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AMSTORE CORPORATION HEALTH CARE PLAN 401k Plan overview

Plan NameAMSTORE CORPORATION HEALTH CARE PLAN
Plan identification number 501

AMSTORE CORPORATION HEALTH CARE PLAN Benefits

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

401k Sponsoring company profile

AMSTORE CORPORATION PENSION PLAN has sponsored the creation of one or more 401k plans.

Company Name:AMSTORE CORPORATION PENSION PLAN
Employer identification number (EIN):382470468
NAIC Classification:339900

Additional information about AMSTORE CORPORATION PENSION PLAN

Jurisdiction of Incorporation: Michigan Secretary of State
Incorporation Date: 0000-00-00
Company Identification Number: 119012
Legal Registered Office Address: 3951 TRADE DRIVE SE GRAND RAPIDS


United States of America (USA)
49508

More information about AMSTORE CORPORATION PENSION PLAN

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMSTORE CORPORATION HEALTH CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012018-12-01TAMMY GUILES2020-09-10
5012017-12-01
5012016-12-01TAMMY GUILES
5012015-12-01TAMMY GUILES
5012014-12-01TAMMY GUILES
5012013-12-01TAMMY GUILES
5012012-12-01TAMMY GUILES
5012011-12-01TAMMY GUILES
5012010-12-01TAMMY GUILES
5012009-12-01TAMMY GUILES
5012008-12-01

Plan Statistics for AMSTORE CORPORATION HEALTH CARE PLAN

401k plan membership statisitcs for AMSTORE CORPORATION HEALTH CARE PLAN

Measure Date Value
2018: AMSTORE CORPORATION HEALTH CARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-12-01207
Total number of active participants reported on line 7a of the Form 55002018-12-014
Number of retired or separated participants receiving benefits2018-12-011
Number of other retired or separated participants entitled to future benefits2018-12-010
Total of all active and inactive participants2018-12-015
2017: AMSTORE CORPORATION HEALTH CARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-12-01241
Total number of active participants reported on line 7a of the Form 55002017-12-01207
Number of retired or separated participants receiving benefits2017-12-010
Number of other retired or separated participants entitled to future benefits2017-12-010
Total of all active and inactive participants2017-12-01207
2016: AMSTORE CORPORATION HEALTH CARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-12-01241
Total number of active participants reported on line 7a of the Form 55002016-12-01241
Number of retired or separated participants receiving benefits2016-12-010
Number of other retired or separated participants entitled to future benefits2016-12-010
Total of all active and inactive participants2016-12-01241
2015: AMSTORE CORPORATION HEALTH CARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-12-01254
Total number of active participants reported on line 7a of the Form 55002015-12-01241
Number of retired or separated participants receiving benefits2015-12-010
Number of other retired or separated participants entitled to future benefits2015-12-010
Total of all active and inactive participants2015-12-01241
2014: AMSTORE CORPORATION HEALTH CARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-12-01253
Total number of active participants reported on line 7a of the Form 55002014-12-01254
Number of retired or separated participants receiving benefits2014-12-010
Number of other retired or separated participants entitled to future benefits2014-12-010
Total of all active and inactive participants2014-12-01254
2013: AMSTORE CORPORATION HEALTH CARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-12-01247
Total number of active participants reported on line 7a of the Form 55002013-12-01253
Number of retired or separated participants receiving benefits2013-12-010
Number of other retired or separated participants entitled to future benefits2013-12-010
Total of all active and inactive participants2013-12-01253
2012: AMSTORE CORPORATION HEALTH CARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-12-01222
Total number of active participants reported on line 7a of the Form 55002012-12-01247
Number of retired or separated participants receiving benefits2012-12-010
Number of other retired or separated participants entitled to future benefits2012-12-010
Total of all active and inactive participants2012-12-01247
2011: AMSTORE CORPORATION HEALTH CARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-12-01244
Total number of active participants reported on line 7a of the Form 55002011-12-01222
Number of retired or separated participants receiving benefits2011-12-010
Number of other retired or separated participants entitled to future benefits2011-12-010
Total of all active and inactive participants2011-12-01222
2010: AMSTORE CORPORATION HEALTH CARE PLAN 2010 401k membership
Total participants, beginning-of-year2010-12-01232
Total number of active participants reported on line 7a of the Form 55002010-12-01244
Number of retired or separated participants receiving benefits2010-12-010
Number of other retired or separated participants entitled to future benefits2010-12-010
Total of all active and inactive participants2010-12-01244
2009: AMSTORE CORPORATION HEALTH CARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-12-01277
Total number of active participants reported on line 7a of the Form 55002009-12-01232
Number of retired or separated participants receiving benefits2009-12-010
Number of other retired or separated participants entitled to future benefits2009-12-010
Total of all active and inactive participants2009-12-01232

