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MOBIS WELFARE BENEFIT PLAN 401k Plan overview

Plan NameMOBIS WELFARE BENEFIT PLAN
Plan identification number 506

MOBIS WELFARE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

MOBIS PARTS AMERICA LLC has sponsored the creation of one or more 401k plans.

Company Name:MOBIS PARTS AMERICA LLC
Employer identification number (EIN):200262739
NAIC Classification:441300
NAIC Description: Automotive Parts, Accessories, and Tire Stores

Additional information about MOBIS PARTS AMERICA LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 3709264

More information about MOBIS PARTS AMERICA LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MOBIS WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062020-08-01
5062019-08-01
5062018-08-01
5062017-08-01MARY CALDERON
5062016-08-01JENNIFER SIDHOM
5062015-08-01SHERRY THOMAS
5062014-08-01SHERRY THOMAS
5062013-08-01SHERRY THOMAS
5062012-08-01SHERRY THOMAS

Plan Statistics for MOBIS WELFARE BENEFIT PLAN

401k plan membership statisitcs for MOBIS WELFARE BENEFIT PLAN

Measure Date Value
2020: MOBIS WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-08-01630
Total number of active participants reported on line 7a of the Form 55002020-08-01621
Number of retired or separated participants receiving benefits2020-08-011
Total of all active and inactive participants2020-08-01622
Total participants2020-08-01622
2019: MOBIS WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-08-01609
Total number of active participants reported on line 7a of the Form 55002019-08-01630
Number of retired or separated participants receiving benefits2019-08-012
Total of all active and inactive participants2019-08-01632
Total participants2019-08-01632
2018: MOBIS WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-08-01553
Total number of active participants reported on line 7a of the Form 55002018-08-01609
Total of all active and inactive participants2018-08-01609
Total participants2018-08-01609
2017: MOBIS WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-08-01545
Total number of active participants reported on line 7a of the Form 55002017-08-01553
Number of retired or separated participants receiving benefits2017-08-018
Total of all active and inactive participants2017-08-01561
Total participants2017-08-01561
2016: MOBIS WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-08-01505
Total number of active participants reported on line 7a of the Form 55002016-08-01540
Number of retired or separated participants receiving benefits2016-08-015
Total of all active and inactive participants2016-08-01545
Total participants2016-08-01545
2015: MOBIS WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-08-01467
Total number of active participants reported on line 7a of the Form 55002015-08-01505
Total of all active and inactive participants2015-08-01505
Total participants2015-08-010
2014: MOBIS WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-08-01452
Total number of active participants reported on line 7a of the Form 55002014-08-01467
Total of all active and inactive participants2014-08-01467
Total participants2014-08-010
2013: MOBIS WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-08-01413
Total number of active participants reported on line 7a of the Form 55002013-08-01444
Total of all active and inactive participants2013-08-01444
Total participants2013-08-010
2012: MOBIS WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-08-01413
Total number of active participants reported on line 7a of the Form 55002012-08-01413
Total of all active and inactive participants2012-08-01413
Total participants2012-08-010

