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JAY AUTO GROUP HEALTH INSURANCE BENEFIT PLAN 401k Plan overview

Plan NameJAY AUTO GROUP HEALTH INSURANCE BENEFIT PLAN
Plan identification number 502

JAY AUTO GROUP HEALTH INSURANCE BENEFIT PLAN Benefits

401k Plan TypeWelfare 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 will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
  • 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

JAY AUTO GROUP has sponsored the creation of one or more 401k plans.

Company Name:JAY AUTO GROUP
Employer identification number (EIN):340821622
NAIC Classification:441110
NAIC Description:New Car Dealers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JAY AUTO GROUP HEALTH INSURANCE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-07-01
5022022-07-01JILLIAN SWANINGER
5022021-07-01
5022021-07-01JILLIAN SWANINGER
5022020-07-01
5022017-05-01JILLIAN SWANINGER
5022016-05-01JILLIAN SWANINGER
5022015-05-01JILLIAN SWANINGER
5022015-05-01JILLIAN SWANINGER
5022009-09-01ANGELA NAVIN
5022009-09-01VICKIE DAWSON
5022009-09-01 VICKIE DAWSON2010-11-03
5022008-09-01

Plan Statistics for JAY AUTO GROUP HEALTH INSURANCE BENEFIT PLAN

401k plan membership statisitcs for JAY AUTO GROUP HEALTH INSURANCE BENEFIT PLAN

Measure Date Value
2022: JAY AUTO GROUP HEALTH INSURANCE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-01133
Total number of active participants reported on line 7a of the Form 55002022-07-01170
Number of retired or separated participants receiving benefits2022-07-012
Number of other retired or separated participants entitled to future benefits2022-07-012
Total of all active and inactive participants2022-07-01174
2021: JAY AUTO GROUP HEALTH INSURANCE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01130
Total number of active participants reported on line 7a of the Form 55002021-07-01140
Number of retired or separated participants receiving benefits2021-07-016
Number of other retired or separated participants entitled to future benefits2021-07-016
Total of all active and inactive participants2021-07-01152
2020: JAY AUTO GROUP HEALTH INSURANCE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01112
Total number of active participants reported on line 7a of the Form 55002020-07-01126
Number of retired or separated participants receiving benefits2020-07-015
Number of other retired or separated participants entitled to future benefits2020-07-015
Total of all active and inactive participants2020-07-01136
2017: JAY AUTO GROUP HEALTH INSURANCE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-05-01124
Total number of active participants reported on line 7a of the Form 55002017-05-01124
Number of retired or separated participants receiving benefits2017-05-010
Number of other retired or separated participants entitled to future benefits2017-05-010
Total of all active and inactive participants2017-05-01124
2016: JAY AUTO GROUP HEALTH INSURANCE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-05-01131
Total number of active participants reported on line 7a of the Form 55002016-05-01126
Number of retired or separated participants receiving benefits2016-05-010
Number of other retired or separated participants entitled to future benefits2016-05-010
Total of all active and inactive participants2016-05-01126
2015: JAY AUTO GROUP HEALTH INSURANCE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-01128
Total number of active participants reported on line 7a of the Form 55002015-05-01137
Number of retired or separated participants receiving benefits2015-05-010
Number of other retired or separated participants entitled to future benefits2015-05-010
Total of all active and inactive participants2015-05-01137
2009: JAY AUTO GROUP HEALTH INSURANCE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-09-0184
Total number of active participants reported on line 7a of the Form 55002009-09-0178
Number of retired or separated participants receiving benefits2009-09-010
Number of other retired or separated participants entitled to future benefits2009-09-010
Total of all active and inactive participants2009-09-0178
Total participants2009-09-0178

Form 5500 Responses for JAY AUTO GROUP HEALTH INSURANCE BENEFIT PLAN

2022: JAY AUTO GROUP HEALTH INSURANCE BENEFIT PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Submission has been amendedNo
2022-07-01This submission is the final filingNo
2022-07-01This return/report is a short plan year return/report (less than 12 months)No
2022-07-01Plan is a collectively bargained planNo
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – InsuranceYes
2021: JAY AUTO GROUP HEALTH INSURANCE BENEFIT PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes
2020: JAY AUTO GROUP HEALTH INSURANCE BENEFIT PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planNo
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes
2017: JAY AUTO GROUP HEALTH INSURANCE BENEFIT PLAN 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Submission has been amendedNo
2017-05-01This submission is the final filingNo
2017-05-01This return/report is a short plan year return/report (less than 12 months)Yes
2017-05-01Plan is a collectively bargained planNo
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan benefit arrangement – InsuranceYes
2016: JAY AUTO GROUP HEALTH INSURANCE BENEFIT PLAN 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Submission has been amendedNo
2016-05-01This submission is the final filingNo
2016-05-01This return/report is a short plan year return/report (less than 12 months)No
2016-05-01Plan is a collectively bargained planNo
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan benefit arrangement – InsuranceYes
2015: JAY AUTO GROUP HEALTH INSURANCE BENEFIT PLAN 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Submission has been amendedNo
2015-05-01This submission is the final filingNo
2015-05-01This return/report is a short plan year return/report (less than 12 months)No
2015-05-01Plan is a collectively bargained planNo
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan benefit arrangement – InsuranceYes
2009: JAY AUTO GROUP HEALTH INSURANCE BENEFIT PLAN 2009 form 5500 responses
2009-09-01Type of plan entitySingle employer plan
2009-09-01Submission has been amendedYes
2009-09-01This submission is the final filingNo
2009-09-01This return/report is a short plan year return/report (less than 12 months)No
2009-09-01Plan is a collectively bargained planNo
2009-09-01Plan funding arrangement – InsuranceYes
2009-09-01Plan benefit arrangement – InsuranceYes
2008: JAY AUTO GROUP HEALTH INSURANCE BENEFIT PLAN 2008 form 5500 responses
2008-09-01Type of plan entitySingle employer plan
2008-09-01Submission has been amendedNo
2008-09-01This submission is the final filingNo
2008-09-01This return/report is a short plan year return/report (less than 12 months)No
2008-09-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00512393
Policy instance 2
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number0116101-01
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00512393
Policy instance 2
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number924779
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00512393
Policy instance 3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00512393
Policy instance 2
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number0086270-01
Policy instance 1
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract number39180
Policy instance 3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00512393
Policy instance 2
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00617070
Policy instance 1
KAISER FOUNDATION HEALTH PLAN OF OHIO (National Association of Insurance Commissioners NAIC id number: 95204 )
Policy contract number10883
Policy instance 1

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