401k Plan data: USA 800, INC. VISION & DENTAL PLAN plan

USA 800, INC. VISION & DENTAL PLAN 401k Plan overview

Plan Name	USA 800, INC. VISION & DENTAL PLAN
Plan identification number	503

USA 800, INC. VISION & DENTAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental Vision

401k Sponsoring company profile

USA 800, INC. has sponsored the creation of one or more 401k plans.

Company Name: USA 800, INC.

Employer identification number (EIN): 431119494

NAIC Classification: 561420

Additional information about USA 800, INC.

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 1995-01-01

Company Identification Number: 0010831306

Legal Registered Office Address: 100 NE 3RD AVE STE 200

FT LAUDERDALE
United States of America (USA)
33301

More information about USA 800, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan USA 800, INC. VISION & DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2017-09-01 DANIEL QUIGLEY DANIEL QUIGLEY 2018-06-15
503 2016-09-01 DAN QUIGLEY DAN QUIGLEY 2018-05-16
503 2015-09-01 DAN QUIGLEY DAN QUIGLEY 2017-03-30
503 2014-11-01 DAN QUIGLEY DAN QUIGLEY 2016-01-08
503 2013-11-01 PHIL GROSS PHIL GROSS 2015-05-12
503 2012-11-01 PHIL GROSS
503 2011-11-01 PHIL GROSS
503 2011-01-01 PHIL GROSS
503 2009-01-01 PHIL GROSS
503 2008-01-01 PHIL GROSS
503 2007-01-01 PHIL GROSS

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
503	2017-09-01	DANIEL QUIGLEY	DANIEL QUIGLEY	2018-06-15
503	2016-09-01	DAN QUIGLEY	DAN QUIGLEY	2018-05-16
503	2015-09-01	DAN QUIGLEY	DAN QUIGLEY	2017-03-30
503	2014-11-01	DAN QUIGLEY	DAN QUIGLEY	2016-01-08
503	2013-11-01	PHIL GROSS	PHIL GROSS	2015-05-12
503	2012-11-01	PHIL GROSS
503	2011-11-01	PHIL GROSS
503	2011-01-01	PHIL GROSS
503	2009-01-01	PHIL GROSS
503	2008-01-01	PHIL GROSS
503	2007-01-01	PHIL GROSS

Plan Statistics for USA 800, INC. VISION & DENTAL PLAN

401k plan membership statisitcs for USA 800, INC. VISION & DENTAL PLAN

Measure Date Value
2017: USA 800, INC. VISION & DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year 2017-09-01 476
Total number of active participants reported on line 7a of the Form 5500 2017-09-01 0
Number of retired or separated participants receiving benefits 2017-09-01 0
Number of other retired or separated participants entitled to future benefits 2017-09-01 0
Total of all active and inactive participants 2017-09-01 0
2016: USA 800, INC. VISION & DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-09-01 307
Total number of active participants reported on line 7a of the Form 5500 2016-09-01 482
Number of retired or separated participants receiving benefits 2016-09-01 3
Number of other retired or separated participants entitled to future benefits 2016-09-01 0
Total of all active and inactive participants 2016-09-01 485
2015: USA 800, INC. VISION & DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-09-01 180
Total number of active participants reported on line 7a of the Form 5500 2015-09-01 307
Number of retired or separated participants receiving benefits 2015-09-01 0
Number of other retired or separated participants entitled to future benefits 2015-09-01 0
Total of all active and inactive participants 2015-09-01 307
2014: USA 800, INC. VISION & DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-11-01 182
Total number of active participants reported on line 7a of the Form 5500 2014-11-01 178
Number of retired or separated participants receiving benefits 2014-11-01 0
Number of other retired or separated participants entitled to future benefits 2014-11-01 0
Total of all active and inactive participants 2014-11-01 178
2013: USA 800, INC. VISION & DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-11-01 182
Total number of active participants reported on line 7a of the Form 5500 2013-11-01 144
Number of other retired or separated participants entitled to future benefits 2013-11-01 3
Total of all active and inactive participants 2013-11-01 147
2012: USA 800, INC. VISION & DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-11-01 162
Total number of active participants reported on line 7a of the Form 5500 2012-11-01 147
Number of retired or separated participants receiving benefits 2012-11-01 3
Total of all active and inactive participants 2012-11-01 150
2011: USA 800, INC. VISION & DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-11-01 167
Total number of active participants reported on line 7a of the Form 5500 2011-11-01 155
Number of retired or separated participants receiving benefits 2011-11-01 3
Total of all active and inactive participants 2011-11-01 158
Total participants, beginning-of-year 2011-01-01 277
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 213
Number of retired or separated participants receiving benefits 2011-01-01 3
Total of all active and inactive participants 2011-01-01 216
2009: USA 800, INC. VISION & DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 186
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 194
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 194
Total participants 2009-01-01 194
2008: USA 800, INC. VISION & DENTAL PLAN 2008 401k membership
Total participants, beginning-of-year 2008-01-01 112
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 186
Number of retired or separated participants receiving benefits 2008-01-01 0
Number of other retired or separated participants entitled to future benefits 2008-01-01 0
Total of all active and inactive participants 2008-01-01 186
Total participants 2008-01-01 186
2007: USA 800, INC. VISION & DENTAL PLAN 2007 401k membership
Total participants, beginning-of-year 2007-01-01 127
Total number of active participants reported on line 7a of the Form 5500 2007-01-01 112
Number of retired or separated participants receiving benefits 2007-01-01 0
Number of other retired or separated participants entitled to future benefits 2007-01-01 0
Total of all active and inactive participants 2007-01-01 112
Total participants 2007-01-01 112

