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W.S. DARLEY EMPLOYEES HEALTH INSURANCE PLANS 401k Plan overview

Plan NameW.S. DARLEY EMPLOYEES HEALTH INSURANCE PLANS
Plan identification number 501

W.S. DARLEY EMPLOYEES HEALTH INSURANCE PLANS Benefits

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

401k Sponsoring company profile

W.S. DARLEY & CO. has sponsored the creation of one or more 401k plans.

Company Name:W.S. DARLEY & CO.
Employer identification number (EIN):360976610
NAIC Classification:454110
NAIC Description:Electronic Shopping and Mail-Order Houses

Additional information about W.S. DARLEY & CO.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1991-12-12
Company Identification Number: 0008960306
Legal Registered Office Address: 325 SPRING LAKE DR

ITASCA
United States of America (USA)
60143

More information about W.S. DARLEY & CO.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan W.S. DARLEY EMPLOYEES HEALTH INSURANCE PLANS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-01-01JOHN GRUBER2021-10-01
5012019-01-01JOHN GRUBER2020-11-15
5012018-01-01JOHN GRUBER2019-07-31
5012016-01-01

Plan Statistics for W.S. DARLEY EMPLOYEES HEALTH INSURANCE PLANS

401k plan membership statisitcs for W.S. DARLEY EMPLOYEES HEALTH INSURANCE PLANS

Measure Date Value
2020: W.S. DARLEY EMPLOYEES HEALTH INSURANCE PLANS 2020 401k membership
Total participants, beginning-of-year2020-01-01269
Total number of active participants reported on line 7a of the Form 55002020-01-01269
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01269
2019: W.S. DARLEY EMPLOYEES HEALTH INSURANCE PLANS 2019 401k membership
Total participants, beginning-of-year2019-01-01269
Total number of active participants reported on line 7a of the Form 55002019-01-01269
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 participants2019-01-01269
2018: W.S. DARLEY EMPLOYEES HEALTH INSURANCE PLANS 2018 401k membership
Total participants, beginning-of-year2018-01-01187
Total number of active participants reported on line 7a of the Form 55002018-01-01269
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 participants2018-01-01269
2016: W.S. DARLEY EMPLOYEES HEALTH INSURANCE PLANS 2016 401k membership
Total participants, beginning-of-year2016-01-01213
Total number of active participants reported on line 7a of the Form 55002016-01-01213
Total of all active and inactive participants2016-01-01213

Form 5500 Responses for W.S. DARLEY EMPLOYEES HEALTH INSURANCE PLANS

2020: W.S. DARLEY EMPLOYEES HEALTH INSURANCE PLANS 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: W.S. DARLEY EMPLOYEES HEALTH INSURANCE PLANS 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: W.S. DARLEY EMPLOYEES HEALTH INSURANCE PLANS 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2016: W.S. DARLEY EMPLOYEES HEALTH INSURANCE PLANS 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01First time form 5500 has been submittedYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

(National Association of Insurance Commissioners NAIC id number: )
Policy contract number
Policy instance 1
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $50,681
Total amount of fees paid to insurance companyUSD $39,691
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $363,863
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $50,681
Amount paid for insurance broker fees39691
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number07W8821
Policy instance 2
Insurance contract or identification number07W8821
Number of Individuals Covered48
Insurance policy start date2019-12-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $6,302
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $163,403
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,328
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number
Policy instance 3
Number of Individuals Covered148
Insurance policy start date2019-10-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $30,176
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $713,137
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,953
Insurance broker organization code?3
(National Association of Insurance Commissioners NAIC id number: )
Policy contract number
Policy instance 1
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $45,179
Total amount of fees paid to insurance companyUSD $43,096
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $456,806
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $45,179
Amount paid for insurance broker fees43096
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number07W8821
Policy instance 2
Insurance contract or identification number07W8821
Number of Individuals Covered42
Insurance policy start date2019-01-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $8,753
Total amount of fees paid to insurance companyUSD $1,184
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $189,341
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,753
Insurance broker organization code?3
Amount paid for insurance broker fees1184
Additional information about fees paid to insurance brokerBONUS
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number
Policy instance 3
Number of Individuals Covered142
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $42,869
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $911,645
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,766
Insurance broker organization code?3

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