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MATTRESS FIRM EMPLOYEE VISION PLAN 401k Plan overview

Plan NameMATTRESS FIRM EMPLOYEE VISION PLAN
Plan identification number 504

MATTRESS FIRM EMPLOYEE VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Vision

401k Sponsoring company profile

MATTRESS FIRM INC. has sponsored the creation of one or more 401k plans.

Company Name:MATTRESS FIRM INC.
Employer identification number (EIN):760596008
NAIC Classification:442299
NAIC Description:All Other Home Furnishings Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MATTRESS FIRM EMPLOYEE VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042008-09-01ALEX WEISS
5042008-09-01 ALEX WEISS2015-07-01
5042007-09-01ALEX WEISS
5042007-09-01 ALEX WEISS2015-07-01
5042006-09-01ALEX WEISS
5042006-09-01 ALEX WEISS2015-07-01
5042005-09-01ALEX WEISS
5042005-09-01 ALEX WEISS2015-07-01

Plan Statistics for MATTRESS FIRM EMPLOYEE VISION PLAN

401k plan membership statisitcs for MATTRESS FIRM EMPLOYEE VISION PLAN

Measure Date Value
2008: MATTRESS FIRM EMPLOYEE VISION PLAN 2008 401k membership
Total participants, beginning-of-year2008-09-01678
Total number of active participants reported on line 7a of the Form 55002008-09-010
Number of retired or separated participants receiving benefits2008-09-010
Number of other retired or separated participants entitled to future benefits2008-09-010
Total of all active and inactive participants2008-09-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2008-09-010
Total participants2008-09-010
Number of participants with account balances2008-09-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2008-09-010
2007: MATTRESS FIRM EMPLOYEE VISION PLAN 2007 401k membership
Total participants, beginning-of-year2007-09-01549
Total number of active participants reported on line 7a of the Form 55002007-09-01678
Number of retired or separated participants receiving benefits2007-09-012
Number of other retired or separated participants entitled to future benefits2007-09-010
Total of all active and inactive participants2007-09-01680
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2007-09-010
Total participants2007-09-01680
Number of participants with account balances2007-09-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2007-09-010
2006: MATTRESS FIRM EMPLOYEE VISION PLAN 2006 401k membership
Total participants, beginning-of-year2006-09-01422
Total number of active participants reported on line 7a of the Form 55002006-09-01549
Number of retired or separated participants receiving benefits2006-09-010
Number of other retired or separated participants entitled to future benefits2006-09-010
Total of all active and inactive participants2006-09-01549
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2006-09-010
Total participants2006-09-01549
Number of participants with account balances2006-09-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2006-09-010
2005: MATTRESS FIRM EMPLOYEE VISION PLAN 2005 401k membership
Total participants, beginning-of-year2005-09-01147
Total number of active participants reported on line 7a of the Form 55002005-09-01422
Number of retired or separated participants receiving benefits2005-09-010
Number of other retired or separated participants entitled to future benefits2005-09-010
Total of all active and inactive participants2005-09-01422
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2005-09-010
Total participants2005-09-01422
Number of participants with account balances2005-09-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2005-09-010

Form 5500 Responses for MATTRESS FIRM EMPLOYEE VISION PLAN

2008: MATTRESS FIRM EMPLOYEE VISION PLAN 2008 form 5500 responses
2008-09-01Type of plan entitySingle employer plan
2008-09-01Submission has been amendedNo
2008-09-01This submission is the final filingYes
2008-09-01This return/report is a short plan year return/report (less than 12 months)Yes
2008-09-01Plan is a collectively bargained planNo
2008-09-01Plan funding arrangement – InsuranceYes
2008-09-01Plan benefit arrangement – InsuranceYes
2007: MATTRESS FIRM EMPLOYEE VISION PLAN 2007 form 5500 responses
2007-09-01Type of plan entitySingle employer plan
2007-09-01Submission has been amendedNo
2007-09-01This submission is the final filingNo
2007-09-01This return/report is a short plan year return/report (less than 12 months)No
2007-09-01Plan is a collectively bargained planNo
2007-09-01Plan funding arrangement – InsuranceYes
2007-09-01Plan benefit arrangement – InsuranceYes
2006: MATTRESS FIRM EMPLOYEE VISION PLAN 2006 form 5500 responses
2006-09-01Type of plan entitySingle employer plan
2006-09-01Submission has been amendedNo
2006-09-01This submission is the final filingNo
2006-09-01This return/report is a short plan year return/report (less than 12 months)No
2006-09-01Plan is a collectively bargained planNo
2006-09-01Plan funding arrangement – InsuranceYes
2006-09-01Plan benefit arrangement – InsuranceYes
2005: MATTRESS FIRM EMPLOYEE VISION PLAN 2005 form 5500 responses
2005-09-01Type of plan entitySingle employer plan
2005-09-01First time form 5500 has been submittedYes
2005-09-01Submission has been amendedNo
2005-09-01This submission is the final filingNo
2005-09-01This return/report is a short plan year return/report (less than 12 months)No
2005-09-01Plan is a collectively bargained planNo
2005-09-01Plan funding arrangement – InsuranceYes
2005-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number237268
Policy instance 1
Insurance contract or identification number237268
Number of Individuals Covered0
Insurance policy start date2008-09-01
Insurance policy end date2008-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $9,894
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameFRINGE BENEFIT MANAGEMENT, INC.
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number237268
Policy instance 1
Insurance contract or identification number237268
Number of Individuals Covered680
Insurance policy start date2007-09-01
Insurance policy end date2008-08-31
Total amount of commissions paid to insurance brokerUSD $989
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $9,894
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $989
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameFRINGE BENEFIT MANAGEMENT, INC.
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number237268
Policy instance 1
Insurance contract or identification number237268
Number of Individuals Covered549
Insurance policy start date2006-09-01
Insurance policy end date2007-08-31
Total amount of commissions paid to insurance brokerUSD $3,161
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $31,613
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,161
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameFRINGE BENEFIT MANAGEMENT, INC.
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number237268
Policy instance 1
Insurance contract or identification number237268
Number of Individuals Covered422
Insurance policy start date2005-09-01
Insurance policy end date2006-08-31
Total amount of commissions paid to insurance brokerUSD $1,338
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $13,384
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,338
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameFRINGE BENEFIT MANAGEMENT, INC.

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