Measure	Date	Value
2017: USA 800, INC. VISION & DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year	2017-09-01	476
Total number of active participants reported on line 7a of the Form 5500	2017-09-01	0
Number of retired or separated participants receiving benefits	2017-09-01	0
Number of other retired or separated participants entitled to future benefits	2017-09-01	0
Total of all active and inactive participants	2017-09-01	0
2016: USA 800, INC. VISION & DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-09-01	307
Total number of active participants reported on line 7a of the Form 5500	2016-09-01	482
Number of retired or separated participants receiving benefits	2016-09-01	3
Number of other retired or separated participants entitled to future benefits	2016-09-01	0
Total of all active and inactive participants	2016-09-01	485
2015: USA 800, INC. VISION & DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-09-01	180
Total number of active participants reported on line 7a of the Form 5500	2015-09-01	307
Number of retired or separated participants receiving benefits	2015-09-01	0
Number of other retired or separated participants entitled to future benefits	2015-09-01	0
Total of all active and inactive participants	2015-09-01	307
2014: USA 800, INC. VISION & DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-11-01	182
Total number of active participants reported on line 7a of the Form 5500	2014-11-01	178
Number of retired or separated participants receiving benefits	2014-11-01	0
Number of other retired or separated participants entitled to future benefits	2014-11-01	0
Total of all active and inactive participants	2014-11-01	178
2013: USA 800, INC. VISION & DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-11-01	182
Total number of active participants reported on line 7a of the Form 5500	2013-11-01	144
Number of other retired or separated participants entitled to future benefits	2013-11-01	3
Total of all active and inactive participants	2013-11-01	147
2012: USA 800, INC. VISION & DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-11-01	162
Total number of active participants reported on line 7a of the Form 5500	2012-11-01	147
Number of retired or separated participants receiving benefits	2012-11-01	3
Total of all active and inactive participants	2012-11-01	150
2011: USA 800, INC. VISION & DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-11-01	167
Total number of active participants reported on line 7a of the Form 5500	2011-11-01	155
Number of retired or separated participants receiving benefits	2011-11-01	3
Total of all active and inactive participants	2011-11-01	158
Total participants, beginning-of-year	2011-01-01	277
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	213
Number of retired or separated participants receiving benefits	2011-01-01	3
Total of all active and inactive participants	2011-01-01	216
2009: USA 800, INC. VISION & DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	186
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	194
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	194
Total participants	2009-01-01	194
2008: USA 800, INC. VISION & DENTAL PLAN 2008 401k membership
Total participants, beginning-of-year	2008-01-01	112
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	186
Number of retired or separated participants receiving benefits	2008-01-01	0
Number of other retired or separated participants entitled to future benefits	2008-01-01	0
Total of all active and inactive participants	2008-01-01	186
Total participants	2008-01-01	186
2007: USA 800, INC. VISION & DENTAL PLAN 2007 401k membership
Total participants, beginning-of-year	2007-01-01	127
Total number of active participants reported on line 7a of the Form 5500	2007-01-01	112
Number of retired or separated participants receiving benefits	2007-01-01	0
Number of other retired or separated participants entitled to future benefits	2007-01-01	0
Total of all active and inactive participants	2007-01-01	112
Total participants	2007-01-01	112

