401k Plan data: ROMANTIX HEALTH PLAN plan

ROMANTIX HEALTH PLAN 401k Plan overview

Plan Name	ROMANTIX HEALTH PLAN
Plan identification number	501

ROMANTIX HEALTH 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 will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20. 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

PROGRESSIVE RETAIL MANAGEMENT has sponsored the creation of one or more 401k plans.

Company Name: PROGRESSIVE RETAIL MANAGEMENT

Employer identification number (EIN): 841289368

NAIC Classification: 453990

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROMANTIX HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-06-01 RENEE ANDERSON 2025-01-09
501 2022-06-01 RENEE ANDERSON 2023-11-16
501 2021-06-01 MARK LABERTEW 2022-09-21
501 2019-06-01 RENEE ANDERSON 2020-11-10
501 2017-06-01
501 2016-06-01 RENEE ANDERSON RENEE ANDERSON 2017-12-26
501 2015-06-01 RENEE ANDERSON

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2023-06-01	RENEE ANDERSON	2025-01-09
501	2022-06-01	RENEE ANDERSON	2023-11-16
501	2021-06-01	MARK LABERTEW	2022-09-21
501	2019-06-01	RENEE ANDERSON	2020-11-10
501	2017-06-01
501	2016-06-01	RENEE ANDERSON		RENEE ANDERSON	2017-12-26
501	2015-06-01	RENEE ANDERSON

Plan Statistics for ROMANTIX HEALTH PLAN

401k plan membership statisitcs for ROMANTIX HEALTH PLAN

Measure Date Value
2023: ROMANTIX HEALTH PLAN 2023 401k membership
Total participants, beginning-of-year 2023-06-01 103
Total number of active participants reported on line 7a of the Form 5500 2023-06-01 93
Number of retired or separated participants receiving benefits 2023-06-01 0
Number of other retired or separated participants entitled to future benefits 2023-06-01 0
Total of all active and inactive participants 2023-06-01 93
Number of employers contributing to the scheme 2023-06-01 0
2022: ROMANTIX HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year 2022-06-01 103
Total number of active participants reported on line 7a of the Form 5500 2022-06-01 98
Number of retired or separated participants receiving benefits 2022-06-01 0
Number of other retired or separated participants entitled to future benefits 2022-06-01 0
Total of all active and inactive participants 2022-06-01 98
Number of employers contributing to the scheme 2022-06-01 0
2021: ROMANTIX HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year 2021-06-01 133
Total number of active participants reported on line 7a of the Form 5500 2021-06-01 109
Number of retired or separated participants receiving benefits 2021-06-01 0
Number of other retired or separated participants entitled to future benefits 2021-06-01 0
Total of all active and inactive participants 2021-06-01 109
Number of employers contributing to the scheme 2021-06-01 0
2019: ROMANTIX HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year 2019-06-01 124
Total number of active participants reported on line 7a of the Form 5500 2019-06-01 40
Number of retired or separated participants receiving benefits 2019-06-01 0
Number of other retired or separated participants entitled to future benefits 2019-06-01 0
Total of all active and inactive participants 2019-06-01 40
Number of employers contributing to the scheme 2019-06-01 0
2017: ROMANTIX HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year 2017-06-01 122
Total number of active participants reported on line 7a of the Form 5500 2017-06-01 86
Number of retired or separated participants receiving benefits 2017-06-01 0
Number of other retired or separated participants entitled to future benefits 2017-06-01 0
Total of all active and inactive participants 2017-06-01 86
2016: ROMANTIX HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year 2016-06-01 101
Total number of active participants reported on line 7a of the Form 5500 2016-06-01 98
Number of retired or separated participants receiving benefits 2016-06-01 0
Number of other retired or separated participants entitled to future benefits 2016-06-01 0
Total of all active and inactive participants 2016-06-01 98
2015: ROMANTIX HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year 2015-06-01 108
Total number of active participants reported on line 7a of the Form 5500 2015-06-01 101
Number of retired or separated participants receiving benefits 2015-06-01 0
Number of other retired or separated participants entitled to future benefits 2015-06-01 0
Total of all active and inactive participants 2015-06-01 101

