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HIGHWAY TOLL ADMINISTRATION LLC BENEFITS WELFARE PLAN 401k Plan overview

Plan NameHIGHWAY TOLL ADMINISTRATION LLC BENEFITS WELFARE PLAN
Plan identification number 501

HIGHWAY TOLL ADMINISTRATION LLC BENEFITS WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Other welfare benefit cover

401k Sponsoring company profile

HIGHWAY TOLL ADMINISTRATION, LLC has sponsored the creation of one or more 401k plans.

Company Name:HIGHWAY TOLL ADMINISTRATION, LLC
Employer identification number (EIN):200954377
NAIC Classification:488490
NAIC Description:Other Support Activities for Road Transportation

Additional information about HIGHWAY TOLL ADMINISTRATION, LLC

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 2004-04-07
Company Identification Number: 3037529
Legal Registered Office Address: 1150 n. alma school road
New York
MESA
United States of America (USA)
85201

More information about HIGHWAY TOLL ADMINISTRATION, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HIGHWAY TOLL ADMINISTRATION LLC BENEFITS WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012018-09-01ROBERT SCHMITT2019-08-12
5012017-09-01ANAT GAN EDEN2019-05-29
5012017-02-01

Plan Statistics for HIGHWAY TOLL ADMINISTRATION LLC BENEFITS WELFARE PLAN

401k plan membership statisitcs for HIGHWAY TOLL ADMINISTRATION LLC BENEFITS WELFARE PLAN

Measure Date Value
2018: HIGHWAY TOLL ADMINISTRATION LLC BENEFITS WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-09-01108
Total number of active participants reported on line 7a of the Form 55002018-09-010
Number of retired or separated participants receiving benefits2018-09-010
Number of other retired or separated participants entitled to future benefits2018-09-010
Total of all active and inactive participants2018-09-010
Number of employers contributing to the scheme2018-09-010
2017: HIGHWAY TOLL ADMINISTRATION LLC BENEFITS WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-09-01104
Total number of active participants reported on line 7a of the Form 55002017-09-01143
Number of retired or separated participants receiving benefits2017-09-010
Number of other retired or separated participants entitled to future benefits2017-09-010
Total of all active and inactive participants2017-09-01143
Number of employers contributing to the scheme2017-09-010
Total participants, beginning-of-year2017-02-01108
Total number of active participants reported on line 7a of the Form 55002017-02-01104
Number of retired or separated participants receiving benefits2017-02-010
Number of other retired or separated participants entitled to future benefits2017-02-010
Total of all active and inactive participants2017-02-01104

Form 5500 Responses for HIGHWAY TOLL ADMINISTRATION LLC BENEFITS WELFARE PLAN

2018: HIGHWAY TOLL ADMINISTRATION LLC BENEFITS WELFARE PLAN 2018 form 5500 responses
2018-09-01Type of plan entitySingle employer plan
2018-09-01This submission is the final filingYes
2018-09-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-09-01Plan funding arrangement – InsuranceYes
2018-09-01Plan funding arrangement – General assets of the sponsorYes
2018-09-01Plan benefit arrangement – InsuranceYes
2018-09-01Plan benefit arrangement – General assets of the sponsorYes
2017: HIGHWAY TOLL ADMINISTRATION LLC BENEFITS WELFARE PLAN 2017 form 5500 responses
2017-09-01Type of plan entitySingle employer plan
2017-09-01Plan funding arrangement – InsuranceYes
2017-09-01Plan funding arrangement – General assets of the sponsorYes
2017-09-01Plan benefit arrangement – InsuranceYes
2017-09-01Plan benefit arrangement – General assets of the sponsorYes
2017-02-01Type of plan entitySingle employer plan
2017-02-01First time form 5500 has been submittedYes
2017-02-01This return/report is a short plan year return/report (less than 12 months)Yes
2017-02-01Plan funding arrangement – InsuranceYes
2017-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number0619755
Policy instance 1
Insurance contract or identification number0619755
Number of Individuals Covered143
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $9,197
Total amount of fees paid to insurance companyUSD $4,603
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $127,634
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberKPD06
Policy instance 2
Insurance contract or identification numberKPD06
Number of Individuals Covered9
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $1,995
Total amount of fees paid to insurance companyUSD $62
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, HOSPITAL, CANCER
Welfare Benefit Premiums Paid to CarrierUSD $5,057
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
ESI (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract number00
Policy instance 3
Insurance contract or identification number00
Number of Individuals Covered161
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $5,382
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN FAMILY LIFE INSURANCE COMPANY OF COLUMBUS (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberNFD86
Policy instance 4
Insurance contract or identification numberNFD86
Number of Individuals Covered20
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $4,610
Total amount of fees paid to insurance companyUSD $151
Other welfare benefits providedVOL. BENEFITS
Welfare Benefit Premiums Paid to CarrierUSD $19,730
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number903746
Policy instance 1
Insurance contract or identification number903746
Number of Individuals Covered244
Insurance policy start date2017-02-01
Insurance policy end date2017-08-31
Total amount of commissions paid to insurance brokerUSD $7,432
Total amount of fees paid to insurance companyUSD $3,427
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $68,268
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,454
Amount paid for insurance broker fees3427
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker nameTOTAL INSURANCE BROKERAGE LLC

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