401k Plan data: APEX REMINGTON INC. WRAP PLAN plan

APEX REMINGTON INC. WRAP PLAN 401k Plan overview

Plan Name	APEX REMINGTON INC. WRAP PLAN
Plan identification number	503

APEX REMINGTON INC. WRAP PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Other welfare benefit cover Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

APEX REMINGTON, INC. has sponsored the creation of one or more 401k plans.

Company Name: APEX REMINGTON, INC.

Employer identification number (EIN): 263015872

NAIC Classification: 811490
NAIC Description: Other Personal and Household Goods Repair and Maintenance

Additional information about APEX REMINGTON, INC.

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2008-07-21

Company Identification Number: 0801006335

Legal Registered Office Address: 2794 S US HIGHWAY 385

ODESSA
United States of America (USA)
79766

More information about APEX REMINGTON, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan APEX REMINGTON INC. WRAP PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2018-05-01

Plan Statistics for APEX REMINGTON INC. WRAP PLAN

401k plan membership statisitcs for APEX REMINGTON INC. WRAP PLAN

Measure Date Value
2018: APEX REMINGTON INC. WRAP PLAN 2018 401k membership
Total participants, beginning-of-year 2018-05-01 114
Total number of active participants reported on line 7a of the Form 5500 2018-05-01 137
Number of retired or separated participants receiving benefits 2018-05-01 0
Number of other retired or separated participants entitled to future benefits 2018-05-01 0
Total of all active and inactive participants 2018-05-01 137

Measure	Date	Value
2018: APEX REMINGTON INC. WRAP PLAN 2018 401k membership
Total participants, beginning-of-year	2018-05-01	114
Total number of active participants reported on line 7a of the Form 5500	2018-05-01	137
Number of retired or separated participants receiving benefits	2018-05-01	0
Number of other retired or separated participants entitled to future benefits	2018-05-01	0
Total of all active and inactive participants	2018-05-01	137

Form 5500 Responses for APEX REMINGTON INC. WRAP PLAN

2018: APEX REMINGTON INC. WRAP PLAN 2018 form 5500 responses
2018-05-01	Type of plan entity	Single employer plan
2018-05-01	Submission has been amended	No
2018-05-01	This submission is the final filing	No
2018-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-05-01	Plan is a collectively bargained plan	No
2018-05-01	Plan funding arrangement – Insurance	Yes
2018-05-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

LTD 120561

Policy instance

Insurance contract or identification number	LTD 120561
Number of Individuals Covered	72
Insurance policy start date	2018-05-01
Insurance policy end date	2019-04-30
Total amount of commissions paid to insurance broker	USD $1,469
Total amount of fees paid to insurance company	USD $0
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $9,796
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,469
Insurance broker organization code?	3

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30019238

Policy instance

Insurance contract or identification number	30019238
Number of Individuals Covered	0
Insurance policy start date	2018-05-01
Insurance policy end date	2019-04-30
Total amount of commissions paid to insurance broker	USD $1,079
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $89
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,079
Insurance broker organization code?	3

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

GL 146902

Policy instance

Insurance contract or identification number	GL 146902
Number of Individuals Covered	72
Insurance policy start date	2018-05-01
Insurance policy end date	2019-04-30
Total amount of commissions paid to insurance broker	USD $1,592
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $10,615
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,592
Insurance broker organization code?	3

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

756460

Policy instance

Insurance contract or identification number	756460
Number of Individuals Covered	133
Insurance policy start date	2018-05-01
Insurance policy end date	2019-04-30
Total amount of commissions paid to insurance broker	USD $7,342
Total amount of fees paid to insurance company	USD $1,548
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,342
Amount paid for insurance broker fees	1548
Additional information about fees paid to insurance broker	CONTINGENT COMPENSATION PAID
Insurance broker organization code?	3

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30019238

Policy instance

Insurance contract or identification number	30019238
Number of Individuals Covered	122
Insurance policy start date	2018-05-01
Insurance policy end date	2019-04-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $18,752
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

G 160949

Policy instance

Insurance contract or identification number	G 160949
Number of Individuals Covered	72
Insurance policy start date	2018-05-01
Insurance policy end date	2019-04-30
Total amount of commissions paid to insurance broker	USD $1,840
Total amount of fees paid to insurance company	USD $0
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $12,267
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,840
Insurance broker organization code?	3

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

VG 184856

Policy instance

Insurance contract or identification number	VG 184856
Number of Individuals Covered	79
Insurance policy start date	2018-05-01
Insurance policy end date	2019-04-30
Total amount of commissions paid to insurance broker	USD $2,344
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	VOLUNTARY ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $23,444
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,344
Insurance broker organization code?	3

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

178460

Policy instance

Insurance contract or identification number	178460
Number of Individuals Covered	293
Insurance policy start date	2018-05-01
Insurance policy end date	2019-04-30
Total amount of commissions paid to insurance broker	USD $58,227
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,191,338
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $58,227
Insurance broker organization code?	3

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Company Name:	APEX REMINGTON, INC.
Employer identification number (EIN):	263015872
NAIC Classification:	811490
NAIC Description:	Other Personal and Household Goods Repair and Maintenance

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2008-07-21
Company Identification Number:	0801006335
Legal Registered Office Address:	2794 S US HIGHWAY 385 ODESSA United States of America (USA) 79766