401k Plan data: AARONM 2020 GROUP HEALTH & WELFARE BENEFITS PLAN plan

AARONM 2020 GROUP HEALTH & WELFARE BENEFITS PLAN 401k Plan overview

Plan Name	AARONM 2020 GROUP HEALTH & WELFARE BENEFITS PLAN
Plan identification number	501

AARONM 2020 GROUP HEALTH & WELFARE BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

AARONM 2020, INC. has sponsored the creation of one or more 401k plans.

Company Name: AARONM 2020, INC.

Employer identification number (EIN): 845065630

NAIC Classification: 441110
NAIC Description: New Car Dealers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AARONM 2020 GROUP HEALTH & WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2024-01-01 LOWELYN GACHALIAN
501 2023-01-01 LOWELYN GACHALIAN 2024-08-26

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2024-01-01	LOWELYN GACHALIAN
501	2023-01-01	LOWELYN GACHALIAN	2024-08-26

Form 5500 Responses for AARONM 2020 GROUP HEALTH & WELFARE BENEFITS PLAN

2023: AARONM 2020 GROUP HEALTH & WELFARE BENEFITS PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	First time form 5500 has been submitted	Yes
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

236188

Policy instance

Insurance contract or identification number	236188
Number of Individuals Covered	234
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $44,262
Total amount of fees paid to insurance company	USD $5,000
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $661,334
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

3696

Policy instance

Insurance contract or identification number	3696
Number of Individuals Covered	34
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-01
Total amount of commissions paid to insurance broker	USD $2,980
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $42,567
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G000C93M

Policy instance

Insurance contract or identification number	G000C93M
Number of Individuals Covered	271
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $4,958
Total amount of fees paid to insurance company	USD $2,612
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $81,597
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

VAI864605

Policy instance

Insurance contract or identification number	VAI864605
Number of Individuals Covered	53
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $17,892
Total amount of fees paid to insurance company	USD $348
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENT,CRITICAL ILLNESS
Welfare Benefit Premiums Paid to Carrier	USD $59,210
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	AARONM 2020, INC.
Employer identification number (EIN):	845065630
NAIC Classification:	441110
NAIC Description:	New Car Dealers