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COMMUNITY VETERINARY CLINICS EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan NameCOMMUNITY VETERINARY CLINICS EMPLOYEE BENEFIT PLAN
Plan identification number 501

COMMUNITY VETERINARY CLINICS EMPLOYEE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

COMMUNITY VETERINARY CLINICS, LLC has sponsored the creation of one or more 401k plans.

Company Name:COMMUNITY VETERINARY CLINICS, LLC
Employer identification number (EIN):471149193
NAIC Classification:621498
NAIC Description:All Other Outpatient Care Centers

Additional information about COMMUNITY VETERINARY CLINICS, LLC

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2015-09-04
Company Identification Number: 0802287897
Legal Registered Office Address: 230 E RIVERSIDE DR

EAGLE
United States of America (USA)
83616

More information about COMMUNITY VETERINARY CLINICS, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITY VETERINARY CLINICS EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012018-02-01
5012017-02-01

Plan Statistics for COMMUNITY VETERINARY CLINICS EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for COMMUNITY VETERINARY CLINICS EMPLOYEE BENEFIT PLAN

Measure Date Value
2018: COMMUNITY VETERINARY CLINICS EMPLOYEE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-02-01254
Total number of active participants reported on line 7a of the Form 55002018-02-010
Number of retired or separated participants receiving benefits2018-02-010
Number of other retired or separated participants entitled to future benefits2018-02-010
Total of all active and inactive participants2018-02-010
Number of employers contributing to the scheme2018-02-010
2017: COMMUNITY VETERINARY CLINICS EMPLOYEE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-02-01136
Total number of active participants reported on line 7a of the Form 55002017-02-01251
Number of retired or separated participants receiving benefits2017-02-013
Number of other retired or separated participants entitled to future benefits2017-02-010
Total of all active and inactive participants2017-02-01254

Form 5500 Responses for COMMUNITY VETERINARY CLINICS EMPLOYEE BENEFIT PLAN

2018: COMMUNITY VETERINARY CLINICS EMPLOYEE BENEFIT PLAN 2018 form 5500 responses
2018-02-01Type of plan entitySingle employer plan
2018-02-01This submission is the final filingYes
2018-02-01Plan funding arrangement – InsuranceYes
2018-02-01Plan benefit arrangement – InsuranceYes
2017: COMMUNITY VETERINARY CLINICS EMPLOYEE BENEFIT PLAN 2017 form 5500 responses
2017-02-01Type of plan entitySingle employer plan
2017-02-01First time form 5500 has been submittedYes
2017-02-01Plan funding arrangement – InsuranceYes
2017-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number281126H001
Policy instance 1
Insurance contract or identification number281126H001
Number of Individuals Covered393
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $82,772
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,768,537
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $44,337
Amount paid for insurance broker fees0
Insurance broker organization code?3
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number07917-07425
Policy instance 2
Insurance contract or identification number07917-07425
Number of Individuals Covered410
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $19,070
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $189,800
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $10,913
Amount paid for insurance broker fees0
Insurance broker organization code?3
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number281126H001
Policy instance 1
Insurance contract or identification number281126H001
Number of Individuals Covered326
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $46,469
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,024,746
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $46,469
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameROGERS AND YOUNG INSURANCE SERVICES
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number07917-07425
Policy instance 2
Insurance contract or identification number07917-07425
Number of Individuals Covered178
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $6,686
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $66,861
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,686
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameROGERS AND YOUNG INSURANCE SERVICE

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