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FORD RESTAURANT GROUP MEDICAL PLAN 401k Plan overview

Plan NameFORD RESTAURANT GROUP MEDICAL PLAN
Plan identification number 501

FORD RESTAURANT GROUP MEDICAL PLAN Benefits

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

401k Sponsoring company profile

FORD RESTAURANT GROUP HEALTH AND WELFARE has sponsored the creation of one or more 401k plans.

Company Name:FORD RESTAURANT GROUP HEALTH AND WELFARE
Employer identification number (EIN):742920323
NAIC Classification:541990
NAIC Description:All Other Professional, Scientific, and Technical Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FORD RESTAURANT GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-10-01MARGARET GODSHALL2023-12-05
5012021-10-01MARGARET GODSHALL
5012020-10-01MARGARET GODSHALL2022-01-12
5012019-10-01MARGARET GODSHALL2021-01-06
5012018-10-01MARGARET GODSHALL2019-12-11
5012017-10-01
5012016-10-01
5012015-10-01
5012014-10-01
5012013-10-01
5012012-10-01J CAROL PARSONS
5012011-10-01J CAROL PARSONS
5012010-10-01J CAROL PARSONS

Plan Statistics for FORD RESTAURANT GROUP MEDICAL PLAN

401k plan membership statisitcs for FORD RESTAURANT GROUP MEDICAL PLAN

Measure Date Value
2022: FORD RESTAURANT GROUP MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-10-01620
Total number of active participants reported on line 7a of the Form 55002022-10-01689
Total of all active and inactive participants2022-10-01689
2021: FORD RESTAURANT GROUP MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-01520
Total number of active participants reported on line 7a of the Form 55002021-10-01620
Total of all active and inactive participants2021-10-01620
2020: FORD RESTAURANT GROUP MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-01511
Total number of active participants reported on line 7a of the Form 55002020-10-01520
Total of all active and inactive participants2020-10-01520
2019: FORD RESTAURANT GROUP MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01481
Total number of active participants reported on line 7a of the Form 55002019-10-01511
Total of all active and inactive participants2019-10-01511
2018: FORD RESTAURANT GROUP MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01455
Total number of active participants reported on line 7a of the Form 55002018-10-01481
Total of all active and inactive participants2018-10-01481
2017: FORD RESTAURANT GROUP MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01437
Total number of active participants reported on line 7a of the Form 55002017-10-01455
Total of all active and inactive participants2017-10-01455
2016: FORD RESTAURANT GROUP MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-01428
Total number of active participants reported on line 7a of the Form 55002016-10-01437
Total of all active and inactive participants2016-10-01437
2015: FORD RESTAURANT GROUP MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-01412
Total number of active participants reported on line 7a of the Form 55002015-10-01428
Total of all active and inactive participants2015-10-01428
2014: FORD RESTAURANT GROUP MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-01321
Total number of active participants reported on line 7a of the Form 55002014-10-01412
Number of retired or separated participants receiving benefits2014-10-010
Number of other retired or separated participants entitled to future benefits2014-10-010
Total of all active and inactive participants2014-10-01412
2013: FORD RESTAURANT GROUP MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-01306
Total number of active participants reported on line 7a of the Form 55002013-10-01321
Number of retired or separated participants receiving benefits2013-10-010
Number of other retired or separated participants entitled to future benefits2013-10-010
Total of all active and inactive participants2013-10-01321
2012: FORD RESTAURANT GROUP MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-01287
Total number of active participants reported on line 7a of the Form 55002012-10-01306
Total of all active and inactive participants2012-10-01306
Total participants2012-10-01306
2011: FORD RESTAURANT GROUP MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-01268
Total number of active participants reported on line 7a of the Form 55002011-10-01287
Total of all active and inactive participants2011-10-01287
Total participants2011-10-01287
2010: FORD RESTAURANT GROUP MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-10-01268
Total number of active participants reported on line 7a of the Form 55002010-10-01268
Total of all active and inactive participants2010-10-01268
Total participants2010-10-01268

