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HEINEN'S, INC. MEDICAL PLAN 401k Plan overview

Plan NameHEINEN'S, INC. MEDICAL PLAN
Plan identification number 507

HEINEN'S, INC. MEDICAL PLAN Benefits

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

401k Sponsoring company profile

HEINEN'S, INC. has sponsored the creation of one or more 401k plans.

Company Name:HEINEN'S, INC.
Employer identification number (EIN):340673060
NAIC Classification:445110
NAIC Description:Supermarkets and Other Grocery (except Convenience) Stores

Additional information about HEINEN'S, INC.

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 1947-06-11
Company Identification Number: 202426
Legal Registered Office Address: 20601 AURORA ROAD
-
WARRENSVILLE HTS
United States of America (USA)
44146

More information about HEINEN'S, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEINEN'S, INC. MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5072015-07-01DANIEL MUSIL
5072014-07-01DANIEL MUSIL
5072013-07-01DANIEL MUSIL
5072012-07-01DANIEL MUSIL
5072011-07-01DANIEL MUSIL

Plan Statistics for HEINEN'S, INC. MEDICAL PLAN

401k plan membership statisitcs for HEINEN'S, INC. MEDICAL PLAN

Measure Date Value
2015: HEINEN'S, INC. MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01793
Total number of active participants reported on line 7a of the Form 55002015-07-01853
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-010
Total of all active and inactive participants2015-07-01853
2014: HEINEN'S, INC. MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01319
Total number of active participants reported on line 7a of the Form 55002014-07-01793
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-010
Total of all active and inactive participants2014-07-01793
2013: HEINEN'S, INC. MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01319
Total number of active participants reported on line 7a of the Form 55002013-07-01319
Total of all active and inactive participants2013-07-01319
2012: HEINEN'S, INC. MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01204
Total number of active participants reported on line 7a of the Form 55002012-07-01319
Total of all active and inactive participants2012-07-01319
2011: HEINEN'S, INC. MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01139
Total number of active participants reported on line 7a of the Form 55002011-07-01319
Total of all active and inactive participants2011-07-01319

Form 5500 Responses for HEINEN'S, INC. MEDICAL PLAN

2015: HEINEN'S, INC. MEDICAL PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01This submission is the final filingYes
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: HEINEN'S, INC. MEDICAL PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: HEINEN'S, INC. MEDICAL PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: HEINEN'S, INC. MEDICAL PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: HEINEN'S, INC. MEDICAL PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0847786
Policy instance 1
Insurance contract or identification number0847786
Number of Individuals Covered853
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of fees paid to insurance companyUSD $34,814
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,127,796
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees34814
Insurance broker organization code?3
Insurance broker nameCHAPMAN AND CHAPMAN, INC.
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0718231
Policy instance 1
Insurance contract or identification number0718231
Number of Individuals Covered793
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $2,733
Total amount of fees paid to insurance companyUSD $70,915
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,491,236
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,733
Amount paid for insurance broker fees70915
Insurance broker organization code?3
Insurance broker nameCHAPMAN AND CHAPMAN, INC.
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0718231
Policy instance 1
Insurance contract or identification number0718231
Number of Individuals Covered319
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $54,603
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $54,603
Insurance broker organization code?3
Insurance broker nameCHAPMAN AND CHAPMAN, INC.
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0718231
Policy instance 1
Insurance contract or identification number0718231
Number of Individuals Covered319
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $40,164
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $40,164
Insurance broker organization code?3
Insurance broker nameCHAPMAN AND CHAPMAN, INC.
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0718231
Policy instance 1
Insurance contract or identification number0718231
Number of Individuals Covered139
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $36,862
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,190,256
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 number0718231
Policy instance 1
Insurance contract or identification number0718231
Number of Individuals Covered139
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $36,870
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,053,424
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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