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GRIFFIN BROTHERS LEASING, INC. HEALTH INSURANCE PLAN 401k Plan overview

Plan NameGRIFFIN BROTHERS LEASING, INC. HEALTH INSURANCE PLAN
Plan identification number 501

GRIFFIN BROTHERS LEASING, INC. HEALTH INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover
  • 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

GRIFFIN BROS LEASING, INC. has sponsored the creation of one or more 401k plans.

Company Name:GRIFFIN BROS LEASING, INC.
Employer identification number (EIN):562170229
NAIC Classification:441300
NAIC Description: Automotive Parts, Accessories, and Tire Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GRIFFIN BROTHERS LEASING, INC. HEALTH INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-08-01TAMMY MILLS2024-03-11
5012021-08-01TAMMY MILLS2023-01-04
5012015-08-01TERESA NANTZ
5012014-08-01TERESA NANTZ
5012013-08-01TERESA NANTZ
5012012-08-01JOE BRENKUS JOE BRENKUS2014-05-06
5012011-08-01JOE BRENKUS JOE BRENKUS2013-05-08
5012009-08-01JOE BRENKUS
5012009-01-01JOE BRENKUS
5012009-01-01JOE BRENKUS
5012009-01-01JOE BRENKUS
5012009-01-01JOE BRENKUS

Plan Statistics for GRIFFIN BROTHERS LEASING, INC. HEALTH INSURANCE PLAN

401k plan membership statisitcs for GRIFFIN BROTHERS LEASING, INC. HEALTH INSURANCE PLAN

Measure Date Value
2022: GRIFFIN BROTHERS LEASING, INC. HEALTH INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year2022-08-01142
Total number of active participants reported on line 7a of the Form 55002022-08-01219
Number of retired or separated participants receiving benefits2022-08-010
Number of other retired or separated participants entitled to future benefits2022-08-010
Total of all active and inactive participants2022-08-01219
2021: GRIFFIN BROTHERS LEASING, INC. HEALTH INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-08-01142
Total number of active participants reported on line 7a of the Form 55002021-08-01142
Number of retired or separated participants receiving benefits2021-08-010
Number of other retired or separated participants entitled to future benefits2021-08-010
Total of all active and inactive participants2021-08-01142
2015: GRIFFIN BROTHERS LEASING, INC. HEALTH INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-08-01111
Total number of active participants reported on line 7a of the Form 55002015-08-0154
Number of retired or separated participants receiving benefits2015-08-011
Number of other retired or separated participants entitled to future benefits2015-08-010
Total of all active and inactive participants2015-08-0155
2014: GRIFFIN BROTHERS LEASING, INC. HEALTH INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-08-01118
Total number of active participants reported on line 7a of the Form 55002014-08-01128
Number of retired or separated participants receiving benefits2014-08-010
Number of other retired or separated participants entitled to future benefits2014-08-010
Total of all active and inactive participants2014-08-01128
2013: GRIFFIN BROTHERS LEASING, INC. HEALTH INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-08-01112
Total number of active participants reported on line 7a of the Form 55002013-08-01116
Number of retired or separated participants receiving benefits2013-08-010
Number of other retired or separated participants entitled to future benefits2013-08-010
Total of all active and inactive participants2013-08-01116
2012: GRIFFIN BROTHERS LEASING, INC. HEALTH INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-08-0190
Total number of active participants reported on line 7a of the Form 55002012-08-0189
Total of all active and inactive participants2012-08-0189
2011: GRIFFIN BROTHERS LEASING, INC. HEALTH INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-08-0177
Total number of active participants reported on line 7a of the Form 55002011-08-0190
Number of retired or separated participants receiving benefits2011-08-013
Total of all active and inactive participants2011-08-0193
2009: GRIFFIN BROTHERS LEASING, INC. HEALTH INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-08-01165
Total number of active participants reported on line 7a of the Form 55002009-08-01165
Total of all active and inactive participants2009-08-01165
Total participants2009-08-01165
Total participants, beginning-of-year2009-01-01165
Total number of active participants reported on line 7a of the Form 55002009-01-01165
Total of all active and inactive participants2009-01-01165
Total participants2009-01-01165

Financial Data on GRIFFIN BROTHERS LEASING, INC. HEALTH INSURANCE PLAN

Measure Date Value
2013 : GRIFFIN BROTHERS LEASING, INC. HEALTH INSURANCE PLAN 2013 401k financial data
Total income from all sources2013-07-31$590,649
Expenses. Total of all expenses incurred2013-07-31$590,649
Benefits paid (including direct rollovers)2013-07-31$590,649
Total plan assets at end of year2013-07-31$0
Total plan assets at beginning of year2013-07-31$0
Total contributions received or receivable from participants2013-07-31$377,049
Net plan assets at end of year (total assets less liabilities)2013-07-31$0
Net plan assets at beginning of year (total assets less liabilities)2013-07-31$0
Total contributions received or receivable from employer(s)2013-07-31$213,600
2012 : GRIFFIN BROTHERS LEASING, INC. HEALTH INSURANCE PLAN 2012 401k financial data
Total income from all sources2012-07-31$586,578
Expenses. Total of all expenses incurred2012-07-31$586,578
Benefits paid (including direct rollovers)2012-07-31$586,578
Total plan assets at end of year2012-07-31$0
Total plan assets at beginning of year2012-07-31$0
Total contributions received or receivable from participants2012-07-31$382,578
Net plan assets at end of year (total assets less liabilities)2012-07-31$0
Net plan assets at beginning of year (total assets less liabilities)2012-07-31$0
Total contributions received or receivable from employer(s)2012-07-31$204,000

