401k Plan data: NU-LOOK COLLISION MEDICAL PLAN plan

NU-LOOK COLLISION MEDICAL PLAN 401k Plan overview

Plan Name	NU-LOOK COLLISION MEDICAL PLAN
Plan identification number	501

NU-LOOK COLLISION MEDICAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Other welfare benefit cover

401k Sponsoring company profile

NU-LOOK COLLISION, INC. has sponsored the creation of one or more 401k plans.

Company Name: NU-LOOK COLLISION, INC.

Employer identification number (EIN): 161276468

NAIC Classification: 811120
NAIC Description: Automotive Body, Paint, Interior, and Glass Repair

Additional information about NU-LOOK COLLISION, INC.

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 1986-04-07

Company Identification Number: 1071654

Legal Registered Office Address: 32 KING FISHER DRIVE
Monroe
SPENCERPORT
United States of America (USA)
14459

More information about NU-LOOK COLLISION, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NU-LOOK COLLISION MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2018-01-01
501 2017-01-01
501 2016-01-01 MARK SCHNAUBER MARK SCHNAUBER 2017-07-18
501 2015-01-01 NANCY KNAPP

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2018-01-01
501	2017-01-01
501	2016-01-01	MARK SCHNAUBER	MARK SCHNAUBER	2017-07-18
501	2015-01-01	NANCY KNAPP

Plan Statistics for NU-LOOK COLLISION MEDICAL PLAN

401k plan membership statisitcs for NU-LOOK COLLISION MEDICAL PLAN

Measure Date Value
2018: NU-LOOK COLLISION MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 141
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 105
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 105
Number of employers contributing to the scheme 2018-01-01 0
2017: NU-LOOK COLLISION MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 110
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 129
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 129
2016: NU-LOOK COLLISION MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 108
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 110
Total of all active and inactive participants 2016-01-01 110
Total participants 2016-01-01 110
2015: NU-LOOK COLLISION MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 94
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 108
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 108

Measure	Date	Value
2018: NU-LOOK COLLISION MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	141
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	105
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	105
Number of employers contributing to the scheme	2018-01-01	0
2017: NU-LOOK COLLISION MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	110
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	129
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	129
2016: NU-LOOK COLLISION MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	108
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	110
Total of all active and inactive participants	2016-01-01	110
Total participants	2016-01-01	110
2015: NU-LOOK COLLISION MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	94
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	108
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	108

Form 5500 Responses for NU-LOOK COLLISION MEDICAL PLAN

2018: NU-LOOK COLLISION MEDICAL PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: NU-LOOK COLLISION MEDICAL PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: NU-LOOK COLLISION MEDICAL PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: NU-LOOK COLLISION MEDICAL PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	First time form 5500 has been submitted	Yes
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )

Policy contract number

490172

Policy instance

Insurance contract or identification number	490172
Number of Individuals Covered	247
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $44,570
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,086,643
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $44,570
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

6059

Policy instance

Insurance contract or identification number	6059
Number of Individuals Covered	129
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $48,252
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,186,921
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $24,870
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Insurance broker name	PAYCHEX AGENCY INC.

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

00006059

Policy instance

Insurance contract or identification number	00006059
Number of Individuals Covered	108
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $10,284
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,284
Insurance broker organization code?	3
Insurance broker name	FIRST NIAGARA RISK MANAGEMENT

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Company Name:	NU-LOOK COLLISION, INC.
Employer identification number (EIN):	161276468
NAIC Classification:	811120
NAIC Description:	Automotive Body, Paint, Interior, and Glass Repair

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	1986-04-07
Company Identification Number:	1071654
Legal Registered Office Address:	32 KING FISHER DRIVE Monroe SPENCERPORT United States of America (USA) 14459