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DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN 401k Plan overview

Plan NameDEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN
Plan identification number 503

DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

DEMOULAS SUPER MARKETS, INC. has sponsored the creation of one or more 401k plans.

Company Name:DEMOULAS SUPER MARKETS, INC.
Employer identification number (EIN):042323411
NAIC Classification:445110
NAIC Description:Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032022-01-01
5032021-01-01
5032020-01-01
5032019-01-01
5032018-01-01MICHAEL R. KING DONALD T. MULLIGAN2019-07-22
5032017-01-01MICHAEL R. KING DONALD T. MULLIGAN2018-07-10
5032016-01-01MICHAEL R. KING DONALD T. MULLIGAN2017-07-25
5032015-01-01MICHAEL R. KING DONALD T. MULLIGAN2016-07-22
5032014-01-01MICHAEL R. KING DONALD T. MULLIGAN2015-07-24
5032013-01-01MICHAEL R. KING DONALD T. MULLIGAN2014-09-24
5032012-01-01MICHAEL R. KING DONALD T. MULLIGAN2013-07-16
5032011-01-01MICHAEL R. KING DONALD T. MULLIGAN2012-07-26
5032009-01-01MICHAEL R. KING DONALD T. MULLIGAN2010-07-29
5032009-01-01MICHAEL R. KING DONALD T. MULLIGAN2010-07-29

Plan Statistics for DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN

401k plan membership statisitcs for DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN

Measure Date Value
2022: DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-014,863
Total number of active participants reported on line 7a of the Form 55002022-01-014,932
Total of all active and inactive participants2022-01-014,932
2021: DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-014,713
Total number of active participants reported on line 7a of the Form 55002021-01-014,863
Total of all active and inactive participants2021-01-014,863
2020: DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-014,462
Total number of active participants reported on line 7a of the Form 55002020-01-014,713
Total of all active and inactive participants2020-01-014,713
2019: DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-014,398
Total number of active participants reported on line 7a of the Form 55002019-01-014,462
Total of all active and inactive participants2019-01-014,462
2018: DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-014,373
Total number of active participants reported on line 7a of the Form 55002018-01-014,398
Total of all active and inactive participants2018-01-014,398
2017: DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-014,264
Total number of active participants reported on line 7a of the Form 55002017-01-014,373
Total of all active and inactive participants2017-01-014,373
2016: DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-014,204
Total number of active participants reported on line 7a of the Form 55002016-01-014,264
Total of all active and inactive participants2016-01-014,264
2015: DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-014,107
Total number of active participants reported on line 7a of the Form 55002015-01-014,204
Total of all active and inactive participants2015-01-014,204
2014: DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-013,851
Total number of active participants reported on line 7a of the Form 55002014-01-014,107
Total of all active and inactive participants2014-01-014,107
2013: DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-013,676
Total number of active participants reported on line 7a of the Form 55002013-01-013,851
Total of all active and inactive participants2013-01-013,851
2012: DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-013,718
Total number of active participants reported on line 7a of the Form 55002012-01-013,676
Total of all active and inactive participants2012-01-013,676
2011: DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-013,523
Total number of active participants reported on line 7a of the Form 55002011-01-013,718
Total of all active and inactive participants2011-01-013,718
2009: DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-013,092
Total number of active participants reported on line 7a of the Form 55002009-01-013,356
Total of all active and inactive participants2009-01-013,356

Form 5500 Responses for DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN

2022: DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: DEMOULAS SUPER MARKETS, INC. LIFE INSURANCE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberSA3810B75V7G01
Policy instance 1
Insurance contract or identification numberSA3810B75V7G01
Number of Individuals Covered4932
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $21,764
Total amount of fees paid to insurance companyUSD $4,879
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $188,677
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,764
Amount paid for insurance broker fees4879
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberSA3810B75V7G01
Policy instance 1
Insurance contract or identification numberSA3810B75V7G01
Number of Individuals Covered4863
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $19,780
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $158,235
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,780
Insurance broker organization code?3
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberSA3810B75V7G01
Policy instance 1
Insurance contract or identification numberSA3810B75V7G01
Number of Individuals Covered4713
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $13,112
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $104,899
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,112
Insurance broker organization code?3
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberSA3810B75V7G01
Policy instance 1
Insurance contract or identification numberSA3810B75V7G01
Number of Individuals Covered4462
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $13,793
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $101,862
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,793
Insurance broker organization code?3
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberSA3810B75V7G01
Policy instance 1
Insurance contract or identification numberSA3810B75V7G01
Number of Individuals Covered4398
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $11,515
Total amount of fees paid to insurance companyUSD $0
Life 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 $11,515
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number678152G
Policy instance 1
Insurance contract or identification number678152G
Number of Individuals Covered4373
Insurance policy start date2016-12-01
Insurance policy end date2017-11-30
Total amount of commissions paid to insurance brokerUSD $11,910
Total amount of fees paid to insurance companyUSD $0
Life 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 $11,910
Insurance broker organization code?3
Insurance broker nameFRED C. CHURCH INC.
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number678152G
Policy instance 1
Insurance contract or identification number678152G
Number of Individuals Covered4204
Insurance policy start date2014-12-01
Insurance policy end date2015-11-30
Total amount of commissions paid to insurance brokerUSD $9,988
Total amount of fees paid to insurance companyUSD $0
Life 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 $9,988
Insurance broker organization code?3
Insurance broker nameFRED C. CHURCH INC.
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number678152G
Policy instance 1
Insurance contract or identification number678152G
Number of Individuals Covered4107
Insurance policy start date2013-12-01
Insurance policy end date2014-11-30
Total amount of commissions paid to insurance brokerUSD $10,896
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life 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 $10,896
Insurance broker organization code?3
Insurance broker nameFRED C. CHURCH INC.
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number678152G
Policy instance 1
Insurance contract or identification number678152G
Number of Individuals Covered3851
Insurance policy start date2012-12-01
Insurance policy end date2013-11-30
Total amount of commissions paid to insurance brokerUSD $10,646
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life 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 $10,646
Insurance broker organization code?3
Insurance broker nameFRED C. CHURCH INC.
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberGL 008608
Policy instance 1
Insurance contract or identification numberGL 008608
Number of Individuals Covered3676
Insurance policy start date2011-12-01
Insurance policy end date2012-11-30
Total amount of commissions paid to insurance brokerUSD $11,314
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life 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 $11,314
Additional information about fees paid to insurance brokerSALES & SERVICE
Insurance broker organization code?3
Insurance broker nameFRED C. CHURCH INC.
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberGL 008608
Policy instance 1
Insurance contract or identification numberGL 008608
Number of Individuals Covered3718
Insurance policy start date2010-12-01
Insurance policy end date2011-12-01
Total amount of commissions paid to insurance brokerUSD $10,916
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberGL 008608
Policy instance 1
Insurance contract or identification numberGL 008608
Number of Individuals Covered3523
Insurance policy start date2009-12-01
Insurance policy end date2010-12-01
Total amount of commissions paid to insurance brokerUSD $10,455
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life 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 $10,455
Additional information about fees paid to insurance brokerSALES & SERVICE
Insurance broker organization code?3
Insurance broker nameFRED C. CHURCH INC.

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