BENNYS, INC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan BENNY'S INC. MEDICAL INSURANCE PLAN
401k plan membership statisitcs for BENNY'S INC. MEDICAL INSURANCE PLAN
| Measure | Date | Value |
|---|
| 2017: BENNY'S INC. MEDICAL INSURANCE PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-02-01 | 604 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-02-01 | 44 |
| Number of retired or separated participants receiving benefits | 2017-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-02-01 | 0 |
| Total of all active and inactive participants | 2017-02-01 | 44 |
| 2016: BENNY'S INC. MEDICAL INSURANCE PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-02-01 | 678 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-02-01 | 604 |
| Number of retired or separated participants receiving benefits | 2016-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-02-01 | 0 |
| Total of all active and inactive participants | 2016-02-01 | 604 |
| 2015: BENNY'S INC. MEDICAL INSURANCE PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-02-01 | 704 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-02-01 | 678 |
| Number of retired or separated participants receiving benefits | 2015-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-02-01 | 0 |
| Total of all active and inactive participants | 2015-02-01 | 678 |
| 2014: BENNY'S INC. MEDICAL INSURANCE PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-02-01 | 728 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-02-01 | 704 |
| Number of retired or separated participants receiving benefits | 2014-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-02-01 | 0 |
| Total of all active and inactive participants | 2014-02-01 | 704 |
| 2013: BENNY'S INC. MEDICAL INSURANCE PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-02-01 | 746 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-02-01 | 728 |
| Total of all active and inactive participants | 2013-02-01 | 728 |
| 2012: BENNY'S INC. MEDICAL INSURANCE PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-02-01 | 742 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-02-01 | 746 |
| Total of all active and inactive participants | 2012-02-01 | 746 |
| 2011: BENNY'S INC. MEDICAL INSURANCE PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-02-01 | 788 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-02-01 | 742 |
| Total of all active and inactive participants | 2011-02-01 | 742 |
| 2009: BENNY'S INC. MEDICAL INSURANCE PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-02-01 | 826 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-02-01 | 824 |
| Total of all active and inactive participants | 2009-02-01 | 824 |
| THE HARTFORD (National Association of Insurance Commissioners NAIC id number: 74268 ) |
| Policy contract number | 0GL-83130407 |
| Policy instance | 4 |
| Insurance contract or identification number | 0GL-83130407 | | Number of Individuals Covered | 426 | | Insurance policy start date | 2017-02-01 | | Insurance policy end date | 2018-01-31 | | Total amount of commissions paid to insurance broker | USD $1,517 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $75,871 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,517 | | Additional information about fees paid to insurance broker | SERVICE OF ACCOUNT 3 | | Insurance broker name | STARKWEATHER & SHEPLEY |
|
| BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 ) |
| Policy contract number | 4H07 1 |
| Policy instance | 3 |
| Insurance contract or identification number | 4H07 1 | | Number of Individuals Covered | 48 | | Insurance policy start date | 2017-02-01 | | Insurance policy end date | 2018-01-31 | | Total amount of commissions paid to insurance broker | USD $21,407 | | Total amount of fees paid to insurance company | USD $11,657 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $21,407 | | Amount paid for insurance broker fees | 11657 | | Insurance broker organization code? | 3 | | Insurance broker name | USI INSURANCE SERVICES OF RI |
|
| DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 55301 ) |
| Policy contract number | 3007-0002 |
| Policy instance | 2 |
| Insurance contract or identification number | 3007-0002 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2017-02-01 | | Insurance policy end date | 2018-01-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 55301 ) |
| Policy contract number | 3007-0001 |
| Policy instance | 1 |
| Insurance contract or identification number | 3007-0001 | | Number of Individuals Covered | 38 | | Insurance policy start date | 2017-02-01 | | Insurance policy end date | 2018-01-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE HARTFORD (National Association of Insurance Commissioners NAIC id number: 74268 ) |
| Policy contract number | 0GL-83130407 |
| Policy instance | 4 |
| Insurance contract or identification number | 0GL-83130407 | | Number of Individuals Covered | 452 | | Insurance policy start date | 2015-02-01 | | Insurance policy end date | 2016-01-31 | | Total amount of commissions paid to insurance broker | USD $1,963 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $90,573 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,963 | | Additional information about fees paid to insurance broker | SERVICE OF ACCOUNT 3 | | Insurance broker name | STARKWEATHER & SHEPLEY |
|
| BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 ) |
| Policy contract number | 4H07 1 |
| Policy instance | 3 |
