401k Plan data: STOREHOUSE MULTIPLE EMPLOYER PLAN ADOPTED BY EVERGREEN EYE CENTER, INC. P.S plan

STOREHOUSE MULTIPLE EMPLOYER PLAN ADOPTED BY EVERGREEN EYE CENTER, INC. P.S 401k Plan overview

Plan Name	STOREHOUSE MULTIPLE EMPLOYER PLAN ADOPTED BY EVERGREEN EYE CENTER, INC. P.S
Plan identification number	033

STOREHOUSE MULTIPLE EMPLOYER PLAN ADOPTED BY EVERGREEN EYE CENTER, INC. P.S Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

STOREHOUSE MEP has sponsored the creation of one or more 401k plans.

Company Name: STOREHOUSE MEP

Employer identification number (EIN): 463765488

NAIC Classification: 321900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan STOREHOUSE MULTIPLE EMPLOYER PLAN ADOPTED BY EVERGREEN EYE CENTER, INC. P.S

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
033 2021-01-01
033 2020-01-01
033 2019-01-01
033 2019-01-01

Plan Statistics for STOREHOUSE MULTIPLE EMPLOYER PLAN ADOPTED BY EVERGREEN EYE CENTER, INC. P.S

401k plan membership statisitcs for STOREHOUSE MULTIPLE EMPLOYER PLAN ADOPTED BY EVERGREEN EYE CENTER, INC. P.S

Measure Date Value
2021: STOREHOUSE MULTIPLE EMPLOYER PLAN ADOPTED BY EVERGREEN EYE CENTER, INC. P.S 2021 401k membership
Total participants, beginning-of-year 2021-01-01 158
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 83
Number of retired or separated participants receiving benefits 2021-01-01 25
Number of other retired or separated participants entitled to future benefits 2021-01-01 44
Total of all active and inactive participants 2021-01-01 152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 152
Number of participants with account balances 2021-01-01 151
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: STOREHOUSE MULTIPLE EMPLOYER PLAN ADOPTED BY EVERGREEN EYE CENTER, INC. P.S 2020 401k membership
Total participants, beginning-of-year 2020-01-01 135
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 101
Number of retired or separated participants receiving benefits 2020-01-01 13
Number of other retired or separated participants entitled to future benefits 2020-01-01 44
Total of all active and inactive participants 2020-01-01 158
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 158
Number of participants with account balances 2020-01-01 123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: STOREHOUSE MULTIPLE EMPLOYER PLAN ADOPTED BY EVERGREEN EYE CENTER, INC. P.S 2019 401k membership
Total participants, beginning-of-year 2019-01-01 187
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 110
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 25
Total of all active and inactive participants 2019-01-01 135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 135
Number of participants with account balances 2019-01-01 114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0

Measure	Date	Value
2021: STOREHOUSE MULTIPLE EMPLOYER PLAN ADOPTED BY EVERGREEN EYE CENTER, INC. P.S 2021 401k membership
Total participants, beginning-of-year	2021-01-01	158
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	83
Number of retired or separated participants receiving benefits	2021-01-01	25
Number of other retired or separated participants entitled to future benefits	2021-01-01	44
Total of all active and inactive participants	2021-01-01	152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	152
Number of participants with account balances	2021-01-01	151
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: STOREHOUSE MULTIPLE EMPLOYER PLAN ADOPTED BY EVERGREEN EYE CENTER, INC. P.S 2020 401k membership
Total participants, beginning-of-year	2020-01-01	135
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	101
Number of retired or separated participants receiving benefits	2020-01-01	13
Number of other retired or separated participants entitled to future benefits	2020-01-01	44
Total of all active and inactive participants	2020-01-01	158
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	158
Number of participants with account balances	2020-01-01	123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: STOREHOUSE MULTIPLE EMPLOYER PLAN ADOPTED BY EVERGREEN EYE CENTER, INC. P.S 2019 401k membership
Total participants, beginning-of-year	2019-01-01	187
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	110
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	25
Total of all active and inactive participants	2019-01-01	135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	135
Number of participants with account balances	2019-01-01	114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0

