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| Plan Name | KIMBRELL'S FURNITURE HEALTH & WELFARE BENEFITS PLA |
| Plan identification number | 511 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | FURNITURE DISTRIBUTORS, INC. |
| Employer identification number (EIN): | 560526767 |
| NAIC Classification: | 442110 |
| NAIC Description: | Furniture Stores |
Additional information about FURNITURE DISTRIBUTORS, INC.
| Jurisdiction of Incorporation: | Florida Department of State Division of Corporations |
| Incorporation Date: | 1987-06-29 |
| Company Identification Number: | J81073 |
| Legal Registered Office Address: |
11509 SILK OAK LANE JACKSONVILLE 32223 |
More information about FURNITURE DISTRIBUTORS, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 511 | 2023-05-01 | MICHAEL O'LOUGHLIN | |||
| 511 | 2022-05-01 | ||||
| 511 | 2022-05-01 | MICHAEL O'LOUGHLIN | |||
| 511 | 2021-05-01 | ||||
| 511 | 2021-05-01 | MICHAEL O'LOUGHLIN | |||
| 511 | 2020-05-01 | ||||
| 511 | 2018-05-01 | ||||
| 511 | 2017-05-01 | MICHAEL O'LOUGHLIN | |||
| 511 | 2016-05-01 | MICHAEL O'LOUGHLIN |
| Measure | Date | Value |
|---|---|---|
| 2022: KIMBRELL'S FURNITURE HEALTH & WELFARE BENEFITS PLA 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-05-01 | 271 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-05-01 | 225 |
| Number of retired or separated participants receiving benefits | 2022-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-05-01 | 0 |
| Total of all active and inactive participants | 2022-05-01 | 225 |
| 2021: KIMBRELL'S FURNITURE HEALTH & WELFARE BENEFITS PLA 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-05-01 | 217 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-05-01 | 271 |
| Number of retired or separated participants receiving benefits | 2021-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-05-01 | 0 |
| Total of all active and inactive participants | 2021-05-01 | 271 |
| 2020: KIMBRELL'S FURNITURE HEALTH & WELFARE BENEFITS PLA 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-05-01 | 217 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-05-01 | 217 |
| Number of retired or separated participants receiving benefits | 2020-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-05-01 | 0 |
| Total of all active and inactive participants | 2020-05-01 | 217 |
| 2018: KIMBRELL'S FURNITURE HEALTH & WELFARE BENEFITS PLA 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-05-01 | 300 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-05-01 | 264 |
| Number of retired or separated participants receiving benefits | 2018-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-05-01 | 0 |
| Total of all active and inactive participants | 2018-05-01 | 264 |
| 2017: KIMBRELL'S FURNITURE HEALTH & WELFARE BENEFITS PLA 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-05-01 | 601 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-05-01 | 300 |
| Number of retired or separated participants receiving benefits | 2017-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-05-01 | 0 |
| Total of all active and inactive participants | 2017-05-01 | 300 |
| 2016: KIMBRELL'S FURNITURE HEALTH & WELFARE BENEFITS PLA 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-05-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-05-01 | 601 |
| Number of retired or separated participants receiving benefits | 2016-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-05-01 | 0 |
| Total of all active and inactive participants | 2016-05-01 | 601 |
| 2022: KIMBRELL'S FURNITURE HEALTH & WELFARE BENEFITS PLA 2022 form 5500 responses | ||
|---|---|---|
| 2022-05-01 | Type of plan entity | Single employer plan |
| 2022-05-01 | Plan funding arrangement – Insurance | Yes |
| 2022-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: KIMBRELL'S FURNITURE HEALTH & WELFARE BENEFITS PLA 2021 form 5500 responses | ||
| 2021-05-01 | Type of plan entity | Single employer plan |
| 2021-05-01 | Plan funding arrangement – Insurance | Yes |
| 2021-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: KIMBRELL'S FURNITURE HEALTH & WELFARE BENEFITS PLA 2020 form 5500 responses | ||
| 2020-05-01 | Type of plan entity | Single employer plan |
| 2020-05-01 | Plan funding arrangement – Insurance | Yes |
| 2020-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: KIMBRELL'S FURNITURE HEALTH & WELFARE BENEFITS PLA 2018 form 5500 responses | ||
| 2018-05-01 | Type of plan entity | Single employer plan |
| 2018-05-01 | Plan funding arrangement – Insurance | Yes |
| 2018-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: KIMBRELL'S FURNITURE HEALTH & WELFARE BENEFITS PLA 2017 form 5500 responses | ||
| 2017-05-01 | Type of plan entity | Single employer plan |
| 2017-05-01 | Plan funding arrangement – Insurance | Yes |
| 2017-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: KIMBRELL'S FURNITURE HEALTH & WELFARE BENEFITS PLA 2016 form 5500 responses | ||
| 2016-05-01 | Type of plan entity | Single employer plan |
| 2016-05-01 | First time form 5500 has been submitted | Yes |
| 2016-05-01 | Plan funding arrangement – Insurance | Yes |
| 2016-05-01 | Plan benefit arrangement – Insurance | Yes |
| BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 ) | |
| Policy contract number | 14169792-001 |
| Policy instance | 4 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 893832G |
| Policy instance | 3 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 35208 |
| Policy instance | 2 |
| AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) | |
| Policy contract number | 010-043759 |
| Policy instance | 1 |
| AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) | |
| Policy contract number | 010-043759 |
| Policy instance | 1 |
| NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 ) | |
| Policy contract number | 35208 |
| Policy instance | 2 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 893832G |
| Policy instance | 3 |
| BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 ) | |
| Policy contract number | 14169792-001 |
| Policy instance | 4 |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |
| Policy contract number | 907930 |
| Policy instance | 4 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |
| Policy contract number | 00622430 |
| Policy instance | 3 |
| NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 ) | |
| Policy contract number | 35208 |
| Policy instance | 2 |
| AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) | |
| Policy contract number | 010-043759 |
| Policy instance | 1 |
| AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) | |
| Policy contract number | 010-043759 |
| Policy instance | 1 |
| NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 ) | |
| Policy contract number | 35208 |
| Policy instance | 2 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |
| Policy contract number | 00622430 |
| Policy instance | 3 |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |
| Policy contract number | 907930 |
| Policy instance | 4 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |
| Policy contract number | 00622430 |
| Policy instance | 4 |
| NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 ) | |
| Policy contract number | 35208 |
| Policy instance | 3 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |
| Policy contract number | 908086 |
| Policy instance | 1 |
| AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) | |
| Policy contract number | 010-043759 |
| Policy instance | 2 |