Measure	Date	Value
2023: ROMANTIX HEALTH PLAN 2023 401k membership
Total participants, beginning-of-year	2023-06-01	103
Total number of active participants reported on line 7a of the Form 5500	2023-06-01	93
Number of retired or separated participants receiving benefits	2023-06-01	0
Number of other retired or separated participants entitled to future benefits	2023-06-01	0
Total of all active and inactive participants	2023-06-01	93
Number of employers contributing to the scheme	2023-06-01	0
2022: ROMANTIX HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year	2022-06-01	103
Total number of active participants reported on line 7a of the Form 5500	2022-06-01	98
Number of retired or separated participants receiving benefits	2022-06-01	0
Number of other retired or separated participants entitled to future benefits	2022-06-01	0
Total of all active and inactive participants	2022-06-01	98
Number of employers contributing to the scheme	2022-06-01	0
2021: ROMANTIX HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year	2021-06-01	133
Total number of active participants reported on line 7a of the Form 5500	2021-06-01	109
Number of retired or separated participants receiving benefits	2021-06-01	0
Number of other retired or separated participants entitled to future benefits	2021-06-01	0
Total of all active and inactive participants	2021-06-01	109
Number of employers contributing to the scheme	2021-06-01	0
2019: ROMANTIX HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year	2019-06-01	124
Total number of active participants reported on line 7a of the Form 5500	2019-06-01	40
Number of retired or separated participants receiving benefits	2019-06-01	0
Number of other retired or separated participants entitled to future benefits	2019-06-01	0
Total of all active and inactive participants	2019-06-01	40
Number of employers contributing to the scheme	2019-06-01	0
2017: ROMANTIX HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year	2017-06-01	122
Total number of active participants reported on line 7a of the Form 5500	2017-06-01	86
Number of retired or separated participants receiving benefits	2017-06-01	0
Number of other retired or separated participants entitled to future benefits	2017-06-01	0
Total of all active and inactive participants	2017-06-01	86
2016: ROMANTIX HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year	2016-06-01	101
Total number of active participants reported on line 7a of the Form 5500	2016-06-01	98
Number of retired or separated participants receiving benefits	2016-06-01	0
Number of other retired or separated participants entitled to future benefits	2016-06-01	0
Total of all active and inactive participants	2016-06-01	98
2015: ROMANTIX HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year	2015-06-01	108
Total number of active participants reported on line 7a of the Form 5500	2015-06-01	101
Number of retired or separated participants receiving benefits	2015-06-01	0
Number of other retired or separated participants entitled to future benefits	2015-06-01	0
Total of all active and inactive participants	2015-06-01	101

Form 5500 Responses for ROMANTIX HEALTH PLAN

2023: ROMANTIX HEALTH PLAN 2023 form 5500 responses
2023-06-01	Type of plan entity	Single employer plan
2023-06-01	Plan funding arrangement – Insurance	Yes
2023-06-01	Plan benefit arrangement – Insurance	Yes
2022: ROMANTIX HEALTH PLAN 2022 form 5500 responses
2022-06-01	Type of plan entity	Single employer plan
2022-06-01	Plan funding arrangement – Insurance	Yes
2022-06-01	Plan benefit arrangement – Insurance	Yes
2021: ROMANTIX HEALTH PLAN 2021 form 5500 responses
2021-06-01	Type of plan entity	Single employer plan
2021-06-01	Plan funding arrangement – Insurance	Yes
2021-06-01	Plan benefit arrangement – Insurance	Yes
2019: ROMANTIX HEALTH PLAN 2019 form 5500 responses
2019-06-01	Type of plan entity	Single employer plan
2019-06-01	Plan funding arrangement – Insurance	Yes
2019-06-01	Plan benefit arrangement – Insurance	Yes
2017: ROMANTIX HEALTH PLAN 2017 form 5500 responses
2017-06-01	Type of plan entity	Single employer plan
2017-06-01	Plan funding arrangement – Insurance	Yes
2017-06-01	Plan benefit arrangement – Insurance	Yes
2016: ROMANTIX HEALTH PLAN 2016 form 5500 responses
2016-06-01	Type of plan entity	Single employer plan
2016-06-01	Submission has been amended	No
2016-06-01	This submission is the final filing	No
2016-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-06-01	Plan is a collectively bargained plan	No
2016-06-01	Plan funding arrangement – Insurance	Yes
2016-06-01	Plan benefit arrangement – Insurance	Yes
2015: ROMANTIX HEALTH PLAN 2015 form 5500 responses
2015-06-01	Type of plan entity	Single employer plan
2015-06-01	First time form 5500 has been submitted	Yes
2015-06-01	Submission has been amended	No
2015-06-01	This submission is the final filing	No
2015-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-06-01	Plan is a collectively bargained plan	No
2015-06-01	Plan funding arrangement – Insurance	Yes
2015-06-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

924336

Policy instance

Insurance contract or identification number	924336
Number of Individuals Covered	102
Insurance policy start date	2023-06-01
Insurance policy end date	2024-05-31
Total amount of commissions paid to insurance broker	USD $29,143
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $728,583
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

924336

Policy instance

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

924336

Policy instance

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

4S2995

Policy instance

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

634051

Policy instance

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Company Name:	PROGRESSIVE RETAIL MANAGEMENT
Employer identification number (EIN):	841289368
NAIC Classification:	453990