Form 5500 Responses for GRIFFIN BROTHERS LEASING, INC. HEALTH INSURANCE PLAN

2022: GRIFFIN BROTHERS LEASING, INC. HEALTH INSURANCE PLAN 2022 form 5500 responses
2022-08-01Type of plan entitySingle employer plan
2022-08-01Submission has been amendedNo
2022-08-01This submission is the final filingNo
2022-08-01This return/report is a short plan year return/report (less than 12 months)No
2022-08-01Plan is a collectively bargained planNo
2022-08-01Plan funding arrangement – InsuranceYes
2022-08-01Plan benefit arrangement – InsuranceYes
2021: GRIFFIN BROTHERS LEASING, INC. HEALTH INSURANCE PLAN 2021 form 5500 responses
2021-08-01Type of plan entitySingle employer plan
2021-08-01First time form 5500 has been submittedYes
2021-08-01Submission has been amendedNo
2021-08-01This submission is the final filingNo
2021-08-01This return/report is a short plan year return/report (less than 12 months)No
2021-08-01Plan is a collectively bargained planNo
2021-08-01Plan funding arrangement – InsuranceYes
2021-08-01Plan benefit arrangement – InsuranceYes
2015: GRIFFIN BROTHERS LEASING, INC. HEALTH INSURANCE PLAN 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01Submission has been amendedNo
2015-08-01This submission is the final filingNo
2015-08-01This return/report is a short plan year return/report (less than 12 months)No
2015-08-01Plan is a collectively bargained planNo
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – InsuranceYes
2014: GRIFFIN BROTHERS LEASING, INC. HEALTH INSURANCE PLAN 2014 form 5500 responses
2014-08-01Type of plan entitySingle employer plan
2014-08-01Submission has been amendedNo
2014-08-01This submission is the final filingNo
2014-08-01This return/report is a short plan year return/report (less than 12 months)No
2014-08-01Plan is a collectively bargained planNo
2014-08-01Plan funding arrangement – InsuranceYes
2014-08-01Plan benefit arrangement – InsuranceYes
2013: GRIFFIN BROTHERS LEASING, INC. HEALTH INSURANCE PLAN 2013 form 5500 responses
2013-08-01Type of plan entitySingle employer plan
2013-08-01Submission has been amendedNo
2013-08-01This submission is the final filingNo
2013-08-01This return/report is a short plan year return/report (less than 12 months)No
2013-08-01Plan is a collectively bargained planNo
2013-08-01Plan funding arrangement – InsuranceYes
2013-08-01Plan funding arrangement – General assets of the sponsorYes
2013-08-01Plan benefit arrangement – InsuranceYes
2013-08-01Plan benefit arrangement – General assets of the sponsorYes
2012: GRIFFIN BROTHERS LEASING, INC. HEALTH INSURANCE PLAN 2012 form 5500 responses
2012-08-01Type of plan entitySingle employer plan
2012-08-01Plan funding arrangement – General assets of the sponsorYes
2012-08-01Plan benefit arrangement – InsuranceYes
2012-08-01Plan benefit arrangement – General assets of the sponsorYes
2011: GRIFFIN BROTHERS LEASING, INC. HEALTH INSURANCE PLAN 2011 form 5500 responses
2011-08-01Type of plan entitySingle employer plan
2011-08-01Plan funding arrangement – General assets of the sponsorYes
2011-08-01Plan benefit arrangement – InsuranceYes
2011-08-01Plan benefit arrangement – General assets of the sponsorYes
2009: GRIFFIN BROTHERS LEASING, INC. HEALTH INSURANCE PLAN 2009 form 5500 responses
2009-08-01Type of plan entitySingle employer plan
2009-08-01Plan funding arrangement – General assets of the sponsorYes
2009-08-01Plan benefit arrangement – InsuranceYes
2009-01-01Type of plan entitySingle employer plan
2009-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGVTL0C59T
Policy instance 9
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUC0C59T
Policy instance 4
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0C59T
Policy instance 3
COMMUNITY EYE CARE (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract numberTPO35012
Policy instance 2
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number14174860
Policy instance 1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUDE0C59T
Policy instance 6
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUDH0C59T
Policy instance 7
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUDB0C59T
Policy instance 5
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUPR0C59T
Policy instance 8
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number031118
Policy instance 2
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number05X5444
Policy instance 3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1020670
Policy instance 1
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number080660
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1020670
Policy instance 2
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number31118
Policy instance 3
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number080660
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1020670
Policy instance 2
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number31118
Policy instance 3
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number31118
Policy instance 3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1020670
Policy instance 2
COVENTRY HEALTH CARE OF CAROLINAS, INC. (National Association of Insurance Commissioners NAIC id number: 95321 )
Policy contract number3182350000
Policy instance 1
COVENTRY HEALTH CARE OF CAROLINAS, INC. (National Association of Insurance Commissioners NAIC id number: 95321 )
Policy contract number3182350000
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1020670
Policy instance 2
COVENTRY HEALTH CARE OF CAROLINAS, INC. (National Association of Insurance Commissioners NAIC id number: 95321 )
Policy contract number3182350000
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1020670
Policy instance 2

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