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TC HEARTLAND LLC DBA HEARTLAND FOOD PRODUCTS GROUP WELFARE BENEFIT PLAN 401k Plan overview

Plan NameTC HEARTLAND LLC DBA HEARTLAND FOOD PRODUCTS GROUP WELFARE BENEFIT PLAN
Plan identification number 504

TC HEARTLAND LLC DBA HEARTLAND FOOD PRODUCTS GROUP WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

TC HEARTLAND, LLC has sponsored the creation of one or more 401k plans.

Company Name:TC HEARTLAND, LLC
Employer identification number (EIN):201938376
NAIC Classification:311900
NAIC Description: Other Food Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TC HEARTLAND LLC DBA HEARTLAND FOOD PRODUCTS GROUP WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042021-12-01RICHARD DOPPELFELD2023-03-30
5042020-12-01RICHARD DOPPELFELD2022-06-13
5042019-12-01RICHARD DOPPELFELD2021-08-31
5042018-12-01SARAH RAINES2020-07-10

Plan Statistics for TC HEARTLAND LLC DBA HEARTLAND FOOD PRODUCTS GROUP WELFARE BENEFIT PLAN

401k plan membership statisitcs for TC HEARTLAND LLC DBA HEARTLAND FOOD PRODUCTS GROUP WELFARE BENEFIT PLAN

Measure Date Value
2021: TC HEARTLAND LLC DBA HEARTLAND FOOD PRODUCTS GROUP WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-12-01900
Total number of active participants reported on line 7a of the Form 55002021-12-01863
Number of retired or separated participants receiving benefits2021-12-010
Number of other retired or separated participants entitled to future benefits2021-12-010
Total of all active and inactive participants2021-12-01863
Number of employers contributing to the scheme2021-12-010
2020: TC HEARTLAND LLC DBA HEARTLAND FOOD PRODUCTS GROUP WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-01819
Total number of active participants reported on line 7a of the Form 55002020-12-01900
Number of retired or separated participants receiving benefits2020-12-010
Number of other retired or separated participants entitled to future benefits2020-12-010
Total of all active and inactive participants2020-12-01900
Number of employers contributing to the scheme2020-12-010
2019: TC HEARTLAND LLC DBA HEARTLAND FOOD PRODUCTS GROUP WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-12-01753
Total number of active participants reported on line 7a of the Form 55002019-12-01819
Number of retired or separated participants receiving benefits2019-12-010
Number of other retired or separated participants entitled to future benefits2019-12-010
Total of all active and inactive participants2019-12-01819
Number of employers contributing to the scheme2019-12-010
2018: TC HEARTLAND LLC DBA HEARTLAND FOOD PRODUCTS GROUP WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-12-01840
Total number of active participants reported on line 7a of the Form 55002018-12-01753
Number of retired or separated participants receiving benefits2018-12-010
Number of other retired or separated participants entitled to future benefits2018-12-010
Total of all active and inactive participants2018-12-01753
Number of employers contributing to the scheme2018-12-010

Form 5500 Responses for TC HEARTLAND LLC DBA HEARTLAND FOOD PRODUCTS GROUP WELFARE BENEFIT PLAN

2021: TC HEARTLAND LLC DBA HEARTLAND FOOD PRODUCTS GROUP WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan benefit arrangement – InsuranceYes
2020: TC HEARTLAND LLC DBA HEARTLAND FOOD PRODUCTS GROUP WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – InsuranceYes
2019: TC HEARTLAND LLC DBA HEARTLAND FOOD PRODUCTS GROUP WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan benefit arrangement – InsuranceYes
2018: TC HEARTLAND LLC DBA HEARTLAND FOOD PRODUCTS GROUP WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01First time form 5500 has been submittedYes
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract numberW11070
Policy instance 1
Insurance contract or identification numberW11070
Number of Individuals Covered1008
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $120,704
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,499,597
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $120,704
Amount paid for insurance broker fees0
Insurance broker organization code?3
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract number244255
Policy instance 2
Insurance contract or identification number244255
Number of Individuals Covered863
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $40,278
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $364,912
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $40,278
Amount paid for insurance broker fees0
Insurance broker organization code?3
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract numberW11070
Policy instance 1
Insurance contract or identification numberW11070
Number of Individuals Covered1027
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $116,259
Total amount of fees paid to insurance companyUSD $3,678
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,709,070
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $116,259
Amount paid for insurance broker fees3678
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract number244255
Policy instance 2
Insurance contract or identification number244255
Number of Individuals Covered900
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $32,021
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $335,649
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,021
Amount paid for insurance broker fees0
Insurance broker organization code?3
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract numberW11070
Policy instance 1
Insurance contract or identification numberW11070
Number of Individuals Covered976
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $117,227
Total amount of fees paid to insurance companyUSD $2,428
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,209,512
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract number244255
Policy instance 2
Insurance contract or identification number244255
Number of Individuals Covered819
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $31,935
Total amount of fees paid to insurance companyUSD $3,048
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $349,087
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract numberW11070
Policy instance 1
Insurance contract or identification numberW11070
Number of Individuals Covered986
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $116,435
Total amount of fees paid to insurance companyUSD $14,858
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,868,269
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract number244255
Policy instance 2
Insurance contract or identification number244255
Number of Individuals Covered753
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $29,261
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $236,500
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,156
Amount paid for insurance broker fees0
Insurance broker organization code?3

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