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FORD RESTAURANT GROUP HEALTH AND WELFARE PLAN - NO 401k Plan overview

Plan NameFORD RESTAURANT GROUP HEALTH AND WELFARE PLAN - NO
Plan identification number 505

FORD RESTAURANT GROUP HEALTH AND WELFARE PLAN - NO Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

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 HEALTH AND WELFARE PLAN - NO

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052022-10-01MARGARET GODSHALL2023-12-09
5052021-10-01MARGARET GODSHALL
5052020-10-01MARGARET GODSHALL2022-01-23
5052019-10-01MARGARET GODSHALL2021-03-30
5052019-10-01MARGARET GODSHALL2021-03-30
5052018-10-01MARGARET GODSHALL2020-10-07

Plan Statistics for FORD RESTAURANT GROUP HEALTH AND WELFARE PLAN - NO

401k plan membership statisitcs for FORD RESTAURANT GROUP HEALTH AND WELFARE PLAN - NO

Measure Date Value
2022: FORD RESTAURANT GROUP HEALTH AND WELFARE PLAN - NO 2022 401k membership
Total participants, beginning-of-year2022-10-01277
Total number of active participants reported on line 7a of the Form 55002022-10-01277
Total of all active and inactive participants2022-10-01277
2021: FORD RESTAURANT GROUP HEALTH AND WELFARE PLAN - NO 2021 401k membership
Total participants, beginning-of-year2021-10-01277
Total number of active participants reported on line 7a of the Form 55002021-10-01277
Total of all active and inactive participants2021-10-01277
2020: FORD RESTAURANT GROUP HEALTH AND WELFARE PLAN - NO 2020 401k membership
Total participants, beginning-of-year2020-10-01277
Total number of active participants reported on line 7a of the Form 55002020-10-01277
Total of all active and inactive participants2020-10-01277
2019: FORD RESTAURANT GROUP HEALTH AND WELFARE PLAN - NO 2019 401k membership
Total participants, beginning-of-year2019-10-01455
Total number of active participants reported on line 7a of the Form 55002019-10-01277
Total of all active and inactive participants2019-10-01277
2018: FORD RESTAURANT GROUP HEALTH AND WELFARE PLAN - NO 2018 401k membership
Total participants, beginning-of-year2018-10-01437
Total number of active participants reported on line 7a of the Form 55002018-10-01455
Total of all active and inactive participants2018-10-01455

Form 5500 Responses for FORD RESTAURANT GROUP HEALTH AND WELFARE PLAN - NO

2022: FORD RESTAURANT GROUP HEALTH AND WELFARE PLAN - NO 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 HEALTH AND WELFARE PLAN - NO 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 HEALTH AND WELFARE PLAN - NO 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 HEALTH AND WELFARE PLAN - NO 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Submission has been amendedYes
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 HEALTH AND WELFARE PLAN - NO 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

Insurance Providers Used on plan

ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 )
Policy contract numberN04977749010
Policy instance 1
Insurance contract or identification numberN04977749010
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $25,441
Total amount of fees paid to insurance companyUSD $360
Health Insurance Welfare BenefitYes
Other welfare benefits providedNON-SUBSCRIBER POLICY
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,441
Amount paid for insurance broker fees360
Additional information about fees paid to insurance brokerSERVICING FEES
Insurance broker organization code?3
ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 )
Policy contract numberN04977749010
Policy instance 2
Insurance contract or identification numberN04977749010
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $25,441
Total amount of fees paid to insurance companyUSD $360
Health Insurance Welfare BenefitYes
Other welfare benefits providedNON-SUBSCRIBER POLICY
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,441
Amount paid for insurance broker fees360
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 )
Policy contract numberN04977749010
Policy instance 1
Insurance contract or identification numberN04977749010
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $5,728
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Other welfare benefits providedNON-SUBSCRIBER POLICY
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,728
Insurance broker organization code?3
ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 )
Policy contract numberN04977749010
Policy instance 2
Insurance contract or identification numberN04977749010
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $19,735
Total amount of fees paid to insurance companyUSD $360
Health Insurance Welfare BenefitYes
Other welfare benefits providedNON-SUBSCRIBER POLICY
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,735
Amount paid for insurance broker fees360
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
ACE AMERICAN INS CO (National Association of Insurance Commissioners NAIC id number: 22667 )
Policy contract numberN04977749008
Policy instance 1
Insurance contract or identification numberN04977749008
Number of Individuals Covered0
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $19,274
Total amount of fees paid to insurance companyUSD $390
Health Insurance Welfare BenefitYes
Other welfare benefits providedNON-SUBSCRIBER POLICY
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,274
Amount paid for insurance broker fees390
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 )
Policy contract numberN04977749009
Policy instance 2
Insurance contract or identification numberN04977749009
Number of Individuals Covered0
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $363
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Other welfare benefits providedNON-SUBSCRIBER POLICY
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $363
Amount paid for insurance broker fees0
Insurance broker organization code?3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF021692
Policy instance 1
Insurance contract or identification numberF021692
Number of Individuals Covered277
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $23,068
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Other welfare benefits providedNON-SUBSCRIBER POLICY
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,068
Insurance broker organization code?3
ACE AMERICAN INS CO (National Association of Insurance Commissioners NAIC id number: 22667 )
Policy contract numberN04977749007
Policy instance 1
Insurance contract or identification numberN04977749007
Number of Individuals Covered455
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $19,878
Total amount of fees paid to insurance companyUSD $390
Health Insurance Welfare BenefitYes
Other welfare benefits providedNON-SUBSCRIBER POLICY
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,878
Amount paid for insurance broker fees390
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3

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