Form 5500 Responses for USA 800, INC. VISION & DENTAL PLAN

2017: USA 800, INC. VISION & DENTAL PLAN 2017 form 5500 responses
2017-09-01	Type of plan entity	Single employer plan
2017-09-01	Submission has been amended	No
2017-09-01	This submission is the final filing	Yes
2017-09-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-09-01	Plan is a collectively bargained plan	No
2017-09-01	Plan funding arrangement – Insurance	Yes
2017-09-01	Plan benefit arrangement – Insurance	Yes
2016: USA 800, INC. VISION & DENTAL PLAN 2016 form 5500 responses
2016-09-01	Type of plan entity	Single employer plan
2016-09-01	Submission has been amended	No
2016-09-01	This submission is the final filing	No
2016-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-09-01	Plan is a collectively bargained plan	No
2016-09-01	Plan funding arrangement – Insurance	Yes
2016-09-01	Plan benefit arrangement – Insurance	Yes
2015: USA 800, INC. VISION & DENTAL PLAN 2015 form 5500 responses
2015-09-01	Type of plan entity	Single employer plan
2015-09-01	Submission has been amended	No
2015-09-01	This submission is the final filing	No
2015-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-09-01	Plan is a collectively bargained plan	No
2015-09-01	Plan funding arrangement – Insurance	Yes
2015-09-01	Plan benefit arrangement – Insurance	Yes
2014: USA 800, INC. VISION & DENTAL PLAN 2014 form 5500 responses
2014-11-01	Type of plan entity	Single employer plan
2014-11-01	Submission has been amended	No
2014-11-01	This submission is the final filing	No
2014-11-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2014-11-01	Plan is a collectively bargained plan	No
2014-11-01	Plan funding arrangement – Insurance	Yes
2014-11-01	Plan benefit arrangement – Insurance	Yes
2013: USA 800, INC. VISION & DENTAL PLAN 2013 form 5500 responses
2013-11-01	Type of plan entity	Single employer plan
2013-11-01	Submission has been amended	No
2013-11-01	This submission is the final filing	No
2013-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-11-01	Plan is a collectively bargained plan	No
2013-11-01	Plan funding arrangement – Insurance	Yes
2013-11-01	Plan benefit arrangement – Insurance	Yes
2012: USA 800, INC. VISION & DENTAL PLAN 2012 form 5500 responses
2012-11-01	Type of plan entity	Single employer plan
2012-11-01	Submission has been amended	No
2012-11-01	This submission is the final filing	No
2012-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-11-01	Plan is a collectively bargained plan	No
2012-11-01	Plan funding arrangement – Insurance	Yes
2012-11-01	Plan benefit arrangement – Insurance	Yes
2011: USA 800, INC. VISION & DENTAL PLAN 2011 form 5500 responses
2011-11-01	Type of plan entity	Single employer plan
2011-11-01	Submission has been amended	No
2011-11-01	This submission is the final filing	No
2011-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-11-01	Plan is a collectively bargained plan	No
2011-11-01	Plan funding arrangement – Insurance	Yes
2011-11-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: USA 800, INC. VISION & DENTAL PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2008: USA 800, INC. VISION & DENTAL PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	No
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No
2008-01-01	Plan funding arrangement – Insurance	Yes
2008-01-01	Plan benefit arrangement – Insurance	Yes
2007: USA 800, INC. VISION & DENTAL PLAN 2007 form 5500 responses
2007-01-01	Type of plan entity	Single employer plan
2007-01-01	First time form 5500 has been submitted	Yes
2007-01-01	Submission has been amended	No
2007-01-01	This submission is the final filing	No
2007-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-01-01	Plan is a collectively bargained plan	No
2007-01-01	Plan funding arrangement – Insurance	Yes
2007-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number	AD60
Policy instance	2
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	1149
Policy instance	1
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number	AD60
Policy instance	2
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	1149
Policy instance	1
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	1149
Policy instance	1
UNITED DENTAL CARE OF MISSOURI, INC. (National Association of Insurance Commissioners NAIC id number: 47044 )
Policy contract number	AD60
Policy instance	2
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number	004I11542
Policy instance	3
UNITED DENTAL CARE OF MISSOURI, INC. (National Association of Insurance Commissioners NAIC id number: 47044 )
Policy contract number	004UD5752
Policy instance	2
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number	004I11542
Policy instance	3
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	1149
Policy instance	1
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number	004I11542
Policy instance	2
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	1149
Policy instance	1
UNITED DENTAL CARE OF MISSOURI, INC. (National Association of Insurance Commissioners NAIC id number: 47044 )
Policy contract number	044UD5752
Policy instance	3
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	1149
Policy instance	1
UNITED DENTAL CARE OF MISSOURI, INC. (National Association of Insurance Commissioners NAIC id number: 47044 )
Policy contract number	AD60
Policy instance	1
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number	AD60
Policy instance	2
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	1149
Policy instance	3
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	1149
Policy instance	1
UNITED DENTAL CARE OF MISSOURI, INC. (National Association of Insurance Commissioners NAIC id number: 47044 )
Policy contract number	AD60
Policy instance	3
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number	AD60
Policy instance	2

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Company Name:	USA 800, INC.
Employer identification number (EIN):	431119494
NAIC Classification:	561420

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	1995-01-01
Company Identification Number:	0010831306
Legal Registered Office Address:	100 NE 3RD AVE STE 200 FT LAUDERDALE United States of America (USA) 33301