401k Plan data: HOJEIJ BRANDED FOODS, LLC EMPLOYEE BENEFIT PLAN plan

HOJEIJ BRANDED FOODS, LLC EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan Name	HOJEIJ BRANDED FOODS, LLC EMPLOYEE BENEFIT PLAN
Plan identification number	999

HOJEIJ BRANDED FOODS, LLC EMPLOYEE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Vision Other welfare benefit cover

401k Sponsoring company profile

HOJEIJ BRANDED FOODS, LLC has sponsored the creation of one or more 401k plans.

Company Name: HOJEIJ BRANDED FOODS, LLC

Employer identification number (EIN): 901138258

NAIC Classification: 445299
NAIC Description: All Other Specialty Food Stores

Additional information about HOJEIJ BRANDED FOODS, LLC

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2011-04-25

Company Identification Number: 0801417677

Legal Registered Office Address: 2849 PACES FERRY RD SE # 4

ATLANTA
United States of America (USA)
30339

More information about HOJEIJ BRANDED FOODS, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOJEIJ BRANDED FOODS, LLC EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
999 2019-01-01 KAREN SUTTLE 2020-06-22
999 2019-01-01
999 2018-01-01 MIA SPIVEY 2018-10-15
999 2017-01-01 MIA SPIVEY

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
999	2019-01-01	KAREN SUTTLE	2020-06-22
999	2019-01-01
999	2018-01-01	MIA SPIVEY	2018-10-15
999	2017-01-01	MIA SPIVEY

Plan Statistics for HOJEIJ BRANDED FOODS, LLC EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for HOJEIJ BRANDED FOODS, LLC EMPLOYEE BENEFIT PLAN

Measure Date Value
2019: HOJEIJ BRANDED FOODS, LLC EMPLOYEE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 125
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 455
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 455
Total participants 2019-01-01 0
2018: HOJEIJ BRANDED FOODS, LLC EMPLOYEE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 120
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 125
Total of all active and inactive participants 2018-01-01 125
Total participants 2018-01-01 125
2017: HOJEIJ BRANDED FOODS, LLC EMPLOYEE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 120
Total of all active and inactive participants 2017-01-01 120
Total participants 2017-01-01 120

Measure	Date	Value
2019: HOJEIJ BRANDED FOODS, LLC EMPLOYEE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	125
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	455
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	455
Total participants	2019-01-01	0
2018: HOJEIJ BRANDED FOODS, LLC EMPLOYEE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	120
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	125
Total of all active and inactive participants	2018-01-01	125
Total participants	2018-01-01	125
2017: HOJEIJ BRANDED FOODS, LLC EMPLOYEE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	120
Total of all active and inactive participants	2017-01-01	120
Total participants	2017-01-01	120

Form 5500 Responses for HOJEIJ BRANDED FOODS, LLC EMPLOYEE BENEFIT PLAN

2019: HOJEIJ BRANDED FOODS, LLC EMPLOYEE BENEFIT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: HOJEIJ BRANDED FOODS, LLC EMPLOYEE BENEFIT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: HOJEIJ BRANDED FOODS, LLC EMPLOYEE BENEFIT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	First time form 5500 has been submitted	Yes
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

TOTAL HEALTH CARE USA INC (National Association of Insurance Commissioners NAIC id number: 12326 )

Policy contract number

M60909

Policy instance

Insurance contract or identification number	M60909
Number of Individuals Covered	163
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $34,571
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $878,804
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $34,571
Insurance broker organization code?	3

TOTAL HEALTH CARE USA INC (National Association of Insurance Commissioners NAIC id number: 12326 )

Policy contract number

T60909

Policy instance

Insurance contract or identification number	T60909
Number of Individuals Covered	0
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $34,571
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $878,804
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $18,119
Insurance broker organization code?	3

TOTAL HEALTH CARE USA INC (National Association of Insurance Commissioners NAIC id number: 12326 )

Policy contract number

M60909

Policy instance

Insurance contract or identification number	M60909
Number of Individuals Covered	125
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $25,407
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $610,179
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $25,407
Insurance broker organization code?	3

TOTAL HEALTH CARE USA INC (National Association of Insurance Commissioners NAIC id number: 12326 )

Policy contract number

M60909

Policy instance

Insurance contract or identification number	M60909
Number of Individuals Covered	120
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $22,195
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $524,881
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $14,949
Insurance broker organization code?	3
Insurance broker name	USI INSURANCE SERVICES LLC

Potentially related plans

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Company Name:	HOJEIJ BRANDED FOODS, LLC
Employer identification number (EIN):	901138258
NAIC Classification:	445299
NAIC Description:	All Other Specialty Food Stores

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2011-04-25
Company Identification Number:	0801417677
Legal Registered Office Address:	2849 PACES FERRY RD SE # 4 ATLANTA United States of America (USA) 30339