401k Plan data: PHILLIPSBURG EASTON VEHICLE SALES, INC. EMPLOYEE BENEFIT(S) PLAN plan

PHILLIPSBURG EASTON VEHICLE SALES, INC. EMPLOYEE BENEFIT(S) PLAN 401k Plan overview

Plan Name	PHILLIPSBURG EASTON VEHICLE SALES, INC. EMPLOYEE BENEFIT(S) PLAN
Plan identification number	501

PHILLIPSBURG EASTON VEHICLE SALES, INC. EMPLOYEE BENEFIT(S) PLAN Benefits

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

401k Sponsoring company profile

PHILLIPSBURG EASTON HONDA has sponsored the creation of one or more 401k plans.

Company Name: PHILLIPSBURG EASTON HONDA

Employer identification number (EIN): 222269012

NAIC Classification: 441110
NAIC Description: New Car Dealers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PHILLIPSBURG EASTON VEHICLE SALES, INC. EMPLOYEE BENEFIT(S) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-03-01 ANNA CATALLI 2024-10-01
501 2022-03-01 ANNA CATALLI 2023-09-29
501 2021-03-01 ANNA CATALLI 2022-09-27

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2023-03-01	ANNA CATALLI	2024-10-01
501	2022-03-01	ANNA CATALLI	2023-09-29
501	2021-03-01	ANNA CATALLI	2022-09-27

Form 5500 Responses for PHILLIPSBURG EASTON VEHICLE SALES, INC. EMPLOYEE BENEFIT(S) PLAN

2023: PHILLIPSBURG EASTON VEHICLE SALES, INC. EMPLOYEE BENEFIT(S) PLAN 2023 form 5500 responses
2023-03-01	Type of plan entity	Single employer plan
2023-03-01	Plan funding arrangement – Insurance	Yes
2023-03-01	Plan benefit arrangement – Insurance	Yes
2022: PHILLIPSBURG EASTON VEHICLE SALES, INC. EMPLOYEE BENEFIT(S) PLAN 2022 form 5500 responses
2022-03-01	Type of plan entity	Single employer plan
2022-03-01	Plan funding arrangement – Insurance	Yes
2022-03-01	Plan benefit arrangement – Insurance	Yes
2021: PHILLIPSBURG EASTON VEHICLE SALES, INC. EMPLOYEE BENEFIT(S) PLAN 2021 form 5500 responses
2021-03-01	Type of plan entity	Single employer plan
2021-03-01	First time form 5500 has been submitted	Yes
2021-03-01	Plan funding arrangement – Insurance	Yes
2021-03-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )

Policy contract number

851Y4

Policy instance

Insurance contract or identification number	851Y4
Number of Individuals Covered	106
Insurance policy start date	2023-03-01
Insurance policy end date	2024-02-29
Total amount of commissions paid to insurance broker	USD $57,230
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,482,782
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

411975

Policy instance

Insurance contract or identification number	411975
Number of Individuals Covered	198
Insurance policy start date	2023-03-01
Insurance policy end date	2024-02-29
Total amount of commissions paid to insurance broker	USD $9,881
Total amount of fees paid to insurance company	USD $2,897
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT, ACCIDENT, CRITICAL ILLNESS, HOSPITAL
Welfare Benefit Premiums Paid to Carrier	USD $79,020
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )

Policy contract number

97169601001

Policy instance

Insurance contract or identification number	97169601001
Number of Individuals Covered	209
Insurance policy start date	2023-03-01
Insurance policy end date	2024-02-29
Total amount of commissions paid to insurance broker	USD $2,045
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $13,644
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )

Policy contract number

10615

Policy instance

Insurance contract or identification number	10615
Number of Individuals Covered	204
Insurance policy start date	2023-03-01
Insurance policy end date	2024-02-29
Total amount of commissions paid to insurance broker	USD $3,700
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

243830

Policy instance

Insurance contract or identification number	243830
Number of Individuals Covered	219
Insurance policy start date	2022-03-01
Insurance policy end date	2023-02-28
Total amount of commissions paid to insurance broker	USD $60,466
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,457,915
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

411975

Policy instance

Insurance contract or identification number	411975
Number of Individuals Covered	202
Insurance policy start date	2022-03-01
Insurance policy end date	2023-02-28
Total amount of commissions paid to insurance broker	USD $12,262
Total amount of fees paid to insurance company	USD $393
Dental Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT, ACCIDENT, CRITICAL ILLNESS, HOSPITAL
Welfare Benefit Premiums Paid to Carrier	USD $96,019
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )

Policy contract number

97169601001

Policy instance

Insurance contract or identification number	97169601001
Number of Individuals Covered	215
Insurance policy start date	2022-03-01
Insurance policy end date	2023-02-28
Total amount of commissions paid to insurance broker	USD $2,281
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $11,129
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

5394964

Policy instance

Insurance contract or identification number	5394964
Number of Individuals Covered	273
Insurance policy start date	2022-03-01
Insurance policy end date	2023-02-28
Total amount of commissions paid to insurance broker	USD $3,186
Total amount of fees paid to insurance company	USD $1,079
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $90,794
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

243830

Policy instance

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Company Name:	PHILLIPSBURG EASTON HONDA
Employer identification number (EIN):	222269012
NAIC Classification:	441110
NAIC Description:	New Car Dealers