| Insurance contract or identification number | 4H07 1 | | Number of Individuals Covered | 742 | | Insurance policy start date | 2015-02-01 | | Insurance policy end date | 2016-01-31 | | Total amount of fees paid to insurance company | USD $43,853 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 43853 | | Insurance broker organization code? | 3 | | Insurance broker name | USI INSURANCE SERVICES OF RI |
|
| DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 55301 ) |
| Policy contract number | 3007-0002 |
| Policy instance | 2 |
| Insurance contract or identification number | 3007-0002 | | Number of Individuals Covered | 221 | | Insurance policy start date | 2015-02-01 | | Insurance policy end date | 2016-01-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 55301 ) |
| Policy contract number | 3007-0001 |
| Policy instance | 1 |
| Insurance contract or identification number | 3007-0001 | | Number of Individuals Covered | 457 | | Insurance policy start date | 2015-02-01 | | Insurance policy end date | 2016-01-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 55301 ) |
| Policy contract number | 3007-0001 |
| Policy instance | 1 |
| Insurance contract or identification number | 3007-0001 | | Number of Individuals Covered | 470 | | Insurance policy start date | 2014-02-01 | | Insurance policy end date | 2015-01-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 55301 ) |
| Policy contract number | 3007-0002 |
| Policy instance | 2 |
| Insurance contract or identification number | 3007-0002 | | Number of Individuals Covered | 234 | | Insurance policy start date | 2014-02-01 | | Insurance policy end date | 2015-01-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 ) |
| Policy contract number | 4H07 1 |
| Policy instance | 3 |
| Insurance contract or identification number | 4H07 1 | | Number of Individuals Covered | 771 | | Insurance policy start date | 2014-02-01 | | Insurance policy end date | 2015-01-31 | | Total amount of commissions paid to insurance broker | USD $51,396 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $51,396 | | Insurance broker organization code? | 3 | | Insurance broker name | USI INSURANCE SERVICES OF RI |
|
| THE HARTFORD (National Association of Insurance Commissioners NAIC id number: 74268 ) |
| Policy contract number | 0GL-83130407 |
| Policy instance | 4 |
| Insurance contract or identification number | 0GL-83130407 | | Number of Individuals Covered | 469 | | Insurance policy start date | 2014-02-01 | | Insurance policy end date | 2015-01-31 | | Total amount of commissions paid to insurance broker | USD $1,655 | | Total amount of fees paid to insurance company | USD $208 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $82,267 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,655 | | Amount paid for insurance broker fees | 208 | | Additional information about fees paid to insurance broker | SERVICE OF ACCOUNT 3 | | Insurance broker name | STARKWEATHER & SHEPLEY |
|
| THE HARTFORD (National Association of Insurance Commissioners NAIC id number: 74268 ) |
| Policy contract number | 0GL-83130407 |
| Policy instance | 4 |
| Insurance contract or identification number | 0GL-83130407 | | Number of Individuals Covered | 469 | | Insurance policy start date | 2013-02-01 | | Insurance policy end date | 2014-01-31 | | Total amount of commissions paid to insurance broker | USD $2,600 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $99,001 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,600 | | Additional information about fees paid to insurance broker | SERVICE OF ACCOUNT 3 | | Insurance broker name | STARKWEATHER & SHEPLEY |
|
| DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 55301 ) |
| Policy contract number | 3007-0001 |
| Policy instance | 1 |
| Insurance contract or identification number | 3007-0001 | | Number of Individuals Covered | 483 | | Insurance policy start date | 2013-02-01 | | Insurance policy end date | 2014-01-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 55301 ) |
| Policy contract number | 3007-0002 |
| Policy instance | 2 |
| Insurance contract or identification number | 3007-0002 | | Number of Individuals Covered | 245 | | Insurance policy start date | 2013-02-01 | | Insurance policy end date | 2014-01-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 ) |
| Policy contract number | 4H07 1 |
| Policy instance | 3 |
| Insurance contract or identification number | 4H07 1 | | Number of Individuals Covered | 799 | | Insurance policy start date | 2013-02-01 | | Insurance policy end date | 2014-01-31 | | Total amount of commissions paid to insurance broker | USD $22,040 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $22,040 | | Insurance broker organization code? | 3 | | Insurance broker name | USI INSURANCE SERVICES OF RI |
|
| DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 55301 ) |
| Policy contract number | 3007-0002 |
| Policy instance | 2 |
| Insurance contract or identification number | 3007-0002 | | Number of Individuals Covered | 248 | | Insurance policy start date | 2012-02-01 | | Insurance policy end date | 2013-01-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 ) |
| Policy contract number | 4H07 1 |
| Policy instance | 3 |
| Insurance contract or identification number | 4H07 1 | | Number of Individuals Covered | 810 | | Insurance policy start date | 2012-02-01 | | Insurance policy end date | 2013-01-31 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE HARTFORD (National Association of Insurance Commissioners NAIC id number: 74268 ) |
| Policy contract number | 0GL-83130407 |
| Policy instance | 4 |
