INOCA HOLDCO II, LLC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan FOX SERVICE II DBA FOX SERVICE COMPANY HEALTH AND WELFARE PLAN
401k plan membership statisitcs for FOX SERVICE II DBA FOX SERVICE COMPANY HEALTH AND WELFARE PLAN
Measure | Date | Value |
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2017: FOX SERVICE II DBA FOX SERVICE COMPANY HEALTH AND WELFARE PLAN 2017 401k membership |
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Total participants, beginning-of-year | 2017-06-01 | 128 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-06-01 | 69 |
Number of retired or separated participants receiving benefits | 2017-06-01 | 1 |
Total of all active and inactive participants | 2017-06-01 | 70 |
2016: FOX SERVICE II DBA FOX SERVICE COMPANY HEALTH AND WELFARE PLAN 2016 401k membership |
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Total participants, beginning-of-year | 2016-06-01 | 151 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-06-01 | 123 |
Number of retired or separated participants receiving benefits | 2016-06-01 | 5 |
Total of all active and inactive participants | 2016-06-01 | 128 |
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | 0225394 |
Policy instance | 1 |
Insurance contract or identification number | 0225394 | Number of Individuals Covered | 106 | Insurance policy start date | 2017-06-01 | Insurance policy end date | 2018-05-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $3,185 | Health Insurance Welfare Benefit | Yes | Other welfare benefits provided | ACCIDENT CARE | Welfare Benefit Premiums Paid to Carrier | USD $719,620 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 3185 | Additional information about fees paid to insurance broker | 2016-2017 PPP INCENTIVE | Insurance broker organization code? | 3 | Insurance broker name | MARSH & MCLENNAN AGENCY, LLC |
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LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | VDT960237 |
Policy instance | 2 |
Insurance contract or identification number | VDT960237 | Number of Individuals Covered | 69 | Insurance policy start date | 2017-06-01 | Insurance policy end date | 2018-05-31 | Total amount of commissions paid to insurance broker | USD $5,084 | Total amount of fees paid to insurance company | USD $0 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $33,892 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $5,084 | Insurance broker organization code? | 3 | Insurance broker name | MARSH & MCLENNAN AGENCY, LLC |
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LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | VDT960236 |
Policy instance | 3 |
Insurance contract or identification number | VDT960236 | Number of Individuals Covered | 69 | Insurance policy start date | 2017-06-01 | Insurance policy end date | 2018-05-31 | Total amount of commissions paid to insurance broker | USD $5,235 | Total amount of fees paid to insurance company | USD $0 | Temporary Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | CRITICAL ILLNESS | Welfare Benefit Premiums Paid to Carrier | USD $34,901 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $5,235 | Insurance broker organization code? | 3 | Insurance broker name | MARSH & MCLENNAN AGENCY, LLC |
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METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
Policy contract number | 5936992 |
Policy instance | 4 |
Insurance contract or identification number | 5936992 | Number of Individuals Covered | 183 | Insurance policy start date | 2017-06-01 | Insurance policy end date | 2018-05-31 | Total amount of commissions paid to insurance broker | USD $6,170 | Total amount of fees paid to insurance company | USD $3,203 | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D, VOLUNTARY LIFE | Welfare Benefit Premiums Paid to Carrier | USD $98,401 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $6,170 | Amount paid for insurance broker fees | 58 | Additional information about fees paid to insurance broker | NON-MONETARY COMPENSATION | Insurance broker organization code? | 3 | Insurance broker name | GIS BENEFITS INC |
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SAFEGUARD HEALTH PLANS, INC. A TEXAS CORPORATION (National Association of Insurance Commissioners NAIC id number: 95051 ) |
Policy contract number | 5936992 |
Policy instance | 5 |
Insurance contract or identification number | 5936992 | Number of Individuals Covered | 27 | Insurance policy start date | 2017-06-01 | Insurance policy end date | 2018-05-31 | Total amount of commissions paid to insurance broker | USD $880 | Total amount of fees paid to insurance company | USD $155 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $6,940 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $880 | Insurance broker organization code? | 3 | Amount paid for insurance broker fees | 155 | Additional information about fees paid to insurance broker | SUPPLEMENTAL COMPENSATION | Insurance broker name | MARSH & MCLENNAN AGENCY, LLC |
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