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MEDICAL, DENTAL, & VISION PLAN 2 401k Plan overview

Plan NameMEDICAL, DENTAL, & VISION PLAN 2
Plan identification number 509

MEDICAL, DENTAL, & VISION PLAN 2 Benefits

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

401k Sponsoring company profile

KIA AMERICA, INC. has sponsored the creation of one or more 401k plans.

Company Name:KIA AMERICA, INC.
Employer identification number (EIN):330539850
NAIC Classification:336100

Additional information about KIA AMERICA, INC.

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 2674119

More information about KIA AMERICA, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDICAL, DENTAL, & VISION PLAN 2

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5092022-01-01YOLANDA FARROW2023-07-05
5092021-01-01YOLANDA FARROW2022-07-11
5092020-01-01YOLANDA FARROW2021-07-26
5092019-01-01YOLANDA FARROW2020-07-20
5092019-01-01YOLANDA FARROW2021-07-28
5092018-01-01YOLANDA FARROW2019-10-01
5092018-01-01YOLANDA FARROW2019-12-23
5092018-01-01YOLANDA FARROW2021-07-28
5092017-01-01YOLANDA FARROW JENNIFER PIKOOS2018-07-03
5092016-01-01ERIKA CRUZ JENNIFER PIKOOS2017-07-24
5092015-01-01SALLY TRESSER
5092014-01-01JOHN YOON
5092013-01-01JOHN YOON
5092012-01-01JOHN YOON
5092011-01-01JOHN YOON
5092010-01-01JOHN YOON
5092009-01-01JOHN YOON
5092009-01-01JOHN YOON

Plan Statistics for MEDICAL, DENTAL, & VISION PLAN 2

401k plan membership statisitcs for MEDICAL, DENTAL, & VISION PLAN 2

Measure Date Value
2022: MEDICAL, DENTAL, & VISION PLAN 2 2022 401k membership
Total participants, beginning-of-year2022-01-01569
Total number of active participants reported on line 7a of the Form 55002022-01-01577
Number of retired or separated participants receiving benefits2022-01-018
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01585
Number of employers contributing to the scheme2022-01-010
2021: MEDICAL, DENTAL, & VISION PLAN 2 2021 401k membership
Total participants, beginning-of-year2021-01-01548
Total number of active participants reported on line 7a of the Form 55002021-01-01559
Number of retired or separated participants receiving benefits2021-01-014
Number of other retired or separated participants entitled to future benefits2021-01-016
Total of all active and inactive participants2021-01-01569
Number of employers contributing to the scheme2021-01-010
2020: MEDICAL, DENTAL, & VISION PLAN 2 2020 401k membership
Total participants, beginning-of-year2020-01-01535
Total number of active participants reported on line 7a of the Form 55002020-01-01546
Number of retired or separated participants receiving benefits2020-01-019
Number of other retired or separated participants entitled to future benefits2020-01-013
Total of all active and inactive participants2020-01-01558
Number of employers contributing to the scheme2020-01-010
2019: MEDICAL, DENTAL, & VISION PLAN 2 2019 401k membership
Total participants, beginning-of-year2019-01-01574
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-010
Number of employers contributing to the scheme2019-01-010
2018: MEDICAL, DENTAL, & VISION PLAN 2 2018 401k membership
Total participants, beginning-of-year2018-01-01553
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-010
Number of employers contributing to the scheme2018-01-010
2017: MEDICAL, DENTAL, & VISION PLAN 2 2017 401k membership
Total participants, beginning-of-year2017-01-01543
Total number of active participants reported on line 7a of the Form 55002017-01-01553
Total of all active and inactive participants2017-01-01553
Total participants2017-01-01553
2016: MEDICAL, DENTAL, & VISION PLAN 2 2016 401k membership
Total participants, beginning-of-year2016-01-01470
Total number of active participants reported on line 7a of the Form 55002016-01-01543
Total of all active and inactive participants2016-01-01543
Total participants2016-01-01543
2015: MEDICAL, DENTAL, & VISION PLAN 2 2015 401k membership
Total participants, beginning-of-year2015-01-01456
Total number of active participants reported on line 7a of the Form 55002015-01-01470
Total of all active and inactive participants2015-01-01470
Total participants2015-01-010
2014: MEDICAL, DENTAL, & VISION PLAN 2 2014 401k membership
Total participants, beginning-of-year2014-01-01466
Total number of active participants reported on line 7a of the Form 55002014-01-01456
Total of all active and inactive participants2014-01-01456
Total participants2014-01-010
2013: MEDICAL, DENTAL, & VISION PLAN 2 2013 401k membership
Total participants, beginning-of-year2013-01-01474
Total number of active participants reported on line 7a of the Form 55002013-01-01466
Total of all active and inactive participants2013-01-01466
Total participants2013-01-010
2012: MEDICAL, DENTAL, & VISION PLAN 2 2012 401k membership
Total participants, beginning-of-year2012-01-01435
Total number of active participants reported on line 7a of the Form 55002012-01-01474
Total of all active and inactive participants2012-01-01474
Total participants2012-01-010
2011: MEDICAL, DENTAL, & VISION PLAN 2 2011 401k membership
Total participants, beginning-of-year2011-01-01436
Total number of active participants reported on line 7a of the Form 55002011-01-01435
Total of all active and inactive participants2011-01-01435
Total participants2011-01-01435
2010: MEDICAL, DENTAL, & VISION PLAN 2 2010 401k membership
Total participants, beginning-of-year2010-01-01951
Total number of active participants reported on line 7a of the Form 55002010-01-01436
Total of all active and inactive participants2010-01-01436
Total participants2010-01-01436
2009: MEDICAL, DENTAL, & VISION PLAN 2 2009 401k membership
Total participants, beginning-of-year2009-01-01397
Total number of active participants reported on line 7a of the Form 55002009-01-01951
Total of all active and inactive participants2009-01-01951
Total participants2009-01-01951

