D PLAN OF VSS, LLC 2014 form 5500 responses | ||
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | First time form 5500 has been submitted | Yes |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | 0009S647 |
| Policy instance | 1 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | 0009S647 |
| Policy instance | 1 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | AZ282,9S647 |
| Policy instance | 1 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | AZ282,9S647&600 |
| Policy instance | 1 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | 0AZ282/0009S600 |
| Policy instance | 1 |