401k Plan data: JOHN H. FIRMAGE GROUP HEALTH PLAN plan

JOHN H. FIRMAGE GROUP HEALTH PLAN 401k Plan overview

Plan Name	JOHN H. FIRMAGE GROUP HEALTH PLAN
Plan identification number	501

JOHN H. FIRMAGE GROUP HEALTH 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) Other welfare benefit cover 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.

401k Sponsoring company profile

JOHN H. FIRMAGE, INC. has sponsored the creation of one or more 401k plans.

Company Name: JOHN H. FIRMAGE, INC.

Employer identification number (EIN): 870481688

NAIC Classification: 441110
NAIC Description: New Car Dealers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JOHN H. FIRMAGE GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2021-07-01 VICKI BENNION 2022-12-12
501 2020-07-01 VICKI BENNION 2021-11-10
501 2019-07-01 VICKI BENNION 2020-12-07
501 2018-07-01 VICKI BENNION 2019-12-27
501 2017-07-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2021-07-01	VICKI BENNION	2022-12-12
501	2020-07-01	VICKI BENNION	2021-11-10
501	2019-07-01	VICKI BENNION	2020-12-07
501	2018-07-01	VICKI BENNION	2019-12-27
501	2017-07-01

Plan Statistics for JOHN H. FIRMAGE GROUP HEALTH PLAN

401k plan membership statisitcs for JOHN H. FIRMAGE GROUP HEALTH PLAN

Measure Date Value
2021: JOHN H. FIRMAGE GROUP HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 102
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 89
Number of retired or separated participants receiving benefits 2021-07-01 0
Number of other retired or separated participants entitled to future benefits 2021-07-01 0
Total of all active and inactive participants 2021-07-01 89
Number of employers contributing to the scheme 2021-07-01 0
2020: JOHN H. FIRMAGE GROUP HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 111
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 102
Number of retired or separated participants receiving benefits 2020-07-01 0
Number of other retired or separated participants entitled to future benefits 2020-07-01 0
Total of all active and inactive participants 2020-07-01 102
Number of employers contributing to the scheme 2020-07-01 0
2019: JOHN H. FIRMAGE GROUP HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 112
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 111
Number of retired or separated participants receiving benefits 2019-07-01 0
Number of other retired or separated participants entitled to future benefits 2019-07-01 0
Total of all active and inactive participants 2019-07-01 111
Number of employers contributing to the scheme 2019-07-01 0
2018: JOHN H. FIRMAGE GROUP HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 114
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 111
Number of retired or separated participants receiving benefits 2018-07-01 1
Number of other retired or separated participants entitled to future benefits 2018-07-01 0
Total of all active and inactive participants 2018-07-01 112
Number of employers contributing to the scheme 2018-07-01 0
2017: JOHN H. FIRMAGE GROUP HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 109
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 113
Number of retired or separated participants receiving benefits 2017-07-01 1
Number of other retired or separated participants entitled to future benefits 2017-07-01 0
Total of all active and inactive participants 2017-07-01 114

Measure	Date	Value
2021: JOHN H. FIRMAGE GROUP HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	102
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	89
Number of retired or separated participants receiving benefits	2021-07-01	0
Number of other retired or separated participants entitled to future benefits	2021-07-01	0
Total of all active and inactive participants	2021-07-01	89
Number of employers contributing to the scheme	2021-07-01	0
2020: JOHN H. FIRMAGE GROUP HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	111
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	102
Number of retired or separated participants receiving benefits	2020-07-01	0
Number of other retired or separated participants entitled to future benefits	2020-07-01	0
Total of all active and inactive participants	2020-07-01	102
Number of employers contributing to the scheme	2020-07-01	0
2019: JOHN H. FIRMAGE GROUP HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	112
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	111
Number of retired or separated participants receiving benefits	2019-07-01	0
Number of other retired or separated participants entitled to future benefits	2019-07-01	0
Total of all active and inactive participants	2019-07-01	111
Number of employers contributing to the scheme	2019-07-01	0
2018: JOHN H. FIRMAGE GROUP HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	114
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	111
Number of retired or separated participants receiving benefits	2018-07-01	1
Number of other retired or separated participants entitled to future benefits	2018-07-01	0
Total of all active and inactive participants	2018-07-01	112
Number of employers contributing to the scheme	2018-07-01	0
2017: JOHN H. FIRMAGE GROUP HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	109
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	113
Number of retired or separated participants receiving benefits	2017-07-01	1
Number of other retired or separated participants entitled to future benefits	2017-07-01	0
Total of all active and inactive participants	2017-07-01	114

