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FULLY WELFARE BENEFIT PLAN 401k Plan overview

Plan NameFULLY WELFARE BENEFIT PLAN
Plan identification number 501

FULLY WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

FULLY LLC has sponsored the creation of one or more 401k plans.

Company Name:FULLY LLC
Employer identification number (EIN):473785296
NAIC Classification:442299
NAIC Description:All Other Home Furnishings Stores

Additional information about FULLY LLC

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 1978-02-27
Company Identification Number: 566533
Legal Registered Office Address: 400 NE 67TH ST

MIAMI

33138

More information about FULLY LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FULLY WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-05-01

Form 5500 Responses for FULLY WELFARE BENEFIT PLAN

2019: FULLY WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01First time form 5500 has been submittedYes
2019-05-01Submission has been amendedNo
2019-05-01This submission is the final filingYes
2019-05-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-05-01Plan is a collectively bargained planNo
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan funding arrangement – General assets of the sponsorYes
2019-05-01Plan benefit arrangement – InsuranceYes
2019-05-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

OREGON DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 54941 )
Policy contract number10016217
Policy instance 1
PACIFICSOURCE HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 54976 )
Policy contract numberG0040180
Policy instance 2
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5951810
Policy instance 3
CASCADE CENTERS INC. (National Association of Insurance Commissioners NAIC id number: 62133 )
Policy contract numberCASCADE
Policy instance 4
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract numberE4823381
Policy instance 5

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