401k Plan data: AUTOMECA WELFARE HEALTH plan

AUTOMECA WELFARE HEALTH 401k Plan overview

Plan Name	AUTOMECA WELFARE HEALTH
Plan identification number	502

AUTOMECA WELFARE HEALTH Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

AUTOMECA TECHNICAL COLLEGE has sponsored the creation of one or more 401k plans.

Company Name: AUTOMECA TECHNICAL COLLEGE

Employer identification number (EIN): 660407657

NAIC Classification: 611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AUTOMECA WELFARE HEALTH

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2018-02-01 JOSELYN VELEZ JOSELYN VELEZ 2019-07-23
502 2017-02-01 JOSELYN VELEZ
502 2016-02-01 JOSELYN VELEZ
502 2015-02-01 JOSELYN VELEZ JOSELYN VELEZ 2016-04-22

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
502	2018-02-01	JOSELYN VELEZ	JOSELYN VELEZ	2019-07-23
502	2017-02-01	JOSELYN VELEZ
502	2016-02-01	JOSELYN VELEZ
502	2015-02-01	JOSELYN VELEZ	JOSELYN VELEZ	2016-04-22

Plan Statistics for AUTOMECA WELFARE HEALTH

401k plan membership statisitcs for AUTOMECA WELFARE HEALTH

Measure Date Value
2018: AUTOMECA WELFARE HEALTH 2018 401k membership
Total participants, beginning-of-year 2018-02-01 93
Total number of active participants reported on line 7a of the Form 5500 2018-02-01 89
Total of all active and inactive participants 2018-02-01 89
Total participants 2018-02-01 89
2017: AUTOMECA WELFARE HEALTH 2017 401k membership
Total participants, beginning-of-year 2017-02-01 106
Total number of active participants reported on line 7a of the Form 5500 2017-02-01 93
Total of all active and inactive participants 2017-02-01 93
Total participants 2017-02-01 93
2016: AUTOMECA WELFARE HEALTH 2016 401k membership
Total participants, beginning-of-year 2016-02-01 113
Total number of active participants reported on line 7a of the Form 5500 2016-02-01 106
Total of all active and inactive participants 2016-02-01 106
Total participants 2016-02-01 106
2015: AUTOMECA WELFARE HEALTH 2015 401k membership
Total participants, beginning-of-year 2015-02-01 91
Total number of active participants reported on line 7a of the Form 5500 2015-02-01 104
Total of all active and inactive participants 2015-02-01 104
Total participants 2015-02-01 104

Measure	Date	Value
2018: AUTOMECA WELFARE HEALTH 2018 401k membership
Total participants, beginning-of-year	2018-02-01	93
Total number of active participants reported on line 7a of the Form 5500	2018-02-01	89
Total of all active and inactive participants	2018-02-01	89
Total participants	2018-02-01	89
2017: AUTOMECA WELFARE HEALTH 2017 401k membership
Total participants, beginning-of-year	2017-02-01	106
Total number of active participants reported on line 7a of the Form 5500	2017-02-01	93
Total of all active and inactive participants	2017-02-01	93
Total participants	2017-02-01	93
2016: AUTOMECA WELFARE HEALTH 2016 401k membership
Total participants, beginning-of-year	2016-02-01	113
Total number of active participants reported on line 7a of the Form 5500	2016-02-01	106
Total of all active and inactive participants	2016-02-01	106
Total participants	2016-02-01	106
2015: AUTOMECA WELFARE HEALTH 2015 401k membership
Total participants, beginning-of-year	2015-02-01	91
Total number of active participants reported on line 7a of the Form 5500	2015-02-01	104
Total of all active and inactive participants	2015-02-01	104
Total participants	2015-02-01	104

Form 5500 Responses for AUTOMECA WELFARE HEALTH

2018: AUTOMECA WELFARE HEALTH 2018 form 5500 responses
2018-02-01	Type of plan entity	Single employer plan
2018-02-01	Submission has been amended	No
2018-02-01	This submission is the final filing	No
2018-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-02-01	Plan is a collectively bargained plan	No
2018-02-01	Plan funding arrangement – Insurance	Yes
2018-02-01	Plan benefit arrangement – Insurance	Yes
2017: AUTOMECA WELFARE HEALTH 2017 form 5500 responses
2017-02-01	Type of plan entity	Single employer plan
2017-02-01	Submission has been amended	No
2017-02-01	This submission is the final filing	No
2017-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-02-01	Plan is a collectively bargained plan	No
2017-02-01	Plan funding arrangement – Insurance	Yes
2017-02-01	Plan benefit arrangement – Insurance	Yes
2016: AUTOMECA WELFARE HEALTH 2016 form 5500 responses
2016-02-01	Type of plan entity	Single employer plan
2016-02-01	Submission has been amended	No
2016-02-01	This submission is the final filing	No
2016-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-02-01	Plan is a collectively bargained plan	No
2016-02-01	Plan funding arrangement – Insurance	Yes
2016-02-01	Plan benefit arrangement – Insurance	Yes
2015: AUTOMECA WELFARE HEALTH 2015 form 5500 responses
2015-02-01	Type of plan entity	Single employer plan
2015-02-01	Submission has been amended	No
2015-02-01	This submission is the final filing	No
2015-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-02-01	Plan is a collectively bargained plan	No
2015-02-01	Plan funding arrangement – Insurance	Yes
2015-02-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MCS LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60030 )

Policy contract number

79-791494

Policy instance

Insurance contract or identification number	79-791494
Number of Individuals Covered	89
Insurance policy start date	2018-02-01
Insurance policy end date	2019-01-31
Total amount of commissions paid to insurance broker	USD $13,073
Total amount of fees paid to insurance company	USD $2,614
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $13,073
Insurance broker organization code?	3
Amount paid for insurance broker fees	2614

HUMANA INSURANCE OF PUERTO RICO (National Association of Insurance Commissioners NAIC id number: 84603 )

Policy contract number

302460/30246C

Policy instance

Insurance contract or identification number	302460/30246C
Number of Individuals Covered	93
Insurance policy start date	2017-02-01
Insurance policy end date	2018-01-31
Total amount of commissions paid to insurance broker	USD $17,768
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $17,768
Insurance broker organization code?	3
Insurance broker name	CHRISTIANSEN INSURANCE GROUP, INC.

HUMANA INSURANCE OF PUERTO RICO (National Association of Insurance Commissioners NAIC id number: 84603 )

Policy contract number

302460/30246C

Policy instance

Insurance contract or identification number	302460/30246C
Number of Individuals Covered	106
Insurance policy start date	2016-02-01
Insurance policy end date	2017-01-31
Total amount of commissions paid to insurance broker	USD $16,322
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $16,322
Insurance broker organization code?	3
Insurance broker name	CHRISTIANSEN INSURANCE GROUP, INC.

MAPFRE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77054 )

Policy contract number

357889

Policy instance

Insurance contract or identification number	357889
Number of Individuals Covered	104
Insurance policy start date	2015-02-01
Insurance policy end date	2016-01-31
Total amount of commissions paid to insurance broker	USD $18,986
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,194
Insurance broker organization code?	3
Insurance broker name	CHRISTIANSEN INSURANCE GROUP

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Company Name:	AUTOMECA TECHNICAL COLLEGE
Employer identification number (EIN):	660407657
NAIC Classification:	611000