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GROUP DENTAL PLAN OF PETERSBURG MOTOR COMPANY INC. DBA CARTER MYERS AUTOMOTIVE 401k Plan overview

Plan NameGROUP DENTAL PLAN OF PETERSBURG MOTOR COMPANY INC. DBA CARTER MYERS AUTOMOTIVE
Plan identification number 502

GROUP DENTAL PLAN OF PETERSBURG MOTOR COMPANY INC. DBA CARTER MYERS AUTOMOTIVE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

PETERSBURG MOTOR COMPANY has sponsored the creation of one or more 401k plans.

Company Name:PETERSBURG MOTOR COMPANY
Employer identification number (EIN):540338910
NAIC Classification:441110
NAIC Description:New Car Dealers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP DENTAL PLAN OF PETERSBURG MOTOR COMPANY INC. DBA CARTER MYERS AUTOMOTIVE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022016-09-01CANDRA GERRICK
5022016-09-01
5022015-09-01CANDRA GERRICK
5022014-09-01CANDRA GERRICK
5022013-09-01CAROLYN KYGER

Plan Statistics for GROUP DENTAL PLAN OF PETERSBURG MOTOR COMPANY INC. DBA CARTER MYERS AUTOMOTIVE

401k plan membership statisitcs for GROUP DENTAL PLAN OF PETERSBURG MOTOR COMPANY INC. DBA CARTER MYERS AUTOMOTIVE

Measure Date Value
2016: GROUP DENTAL PLAN OF PETERSBURG MOTOR COMPANY INC. DBA CARTER MYERS AUTOMOTIVE 2016 401k membership
Total participants, beginning-of-year2016-09-01332
Total number of active participants reported on line 7a of the Form 55002016-09-01351
Total of all active and inactive participants2016-09-01351
2015: GROUP DENTAL PLAN OF PETERSBURG MOTOR COMPANY INC. DBA CARTER MYERS AUTOMOTIVE 2015 401k membership
Total participants, beginning-of-year2015-09-01253
Total number of active participants reported on line 7a of the Form 55002015-09-01332
Total of all active and inactive participants2015-09-01332
2014: GROUP DENTAL PLAN OF PETERSBURG MOTOR COMPANY INC. DBA CARTER MYERS AUTOMOTIVE 2014 401k membership
Total participants, beginning-of-year2014-09-01241
Total number of active participants reported on line 7a of the Form 55002014-09-01263
Total of all active and inactive participants2014-09-01263
2013: GROUP DENTAL PLAN OF PETERSBURG MOTOR COMPANY INC. DBA CARTER MYERS AUTOMOTIVE 2013 401k membership
Total participants, beginning-of-year2013-09-01241
Total number of active participants reported on line 7a of the Form 55002013-09-01228
Number of retired or separated participants receiving benefits2013-09-0113
Total of all active and inactive participants2013-09-01241

Form 5500 Responses for GROUP DENTAL PLAN OF PETERSBURG MOTOR COMPANY INC. DBA CARTER MYERS AUTOMOTIVE

2016: GROUP DENTAL PLAN OF PETERSBURG MOTOR COMPANY INC. DBA CARTER MYERS AUTOMOTIVE 2016 form 5500 responses
2016-09-01Type of plan entitySingle employer plan
2016-09-01Submission has been amendedNo
2016-09-01This submission is the final filingNo
2016-09-01This return/report is a short plan year return/report (less than 12 months)No
2016-09-01Plan is a collectively bargained planNo
2016-09-01Plan funding arrangement – InsuranceYes
2016-09-01Plan benefit arrangement – InsuranceYes
2015: GROUP DENTAL PLAN OF PETERSBURG MOTOR COMPANY INC. DBA CARTER MYERS AUTOMOTIVE 2015 form 5500 responses
2015-09-01Type of plan entitySingle employer plan
2015-09-01Submission has been amendedNo
2015-09-01This submission is the final filingNo
2015-09-01This return/report is a short plan year return/report (less than 12 months)No
2015-09-01Plan is a collectively bargained planNo
2015-09-01Plan funding arrangement – InsuranceYes
2015-09-01Plan benefit arrangement – InsuranceYes
2014: GROUP DENTAL PLAN OF PETERSBURG MOTOR COMPANY INC. DBA CARTER MYERS AUTOMOTIVE 2014 form 5500 responses
2014-09-01Type of plan entitySingle employer plan
2014-09-01Submission has been amendedNo
2014-09-01This submission is the final filingNo
2014-09-01This return/report is a short plan year return/report (less than 12 months)No
2014-09-01Plan is a collectively bargained planNo
2014-09-01Plan funding arrangement – InsuranceYes
2014-09-01Plan benefit arrangement – InsuranceYes
2013: GROUP DENTAL PLAN OF PETERSBURG MOTOR COMPANY INC. DBA CARTER MYERS AUTOMOTIVE 2013 form 5500 responses
2013-09-01Type of plan entitySingle employer plan
2013-09-01First time form 5500 has been submittedYes
2013-09-01Submission has been amendedNo
2013-09-01This submission is the final filingNo
2013-09-01This return/report is a short plan year return/report (less than 12 months)No
2013-09-01Plan is a collectively bargained planNo
2013-09-01Plan funding arrangement – InsuranceYes
2013-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract number491705
Policy instance 1
Insurance contract or identification number491705
Number of Individuals Covered332
Insurance policy start date2015-09-01
Insurance policy end date2016-08-31
Total amount of commissions paid to insurance brokerUSD $6,254
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $125,068
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,254
Insurance broker organization code?3
Insurance broker nameTFA BENEFITS
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract number0202443
Policy instance 1
Insurance contract or identification number0202443
Number of Individuals Covered485
Insurance policy start date2014-09-01
Insurance policy end date2015-08-31
Total amount of commissions paid to insurance brokerUSD $6,116
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $129,758
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,116
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameVIRGINIA AUTOMOBILE DEALERS SERVICE
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract number893274-000
Policy instance 1
Insurance contract or identification number893274-000
Number of Individuals Covered426
Insurance policy start date2013-09-01
Insurance policy end date2014-08-31
Total amount of commissions paid to insurance brokerUSD $5,592
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $112,060
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,592
Insurance broker organization code?3
Insurance broker nameVIRGINIA AUTOMOBILE DEALERS SERVICE

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