Form 5500 Responses for FORD RESTAURANT GROUP MEDICAL PLAN

2022: FORD RESTAURANT GROUP MEDICAL PLAN 2022 form 5500 responses
2022-10-01Type of plan entitySingle employer plan
2022-10-01Plan funding arrangement – InsuranceYes
2022-10-01Plan funding arrangement – General assets of the sponsorYes
2022-10-01Plan benefit arrangement – InsuranceYes
2022-10-01Plan benefit arrangement – General assets of the sponsorYes
2021: FORD RESTAURANT GROUP MEDICAL PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan funding arrangement – General assets of the sponsorYes
2021-10-01Plan benefit arrangement – InsuranceYes
2021-10-01Plan benefit arrangement – General assets of the sponsorYes
2020: FORD RESTAURANT GROUP MEDICAL PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan funding arrangement – General assets of the sponsorYes
2020-10-01Plan benefit arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – General assets of the sponsorYes
2019: FORD RESTAURANT GROUP MEDICAL PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan funding arrangement – General assets of the sponsorYes
2019-10-01Plan benefit arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – General assets of the sponsorYes
2018: FORD RESTAURANT GROUP MEDICAL PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan funding arrangement – General assets of the sponsorYes
2018-10-01Plan benefit arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – General assets of the sponsorYes
2017: FORD RESTAURANT GROUP MEDICAL PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan funding arrangement – General assets of the sponsorYes
2017-10-01Plan benefit arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – General assets of the sponsorYes
2016: FORD RESTAURANT GROUP MEDICAL PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan funding arrangement – General assets of the sponsorYes
2016-10-01Plan benefit arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – General assets of the sponsorYes
2015: FORD RESTAURANT GROUP MEDICAL PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan funding arrangement – General assets of the sponsorYes
2015-10-01Plan benefit arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – General assets of the sponsorYes
2014: FORD RESTAURANT GROUP MEDICAL PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – General assets of the sponsorYes
2014-10-01Plan benefit arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – General assets of the sponsorYes
2013: FORD RESTAURANT GROUP MEDICAL PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan funding arrangement – General assets of the sponsorYes
2013-10-01Plan benefit arrangement – InsuranceYes
2013-10-01Plan benefit arrangement – General assets of the sponsorYes
2012: FORD RESTAURANT GROUP MEDICAL PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan funding arrangement – General assets of the sponsorYes
2012-10-01Plan benefit arrangement – InsuranceYes
2012-10-01Plan benefit arrangement – General assets of the sponsorYes
2011: FORD RESTAURANT GROUP MEDICAL PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan funding arrangement – General assets of the sponsorYes
2011-10-01Plan benefit arrangement – InsuranceYes
2011-10-01Plan benefit arrangement – General assets of the sponsorYes
2010: FORD RESTAURANT GROUP MEDICAL PLAN 2010 form 5500 responses
2010-10-01Type of plan entitySingle employer plan
2010-10-01First time form 5500 has been submittedYes
2010-10-01Submission has been amendedYes
2010-10-01Plan funding arrangement – InsuranceYes
2010-10-01Plan funding arrangement – General assets of the sponsorYes
2010-10-01Plan benefit arrangement – InsuranceYes
2010-10-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number060487
Policy instance 1
Insurance contract or identification number060487
Number of Individuals Covered689
Insurance policy start date2022-10-01
Insurance policy end date2023-09-30
Total amount of commissions paid to insurance brokerUSD $182,413
Total amount of fees paid to insurance companyUSD $6,536
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $182,413
Amount paid for insurance broker fees6536
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number060487
Policy instance 1
Insurance contract or identification number060487
Number of Individuals Covered620
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $167,666
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees160824
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number060487
Policy instance 1
Insurance contract or identification number060487
Number of Individuals Covered520
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $137,284
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees132966
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number060487
Policy instance 1
Insurance contract or identification number060487
Number of Individuals Covered511
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $125,119
Total amount of fees paid to insurance companyUSD $3,329
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $125,119
Amount paid for insurance broker fees3329
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number060487
Policy instance 1
Insurance contract or identification number060487
Number of Individuals Covered481
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $147,875
Total amount of fees paid to insurance companyUSD $1,387
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $147,875
Amount paid for insurance broker fees1387
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number060487
Policy instance 1
Insurance contract or identification number060487
Number of Individuals Covered455
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $135,015
Total amount of fees paid to insurance companyUSD $1,373
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1373
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Commission paid to Insurance BrokerUSD $135,015
Insurance broker nameMARSH & MCCLENNAN AGENCY LLC
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number060487
Policy instance 1
Insurance contract or identification number060487
Number of Individuals Covered428
Insurance policy start date2015-10-01
Insurance policy end date2016-09-30
Total amount of commissions paid to insurance brokerUSD $117,864
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $85,717
Insurance broker nameMC & H LIFE AGENCY INC
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number060487
Policy instance 1
Insurance contract or identification number060487
Number of Individuals Covered412
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $42,456
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $40,536
Insurance broker nameJOHN MARCUS BLACK
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number060487
Policy instance 1
Insurance contract or identification number060487
Number of Individuals Covered306
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $88,161
Total amount of fees paid to insurance companyUSD $15
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $86,373
Amount paid for insurance broker fees14
Additional information about fees paid to insurance brokerOTHER FEES
Insurance broker nameFORD RESTAURANT GROUP, INC.
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number060487
Policy instance 1
Insurance contract or identification number060487
Number of Individuals Covered306
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $81,921
Total amount of fees paid to insurance companyUSD $1,558
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $52,181
Amount paid for insurance broker fees1557
Additional information about fees paid to insurance brokerOTHER FEES
Insurance broker nameFORD RESTAURANT GROUP, INC.
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number060487
Policy instance 1
Insurance contract or identification number060487
Number of Individuals Covered287
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $61,051
Total amount of fees paid to insurance companyUSD $18
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $61,051
Amount paid for insurance broker fees18
Additional information about fees paid to insurance brokerOTHER FEES
Insurance broker nameJOHN M. BLACK
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number060487
Policy instance 1
Insurance contract or identification number060487
Number of Individuals Covered268
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $46,940
Total amount of fees paid to insurance companyUSD $24
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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