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| Plan Name | S & M AUTOMOTIVE, LLC MEDICAL PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | S & M AUTOMOTIVE, LLC |
| Employer identification number (EIN): | 611355623 |
| NAIC Classification: | 441110 |
| NAIC Description: | New Car Dealers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2020-02-01 | ||||
| 501 | 2012-02-01 | ||||
| 501 | 2007-01-01 | ||||
| 501 | 2005-01-01 |
| Measure | Date | Value |
|---|---|---|
| 2020: S & M AUTOMOTIVE, LLC MEDICAL PLAN 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-02-01 | 97 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-02-01 | 0 |
| Total of all active and inactive participants | 2020-02-01 | 0 |
| 2012: S & M AUTOMOTIVE, LLC MEDICAL PLAN 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-02-01 | 114 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-02-01 | 74 |
| Total of all active and inactive participants | 2012-02-01 | 74 |
| 2007: S & M AUTOMOTIVE, LLC MEDICAL PLAN 2007 401k membership | ||
| Total participants, beginning-of-year | 2007-01-01 | 101 |
| Total number of active participants reported on line 7a of the Form 5500 | 2007-01-01 | 94 |
| Total of all active and inactive participants | 2007-01-01 | 94 |
| 2005: S & M AUTOMOTIVE, LLC MEDICAL PLAN 2005 401k membership | ||
| Total participants, beginning-of-year | 2005-01-01 | 125 |
| Total number of active participants reported on line 7a of the Form 5500 | 2005-01-01 | 86 |
| Total of all active and inactive participants | 2005-01-01 | 86 |
| 2020: S & M AUTOMOTIVE, LLC MEDICAL PLAN 2020 form 5500 responses | ||
|---|---|---|
| 2020-02-01 | Type of plan entity | Single employer plan |
| 2020-02-01 | Submission has been amended | No |
| 2020-02-01 | This submission is the final filing | Yes |
| 2020-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-02-01 | Plan is a collectively bargained plan | No |
| 2020-02-01 | Plan funding arrangement – Insurance | Yes |
| 2020-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: S & M AUTOMOTIVE, LLC MEDICAL PLAN 2012 form 5500 responses | ||
| 2012-02-01 | Type of plan entity | Single employer plan |
| 2012-02-01 | Submission has been amended | No |
| 2012-02-01 | This submission is the final filing | No |
| 2012-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-02-01 | Plan is a collectively bargained plan | No |
| 2012-02-01 | Plan funding arrangement – Insurance | Yes |
| 2012-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2007: S & M AUTOMOTIVE, LLC MEDICAL PLAN 2007 form 5500 responses | ||
| 2007-01-01 | Type of plan entity | Single employer plan |
| 2007-01-01 | Submission has been amended | No |
| 2007-01-01 | This submission is the final filing | No |
| 2007-01-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2007-01-01 | Plan is a collectively bargained plan | No |
| 2007-01-01 | Plan funding arrangement – Insurance | Yes |
| 2007-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2005: S & M AUTOMOTIVE, LLC MEDICAL PLAN 2005 form 5500 responses | ||
| 2005-01-01 | Type of plan entity | Single employer plan |
| 2005-01-01 | First time form 5500 has been submitted | Yes |
| 2005-01-01 | Submission has been amended | No |
| 2005-01-01 | This submission is the final filing | No |
| 2005-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2005-01-01 | Plan is a collectively bargained plan | No |
| 2005-01-01 | Plan funding arrangement – Insurance | Yes |
| 2005-01-01 | Plan benefit arrangement – Insurance | Yes |
| HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 764802 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 741922 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 70860 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 70860 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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