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WRAP DOCUMENT FOR ANTHEM MEDICAL, VISION AND PRINCIPAL DENTAL, DISABILITY AND LIFE 401k Plan overview

Plan NameWRAP DOCUMENT FOR ANTHEM MEDICAL, VISION AND PRINCIPAL DENTAL, DISABILITY AND LIFE
Plan identification number 507

WRAP DOCUMENT FOR ANTHEM MEDICAL, VISION AND PRINCIPAL DENTAL, DISABILITY AND LIFE 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
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

DR. SCHNEIDER AUTOMOTIVE SYSTEMS INC. has sponsored the creation of one or more 401k plans.

Company Name:DR. SCHNEIDER AUTOMOTIVE SYSTEMS INC.
Employer identification number (EIN):383540677
NAIC Classification:811110
NAIC Description: Automotive Mechanical and Electrical Repair and Maintenance

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WRAP DOCUMENT FOR ANTHEM MEDICAL, VISION AND PRINCIPAL DENTAL, DISABILITY AND LIFE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5072022-12-01JANA ALEXYOVA2024-04-15
5072021-12-01JANA ALEXYOVA2023-06-06
5072020-12-01JANA ALEXYOVA2022-05-11
5072019-12-01JANA ALEXYOVA2021-06-16
5072019-12-01JANA ALEXYOVA2021-10-18
5072019-01-01JANA ALEXYOVA2020-05-08
5072018-01-01
5072017-01-01
5072016-12-01TORSTEN LANGGUTH TORSTEN LANGGUTH2017-10-09

Plan Statistics for WRAP DOCUMENT FOR ANTHEM MEDICAL, VISION AND PRINCIPAL DENTAL, DISABILITY AND LIFE

401k plan membership statisitcs for WRAP DOCUMENT FOR ANTHEM MEDICAL, VISION AND PRINCIPAL DENTAL, DISABILITY AND LIFE

Measure Date Value
2022: WRAP DOCUMENT FOR ANTHEM MEDICAL, VISION AND PRINCIPAL DENTAL, DISABILITY AND LIFE 2022 401k membership
Total participants, beginning-of-year2022-12-01438
Total number of active participants reported on line 7a of the Form 55002022-12-01465
Number of retired or separated participants receiving benefits2022-12-010
Number of other retired or separated participants entitled to future benefits2022-12-010
Total of all active and inactive participants2022-12-01465
Number of employers contributing to the scheme2022-12-010
2021: WRAP DOCUMENT FOR ANTHEM MEDICAL, VISION AND PRINCIPAL DENTAL, DISABILITY AND LIFE 2021 401k membership
Total participants, beginning-of-year2021-12-01399
Total number of active participants reported on line 7a of the Form 55002021-12-01438
Number of retired or separated participants receiving benefits2021-12-010
Number of other retired or separated participants entitled to future benefits2021-12-010
Total of all active and inactive participants2021-12-01438
Number of employers contributing to the scheme2021-12-010
2020: WRAP DOCUMENT FOR ANTHEM MEDICAL, VISION AND PRINCIPAL DENTAL, DISABILITY AND LIFE 2020 401k membership
Total participants, beginning-of-year2020-12-01370
Total number of active participants reported on line 7a of the Form 55002020-12-01399
Number of retired or separated participants receiving benefits2020-12-010
Number of other retired or separated participants entitled to future benefits2020-12-010
Total of all active and inactive participants2020-12-01399
Number of employers contributing to the scheme2020-12-010
2019: WRAP DOCUMENT FOR ANTHEM MEDICAL, VISION AND PRINCIPAL DENTAL, DISABILITY AND LIFE 2019 401k membership
Total participants, beginning-of-year2019-12-01331
Total number of active participants reported on line 7a of the Form 55002019-12-01370
Number of retired or separated participants receiving benefits2019-12-010
Number of other retired or separated participants entitled to future benefits2019-12-010
Total of all active and inactive participants2019-12-01370
Number of employers contributing to the scheme2019-12-010
Total participants, beginning-of-year2019-01-01309
Total number of active participants reported on line 7a of the Form 55002019-01-01329
Number of retired or separated participants receiving benefits2019-01-012
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01331
Number of employers contributing to the scheme2019-01-010
2018: WRAP DOCUMENT FOR ANTHEM MEDICAL, VISION AND PRINCIPAL DENTAL, DISABILITY AND LIFE 2018 401k membership
Total participants, beginning-of-year2018-01-01304
Total number of active participants reported on line 7a of the Form 55002018-01-01319
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 participants2018-01-01319
Number of employers contributing to the scheme2018-01-010
2017: WRAP DOCUMENT FOR ANTHEM MEDICAL, VISION AND PRINCIPAL DENTAL, DISABILITY AND LIFE 2017 401k membership
Total participants, beginning-of-year2017-01-01199
Total number of active participants reported on line 7a of the Form 55002017-01-01269
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01269
2016: WRAP DOCUMENT FOR ANTHEM MEDICAL, VISION AND PRINCIPAL DENTAL, DISABILITY AND LIFE 2016 401k membership
Total participants, beginning-of-year2016-12-01199
Total number of active participants reported on line 7a of the Form 55002016-12-01199
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 participants2016-12-01199

