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R.W. BAKERS CO. GROUP HEALTH PLAN 401k Plan overview

Plan NameR.W. BAKERS CO. GROUP HEALTH PLAN
Plan identification number 505

R.W. BAKERS CO. GROUP HEALTH PLAN Benefits

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

401k Sponsoring company profile

LAVOI CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:LAVOI CORPORATION
Employer identification number (EIN):581571993
NAIC Classification:311800
NAIC Description: Bakeries and Tortilla Manufacturing

Additional information about LAVOI CORPORATION

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2004-02-12
Company Identification Number: 0800304139
Legal Registered Office Address: 2650 BUTTON GWINNETT DR

ATLANTA
United States of America (USA)
30340

More information about LAVOI CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan R.W. BAKERS CO. GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052017-03-01JEFF BOHM
5052016-03-01JEFF BOHM
5052015-03-01JEFF BOHM

Plan Statistics for R.W. BAKERS CO. GROUP HEALTH PLAN

401k plan membership statisitcs for R.W. BAKERS CO. GROUP HEALTH PLAN

Measure Date Value
2017: R.W. BAKERS CO. GROUP HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-03-01173
Total number of active participants reported on line 7a of the Form 55002017-03-01173
Number of retired or separated participants receiving benefits2017-03-010
Number of other retired or separated participants entitled to future benefits2017-03-010
Total of all active and inactive participants2017-03-01173
2016: R.W. BAKERS CO. GROUP HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-03-01161
Total number of active participants reported on line 7a of the Form 55002016-03-01171
Number of retired or separated participants receiving benefits2016-03-012
Number of other retired or separated participants entitled to future benefits2016-03-010
Total of all active and inactive participants2016-03-01173
2015: R.W. BAKERS CO. GROUP HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-03-01141
Total number of active participants reported on line 7a of the Form 55002015-03-01160
Number of retired or separated participants receiving benefits2015-03-011
Number of other retired or separated participants entitled to future benefits2015-03-010
Total of all active and inactive participants2015-03-01161

Form 5500 Responses for R.W. BAKERS CO. GROUP HEALTH PLAN

2017: R.W. BAKERS CO. GROUP HEALTH PLAN 2017 form 5500 responses
2017-03-01Type of plan entitySingle employer plan
2017-03-01Submission has been amendedNo
2017-03-01This submission is the final filingNo
2017-03-01This return/report is a short plan year return/report (less than 12 months)Yes
2017-03-01Plan is a collectively bargained planNo
2017-03-01Plan funding arrangement – InsuranceYes
2017-03-01Plan benefit arrangement – InsuranceYes
2016: R.W. BAKERS CO. GROUP HEALTH PLAN 2016 form 5500 responses
2016-03-01Type of plan entitySingle employer plan
2016-03-01Submission has been amendedNo
2016-03-01This submission is the final filingNo
2016-03-01This return/report is a short plan year return/report (less than 12 months)No
2016-03-01Plan is a collectively bargained planNo
2016-03-01Plan funding arrangement – InsuranceYes
2016-03-01Plan benefit arrangement – InsuranceYes
2015: R.W. BAKERS CO. GROUP HEALTH PLAN 2015 form 5500 responses
2015-03-01Type of plan entitySingle employer plan
2015-03-01Submission has been amendedNo
2015-03-01This submission is the final filingNo
2015-03-01This return/report is a short plan year return/report (less than 12 months)No
2015-03-01Plan is a collectively bargained planNo
2015-03-01Plan funding arrangement – InsuranceYes
2015-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number00281853/0001
Policy instance 1
Insurance contract or identification number00281853/0001
Number of Individuals Covered160
Insurance policy start date2015-03-01
Insurance policy end date2016-02-29
Total amount of commissions paid to insurance brokerUSD $15,485
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 $355,659
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,485
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?3
Insurance broker nameFOX INSURANCE AGENCY LLC

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