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PRODUCE SOURCE PARTNERS, INC. MEDICAL AND DENTAL 401k Plan overview

Plan NamePRODUCE SOURCE PARTNERS, INC. MEDICAL AND DENTAL
Plan identification number 501

PRODUCE SOURCE PARTNERS, INC. MEDICAL AND DENTAL Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

PRODUCE SOURCE PARTNERS, INC. has sponsored the creation of one or more 401k plans.

Company Name:PRODUCE SOURCE PARTNERS, INC.
Employer identification number (EIN):541360757
NAIC Classification:424400

Additional information about PRODUCE SOURCE PARTNERS, INC.

Jurisdiction of Incorporation: Virginia Secretary of State
Incorporation Date: 1986-03-20
Company Identification Number: 0284336
Legal Registered Office Address: 13167 TELCOURT RD

ASHLAND
United States of America (USA)
23005

More information about PRODUCE SOURCE PARTNERS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PRODUCE SOURCE PARTNERS, INC. MEDICAL AND DENTAL

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012018-06-01STEVE ENTZ2019-07-25
5012017-06-01
5012013-06-01LEWIS M. BRUBAKER, JR. NORMAN SAVILLE2014-11-13
5012012-06-01MIKE DELLARIPA
5012011-06-01MIKE DELLARIPA
5012010-06-01MIKE DELLARIPA
5012009-06-01MIKE DELLARIPA, CFO

Plan Statistics for PRODUCE SOURCE PARTNERS, INC. MEDICAL AND DENTAL

401k plan membership statisitcs for PRODUCE SOURCE PARTNERS, INC. MEDICAL AND DENTAL

Measure Date Value
2018: PRODUCE SOURCE PARTNERS, INC. MEDICAL AND DENTAL 2018 401k membership
Total participants, beginning-of-year2018-06-01118
Total number of active participants reported on line 7a of the Form 55002018-06-010
Number of retired or separated participants receiving benefits2018-06-010
Number of other retired or separated participants entitled to future benefits2018-06-010
Total of all active and inactive participants2018-06-010
2017: PRODUCE SOURCE PARTNERS, INC. MEDICAL AND DENTAL 2017 401k membership
Total participants, beginning-of-year2017-06-01114
Total number of active participants reported on line 7a of the Form 55002017-06-01118
Number of retired or separated participants receiving benefits2017-06-010
Number of other retired or separated participants entitled to future benefits2017-06-010
Total of all active and inactive participants2017-06-01118
2013: PRODUCE SOURCE PARTNERS, INC. MEDICAL AND DENTAL 2013 401k membership
Total participants, beginning-of-year2013-06-01104
Total number of active participants reported on line 7a of the Form 55002013-06-0180
Number of retired or separated participants receiving benefits2013-06-012
Number of other retired or separated participants entitled to future benefits2013-06-010
Total of all active and inactive participants2013-06-0182
2012: PRODUCE SOURCE PARTNERS, INC. MEDICAL AND DENTAL 2012 401k membership
Total participants, beginning-of-year2012-06-0199
Total number of active participants reported on line 7a of the Form 55002012-06-01102
Number of retired or separated participants receiving benefits2012-06-012
Number of other retired or separated participants entitled to future benefits2012-06-010
Total of all active and inactive participants2012-06-01104
2011: PRODUCE SOURCE PARTNERS, INC. MEDICAL AND DENTAL 2011 401k membership
Total participants, beginning-of-year2011-06-0199
Total number of active participants reported on line 7a of the Form 55002011-06-0199
Total of all active and inactive participants2011-06-0199
2010: PRODUCE SOURCE PARTNERS, INC. MEDICAL AND DENTAL 2010 401k membership
Total participants, beginning-of-year2010-06-01112
Total number of active participants reported on line 7a of the Form 55002010-06-0199
Total of all active and inactive participants2010-06-0199
2009: PRODUCE SOURCE PARTNERS, INC. MEDICAL AND DENTAL 2009 401k membership
Total participants, beginning-of-year2009-06-01115
Total number of active participants reported on line 7a of the Form 55002009-06-01112
Total of all active and inactive participants2009-06-01112

