VAQUILLAS, LLC MEDICAL PLAN 401k Plan overview
| Plan Name | VAQUILLAS, LLC MEDICAL PLAN |
| Plan identification number | 503 |
VAQUILLAS, LLC MEDICAL PLAN Benefits
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits | - Health (other than dental or vision)
- 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
VAQUILLAS, LLC has sponsored the creation of one or more 401k plans.
| Company Name: | VAQUILLAS, LLC |
| Employer identification number (EIN): | 742805034 |
| NAIC Classification: | 551112 |
| NAIC Description: | Offices of Other Holding Companies |
Additional information about VAQUILLAS, LLC
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 1996-12-10 |
| Company Identification Number: | 0702240122 |
| Legal Registered Office Address: |
7128 ROSSON LN STE 6
LAREDO
United States of America (USA)
78041
|
More information about VAQUILLAS, LLC
Form 5500 Filing Information
Submission information for form 5500 for 401k plan VAQUILLAS, LLC MEDICAL PLAN
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 503 | 2014-12-01 | JAMES WALKER | | | |
| 503 | 2013-12-01 | JAMES WALKER | | | |
Plan Statistics for VAQUILLAS, LLC MEDICAL PLAN
401k plan membership statisitcs for VAQUILLAS, LLC MEDICAL PLAN
| Measure | Date | Value |
|---|
| 2014: VAQUILLAS, LLC MEDICAL PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-12-01 | 80 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-12-01 | 85 |
| Number of retired or separated participants receiving benefits | 2014-12-01 | 2 |
| Total of all active and inactive participants | 2014-12-01 | 87 |
| Total participants | 2014-12-01 | 87 |
| 2013: VAQUILLAS, LLC MEDICAL PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-12-01 | 85 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-12-01 | 78 |
| Number of retired or separated participants receiving benefits | 2013-12-01 | 2 |
| Total of all active and inactive participants | 2013-12-01 | 80 |
| Total participants | 2013-12-01 | 80 |
Form 5500 Responses for VAQUILLAS, LLC MEDICAL PLAN
| 2014: VAQUILLAS, LLC MEDICAL PLAN 2014 form 5500 responses |
|---|
| 2014-12-01 | Type of plan entity | Mulitple employer plan |
| 2014-12-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2014-12-01 | Plan funding arrangement – Insurance | Yes |
| 2014-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: VAQUILLAS, LLC MEDICAL PLAN 2013 form 5500 responses |
|---|
| 2013-12-01 | Type of plan entity | Mulitple employer plan |
| 2013-12-01 | First time form 5500 has been submitted | Yes |
| 2013-12-01 | Plan funding arrangement – Insurance | Yes |
| 2013-12-01 | Plan benefit arrangement – Insurance | Yes |
Insurance Providers Used on plan
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
| Policy contract number | 000155180 |
| Policy instance | 1 |
| Insurance contract or identification number | 000155180 | | Number of Individuals Covered | 87 | | Insurance policy start date | 2014-12-01 | | Insurance policy end date | 2015-09-30 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $682,144 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 512120 |
| Policy instance | 1 |
| Insurance contract or identification number | 512120 | | Number of Individuals Covered | 166 | | Insurance policy start date | 2013-12-01 | | Insurance policy end date | 2014-11-30 | | Total amount of commissions paid to insurance broker | USD $32,811 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $651,833 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $32,811 | | Insurance broker organization code? | 3 | | Insurance broker name | STEVE R. TRAUTMANN INSURANCE AGENCY |
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