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FURNITURE FACTORY OUTLET, LLC EMPLOYEE BENEFIT PLA 401k Plan overview

Plan NameFURNITURE FACTORY OUTLET, LLC EMPLOYEE BENEFIT PLA
Plan identification number 503

FURNITURE FACTORY OUTLET, LLC EMPLOYEE BENEFIT PLA Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

FURNITURE FACTORY OUTLET, LLC has sponsored the creation of one or more 401k plans.

Company Name:FURNITURE FACTORY OUTLET, LLC
Employer identification number (EIN):208263952
NAIC Classification:442110
NAIC Description:Furniture Stores

Additional information about FURNITURE FACTORY OUTLET, LLC

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2015-06-15
Company Identification Number: 0802236565
Legal Registered Office Address: 1518 S. FT. HOOD STREET KILLEEN


United States of America (USA)
76549

More information about FURNITURE FACTORY OUTLET, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FURNITURE FACTORY OUTLET, LLC EMPLOYEE BENEFIT PLA

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032015-01-01

Plan Statistics for FURNITURE FACTORY OUTLET, LLC EMPLOYEE BENEFIT PLA

401k plan membership statisitcs for FURNITURE FACTORY OUTLET, LLC EMPLOYEE BENEFIT PLA

Measure Date Value
2015: FURNITURE FACTORY OUTLET, LLC EMPLOYEE BENEFIT PLA 2015 401k membership
Total participants, beginning-of-year2015-01-01205
Total number of active participants reported on line 7a of the Form 55002015-01-01169
Total of all active and inactive participants2015-01-01169

Form 5500 Responses for FURNITURE FACTORY OUTLET, LLC EMPLOYEE BENEFIT PLA

2015: FURNITURE FACTORY OUTLET, LLC EMPLOYEE BENEFIT PLA 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 95478 )
Policy contract number12276418
Policy instance 1
Insurance contract or identification number12276418
Number of Individuals Covered120
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,444
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $31,656
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,444
Insurance broker organization code?3
Insurance broker nameREGIONS INSURANCE INC
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number89047
Policy instance 2
Insurance contract or identification number89047
Number of Individuals Covered169
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $17,465
Total amount of fees paid to insurance companyUSD $1,257
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $99,209
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,947
Amount paid for insurance broker fees344
Insurance broker organization code?3
Insurance broker nameEDWARD L MARTINA III
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLTD0AVBZ
Policy instance 3
Insurance contract or identification numberGLTD0AVBZ
Number of Individuals Covered259
Insurance policy start date2015-01-01
Insurance policy end date2016-01-01
Total amount of commissions paid to insurance brokerUSD $5,074
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $33,830
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,074
Insurance broker organization code?3
Insurance broker nameREGIONS INSURANCE INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0AVBZ
Policy instance 4
Insurance contract or identification numberGLUG0AVBZ
Number of Individuals Covered259
Insurance policy start date2015-01-01
Insurance policy end date2016-01-01
Total amount of commissions paid to insurance brokerUSD $875
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $5,835
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $875
Insurance broker organization code?3
Insurance broker nameREGIONS INSURANCE INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUC 0AVBZ
Policy instance 5
Insurance contract or identification numberGUC 0AVBZ
Number of Individuals Covered184
Insurance policy start date2015-01-01
Insurance policy end date2016-01-01
Total amount of commissions paid to insurance brokerUSD $6,797
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $45,315
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,797
Insurance broker organization code?3
Insurance broker nameREGIONS INSURANCE INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGVTL0AVBZ
Policy instance 6
Insurance contract or identification numberGVTL0AVBZ
Number of Individuals Covered88
Insurance policy start date2015-01-01
Insurance policy end date2016-01-01
Total amount of commissions paid to insurance brokerUSD $4,508
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $30,055
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,508
Insurance broker organization code?3
Insurance broker nameREGIONS INSURANCE INC

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