| Plan Name | A & A SERVICES LLC DBA SAV-RX PRESCRIPTION SERVICES |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | A & A SERVICES LLC |
| Employer identification number (EIN): | 861323040 |
| NAIC Classification: | 541990 |
| NAIC Description: | All Other Professional, Scientific, and Technical Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-01-01 | JACK BARTA | 2024-10-15 | ||
| 501 | 2022-09-01 | JACK BARTA | 2023-10-16 |
| 2023: A & A SERVICES LLC DBA SAV-RX PRESCRIPTION SERVICES 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: A & A SERVICES LLC DBA SAV-RX PRESCRIPTION SERVICES 2022 form 5500 responses | ||
| 2022-09-01 | Type of plan entity | Single employer plan |
| 2022-09-01 | First time form 5500 has been submitted | Yes |
| 2022-09-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2022-09-01 | Plan funding arrangement – Insurance | Yes |
| 2022-09-01 | Plan benefit arrangement – Insurance | Yes |
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||
| Policy contract number | 1160969 | ||||||||||||||
| Policy instance | 1 | ||||||||||||||
| |||||||||||||||
| BLUE CROSS BLUE SHIELD OF NEBRASKA (National Association of Insurance Commissioners NAIC id number: 77780 ) | |||||||||||||||
| Policy contract number | |||||||||||||||
| Policy instance | 1 | ||||||||||||||