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US CAR, LLC DBA CARTOWN KIA HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameUS CAR, LLC DBA CARTOWN KIA HEALTH AND WELFARE PLAN
Plan identification number 501

US CAR, LLC DBA CARTOWN KIA HEALTH AND WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

US CAR LLC DBA CAR TOWN KIA has sponsored the creation of one or more 401k plans.

Company Name:US CAR LLC DBA CAR TOWN KIA
Employer identification number (EIN):030463542
NAIC Classification:441110
NAIC Description:New Car Dealers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan US CAR, LLC DBA CARTOWN KIA HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-04-01EMMA ALLEN2023-10-31
5012021-04-01EMMA ALLEN2022-10-25

Plan Statistics for US CAR, LLC DBA CARTOWN KIA HEALTH AND WELFARE PLAN

401k plan membership statisitcs for US CAR, LLC DBA CARTOWN KIA HEALTH AND WELFARE PLAN

Measure Date Value
2022: US CAR, LLC DBA CARTOWN KIA HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-04-01107
Total number of active participants reported on line 7a of the Form 55002022-04-010
Total of all active and inactive participants2022-04-010
2021: US CAR, LLC DBA CARTOWN KIA HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-04-01104
Total number of active participants reported on line 7a of the Form 55002021-04-01107
Total of all active and inactive participants2021-04-01107

Form 5500 Responses for US CAR, LLC DBA CARTOWN KIA HEALTH AND WELFARE PLAN

2022: US CAR, LLC DBA CARTOWN KIA HEALTH AND WELFARE PLAN 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01This submission is the final filingYes
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan benefit arrangement – InsuranceYes
2021: US CAR, LLC DBA CARTOWN KIA HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-04-01Type of plan entitySingle employer plan
2021-04-01First time form 5500 has been submittedYes
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberL05499
Policy instance 1
Insurance contract or identification numberL05499
Number of Individuals Covered183
Insurance policy start date2022-04-01
Insurance policy end date2023-03-30
Total amount of commissions paid to insurance brokerUSD $21,635
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $531,313
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,635
Insurance broker organization code?3
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number0706190
Policy instance 2
Insurance contract or identification number0706190
Number of Individuals Covered65
Insurance policy start date2022-04-01
Insurance policy end date2023-03-30
Total amount of commissions paid to insurance brokerUSD $2,925
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,925
Insurance broker organization code?3
MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number015399
Policy instance 3
Insurance contract or identification number015399
Number of Individuals Covered49
Insurance policy start date2022-04-01
Insurance policy end date2023-03-30
Total amount of commissions paid to insurance brokerUSD $429
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,364
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $429
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0924130
Policy instance 1
Insurance contract or identification number0924130
Number of Individuals Covered125
Insurance policy start date2021-04-01
Insurance policy end date2022-03-30
Total amount of commissions paid to insurance brokerUSD $19,803
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $535,059
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,803
Insurance broker organization code?3
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number0706190
Policy instance 2
Insurance contract or identification number0706190
Number of Individuals Covered98
Insurance policy start date2021-04-01
Insurance policy end date2022-03-30
Total amount of commissions paid to insurance brokerUSD $2,871
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,172
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number882655G
Policy instance 3
Insurance contract or identification number882655G
Number of Individuals Covered107
Insurance policy start date2021-04-01
Insurance policy end date2022-03-30
Total amount of commissions paid to insurance brokerUSD $4,237
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $28,248
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,237
Insurance broker organization code?3

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