Financial Data on STOREHOUSE MULTIPLE EMPLOYER PLAN ADOPTED BY EVERGREEN EYE CENTER, INC. P.S

Measure	Date	Value
2021 : STOREHOUSE MULTIPLE EMPLOYER PLAN ADOPTED BY EVERGREEN EYE CENTER, INC. P.S 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$899,843
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$131,937
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$116,792
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$472,883
Value of total assets at end of year	2021-12-31	$4,306,216
Value of total assets at beginning of year	2021-12-31	$3,538,310
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$15,145
Total interest from all sources	2021-12-31	$359
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$100,766
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$100,766
Administrative expenses professional fees incurred	2021-12-31	$14,060
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$300,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$376,077
Participant contributions at end of year	2021-12-31	$16,066
Participant contributions at beginning of year	2021-12-31	$3,024
Participant contributions at end of year	2021-12-31	$9,637
Participant contributions at beginning of year	2021-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$767,906
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$4,306,216
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$3,538,310
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$3,328,589
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$2,674,476
Interest on participant loans	2021-12-31	$359
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$857,474
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$697,478
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$325,835
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$96,806
Employer contributions (assets) at end of year	2021-12-31	$94,450
Employer contributions (assets) at beginning of year	2021-12-31	$163,332
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$116,792
Contract administrator fees	2021-12-31	$1,085
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	HOULDSWORTH, RUSSO & CO. P.C.
Accountancy firm EIN	2021-12-31	880374623
2020 : STOREHOUSE MULTIPLE EMPLOYER PLAN ADOPTED BY EVERGREEN EYE CENTER, INC. P.S 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$805,690
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$238,138
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$224,164
Expenses. Certain deemed distributions of participant loans	2020-12-31	$1,134
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$452,441
Value of total assets at end of year	2020-12-31	$3,538,310
Value of total assets at beginning of year	2020-12-31	$2,970,758
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$12,840
Total interest from all sources	2020-12-31	$14,012
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$84,070
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$84,070
Administrative expenses professional fees incurred	2020-12-31	$6,448
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$300,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$285,835
Participant contributions at end of year	2020-12-31	$3,024
Participant contributions at beginning of year	2020-12-31	$8,835
Participant contributions at end of year	2020-12-31	$0
Participant contributions at beginning of year	2020-12-31	$12,094
Administrative expenses (other) incurred	2020-12-31	$6,392
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$567,552
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$3,538,310
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$2,970,758
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$2,674,476
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$2,352,410
Interest on participant loans	2020-12-31	$300
Interest earned on other investments	2020-12-31	$13,712
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$697,478
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$448,949
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$255,167
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$166,606
Employer contributions (assets) at end of year	2020-12-31	$163,332
Employer contributions (assets) at beginning of year	2020-12-31	$148,470
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$224,164
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	VWC, P.S.
Accountancy firm EIN	2020-12-31	911007261
2019 : STOREHOUSE MULTIPLE EMPLOYER PLAN ADOPTED BY EVERGREEN EYE CENTER, INC. P.S 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$33,750
Total income from all sources (including contributions)	2019-12-31	$842,867
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$736,039
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$721,615
Expenses. Certain deemed distributions of participant loans	2019-12-31	$15
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$399,868
Value of total assets at end of year	2019-12-31	$2,970,758
Value of total assets at beginning of year	2019-12-31	$2,897,680
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$14,409
Total interest from all sources	2019-12-31	$348
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$64,952
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$64,952
Administrative expenses professional fees incurred	2019-12-31	$14,409
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$290,000
If this is an individual account plan, was there a blackout period	2019-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$251,131
Participant contributions at end of year	2019-12-31	$8,835
Participant contributions at beginning of year	2019-12-31	$7,237
Participant contributions at end of year	2019-12-31	$12,094
Participant contributions at beginning of year	2019-12-31	$14,879
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$33,750
Other income not declared elsewhere	2019-12-31	$8,863
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$106,828
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$2,970,758
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$2,863,930
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$2,352,410
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$2,731,242
Interest on participant loans	2019-12-31	$348
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$448,949
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$368,836
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$148,737
Employer contributions (assets) at end of year	2019-12-31	$148,470
Employer contributions (assets) at beginning of year	2019-12-31	$144,322
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$721,615
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	VWC, P.S.
Accountancy firm EIN	2019-12-31	911007261

Form 5500 Responses for STOREHOUSE MULTIPLE EMPLOYER PLAN ADOPTED BY EVERGREEN EYE CENTER, INC. P.S

2021: STOREHOUSE MULTIPLE EMPLOYER PLAN ADOPTED BY EVERGREEN EYE CENTER, INC. P.S 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: STOREHOUSE MULTIPLE EMPLOYER PLAN ADOPTED BY EVERGREEN EYE CENTER, INC. P.S 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: STOREHOUSE MULTIPLE EMPLOYER PLAN ADOPTED BY EVERGREEN EYE CENTER, INC. P.S 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

812980A

Policy instance

Insurance contract or identification number	812980A
Number of Individuals Covered	69
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

812980A

Policy instance

Insurance contract or identification number	812980A
Number of Individuals Covered	62
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

812980A

Policy instance

Insurance contract or identification number	812980A
Number of Individuals Covered	147
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

Was this data useful?

If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us. Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer

The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Company Name:	STOREHOUSE MEP
Employer identification number (EIN):	463765488
NAIC Classification:	321900