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ESSENTIALLY CHIC USA LLC EE HEALTH BENEFIT PLAN 401k Plan overview

Plan NameESSENTIALLY CHIC USA LLC EE HEALTH BENEFIT PLAN
Plan identification number 501

ESSENTIALLY CHIC USA LLC EE HEALTH BENEFIT PLAN Benefits

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

401k Sponsoring company profile

ESSENTIALLY CHIC USA LLC has sponsored the creation of one or more 401k plans.

Company Name:ESSENTIALLY CHIC USA LLC
Employer identification number (EIN):275079895
NAIC Classification:448120
NAIC Description:Women's Clothing Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ESSENTIALLY CHIC USA LLC EE HEALTH BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-09-01KIMBERLY GANTHER KIMBERLY GANTHER2017-04-05

Plan Statistics for ESSENTIALLY CHIC USA LLC EE HEALTH BENEFIT PLAN

401k plan membership statisitcs for ESSENTIALLY CHIC USA LLC EE HEALTH BENEFIT PLAN

Measure Date Value
2015: ESSENTIALLY CHIC USA LLC EE HEALTH BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-09-0121
Total number of active participants reported on line 7a of the Form 55002015-09-0118
Total of all active and inactive participants2015-09-0118
Total participants2015-09-0118

Form 5500 Responses for ESSENTIALLY CHIC USA LLC EE HEALTH BENEFIT PLAN

2015: ESSENTIALLY CHIC USA LLC EE HEALTH BENEFIT PLAN 2015 form 5500 responses
2015-09-01Type of plan entitySingle employer plan
2015-09-01First time form 5500 has been submittedYes
2015-09-01Submission has been amendedNo
2015-09-01This submission is the final filingNo
2015-09-01This return/report is a short plan year return/report (less than 12 months)No
2015-09-01Plan is a collectively bargained planNo
2015-09-01Plan funding arrangement – InsuranceYes
2015-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberSE2E8027
Policy instance 1
Insurance contract or identification numberSE2E8027
Number of Individuals Covered21
Insurance policy start date2015-09-01
Insurance policy end date2016-08-31
Total amount of commissions paid to insurance brokerUSD $5,372
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,372
Insurance broker nameAFGI BENEFIT CONSULTING

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