EARL W. COLVARD INC. AND BOULEVARD RETREAD CENTER, INC. MEDICAL PLAN 401k Plan overview
| Plan Name | EARL W. COLVARD INC. AND BOULEVARD RETREAD CENTER, INC. MEDICAL PLAN |
| Plan identification number | 503 |
EARL W. COLVARD INC. AND BOULEVARD RETREAD CENTER, INC. MEDICAL PLAN Benefits
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits | - Other welfare benefit cover
|
401k Sponsoring company profile
EARL W. COLVARD, INC. has sponsored the creation of one or more 401k plans.
| Company Name: | EARL W. COLVARD, INC. |
| Employer identification number (EIN): | 592183177 |
| NAIC Classification: | 441300 |
| NAIC Description: | Automotive Parts, Accessories, and Tire Stores |
Additional information about EARL W. COLVARD, INC.
| Jurisdiction of Incorporation: | Florida Department of State Division of Corporations |
| Incorporation Date: | 1982-04-28 |
| Company Identification Number: | F78841 |
| Legal Registered Office Address: |
816 S WOODLAND BLVD
DELAND
32720
|
More information about EARL W. COLVARD, INC.
Form 5500 Filing Information
Submission information for form 5500 for 401k plan EARL W. COLVARD INC. AND BOULEVARD RETREAD CENTER, INC. MEDICAL PLAN
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 503 | 2013-11-01 | CHERYL KERVIN | | | |
| 503 | 2012-11-01 | CHERYL KERVIN | | | |
| 503 | 2011-11-01 | CHERYL KERVIN | | | |
| 503 | 2010-11-01 | CHERYL KERVIN | | | |
| 503 | 2009-11-01 | CHERYL KERVIN | | | |
Plan Statistics for EARL W. COLVARD INC. AND BOULEVARD RETREAD CENTER, INC. MEDICAL PLAN
401k plan membership statisitcs for EARL W. COLVARD INC. AND BOULEVARD RETREAD CENTER, INC. MEDICAL PLAN
| Measure | Date | Value |
|---|
| 2013: EARL W. COLVARD INC. AND BOULEVARD RETREAD CENTER, INC. MEDICAL PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-11-01 | 438 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-11-01 | 0 |
| Total of all active and inactive participants | 2013-11-01 | 0 |
| 2012: EARL W. COLVARD INC. AND BOULEVARD RETREAD CENTER, INC. MEDICAL PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-11-01 | 473 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-11-01 | 438 |
| Total of all active and inactive participants | 2012-11-01 | 438 |
| 2011: EARL W. COLVARD INC. AND BOULEVARD RETREAD CENTER, INC. MEDICAL PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-11-01 | 469 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-11-01 | 473 |
| Total of all active and inactive participants | 2011-11-01 | 473 |
| 2010: EARL W. COLVARD INC. AND BOULEVARD RETREAD CENTER, INC. MEDICAL PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-11-01 | 396 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-11-01 | 469 |
| Total of all active and inactive participants | 2010-11-01 | 469 |
| 2009: EARL W. COLVARD INC. AND BOULEVARD RETREAD CENTER, INC. MEDICAL PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-11-01 | 422 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-11-01 | 396 |
| Total of all active and inactive participants | 2009-11-01 | 396 |
Form 5500 Responses for EARL W. COLVARD INC. AND BOULEVARD RETREAD CENTER, INC. MEDICAL PLAN
| 2013: EARL W. COLVARD INC. AND BOULEVARD RETREAD CENTER, INC. MEDICAL PLAN 2013 form 5500 responses |
|---|
| 2013-11-01 | Type of plan entity | Single employer plan |
| 2013-11-01 | This submission is the final filing | Yes |
| 2013-11-01 | Plan funding arrangement – Insurance | Yes |
| 2013-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: EARL W. COLVARD INC. AND BOULEVARD RETREAD CENTER, INC. MEDICAL PLAN 2012 form 5500 responses |
|---|
| 2012-11-01 | Type of plan entity | Single employer plan |
| 2012-11-01 | Plan funding arrangement – Insurance | Yes |
| 2012-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: EARL W. COLVARD INC. AND BOULEVARD RETREAD CENTER, INC. MEDICAL PLAN 2011 form 5500 responses |
|---|
| 2011-11-01 | Type of plan entity | Multi-employer plan |
| 2011-11-01 | Plan funding arrangement – Insurance | Yes |
| 2011-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: EARL W. COLVARD INC. AND BOULEVARD RETREAD CENTER, INC. MEDICAL PLAN 2010 form 5500 responses |
|---|
| 2010-11-01 | Type of plan entity | Multi-employer plan |
| 2010-11-01 | Plan funding arrangement – Insurance | Yes |
| 2010-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: EARL W. COLVARD INC. AND BOULEVARD RETREAD CENTER, INC. MEDICAL PLAN 2009 form 5500 responses |
|---|
| 2009-11-01 | Type of plan entity | Multi-employer plan |
| 2009-11-01 | Plan funding arrangement – Insurance | Yes |
| 2009-11-01 | Plan benefit arrangement – Insurance | Yes |
Insurance Providers Used on plan
| AETNA HEALTH INC (National Association of Insurance Commissioners NAIC id number: 95088 ) |
| Policy contract number | US214060 |
| Policy instance | 1 |
| Insurance contract or identification number | US214060 | | Number of Individuals Covered | 438 | | Insurance policy start date | 2012-11-01 | | Insurance policy end date | 2013-10-31 | | Total amount of commissions paid to insurance broker | USD $47,788 | | Welfare Benefit Premiums Paid to Carrier | USD $1,690,181 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $47,788 | | Insurance broker organization code? | 3 | | Insurance broker name | WILLIAM T. KURTZ |
|
| AETNA HEALTH INC (National Association of Insurance Commissioners NAIC id number: 95088 ) |
| Policy contract number | US214060 |
| Policy instance | 1 |
| Insurance contract or identification number | US214060 | | Number of Individuals Covered | 473 | | Insurance policy start date | 2011-11-01 | | Insurance policy end date | 2012-10-31 | | Total amount of commissions paid to insurance broker | USD $47,385 | | Welfare Benefit Premiums Paid to Carrier | USD $1,545,316 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA HEALTH INC (National Association of Insurance Commissioners NAIC id number: 95088 ) |
| Policy contract number | US214060 |
| Policy instance | 1 |
| Insurance contract or identification number | US214060 | | Number of Individuals Covered | 469 | | Insurance policy start date | 2010-11-01 | | Insurance policy end date | 2011-10-31 | | Total amount of commissions paid to insurance broker | USD $37,818 | | Welfare Benefit Premiums Paid to Carrier | USD $1,386,312 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
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