Form 5500 Responses for MOBIS WELFARE BENEFIT PLAN

2020: MOBIS WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-08-01Type of plan entitySingle employer plan
2020-08-01Plan funding arrangement – InsuranceYes
2020-08-01Plan benefit arrangement – InsuranceYes
2019: MOBIS WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-08-01Type of plan entitySingle employer plan
2019-08-01Plan funding arrangement – InsuranceYes
2019-08-01Plan benefit arrangement – InsuranceYes
2018: MOBIS WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-08-01Type of plan entitySingle employer plan
2018-08-01Plan funding arrangement – InsuranceYes
2018-08-01Plan benefit arrangement – InsuranceYes
2017: MOBIS WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – InsuranceYes
2016: MOBIS WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – InsuranceYes
2015: MOBIS WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – InsuranceYes
2014: MOBIS WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-08-01Type of plan entitySingle employer plan
2014-08-01Plan funding arrangement – InsuranceYes
2014-08-01Plan benefit arrangement – InsuranceYes
2013: MOBIS WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-08-01Type of plan entitySingle employer plan
2013-08-01Plan funding arrangement – InsuranceYes
2013-08-01Plan benefit arrangement – InsuranceYes
2012: MOBIS WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-08-01Type of plan entitySingle employer plan
2012-08-01Plan funding arrangement – InsuranceYes
2012-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0222194
Policy instance 2
Insurance contract or identification number0222194
Number of Individuals Covered327
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $12,286
Total amount of fees paid to insurance companyUSD $768
Health Insurance Welfare BenefitYes
Other welfare benefits providedCRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $66,891
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,286
Amount paid for insurance broker fees1
Additional information about fees paid to insurance brokerSERVICE FEES, NON-MONETARY COMPENSATION
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number30033798
Policy instance 1
Insurance contract or identification number30033798
Number of Individuals Covered1220
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of fees paid to insurance companyUSD $11,926
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $81,608
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees11926
Additional information about fees paid to insurance brokerINCENTIVES
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0222194
Policy instance 3
Insurance contract or identification number0222194
Number of Individuals Covered308
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $10,940
Total amount of fees paid to insurance companyUSD $726
Health Insurance Welfare BenefitYes
Other welfare benefits providedCII
Welfare Benefit Premiums Paid to CarrierUSD $60,179
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,940
Amount paid for insurance broker fees42
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5952450
Policy instance 2
Insurance contract or identification number5952450
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $1,304
Total amount of fees paid to insurance companyUSD $2,823
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,676
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,304
Amount paid for insurance broker fees1998
Additional information about fees paid to insurance brokerSERVICE FEES, NON-MONETARY COMPENSATION
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number30033798
Policy instance 1
Insurance contract or identification number30033798
Number of Individuals Covered1659
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of fees paid to insurance companyUSD $13,057
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $81,608
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees13057
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number30033798
Policy instance 1
Insurance contract or identification number30033798
Number of Individuals Covered609
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $147,650
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5952450
Policy instance 2
Insurance contract or identification number5952450
Number of Individuals Covered1360
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $12,618
Total amount of fees paid to insurance companyUSD $31,857
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $685,420
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,618
Amount paid for insurance broker fees19001
Additional information about fees paid to insurance brokerSERVICE FEES, NON-MONETARY COMPENSATION
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number30033798
Policy instance 1
Insurance contract or identification number30033798
Number of Individuals Covered561
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $68,186
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number30033798
Policy instance 1
Insurance contract or identification number30033798
Number of Individuals Covered504
Insurance policy start date2015-08-01
Insurance policy end date2016-07-31
Total amount of commissions paid to insurance brokerUSD $3,169
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $63,370
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,169
Insurance broker organization code?3
Insurance broker nameJ. SMITH LANIER & COMPANY
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number30033798
Policy instance 1
Insurance contract or identification number30033798
Number of Individuals Covered1244
Insurance policy start date2014-08-01
Insurance policy end date2015-07-31
Total amount of commissions paid to insurance brokerUSD $3,078
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $61,551
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,078
Insurance broker organization code?3
Insurance broker nameJ. SMITH LANIER & COMPANY
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number30033798
Policy instance 1
Insurance contract or identification number30033798
Number of Individuals Covered444
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
Total amount of commissions paid to insurance brokerUSD $2,878
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $57,550
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,878
Insurance broker organization code?3
Insurance broker nameJ. SMITH LANIER & COMPANY
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number30033798
Policy instance 1
Insurance contract or identification number30033798
Number of Individuals Covered413
Insurance policy start date2012-08-01
Insurance policy end date2013-07-31
Total amount of commissions paid to insurance brokerUSD $2,629
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $52,573
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,629
Insurance broker organization code?3
Insurance broker nameJ. SMITH LANIER & COMPANY

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