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ROSAUERS INSURANCE PREMIUM PAYMENT PLAN 401k Plan overview

Plan NameROSAUERS INSURANCE PREMIUM PAYMENT PLAN
Plan identification number 501

ROSAUERS INSURANCE PREMIUM PAYMENT PLAN Benefits

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

401k Sponsoring company profile

ROSAUERS SUPERMARKETS, INC has sponsored the creation of one or more 401k plans.

Company Name:ROSAUERS SUPERMARKETS, INC
Employer identification number (EIN):910582615
NAIC Classification:445110
NAIC Description:Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROSAUERS INSURANCE PREMIUM PAYMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-01-01
5012018-01-01DANIEL GUSZREGAN
5012017-01-01DANIEL GUSZREGAN
5012016-01-01MARCY SULLIVAN NANCY CHAPPELL2017-05-24
5012015-01-01MARCY SULLIVAN NANCY CHAPPELL2016-06-09
5012014-01-01MARCY SULLIVAN NANCY CHAPPELL2015-04-28
5012013-01-01PAUL VAN GORDON BARBARA SMITH2014-05-01
5012012-01-01PAUL VAN GORDON BARBARA SMITH2013-05-09
5012011-01-01PAUL VAN GORDON BARBARA SMITH2012-04-30
5012010-01-01PAUL VAN GORDON BARBARA SMITH2011-05-03
5012009-01-01PAUL VAN GORDON BARBARA SMITH2010-07-20

Plan Statistics for ROSAUERS INSURANCE PREMIUM PAYMENT PLAN

401k plan membership statisitcs for ROSAUERS INSURANCE PREMIUM PAYMENT PLAN

Measure Date Value
2019: ROSAUERS INSURANCE PREMIUM PAYMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01679
Total number of active participants reported on line 7a of the Form 55002019-01-01667
Number of retired or separated participants receiving benefits2019-01-018
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01675
Total participants2019-01-01675
2018: ROSAUERS INSURANCE PREMIUM PAYMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01693
Total number of active participants reported on line 7a of the Form 55002018-01-01669
Number of retired or separated participants receiving benefits2018-01-0110
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01679
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01679
2017: ROSAUERS INSURANCE PREMIUM PAYMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01732
Total number of active participants reported on line 7a of the Form 55002017-01-01685
Number of retired or separated participants receiving benefits2017-01-018
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01693
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01693
2016: ROSAUERS INSURANCE PREMIUM PAYMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01750
Total number of active participants reported on line 7a of the Form 55002016-01-01726
Number of retired or separated participants receiving benefits2016-01-016
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01732
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01732
2015: ROSAUERS INSURANCE PREMIUM PAYMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01740
Total number of active participants reported on line 7a of the Form 55002015-01-01742
Number of retired or separated participants receiving benefits2015-01-018
Total of all active and inactive participants2015-01-01750
Total participants2015-01-01750
2014: ROSAUERS INSURANCE PREMIUM PAYMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01699
Total number of active participants reported on line 7a of the Form 55002014-01-01730
Number of retired or separated participants receiving benefits2014-01-0110
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01740
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01740
2013: ROSAUERS INSURANCE PREMIUM PAYMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01717
Total number of active participants reported on line 7a of the Form 55002013-01-01689
Number of retired or separated participants receiving benefits2013-01-0110
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01699
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01699
2012: ROSAUERS INSURANCE PREMIUM PAYMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01693
Total number of active participants reported on line 7a of the Form 55002012-01-01711
Number of retired or separated participants receiving benefits2012-01-016
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01717
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01717
2011: ROSAUERS INSURANCE PREMIUM PAYMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01696
Total number of active participants reported on line 7a of the Form 55002011-01-01685
Number of retired or separated participants receiving benefits2011-01-018
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01693
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01693
2010: ROSAUERS INSURANCE PREMIUM PAYMENT PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01756
Total number of active participants reported on line 7a of the Form 55002010-01-01681
Number of retired or separated participants receiving benefits2010-01-0115
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-01696
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-01696
2009: ROSAUERS INSURANCE PREMIUM PAYMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01726
Total number of active participants reported on line 7a of the Form 55002009-01-01741
Number of retired or separated participants receiving benefits2009-01-0115
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01756
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01756

Form 5500 Responses for ROSAUERS INSURANCE PREMIUM PAYMENT PLAN

2019: ROSAUERS INSURANCE PREMIUM PAYMENT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: ROSAUERS INSURANCE PREMIUM PAYMENT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: ROSAUERS INSURANCE PREMIUM PAYMENT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: ROSAUERS INSURANCE PREMIUM PAYMENT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: ROSAUERS INSURANCE PREMIUM PAYMENT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: ROSAUERS INSURANCE PREMIUM PAYMENT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: ROSAUERS INSURANCE PREMIUM PAYMENT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: ROSAUERS INSURANCE PREMIUM PAYMENT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: ROSAUERS INSURANCE PREMIUM PAYMENT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: ROSAUERS INSURANCE PREMIUM PAYMENT PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: ROSAUERS INSURANCE PREMIUM PAYMENT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number0001
Policy instance 1
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number0001
Policy instance 1
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number0001
Policy instance 1
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number0001
Policy instance 1
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number0001
Policy instance 1
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number0001
Policy instance 1
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number0001
Policy instance 1
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number0001
Policy instance 1

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