Form 5500 Responses for WRAP DOCUMENT FOR ANTHEM MEDICAL, VISION AND PRINCIPAL DENTAL, DISABILITY AND LIFE

2022: WRAP DOCUMENT FOR ANTHEM MEDICAL, VISION AND PRINCIPAL DENTAL, DISABILITY AND LIFE 2022 form 5500 responses
2022-12-01Type of plan entitySingle employer plan
2022-12-01Plan funding arrangement – InsuranceYes
2022-12-01Plan funding arrangement – General assets of the sponsorYes
2022-12-01Plan benefit arrangement – InsuranceYes
2022-12-01Plan benefit arrangement – General assets of the sponsorYes
2021: WRAP DOCUMENT FOR ANTHEM MEDICAL, VISION AND PRINCIPAL DENTAL, DISABILITY AND LIFE 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan funding arrangement – General assets of the sponsorYes
2021-12-01Plan benefit arrangement – InsuranceYes
2021-12-01Plan benefit arrangement – General assets of the sponsorYes
2020: WRAP DOCUMENT FOR ANTHEM MEDICAL, VISION AND PRINCIPAL DENTAL, DISABILITY AND LIFE 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan funding arrangement – General assets of the sponsorYes
2020-12-01Plan benefit arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – General assets of the sponsorYes
2019: WRAP DOCUMENT FOR ANTHEM MEDICAL, VISION AND PRINCIPAL DENTAL, DISABILITY AND LIFE 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Submission has been amendedYes
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan funding arrangement – General assets of the sponsorYes
2019-12-01Plan benefit arrangement – InsuranceYes
2019-12-01Plan benefit arrangement – General assets of the sponsorYes
2019-01-01Type of plan entitySingle employer plan
2019-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: WRAP DOCUMENT FOR ANTHEM MEDICAL, VISION AND PRINCIPAL DENTAL, DISABILITY AND LIFE 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: WRAP DOCUMENT FOR ANTHEM MEDICAL, VISION AND PRINCIPAL DENTAL, DISABILITY AND LIFE 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
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: WRAP DOCUMENT FOR ANTHEM MEDICAL, VISION AND PRINCIPAL DENTAL, DISABILITY AND LIFE 2016 form 5500 responses
2016-12-01Type of plan entitySingle employer plan
2016-12-01First time form 5500 has been submittedYes
2016-12-01Submission has been amendedNo
2016-12-01This submission is the final filingNo
2016-12-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-12-01Plan is a collectively bargained planNo
2016-12-01Plan funding arrangement – InsuranceYes
2016-12-01Plan funding arrangement – General assets of the sponsorYes
2016-12-01Plan benefit arrangement – InsuranceYes
2016-12-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberCM10002237
Policy instance 4
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number712690
Policy instance 3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract numberE5370721
Policy instance 2
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberW26567
Policy instance 1
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberW26567
Policy instance 1
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract numberE5370721
Policy instance 2
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number712690
Policy instance 3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0BTSY
Policy instance 4
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0BTSY
Policy instance 4
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number712690
Policy instance 3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract numberE5370721
Policy instance 2
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberW26567
Policy instance 1
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract numberE5370721
Policy instance 4
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number30919-1009
Policy instance 3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1048622
Policy instance 2
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberW26567
Policy instance 1
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberW26567
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1048622
Policy instance 2
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1048622
Policy instance 2
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract number00244969
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1048622
Policy instance 2
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract number00244969
Policy instance 1

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