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PARTS AUTHORITY, INC. HEALTH & WELFARE PLAN 401k Plan overview

Plan NamePARTS AUTHORITY, INC. HEALTH & WELFARE PLAN
Plan identification number 502

PARTS AUTHORITY, INC. HEALTH & WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Long-term disability cover

401k Sponsoring company profile

PARTS AUTHORITY, INC. has sponsored the creation of one or more 401k plans.

Company Name:PARTS AUTHORITY, INC.
Employer identification number (EIN):113193390
NAIC Classification:423100

Additional information about PARTS AUTHORITY, INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1993-11-02
Company Identification Number: 1768745
Legal Registered Office Address: 211-10 HILLSIDE AVE
QUEENS
QUEENS VILLAGE
United States of America (USA)
11427

More information about PARTS AUTHORITY, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PARTS AUTHORITY, INC. HEALTH & WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022015-02-01
5022015-02-01
5022014-02-01
5022014-02-01
5022013-02-01
5022012-02-01
5022011-02-01
5022010-02-01
5022009-02-01DAVID WOTMAN DAVID WOTMAN2010-09-07

Plan Statistics for PARTS AUTHORITY, INC. HEALTH & WELFARE PLAN

401k plan membership statisitcs for PARTS AUTHORITY, INC. HEALTH & WELFARE PLAN

Measure Date Value
2015: PARTS AUTHORITY, INC. HEALTH & WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-02-01346
Total number of active participants reported on line 7a of the Form 55002015-02-01346
Number of retired or separated participants receiving benefits2015-02-010
Number of other retired or separated participants entitled to future benefits2015-02-010
Total of all active and inactive participants2015-02-01346
2014: PARTS AUTHORITY, INC. HEALTH & WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-02-01379
Total number of active participants reported on line 7a of the Form 55002014-02-01379
Total of all active and inactive participants2014-02-01379
2013: PARTS AUTHORITY, INC. HEALTH & WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-02-01775
Total number of active participants reported on line 7a of the Form 55002013-02-01775
Number of retired or separated participants receiving benefits2013-02-010
Number of other retired or separated participants entitled to future benefits2013-02-010
Total of all active and inactive participants2013-02-01775
2012: PARTS AUTHORITY, INC. HEALTH & WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-02-01705
Total number of active participants reported on line 7a of the Form 55002012-02-01705
Number of retired or separated participants receiving benefits2012-02-010
Number of other retired or separated participants entitled to future benefits2012-02-010
Total of all active and inactive participants2012-02-01705
2011: PARTS AUTHORITY, INC. HEALTH & WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-02-01580
Total number of active participants reported on line 7a of the Form 55002011-02-01580
Number of retired or separated participants receiving benefits2011-02-010
Number of other retired or separated participants entitled to future benefits2011-02-010
Total of all active and inactive participants2011-02-01580
2010: PARTS AUTHORITY, INC. HEALTH & WELFARE PLAN 2010 401k membership
Total participants, beginning-of-year2010-02-01584
Total number of active participants reported on line 7a of the Form 55002010-02-01584
Number of retired or separated participants receiving benefits2010-02-010
Total of all active and inactive participants2010-02-01584
2009: PARTS AUTHORITY, INC. HEALTH & WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-02-01305
Total number of active participants reported on line 7a of the Form 55002009-02-01167
Number of retired or separated participants receiving benefits2009-02-010
Number of other retired or separated participants entitled to future benefits2009-02-010
Total of all active and inactive participants2009-02-01167
Total participants2009-02-010

