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ELITE SUPPLY PARTNERS, INC MEDICAL BENEFIT PLAN 401k Plan overview

Plan NameELITE SUPPLY PARTNERS, INC MEDICAL BENEFIT PLAN
Plan identification number 507

ELITE SUPPLY PARTNERS, INC MEDICAL BENEFIT PLAN Benefits

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

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 ELITE SUPPLY PARTNERS, INC MEDICAL BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5072022-10-01

Plan Statistics for ELITE SUPPLY PARTNERS, INC MEDICAL BENEFIT PLAN

401k plan membership statisitcs for ELITE SUPPLY PARTNERS, INC MEDICAL BENEFIT PLAN

Measure Date Value
2022: ELITE SUPPLY PARTNERS, INC MEDICAL BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-10-01627
Total number of active participants reported on line 7a of the Form 55002022-10-010
Number of retired or separated participants receiving benefits2022-10-014
Number of other retired or separated participants entitled to future benefits2022-10-010
Total of all active and inactive participants2022-10-014

Form 5500 Responses for ELITE SUPPLY PARTNERS, INC MEDICAL BENEFIT PLAN

2022: ELITE SUPPLY PARTNERS, INC MEDICAL BENEFIT PLAN 2022 form 5500 responses
2022-10-01Type of plan entitySingle employer plan
2022-10-01First time form 5500 has been submittedYes
2022-10-01Submission has been amendedNo
2022-10-01This submission is the final filingYes
2022-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-10-01Plan is a collectively bargained planNo
2022-10-01Plan funding arrangement – General assets of the sponsorYes
2022-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number297578
Policy instance 1
Insurance contract or identification number297578
Number of Individuals Covered645
Insurance policy start date2022-10-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $72,896
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,215,320
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $72,896
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3

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