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CHANTLAND-PVS COMPANY EMPLOYEE MEDICAL, DENTAL AND PRESCRIPTION DRUG PROGRAM 401k Plan overview

Plan NameCHANTLAND-PVS COMPANY EMPLOYEE MEDICAL, DENTAL AND PRESCRIPTION DRUG PROGRAM
Plan identification number 501

CHANTLAND-PVS COMPANY EMPLOYEE MEDICAL, DENTAL AND PRESCRIPTION DRUG PROGRAM Benefits

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

401k Sponsoring company profile

THE CHANTLAND-PVS COMPANY has sponsored the creation of one or more 401k plans.

Company Name:THE CHANTLAND-PVS COMPANY
Employer identification number (EIN):383384276
NAIC Classification:333200

Additional information about THE CHANTLAND-PVS COMPANY

Jurisdiction of Incorporation: Michigan Secretary of State
Incorporation Date: 0000-00-00
Company Identification Number: 477450
Legal Registered Office Address: HARPER AVE DETROIT 48213


United States of America (USA)
10900

More information about THE CHANTLAND-PVS COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHANTLAND-PVS COMPANY EMPLOYEE MEDICAL, DENTAL AND PRESCRIPTION DRUG PROGRAM

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-01-01GERALD HEATHMAN
5012016-01-01GERALD HEATHMAN
5012015-01-01GERALD HEATHMAN
5012014-01-01LARRY ASKELSON
5012013-01-01LARRY ASKELSON
5012012-01-01LARRY ASKELSON
5012011-01-01LARRY ASKELSON
5012010-01-01LARRY ASKELSON
5012009-01-01LARRY ASKELSON

Plan Statistics for CHANTLAND-PVS COMPANY EMPLOYEE MEDICAL, DENTAL AND PRESCRIPTION DRUG PROGRAM

401k plan membership statisitcs for CHANTLAND-PVS COMPANY EMPLOYEE MEDICAL, DENTAL AND PRESCRIPTION DRUG PROGRAM

Measure Date Value
2017: CHANTLAND-PVS COMPANY EMPLOYEE MEDICAL, DENTAL AND PRESCRIPTION DRUG PROGRAM 2017 401k membership
Total participants, beginning-of-year2017-01-01177
Total number of active participants reported on line 7a of the Form 55002017-01-01192
Total of all active and inactive participants2017-01-01192
2016: CHANTLAND-PVS COMPANY EMPLOYEE MEDICAL, DENTAL AND PRESCRIPTION DRUG PROGRAM 2016 401k membership
Total participants, beginning-of-year2016-01-01190
Total number of active participants reported on line 7a of the Form 55002016-01-01180
Total of all active and inactive participants2016-01-01180
2015: CHANTLAND-PVS COMPANY EMPLOYEE MEDICAL, DENTAL AND PRESCRIPTION DRUG PROGRAM 2015 401k membership
Total participants, beginning-of-year2015-01-01189
Total number of active participants reported on line 7a of the Form 55002015-01-01189
Total of all active and inactive participants2015-01-01189
2014: CHANTLAND-PVS COMPANY EMPLOYEE MEDICAL, DENTAL AND PRESCRIPTION DRUG PROGRAM 2014 401k membership
Total participants, beginning-of-year2014-01-01202
Total number of active participants reported on line 7a of the Form 55002014-01-01189
Total of all active and inactive participants2014-01-01189
2013: CHANTLAND-PVS COMPANY EMPLOYEE MEDICAL, DENTAL AND PRESCRIPTION DRUG PROGRAM 2013 401k membership
Total participants, beginning-of-year2013-01-01201
Total number of active participants reported on line 7a of the Form 55002013-01-01205
Total of all active and inactive participants2013-01-01205
2012: CHANTLAND-PVS COMPANY EMPLOYEE MEDICAL, DENTAL AND PRESCRIPTION DRUG PROGRAM 2012 401k membership
Total participants, beginning-of-year2012-01-01192
Total number of active participants reported on line 7a of the Form 55002012-01-01201
Total of all active and inactive participants2012-01-01201
2011: CHANTLAND-PVS COMPANY EMPLOYEE MEDICAL, DENTAL AND PRESCRIPTION DRUG PROGRAM 2011 401k membership
Total participants, beginning-of-year2011-01-01187
Total number of active participants reported on line 7a of the Form 55002011-01-01190
Total of all active and inactive participants2011-01-01190
2010: CHANTLAND-PVS COMPANY EMPLOYEE MEDICAL, DENTAL AND PRESCRIPTION DRUG PROGRAM 2010 401k membership
Total participants, beginning-of-year2010-01-01199
Total number of active participants reported on line 7a of the Form 55002010-01-01187
Number of retired or separated participants receiving benefits2010-01-015
Total of all active and inactive participants2010-01-01192
2009: CHANTLAND-PVS COMPANY EMPLOYEE MEDICAL, DENTAL AND PRESCRIPTION DRUG PROGRAM 2009 401k membership
Total participants, beginning-of-year2009-01-01218
Total number of active participants reported on line 7a of the Form 55002009-01-01195
Number of retired or separated participants receiving benefits2009-01-014
Total of all active and inactive participants2009-01-01199