Form 5500 Responses for PARTS AUTHORITY, INC. HEALTH & WELFARE PLAN

2015: PARTS AUTHORITY, INC. HEALTH & WELFARE PLAN 2015 form 5500 responses
2015-02-01Type of plan entitySingle employer plan
2015-02-01Submission has been amendedNo
2015-02-01This submission is the final filingNo
2015-02-01This return/report is a short plan year return/report (less than 12 months)No
2015-02-01Plan is a collectively bargained planNo
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan benefit arrangement – InsuranceYes
2014: PARTS AUTHORITY, INC. HEALTH & WELFARE PLAN 2014 form 5500 responses
2014-02-01Type of plan entitySingle employer plan
2014-02-01Submission has been amendedYes
2014-02-01This submission is the final filingNo
2014-02-01This return/report is a short plan year return/report (less than 12 months)No
2014-02-01Plan is a collectively bargained planNo
2014-02-01Plan funding arrangement – InsuranceYes
2014-02-01Plan benefit arrangement – InsuranceYes
2013: PARTS AUTHORITY, INC. HEALTH & WELFARE PLAN 2013 form 5500 responses
2013-02-01Type of plan entitySingle employer plan
2013-02-01Submission has been amendedYes
2013-02-01This submission is the final filingNo
2013-02-01This return/report is a short plan year return/report (less than 12 months)No
2013-02-01Plan is a collectively bargained planNo
2013-02-01Plan funding arrangement – InsuranceYes
2013-02-01Plan benefit arrangement – InsuranceYes
2012: PARTS AUTHORITY, INC. HEALTH & WELFARE PLAN 2012 form 5500 responses
2012-02-01Type of plan entitySingle employer plan
2012-02-01Submission has been amendedYes
2012-02-01This submission is the final filingNo
2012-02-01This return/report is a short plan year return/report (less than 12 months)No
2012-02-01Plan is a collectively bargained planNo
2012-02-01Plan funding arrangement – InsuranceYes
2012-02-01Plan benefit arrangement – InsuranceYes
2011: PARTS AUTHORITY, INC. HEALTH & WELFARE PLAN 2011 form 5500 responses
2011-02-01Type of plan entitySingle employer plan
2011-02-01Submission has been amendedYes
2011-02-01This submission is the final filingNo
2011-02-01This return/report is a short plan year return/report (less than 12 months)No
2011-02-01Plan is a collectively bargained planNo
2011-02-01Plan funding arrangement – InsuranceYes
2011-02-01Plan benefit arrangement – InsuranceYes
2010: PARTS AUTHORITY, INC. HEALTH & WELFARE PLAN 2010 form 5500 responses
2010-02-01Type of plan entitySingle employer plan
2010-02-01Submission has been amendedYes
2010-02-01This submission is the final filingNo
2010-02-01This return/report is a short plan year return/report (less than 12 months)No
2010-02-01Plan is a collectively bargained planNo
2010-02-01Plan funding arrangement – InsuranceYes
2010-02-01Plan benefit arrangement – InsuranceYes
2009: PARTS AUTHORITY, INC. HEALTH & WELFARE PLAN 2009 form 5500 responses
2009-02-01Type of plan entitySingle employer plan
2009-02-01Submission has been amendedNo
2009-02-01This submission is the final filingNo
2009-02-01This return/report is a short plan year return/report (less than 12 months)No
2009-02-01Plan is a collectively bargained planNo
2009-02-01Plan funding arrangement – InsuranceYes
2009-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract numberV4122
Policy instance 6
Insurance contract or identification numberV4122
Number of Individuals Covered126
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $16,370
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
TOTAL DENTAL ADMINISTRATORS (National Association of Insurance Commissioners NAIC id number: 52120 )
Policy contract number651440
Policy instance 5
Insurance contract or identification number651440
Number of Individuals Covered71
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $1,417
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0754175
Policy instance 4
Insurance contract or identification number0754175
Number of Individuals Covered35
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $2,061
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,932
DOMINIONNATIONAL DENTAL (National Association of Insurance Commissioners NAIC id number: 95657 )
Policy contract number59347
Policy instance 3
Insurance contract or identification number59347
Number of Individuals Covered252
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $4,401
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $31,944
DOMINIONNATIONAL DENTAL (National Association of Insurance Commissioners NAIC id number: 95657 )
Policy contract number59345
Policy instance 2
Insurance contract or identification number59345
Number of Individuals Covered226
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $20,150
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,399
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3333077
Policy instance 1
Insurance contract or identification number3333077
Number of Individuals Covered346
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $122,175
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TOTAL DENTAL ADMINISTRATORS (National Association of Insurance Commissioners NAIC id number: 52120 )
Policy contract number651440
Policy instance 5
Insurance contract or identification number651440
Number of Individuals Covered70
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $1,257
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,568
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract numberV4122
Policy instance 6
Insurance contract or identification numberV4122
Number of Individuals Covered125
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $29,038
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $64,910
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVALON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 12358 )
Policy contract number59347
Policy instance 4
Insurance contract or identification number59347
Number of Individuals Covered202
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $3,972
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $25,444
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DOMINIONNATIONAL DENTAL (National Association of Insurance Commissioners NAIC id number: 95657 )
Policy contract number59345
Policy instance 3
Insurance contract or identification number59345
Number of Individuals Covered213
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $14,654
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,558
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0754175
Policy instance 2
Insurance contract or identification number0754175
Number of Individuals Covered51
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $3,058
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,740
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3333077
Policy instance 1
Insurance contract or identification number3333077
Number of Individuals Covered254
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $99,037
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,301,222
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DOMINIONNATIONAL DENTAL (National Association of Insurance Commissioners NAIC id number: 95657 )
Policy contract number59345
Policy instance 4
Insurance contract or identification number59345
Number of Individuals Covered361
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $4,967
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,011
AVALON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 12358 )
Policy contract number59347
Policy instance 3
Insurance contract or identification number59347
Number of Individuals Covered180
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $2,352
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,579
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberWA1195
Policy instance 2
Insurance contract or identification numberWA1195
Number of Individuals Covered6
Insurance policy start date2013-08-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $9,952
Total amount of fees paid to insurance companyUSD $3,696
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $210,827
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3333077
Policy instance 1
Insurance contract or identification number3333077
Number of Individuals Covered175
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $75,469
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,515,643
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number3333077
Policy instance 2
Insurance contract or identification number3333077
Number of Individuals Covered161
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $66,508
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,216,944
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number1070354000
Policy instance 1
Insurance contract or identification number1070354000
Number of Individuals Covered5
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $1,332
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $33,859

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