Form 5500 Responses for PRODUCE SOURCE PARTNERS, INC. MEDICAL AND DENTAL

2018: PRODUCE SOURCE PARTNERS, INC. MEDICAL AND DENTAL 2018 form 5500 responses
2018-06-01Type of plan entitySingle employer plan
2018-06-01Submission has been amendedNo
2018-06-01This submission is the final filingYes
2018-06-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-06-01Plan is a collectively bargained planNo
2018-06-01Plan funding arrangement – InsuranceYes
2018-06-01Plan benefit arrangement – InsuranceYes
2017: PRODUCE SOURCE PARTNERS, INC. MEDICAL AND DENTAL 2017 form 5500 responses
2017-06-01Type of plan entitySingle employer plan
2017-06-01Submission has been amendedNo
2017-06-01This submission is the final filingNo
2017-06-01This return/report is a short plan year return/report (less than 12 months)No
2017-06-01Plan is a collectively bargained planNo
2017-06-01Plan funding arrangement – InsuranceYes
2017-06-01Plan benefit arrangement – InsuranceYes
2013: PRODUCE SOURCE PARTNERS, INC. MEDICAL AND DENTAL 2013 form 5500 responses
2013-06-01Type of plan entitySingle employer plan
2013-06-01Submission has been amendedNo
2013-06-01This submission is the final filingNo
2013-06-01This return/report is a short plan year return/report (less than 12 months)No
2013-06-01Plan is a collectively bargained planNo
2013-06-01Plan funding arrangement – InsuranceYes
2013-06-01Plan benefit arrangement – InsuranceYes
2012: PRODUCE SOURCE PARTNERS, INC. MEDICAL AND DENTAL 2012 form 5500 responses
2012-06-01Type of plan entitySingle employer plan
2012-06-01Submission has been amendedNo
2012-06-01This submission is the final filingNo
2012-06-01This return/report is a short plan year return/report (less than 12 months)No
2012-06-01Plan is a collectively bargained planNo
2012-06-01Plan funding arrangement – InsuranceYes
2012-06-01Plan benefit arrangement – InsuranceYes
2011: PRODUCE SOURCE PARTNERS, INC. MEDICAL AND DENTAL 2011 form 5500 responses
2011-06-01Type of plan entitySingle employer plan
2011-06-01Submission has been amendedNo
2011-06-01This submission is the final filingNo
2011-06-01This return/report is a short plan year return/report (less than 12 months)No
2011-06-01Plan is a collectively bargained planNo
2011-06-01Plan funding arrangement – InsuranceYes
2011-06-01Plan benefit arrangement – InsuranceYes
2010: PRODUCE SOURCE PARTNERS, INC. MEDICAL AND DENTAL 2010 form 5500 responses
2010-06-01Type of plan entitySingle employer plan
2010-06-01Submission has been amendedYes
2010-06-01This submission is the final filingNo
2010-06-01This return/report is a short plan year return/report (less than 12 months)No
2010-06-01Plan is a collectively bargained planNo
2010-06-01Plan funding arrangement – InsuranceYes
2010-06-01Plan benefit arrangement – InsuranceYes
2009: PRODUCE SOURCE PARTNERS, INC. MEDICAL AND DENTAL 2009 form 5500 responses
2009-06-01Type of plan entitySingle employer plan
2009-06-01Submission has been amendedNo
2009-06-01This submission is the final filingNo
2009-06-01This return/report is a short plan year return/report (less than 12 months)No
2009-06-01Plan is a collectively bargained planNo
2009-06-01Plan funding arrangement – InsuranceYes
2009-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract number06578
Policy instance 1
Insurance contract or identification number06578
Number of Individuals Covered12
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $133,943
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHKEEPERS, INC (National Association of Insurance Commissioners NAIC id number: 95169 )
Policy contract number06578
Policy instance 3
Insurance contract or identification number06578
Number of Individuals Covered82
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $19,449
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $592,422
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract number316684
Policy instance 2
Insurance contract or identification number316684
Number of Individuals Covered104
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $2,419
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $45,639
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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