401k Plan data: GROUP VISION CARE PLAN plan

GROUP VISION CARE PLAN 401k Plan overview

Plan Name	GROUP VISION CARE PLAN
Plan identification number	508

GROUP VISION CARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Vision

401k Sponsoring company profile

MERCEDES-BENZ USA, LLC has sponsored the creation of one or more 401k plans.

Company Name: MERCEDES-BENZ USA, LLC

Employer identification number (EIN): 222375138

NAIC Classification: 423100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP VISION CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
508 2017-01-01
508 2016-01-01
508 2015-01-01
508 2014-01-01 VALERIE ROSS
508 2013-01-01 MARYANNE DILLON
508 2012-01-01 MARYANNE DILLON
508 2011-01-01 MARYANNE DILLON
508 2010-01-01 MARYANNE DILLON
508 2009-01-01 MARYANNE DILLON

Plan Statistics for GROUP VISION CARE PLAN

401k plan membership statisitcs for GROUP VISION CARE PLAN

Measure Date Value
2017: GROUP VISION CARE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 2,714
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
Total participants 2017-01-01 0
2016: GROUP VISION CARE PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 2,677
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 2,678
Total of all active and inactive participants 2016-01-01 2,678
Total participants 2016-01-01 2,678
2015: GROUP VISION CARE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 2,561
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 2,677
Total of all active and inactive participants 2015-01-01 2,677
Total participants 2015-01-01 2,677
2014: GROUP VISION CARE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 2,410
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 2,561
Total of all active and inactive participants 2014-01-01 2,561
Total participants 2014-01-01 2,561
2013: GROUP VISION CARE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 2,242
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 2,410
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 2,410
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 2,410
2012: GROUP VISION CARE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2,087
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 2,242
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 2,242
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 2,242
2011: GROUP VISION CARE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,958
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 2,087
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 2,087
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 2,087
2010: GROUP VISION CARE PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 1,971
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1,958
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 1,958
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 1,958
2009: GROUP VISION CARE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,912
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,971
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 1,971
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 1,971

Measure	Date	Value
2017: GROUP VISION CARE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	2,714
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
Total participants	2017-01-01	0
2016: GROUP VISION CARE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	2,677
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	2,678
Total of all active and inactive participants	2016-01-01	2,678
Total participants	2016-01-01	2,678
2015: GROUP VISION CARE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	2,561
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	2,677
Total of all active and inactive participants	2015-01-01	2,677
Total participants	2015-01-01	2,677
2014: GROUP VISION CARE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	2,410
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	2,561
Total of all active and inactive participants	2014-01-01	2,561
Total participants	2014-01-01	2,561
2013: GROUP VISION CARE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	2,242
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	2,410
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	2,410
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	2,410
2012: GROUP VISION CARE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2,087
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	2,242
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	2,242
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	2,242
2011: GROUP VISION CARE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,958
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	2,087
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	2,087
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	2,087
2010: GROUP VISION CARE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1,971
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,958
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	1,958
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	1,958
2009: GROUP VISION CARE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,912
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,971
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	1,971
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	1,971

Form 5500 Responses for GROUP VISION CARE PLAN

2017: GROUP VISION CARE PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: GROUP VISION CARE PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: GROUP VISION CARE PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: GROUP VISION CARE PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: GROUP VISION CARE PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: GROUP VISION CARE PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: GROUP VISION CARE PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: GROUP VISION CARE PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: GROUP VISION CARE PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number	12324440
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	12324440
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	12324440
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	12324440
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	12324440
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	12324440
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	12324440
Policy instance	1

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Company Name:	MERCEDES-BENZ USA, LLC
Employer identification number (EIN):	222375138
NAIC Classification:	423100