Form 5500 Responses for CHANTLAND-PVS COMPANY EMPLOYEE MEDICAL, DENTAL AND PRESCRIPTION DRUG PROGRAM

2017: CHANTLAND-PVS COMPANY EMPLOYEE MEDICAL, DENTAL AND PRESCRIPTION DRUG PROGRAM 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01This submission is the final filingYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: CHANTLAND-PVS COMPANY EMPLOYEE MEDICAL, DENTAL AND PRESCRIPTION DRUG PROGRAM 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: CHANTLAND-PVS COMPANY EMPLOYEE MEDICAL, DENTAL AND PRESCRIPTION DRUG PROGRAM 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: CHANTLAND-PVS COMPANY EMPLOYEE MEDICAL, DENTAL AND PRESCRIPTION DRUG PROGRAM 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: CHANTLAND-PVS COMPANY EMPLOYEE MEDICAL, DENTAL AND PRESCRIPTION DRUG PROGRAM 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: CHANTLAND-PVS COMPANY EMPLOYEE MEDICAL, DENTAL AND PRESCRIPTION DRUG PROGRAM 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: CHANTLAND-PVS COMPANY EMPLOYEE MEDICAL, DENTAL AND PRESCRIPTION DRUG PROGRAM 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: CHANTLAND-PVS COMPANY EMPLOYEE MEDICAL, DENTAL AND PRESCRIPTION DRUG PROGRAM 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: CHANTLAND-PVS COMPANY EMPLOYEE MEDICAL, DENTAL AND PRESCRIPTION DRUG PROGRAM 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number417005411588
Policy instance 1
Insurance contract or identification number417005411588
Number of Individuals Covered192
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $305,596
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number417004411588
Policy instance 1
Insurance contract or identification number417004411588
Number of Individuals Covered189
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $395,695
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number417004411588
Policy instance 1
Insurance contract or identification number417004411588
Number of Individuals Covered189
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $367,884
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number34500
Policy instance 1
Insurance contract or identification number34500
Number of Individuals Covered201
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $323,653
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRIVATE HEALTHCARE SYSTEMS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number34500
Policy instance 2
Insurance contract or identification number34500
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $63
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN HEALTHCARE ALLIANCE (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number34500
Policy instance 3
Insurance contract or identification number34500
Number of Individuals Covered3
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $207
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number34500
Policy instance 1
Insurance contract or identification number34500
Number of Individuals Covered194
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $224,736
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRIVATE HEALTHCARE SYSTEMS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number34500
Policy instance 2
Insurance contract or identification number34500
Number of Individuals Covered2
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $107
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN HEALTHCARE ALLIANCE (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number34500
Policy instance 3
Insurance contract or identification number34500
Number of Individuals Covered2
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $141
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 )
Policy contract number34500
Policy instance 1
Insurance contract or identification number34500
Number of Individuals Covered184
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $92,197
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRIVATE HEALTHCARE SYSTEMS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number34500
Policy instance 2
Insurance contract or identification number34500
Number of Individuals Covered0
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $14
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN HEALTHCARE ALLIANCE (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number34500
Policy instance 3
Insurance contract or identification number34500
Number of Individuals Covered2
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $43
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number069659
Policy instance 1
Insurance contract or identification number069659
Number of Individuals Covered192
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $7,280
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $283,637
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,280
Insurance broker organization code?3
Insurance broker nameHOLMES MURPHY & ASSOCIATES INC

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