Form 5500 Responses for MEDICAL, DENTAL, & VISION PLAN 2

2022: MEDICAL, DENTAL, & VISION PLAN 2 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: MEDICAL, DENTAL, & VISION PLAN 2 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: MEDICAL, DENTAL, & VISION PLAN 2 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: MEDICAL, DENTAL, & VISION PLAN 2 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedYes
2019-01-01This submission is the final filingYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: MEDICAL, DENTAL, & VISION PLAN 2 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedYes
2018-01-01This submission is the final filingYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: MEDICAL, DENTAL, & VISION PLAN 2 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: MEDICAL, DENTAL, & VISION PLAN 2 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: MEDICAL, DENTAL, & VISION PLAN 2 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: MEDICAL, DENTAL, & VISION PLAN 2 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: MEDICAL, DENTAL, & VISION PLAN 2 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: MEDICAL, DENTAL, & VISION PLAN 2 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: MEDICAL, DENTAL, & VISION PLAN 2 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: MEDICAL, DENTAL, & VISION PLAN 2 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: MEDICAL, DENTAL, & VISION PLAN 2 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01First time form 5500 has been submittedYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number30086995
Policy instance 2
Insurance contract or identification number30086995
Number of Individuals Covered577
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $96,752
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number75147
Policy instance 1
Insurance contract or identification number75147
Number of Individuals Covered106
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,122
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number30086995
Policy instance 2
Insurance contract or identification number30086995
Number of Individuals Covered561
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $96,549
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number75147
Policy instance 1
Insurance contract or identification number75147
Number of Individuals Covered108
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,830
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number30086995
Policy instance 2
Insurance contract or identification number30086995
Number of Individuals Covered556
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $90,918
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number75147
Policy instance 1
Insurance contract or identification number75147
Number of Individuals Covered85
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,219
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number30086995
Policy instance 2
Insurance contract or identification number30086995
Number of Individuals Covered535
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $88,858
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number75147
Policy instance 1
Insurance contract or identification number75147
Number of Individuals Covered59
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,691
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 number5940358
Policy instance 1
Insurance contract or identification number5940358
Number of Individuals Covered1375
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $718,122
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameJ. SMITH LANIER & CO
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number753147
Policy instance 1
Insurance contract or identification number753147
Number of Individuals Covered1403
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $35,481
Total amount of fees paid to insurance companyUSD $13,966
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $791,834
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,481
Insurance broker organization code?3
Amount paid for insurance broker fees13966
Additional information about fees paid to insurance brokerBONUS INCENTIVES
Insurance broker nameJ. SMITH LANIER & CO
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number753147
Policy instance 1
Insurance contract or identification number753147
Number of Individuals Covered1390
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $13,036
Total amount of fees paid to insurance companyUSD $19,898
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $778,939
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,036
Amount paid for insurance broker fees19898
Additional information about fees paid to insurance brokerBONUS INCENTIVES
Insurance broker organization code?3
Insurance broker nameJ. SMITH LANIER & CO
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number753147
Policy instance 1
Insurance contract or identification number753147
Number of Individuals Covered1346
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $37,601
Total amount of fees paid to insurance companyUSD $800
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $751,769
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $37,601
Amount paid for insurance broker fees800
Additional information about fees paid to insurance brokerBONUS INCENTIVES
Insurance broker organization code?3
Insurance broker nameJ. SMITH LANIER & CO
BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 )
Policy contract number1046228100
Policy instance 1
Insurance contract or identification number1046228100
Number of Individuals Covered474
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $127,024
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $99,139
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,901
Insurance broker organization code?3
Insurance broker nameJ. SMITH LANIER & CO.
BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 )
Policy contract number1046228100
Policy instance 1
Insurance contract or identification number1046228100
Number of Individuals Covered435
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $156,753
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $810,754
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 )
Policy contract number1046228100
Policy instance 1
Insurance contract or identification number1046228100
Number of Individuals Covered515
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $151,872
Total amount of fees paid to insurance companyUSD $7,775
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $585,614
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,706
Insurance broker organization code?3
Amount paid for insurance broker fees7775
Additional information about fees paid to insurance brokerINCENTIVES, EDUCATION COMMUNICATION AND TRAINING.
Insurance broker nameJ. SMITH LANIER & CO

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