Form 5500 Responses for AMSTORE CORPORATION HEALTH CARE PLAN

2018: AMSTORE CORPORATION HEALTH CARE PLAN 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan benefit arrangement – InsuranceYes
2017: AMSTORE CORPORATION HEALTH CARE PLAN 2017 form 5500 responses
2017-12-01Type of plan entitySingle employer plan
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan benefit arrangement – InsuranceYes
2016: AMSTORE CORPORATION HEALTH CARE PLAN 2016 form 5500 responses
2016-12-01Type of plan entitySingle employer plan
2016-12-01Plan funding arrangement – InsuranceYes
2016-12-01Plan benefit arrangement – InsuranceYes
2015: AMSTORE CORPORATION HEALTH CARE PLAN 2015 form 5500 responses
2015-12-01Type of plan entitySingle employer plan
2015-12-01Plan funding arrangement – InsuranceYes
2015-12-01Plan benefit arrangement – InsuranceYes
2014: AMSTORE CORPORATION HEALTH CARE PLAN 2014 form 5500 responses
2014-12-01Type of plan entitySingle employer plan
2014-12-01Plan funding arrangement – InsuranceYes
2014-12-01Plan benefit arrangement – InsuranceYes
2013: AMSTORE CORPORATION HEALTH CARE PLAN 2013 form 5500 responses
2013-12-01Type of plan entitySingle employer plan
2013-12-01Plan funding arrangement – InsuranceYes
2013-12-01Plan benefit arrangement – InsuranceYes
2012: AMSTORE CORPORATION HEALTH CARE PLAN 2012 form 5500 responses
2012-12-01Type of plan entitySingle employer plan
2012-12-01Plan funding arrangement – InsuranceYes
2012-12-01Plan benefit arrangement – InsuranceYes
2011: AMSTORE CORPORATION HEALTH CARE PLAN 2011 form 5500 responses
2011-12-01Type of plan entitySingle employer plan
2011-12-01Plan funding arrangement – InsuranceYes
2011-12-01Plan benefit arrangement – InsuranceYes
2010: AMSTORE CORPORATION HEALTH CARE PLAN 2010 form 5500 responses
2010-12-01Type of plan entitySingle employer plan
2010-12-01Plan funding arrangement – InsuranceYes
2010-12-01Plan benefit arrangement – InsuranceYes
2009: AMSTORE CORPORATION HEALTH CARE PLAN 2009 form 5500 responses
2009-12-01Type of plan entitySingle employer plan
2009-12-01Plan funding arrangement – InsuranceYes
2009-12-01Plan benefit arrangement – InsuranceYes
2008: AMSTORE CORPORATION HEALTH CARE PLAN 2008 form 5500 responses
2008-12-01Type of plan entitySingle employer plan
2008-12-01Submission has been amendedNo
2008-12-01This submission is the final filingNo
2008-12-01This return/report is a short plan year return/report (less than 12 months)No
2008-12-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number791127 S001
Policy instance 2
Insurance contract or identification number791127 S001
Number of Individuals Covered170
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $61,826
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $772,816
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,913
Insurance broker organization code?3
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number7585
Policy instance 1
Insurance contract or identification number7585
Number of Individuals Covered177
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $1,865
Total amount of fees paid to insurance companyUSD $0
Dental 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 $1,865
Amount paid for insurance broker fees0
Insurance broker organization code?3
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 12208 )
Policy contract number791127
Policy instance 3
Insurance contract or identification number791127
Number of Individuals Covered0
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $697
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,417
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $697
Insurance broker organization code?3
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number7585
Policy instance 1
Insurance contract or identification number7585
Number of Individuals Covered207
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $1,833
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number65551-000
Policy instance 2
Insurance contract or identification number65551-000
Number of Individuals Covered6
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $1,546
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $74,624
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number791127 S001
Policy instance 3
Insurance contract or identification number791127 S001
Number of Individuals Covered197
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $32,798
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $819,945
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 12208 )
Policy contract number791127
Policy instance 4
Insurance contract or identification number791127
Number of Individuals Covered4
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $354
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,852
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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