Form 5500 Responses for JOHN H. FIRMAGE GROUP HEALTH PLAN

2021: JOHN H. FIRMAGE GROUP HEALTH PLAN 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
2021-07-01	Plan funding arrangement – Insurance	Yes
2021-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-07-01	Plan benefit arrangement – Insurance	Yes
2021-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: JOHN H. FIRMAGE GROUP HEALTH PLAN 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
2020-07-01	Plan funding arrangement – Insurance	Yes
2020-07-01	Plan benefit arrangement – Insurance	Yes
2019: JOHN H. FIRMAGE GROUP HEALTH PLAN 2019 form 5500 responses
2019-07-01	Type of plan entity	Single employer plan
2019-07-01	Plan funding arrangement – Insurance	Yes
2019-07-01	Plan benefit arrangement – Insurance	Yes
2018: JOHN H. FIRMAGE GROUP HEALTH PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2017: JOHN H. FIRMAGE GROUP HEALTH PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	First time form 5500 has been submitted	Yes
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

INTERMOUNTAIN EAP (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

EAP

Policy instance

Insurance contract or identification number	EAP
Number of Individuals Covered	92
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $3,091
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

GVTL0BCRP

Policy instance

Insurance contract or identification number	GVTL0BCRP
Number of Individuals Covered	74
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $3,472
Total amount of fees paid to insurance company	USD $910
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $23,148
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,472
Amount paid for insurance broker fees	910
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3

NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )

Policy contract number

36383

Policy instance

Insurance contract or identification number	36383
Number of Individuals Covered	84
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $1,465
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $14,652
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,465
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )

Policy contract number

33760000

Policy instance

Insurance contract or identification number	33760000
Number of Individuals Covered	100
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $6,186
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $61,862
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $6,186
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

UNIVERSITY OF UTAH INSURANCE PLANS (National Association of Insurance Commissioners NAIC id number: 15648 )

Policy contract number

1641810139

Policy instance

Insurance contract or identification number	1641810139
Number of Individuals Covered	171
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $22,779
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $751,226
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $22,779
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )

Policy contract number

36383

Policy instance

Insurance contract or identification number	36383
Number of Individuals Covered	82
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $1,356
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $13,555
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,356
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

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

Policy contract number

G0000BCRP

Policy instance

Insurance contract or identification number	G0000BCRP
Number of Individuals Covered	73
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $3,221
Total amount of fees paid to insurance company	USD $673
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $21,472
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,221
Amount paid for insurance broker fees	673
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3

INTERMOUNTAIN EAP (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

EAP

Policy instance

Insurance contract or identification number	EAP
Number of Individuals Covered	92
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $3,016
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 )

Policy contract number

33760000

Policy instance

Insurance contract or identification number	33760000
Number of Individuals Covered	102
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $6,001
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $60,007
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $6,001
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

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

Policy contract number

G0000BCRP

Policy instance

Insurance contract or identification number	G0000BCRP
Number of Individuals Covered	74
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $3,218
Total amount of fees paid to insurance company	USD $714
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $21,456
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,218
Amount paid for insurance broker fees	714
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3

NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )

Policy contract number

36383

Policy instance

Insurance contract or identification number	36383
Number of Individuals Covered	85
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $1,251
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $13,478
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $1,251
Insurance broker organization code?	3

ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 )

Policy contract number

33760000

Policy instance

Insurance contract or identification number	33760000
Number of Individuals Covered	102
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $6,085
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $60,848
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $6,085
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

UNIVERSITY OF UTAH INSURANCE PLANS (National Association of Insurance Commissioners NAIC id number: 15648 )

Policy contract number

1641810139

Policy instance

Insurance contract or identification number	1641810139
Number of Individuals Covered	187
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $25,147
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $834,512
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $25,147
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

INTERMOUNTAIN EAP (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

EAP

Policy instance

Insurance contract or identification number	EAP
Number of Individuals Covered	100
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $3,342
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

G0000BCRP

Policy instance

Insurance contract or identification number	G0000BCRP
Number of Individuals Covered	70
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $3,190
Total amount of fees paid to insurance company	USD $428
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $21,262
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,190
Amount paid for insurance broker fees	428
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3

NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )

Policy contract number

36383

Policy instance

Insurance contract or identification number	36383
Number of Individuals Covered	79
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $1,224
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $12,760
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,224
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 )

Policy contract number

33760000

Policy instance

Insurance contract or identification number	33760000
Number of Individuals Covered	101
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $5,298
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $52,982
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $5,298
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

UNIVERSITY OF UTAH INSURANCE PLANS (National Association of Insurance Commissioners NAIC id number: 15648 )

Policy contract number

1641810139

Policy instance

Insurance contract or identification number	1641810139
Number of Individuals Covered	224
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $26,548
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $884,940
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $26,548
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )

Policy contract number

36383

Policy instance

Insurance contract or identification number	36383
Number of Individuals Covered	141
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $1,818
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $11,599
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 )

Policy contract number

33760000

Policy instance

Insurance contract or identification number	33760000
Number of Individuals Covered	91
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $5,447
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $54,468
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

UNIVERSITY OF UTAH INSURANCE PLANS (National Association of Insurance Commissioners NAIC id number: 15648 )

Policy contract number

1641810139

Policy instance

Insurance contract or identification number	1641810139
Number of Individuals Covered	214
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $36,919
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $922,982
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	JOHN H. FIRMAGE, INC.
Employer identification number (EIN):	870481688
NAIC Classification:	441110
NAIC Description:	New Car Dealers