| Insurance contract or identification number | 0GL-83130407 | | Number of Individuals Covered | 469 | | Insurance policy start date | 2012-02-01 | | Insurance policy end date | 2013-01-31 | | Total amount of commissions paid to insurance broker | USD $1,978 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $91,652 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,978 | | Additional information about fees paid to insurance broker | SERVICE OF ACCOUNT 3 | | Insurance broker name | STARKWEATHER & SHEPLEY |
|
| DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 55301 ) |
| Policy contract number | 3007-0001 |
| Policy instance | 1 |
| Insurance contract or identification number | 3007-0001 | | Number of Individuals Covered | 498 | | Insurance policy start date | 2012-02-01 | | Insurance policy end date | 2013-01-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 ) |
| Policy contract number | 4H07 1 |
| Policy instance | 5 |
| Insurance contract or identification number | 4H07 1 | | Number of Individuals Covered | 810 | | Insurance policy start date | 2012-02-01 | | Insurance policy end date | 2013-01-31 | | Total amount of commissions paid to insurance broker | USD $38,061 | | Welfare Benefit Premiums Paid to Carrier | USD $458,460 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $38,061 | | Additional information about fees paid to insurance broker | SERVICE OF ACCOUNT 3 | | Insurance broker name | USI NEW ENGLAND, INC |
|
| THE HARTFORD (National Association of Insurance Commissioners NAIC id number: 74268 ) |
| Policy contract number | 0GL-83130407 |
| Policy instance | 4 |
| Insurance contract or identification number | 0GL-83130407 | | Number of Individuals Covered | 473 | | Insurance policy start date | 2011-02-01 | | Insurance policy end date | 2012-01-31 | | Total amount of commissions paid to insurance broker | USD $1,833 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $91,740 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 55301 ) |
| Policy contract number | 3007-0001 |
| Policy instance | 1 |
| Insurance contract or identification number | 3007-0001 | | Number of Individuals Covered | 503 | | Insurance policy start date | 2011-02-01 | | Insurance policy end date | 2012-01-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 55301 ) |
| Policy contract number | 3007-0002 |
| Policy instance | 2 |
| Insurance contract or identification number | 3007-0002 | | Number of Individuals Covered | 239 | | Insurance policy start date | 2011-02-01 | | Insurance policy end date | 2012-01-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 ) |
| Policy contract number | 4H07 1 |
| Policy instance | 3 |
| Insurance contract or identification number | 4H07 1 | | Number of Individuals Covered | 804 | | Insurance policy start date | 2011-02-01 | | Insurance policy end date | 2012-01-31 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 ) |
| Policy contract number | 4H07 1 |
| Policy instance | 5 |
| Insurance contract or identification number | 4H07 1 | | Number of Individuals Covered | 804 | | Insurance policy start date | 2011-02-01 | | Insurance policy end date | 2012-01-31 | | Total amount of commissions paid to insurance broker | USD $31,609 | | Welfare Benefit Premiums Paid to Carrier | USD $316,091 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 55301 ) |
| Policy contract number | 3007-0001 |
| Policy instance | 1 |
| Insurance contract or identification number | 3007-0001 | | Number of Individuals Covered | 531 | | Insurance policy start date | 2010-02-01 | | Insurance policy end date | 2011-01-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 55301 ) |
| Policy contract number | 3007-0002 |
| Policy instance | 2 |
| Insurance contract or identification number | 3007-0002 | | Number of Individuals Covered | 257 | | Insurance policy start date | 2010-02-01 | | Insurance policy end date | 2011-01-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE HARTFORD (National Association of Insurance Commissioners NAIC id number: 74268 ) |
| Policy contract number | 0GL-83130407 |
| Policy instance | 4 |
| Insurance contract or identification number | 0GL-83130407 | | Number of Individuals Covered | 883 | | Insurance policy start date | 2010-02-01 | | Insurance policy end date | 2011-01-31 | | Total amount of commissions paid to insurance broker | USD $1,663 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $83,184 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,663 | | Additional information about fees paid to insurance broker | SERVICE OF ACCOUNT | | Insurance broker organization code? | 3 | | Insurance broker name | STARKWEATHER & SHEPLEY |
|
| BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 ) |
| Policy contract number | 4H07 1 |
| Policy instance | 5 |
| Insurance contract or identification number | 4H07 1 | | Number of Individuals Covered | 804 | | Insurance policy start date | 2010-02-01 | | Insurance policy end date | 2011-01-31 | | Total amount of commissions paid to insurance broker | USD $30,408 | | Welfare Benefit Premiums Paid to Carrier | USD $304,070 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $30,408 | | Additional information about fees paid to insurance broker | SERVICE OF ACCOUNT | | Insurance broker organization code? | 3 | | Insurance broker name | USI NEW ENGLAND, INC |
|
| BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 ) |
| Policy contract number | 4H07 1 |
| Policy instance | 3 |
| Insurance contract or identification number | 4H07 1 | | Number of Individuals Covered | 804 | | Insurance policy start date | 2010-02-01 | | Insurance policy end date | 2011-01-31 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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