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CAR WEST AUTO BODY GROUP 401k Plan overview

Plan NameCAR WEST AUTO BODY GROUP
Plan identification number 501

CAR WEST AUTO BODY GROUP Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

CAR WEST AUTO BODY, INC. has sponsored the creation of one or more 401k plans.

Company Name:CAR WEST AUTO BODY, INC.
Employer identification number (EIN):911995582
NAIC Classification:811120
NAIC Description: Automotive Body, Paint, Interior, and Glass Repair

Additional information about CAR WEST AUTO BODY, INC.

Jurisdiction of Incorporation: California Department of State
Incorporation Date: 2007-02-06
Company Identification Number: C2968711
Legal Registered Office Address: 3880 Blackhawk Rd Ste 300

Danville
United States of America (USA)
94506

More information about CAR WEST AUTO BODY, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAR WEST AUTO BODY GROUP

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012012-07-01JERRI DUBOCQ
5012011-07-01JERRI DUBOCQ
5012009-07-01CRAIG MOE
5012009-07-01

Plan Statistics for CAR WEST AUTO BODY GROUP

401k plan membership statisitcs for CAR WEST AUTO BODY GROUP

Measure Date Value
2012: CAR WEST AUTO BODY GROUP 2012 401k membership
Total participants, beginning-of-year2012-07-01176
Total number of active participants reported on line 7a of the Form 55002012-07-01174
Total of all active and inactive participants2012-07-01174
Total participants2012-07-01174
2011: CAR WEST AUTO BODY GROUP 2011 401k membership
Total participants, beginning-of-year2011-07-01188
Total number of active participants reported on line 7a of the Form 55002011-07-01167
Total of all active and inactive participants2011-07-01167
Total participants2011-07-01167
2009: CAR WEST AUTO BODY GROUP 2009 401k membership
Total participants, beginning-of-year2009-07-01139
Total number of active participants reported on line 7a of the Form 55002009-07-01149
Number of retired or separated participants receiving benefits2009-07-010
Total of all active and inactive participants2009-07-01149
Total participants2009-07-01149

Form 5500 Responses for CAR WEST AUTO BODY GROUP

2012: CAR WEST AUTO BODY GROUP 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01First time form 5500 has been submittedYes
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: CAR WEST AUTO BODY GROUP 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01First time form 5500 has been submittedYes
2011-07-01Submission has been amendedYes
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2009: CAR WEST AUTO BODY GROUP 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01First time form 5500 has been submittedYes
2009-07-01Submission has been amendedYes
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number
Policy instance 1
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $29,883
Total amount of fees paid to insurance companyUSD $4,000
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $577,712
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,883
Amount paid for insurance broker fees4000
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker nameHUETHER INSURANCE AGENCY, INC.
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number
Policy instance 2
Number of Individuals Covered198
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $6,515
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $125,203
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,515
Amount paid for insurance broker fees0
Insurance broker nameHUETHER INSURANCE AGENCY, INC
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number602777
Policy instance 2
Insurance contract or identification number602777
Number of Individuals Covered76
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $10,681
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $233,684
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )
Policy contract number166338
Policy instance 1
Insurance contract or identification number166338
Number of Individuals Covered51
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $17,078
Health Insurance Welfare BenefitNo
Welfare Benefit Premiums Paid to CarrierUSD $333,287
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract numberLH890
Policy instance 2
Insurance contract or identification numberLH890
Number of Individuals Covered167
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $5,721
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Welfare Benefit Premiums Paid to CarrierUSD $99,095
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number602777
Policy instance 3
Insurance contract or identification number602777
Number of Individuals Covered51
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $15,739
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $300,570
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number166338
Policy instance 1
Insurance contract or identification number166338
Number of Individuals Covered65
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $16,420
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $336,000
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract numberU7591
Policy instance 3
Insurance contract or identification numberU7591
Number of Individuals Covered152
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $5,757
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedOPTIONNAL LIFE AND OPTIONAL AD&D
Welfare Benefit Premiums Paid to CarrierUSD $89,729
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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