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HOUCHENS INDUSTRIES, INC. AND SUBSIDIARIES MEDICAL PLAN 401k Plan overview

Plan NameHOUCHENS INDUSTRIES, INC. AND SUBSIDIARIES MEDICAL PLAN
Plan identification number 502

HOUCHENS INDUSTRIES, INC. AND SUBSIDIARIES MEDICAL PLAN Benefits

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

401k Sponsoring company profile

HOUCHENS INDUSTRIES, INC. has sponsored the creation of one or more 401k plans.

Company Name:HOUCHENS INDUSTRIES, INC.
Employer identification number (EIN):202505350
NAIC Classification:445110
NAIC Description:Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOUCHENS INDUSTRIES, INC. AND SUBSIDIARIES MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01
5022021-01-01
5022020-01-01
5022019-01-01
5022018-01-01JIMMIE GIPSON JIMMIE GIPSON2019-07-25
5022017-01-01JIMMIE GIPSON JIMMIE GIPSON2018-07-31
5022016-01-01JIMMIE GIPSON JIMMIE GIPSON2017-07-31
5022015-01-01JIMMIE GIPSON JIMMIE GIPSON2016-08-01

Plan Statistics for HOUCHENS INDUSTRIES, INC. AND SUBSIDIARIES MEDICAL PLAN

401k plan membership statisitcs for HOUCHENS INDUSTRIES, INC. AND SUBSIDIARIES MEDICAL PLAN

Measure Date Value
2022: HOUCHENS INDUSTRIES, INC. AND SUBSIDIARIES MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011,757
Total number of active participants reported on line 7a of the Form 55002022-01-011,820
Number of retired or separated participants receiving benefits2022-01-0112
Number of other retired or separated participants entitled to future benefits2022-01-0115
Total of all active and inactive participants2022-01-011,847
2021: HOUCHENS INDUSTRIES, INC. AND SUBSIDIARIES MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011,785
Total number of active participants reported on line 7a of the Form 55002021-01-011,701
Number of retired or separated participants receiving benefits2021-01-0117
Number of other retired or separated participants entitled to future benefits2021-01-011
Total of all active and inactive participants2021-01-011,719
2020: HOUCHENS INDUSTRIES, INC. AND SUBSIDIARIES MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011,852
Total number of active participants reported on line 7a of the Form 55002020-01-011,841
Number of retired or separated participants receiving benefits2020-01-0111
Number of other retired or separated participants entitled to future benefits2020-01-019
Total of all active and inactive participants2020-01-011,861
2019: HOUCHENS INDUSTRIES, INC. AND SUBSIDIARIES MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,917
Total number of active participants reported on line 7a of the Form 55002019-01-011,851
Number of retired or separated participants receiving benefits2019-01-018
Number of other retired or separated participants entitled to future benefits2019-01-011
Total of all active and inactive participants2019-01-011,860
2018: HOUCHENS INDUSTRIES, INC. AND SUBSIDIARIES MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,846
Total number of active participants reported on line 7a of the Form 55002018-01-011,852
Number of retired or separated participants receiving benefits2018-01-0116
Number of other retired or separated participants entitled to future benefits2018-01-0125
Total of all active and inactive participants2018-01-011,893
2017: HOUCHENS INDUSTRIES, INC. AND SUBSIDIARIES MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,824
Total number of active participants reported on line 7a of the Form 55002017-01-011,761
Number of retired or separated participants receiving benefits2017-01-0117
Number of other retired or separated participants entitled to future benefits2017-01-0125
Total of all active and inactive participants2017-01-011,803
2016: HOUCHENS INDUSTRIES, INC. AND SUBSIDIARIES MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,698
Total number of active participants reported on line 7a of the Form 55002016-01-011,765
Number of retired or separated participants receiving benefits2016-01-0120
Number of other retired or separated participants entitled to future benefits2016-01-0112
Total of all active and inactive participants2016-01-011,797
2015: HOUCHENS INDUSTRIES, INC. AND SUBSIDIARIES MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,599
Total number of active participants reported on line 7a of the Form 55002015-01-011,620
Total of all active and inactive participants2015-01-011,620

Form 5500 Responses for HOUCHENS INDUSTRIES, INC. AND SUBSIDIARIES MEDICAL PLAN

2022: HOUCHENS INDUSTRIES, INC. AND SUBSIDIARIES MEDICAL PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: HOUCHENS INDUSTRIES, INC. AND SUBSIDIARIES MEDICAL PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: HOUCHENS INDUSTRIES, INC. AND SUBSIDIARIES MEDICAL PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: HOUCHENS INDUSTRIES, INC. AND SUBSIDIARIES MEDICAL PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: HOUCHENS INDUSTRIES, INC. AND SUBSIDIARIES MEDICAL PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: HOUCHENS INDUSTRIES, INC. AND SUBSIDIARIES MEDICAL PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: HOUCHENS INDUSTRIES, INC. AND SUBSIDIARIES MEDICAL PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: HOUCHENS INDUSTRIES, INC. AND SUBSIDIARIES MEDICAL PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01First time form 5500 has been submittedYes
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberW33002
Policy instance 1
Insurance contract or identification numberW33002
Number of Individuals Covered2926
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,061,430
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberW33002
Policy instance 1
Insurance contract or identification numberW33002
Number of Individuals Covered2795
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $966,418
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract number004004400
Policy instance 1
Insurance contract or identification number004004400
Number of Individuals Covered2826
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $934,218
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract number004004400
Policy instance 1
Insurance contract or identification number004004400
Number of Individuals Covered2986
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,035,571
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract number004004400
Policy instance 1
Insurance contract or identification number004004400
Number of Individuals Covered3022
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,072,126
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract number004004400
Policy instance 1
Insurance contract or identification number004004400
Number of Individuals Covered2870
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $18,051
Welfare Benefit Premiums Paid to CarrierUSD $1,035,010
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees18051
Additional information about fees paid to insurance brokerFEES PAID
Insurance broker organization code?3
Insurance broker nameINSURANCE SPECIALISTS LLC
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract number004004400
Policy instance 1
Insurance contract or identification number004004400
Number of Individuals Covered2602
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $910,015
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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