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ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN 401k Plan overview

Plan NameANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN
Plan identification number 510

ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental

401k Sponsoring company profile

ANTON'S CLEANERS, INC. has sponsored the creation of one or more 401k plans.

Company Name:ANTON'S CLEANERS, INC.
Employer identification number (EIN):041438920
NAIC Classification:812320
NAIC Description:Drycleaning and Laundry Services (except Coin-Operated)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5102022-02-01
5102021-02-01
5102020-02-01
5102019-02-01
5102018-02-01
5102017-02-01CHARLES ANTON
5102016-02-01CHARLES ANTON
5102015-02-01CHARLES ANTON
5102014-02-01CHARLES ANTON
5102013-02-01CHARLES ANTON
5102012-02-01CHARLES ANTON
5102011-02-01CHARLES ANTON
5102010-02-01CHARLES ANTON
5102009-02-01CHARLES ANTON

Plan Statistics for ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN

401k plan membership statisitcs for ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN

Measure Date Value
2022: ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN 2022 401k membership
Total participants, beginning-of-year2022-02-0168
Total number of active participants reported on line 7a of the Form 55002022-02-0157
Total of all active and inactive participants2022-02-0157
Total participants2022-02-0157
2021: ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN 2021 401k membership
Total participants, beginning-of-year2021-02-0170
Total number of active participants reported on line 7a of the Form 55002021-02-0168
Total of all active and inactive participants2021-02-0168
Total participants2021-02-0168
2020: ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN 2020 401k membership
Total participants, beginning-of-year2020-02-01128
Total number of active participants reported on line 7a of the Form 55002020-02-0170
Total of all active and inactive participants2020-02-0170
Total participants2020-02-0170
2019: ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN 2019 401k membership
Total participants, beginning-of-year2019-02-01128
Total number of active participants reported on line 7a of the Form 55002019-02-01128
Total of all active and inactive participants2019-02-01128
Total participants2019-02-01128
2018: ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN 2018 401k membership
Total participants, beginning-of-year2018-02-01131
Total number of active participants reported on line 7a of the Form 55002018-02-01128
Total of all active and inactive participants2018-02-01128
Total participants2018-02-01128
2017: ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN 2017 401k membership
Total participants, beginning-of-year2017-02-01121
Total number of active participants reported on line 7a of the Form 55002017-02-01131
Total of all active and inactive participants2017-02-01131
Total participants2017-02-01131
2016: ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN 2016 401k membership
Total participants, beginning-of-year2016-02-01131
Total number of active participants reported on line 7a of the Form 55002016-02-01121
Total of all active and inactive participants2016-02-01121
Total participants2016-02-01121
2015: ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN 2015 401k membership
Total participants, beginning-of-year2015-02-01138
Total number of active participants reported on line 7a of the Form 55002015-02-01131
Total of all active and inactive participants2015-02-01131
Total participants2015-02-010
2014: ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN 2014 401k membership
Total participants, beginning-of-year2014-02-01115
Total number of active participants reported on line 7a of the Form 55002014-02-01138
Total of all active and inactive participants2014-02-01138
Total participants2014-02-010
2013: ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN 2013 401k membership
Total participants, beginning-of-year2013-02-01104
Total number of active participants reported on line 7a of the Form 55002013-02-01115
Total of all active and inactive participants2013-02-01115
Total participants2013-02-010
2012: ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN 2012 401k membership
Total participants, beginning-of-year2012-02-0193
Total number of active participants reported on line 7a of the Form 55002012-02-01104
Total of all active and inactive participants2012-02-01104
Total participants2012-02-010
2011: ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN 2011 401k membership
Total participants, beginning-of-year2011-02-0197
Total number of active participants reported on line 7a of the Form 55002011-02-0193
Total of all active and inactive participants2011-02-0193
Total participants2011-02-0193
2010: ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN 2010 401k membership
Total participants, beginning-of-year2010-02-01106
Total number of active participants reported on line 7a of the Form 55002010-02-0197
Total of all active and inactive participants2010-02-0197
Total participants2010-02-0197
2009: ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN 2009 401k membership
Total participants, beginning-of-year2009-02-01123
Total number of active participants reported on line 7a of the Form 55002009-02-01106
Total of all active and inactive participants2009-02-01106
Total participants2009-02-01106

Form 5500 Responses for ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN

2022: ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN 2022 form 5500 responses
2022-02-01Type of plan entitySingle employer plan
2022-02-01Plan funding arrangement – InsuranceYes
2022-02-01Plan benefit arrangement – InsuranceYes
2021: ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN 2021 form 5500 responses
2021-02-01Type of plan entitySingle employer plan
2021-02-01Plan funding arrangement – InsuranceYes
2021-02-01Plan benefit arrangement – InsuranceYes
2020: ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN 2020 form 5500 responses
2020-02-01Type of plan entitySingle employer plan
2020-02-01Plan funding arrangement – InsuranceYes
2020-02-01Plan benefit arrangement – InsuranceYes
2019: ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN 2019 form 5500 responses
2019-02-01Type of plan entitySingle employer plan
2019-02-01Plan funding arrangement – InsuranceYes
2019-02-01Plan benefit arrangement – InsuranceYes
2018: ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN 2018 form 5500 responses
2018-02-01Type of plan entitySingle employer plan
2018-02-01Plan funding arrangement – InsuranceYes
2018-02-01Plan benefit arrangement – InsuranceYes
2017: ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN 2017 form 5500 responses
2017-02-01Type of plan entitySingle employer plan
2017-02-01Plan funding arrangement – InsuranceYes
2017-02-01Plan benefit arrangement – InsuranceYes
2016: ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN 2016 form 5500 responses
2016-02-01Type of plan entitySingle employer plan
2016-02-01Plan funding arrangement – InsuranceYes
2016-02-01Plan benefit arrangement – InsuranceYes
2015: ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN 2015 form 5500 responses
2015-02-01Type of plan entitySingle employer plan
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan benefit arrangement – InsuranceYes
2014: ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN 2014 form 5500 responses
2014-02-01Type of plan entitySingle employer plan
2014-02-01Plan funding arrangement – InsuranceYes
2014-02-01Plan benefit arrangement – InsuranceYes
2013: ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN 2013 form 5500 responses
2013-02-01Type of plan entitySingle employer plan
2013-02-01Plan funding arrangement – InsuranceYes
2013-02-01Plan benefit arrangement – InsuranceYes
2012: ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN 2012 form 5500 responses
2012-02-01Type of plan entitySingle employer plan
2012-02-01Plan funding arrangement – InsuranceYes
2012-02-01Plan benefit arrangement – InsuranceYes
2011: ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN 2011 form 5500 responses
2011-02-01Type of plan entitySingle employer plan
2011-02-01Plan funding arrangement – InsuranceYes
2011-02-01Plan benefit arrangement – InsuranceYes
2010: ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN 2010 form 5500 responses
2010-02-01Type of plan entitySingle employer plan
2010-02-01Plan funding arrangement – InsuranceYes
2010-02-01Plan benefit arrangement – InsuranceYes
2009: ANTON'S CLEANERS, INC. PREMIUM-ONLY CAFETERIA PLAN 2009 form 5500 responses
2009-02-01Type of plan entitySingle employer plan
2009-02-01Plan funding arrangement – InsuranceYes
2009-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
Policy contract number190603121258
Policy instance 2
Insurance contract or identification number190603121258
Number of Individuals Covered33
Insurance policy start date2022-08-01
Insurance policy end date2023-07-31
Total amount of commissions paid to insurance brokerUSD $8,642
Total amount of fees paid to insurance companyUSD $395
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $270,668
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,642
Amount paid for insurance broker fees395
Additional information about fees paid to insurance brokerBONUS AND PERSISTENCY COMMISSIONS
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5726814
Policy instance 1
Insurance contract or identification number5726814
Number of Individuals Covered57
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,746
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
Policy contract number190603121258
Policy instance 2
Insurance contract or identification number190603121258
Number of Individuals Covered35
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $9,207
Total amount of fees paid to insurance companyUSD $397
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $306,427
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,582
Amount paid for insurance broker fees397
Additional information about fees paid to insurance brokerBONUS AND PERSISTENCY COMMISSIONS
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5726814
Policy instance 1
Insurance contract or identification number5726814
Number of Individuals Covered68
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $30,440
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
Policy contract number190603121258
Policy instance 2
Insurance contract or identification number190603121258
Number of Individuals Covered56
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $11,475
Total amount of fees paid to insurance companyUSD $3,323
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $459,185
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,475
Amount paid for insurance broker fees3323
Additional information about fees paid to insurance brokerBONUS AND PERSISTENCY COMMISSIONS
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5726814
Policy instance 1
Insurance contract or identification number5726814
Number of Individuals Covered70
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $32,862
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4958697
Policy instance 2
Insurance contract or identification number4958697
Number of Individuals Covered43
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $6,328
Total amount of fees paid to insurance companyUSD $2,925
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $177,399
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,328
Amount paid for insurance broker fees2925
Additional information about fees paid to insurance brokerBONUS AND PERSISTENCY COMMISSIONS
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5726814
Policy instance 1
Insurance contract or identification number5726814
Number of Individuals Covered85
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $36,782
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4958697
Policy instance 2
Insurance contract or identification number4958697
Number of Individuals Covered44
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $13,720
Total amount of fees paid to insurance companyUSD $5,160
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $377,732
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,720
Amount paid for insurance broker fees5160
Additional information about fees paid to insurance brokerBONUS AND PERSISTENCY COMMISSIONS
Insurance broker organization code?3
Insurance broker nameBENEMAX, INC.
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05726814
Policy instance 1
Insurance contract or identification numberTM05726814
Number of Individuals Covered87
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $33,730
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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