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Plan Name | HOLZHEUS EL RANCHO MARKET INC. WELFARE BENEFITS PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | HOLZHEUS EL RANCHO MARKET INC. |
Employer identification number (EIN): | 952545551 |
NAIC Classification: | 424400 |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
---|---|---|---|---|---|
501 | 2021-09-01 | TONI SMITH | 2023-04-19 | ||
501 | 2020-09-01 | ||||
501 | 2016-09-01 | SEAN WALWICK | |||
501 | 2016-09-01 | ||||
501 | 2015-09-01 | ALFRED HOLZHEU |
Measure | Date | Value |
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2021: HOLZHEUS EL RANCHO MARKET INC. WELFARE BENEFITS PLAN 2021 401k membership | ||
Total participants, beginning-of-year | 2021-09-01 | 105 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-09-01 | 96 |
Number of retired or separated participants receiving benefits | 2021-09-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2021-09-01 | 0 |
Total of all active and inactive participants | 2021-09-01 | 96 |
Number of employers contributing to the scheme | 2021-09-01 | 0 |
2020: HOLZHEUS EL RANCHO MARKET INC. WELFARE BENEFITS PLAN 2020 401k membership | ||
Total participants, beginning-of-year | 2020-09-01 | 92 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-09-01 | 105 |
Number of retired or separated participants receiving benefits | 2020-09-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2020-09-01 | 0 |
Total of all active and inactive participants | 2020-09-01 | 105 |
2016: HOLZHEUS EL RANCHO MARKET INC. WELFARE BENEFITS PLAN 2016 401k membership | ||
Total participants, beginning-of-year | 2016-09-01 | 104 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-09-01 | 101 |
Number of retired or separated participants receiving benefits | 2016-09-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2016-09-01 | 0 |
Total of all active and inactive participants | 2016-09-01 | 101 |
2015: HOLZHEUS EL RANCHO MARKET INC. WELFARE BENEFITS PLAN 2015 401k membership | ||
Total participants, beginning-of-year | 2015-09-01 | 101 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-09-01 | 101 |
Number of retired or separated participants receiving benefits | 2015-09-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2015-09-01 | 0 |
Total of all active and inactive participants | 2015-09-01 | 101 |
2021: HOLZHEUS EL RANCHO MARKET INC. WELFARE BENEFITS PLAN 2021 form 5500 responses | ||
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2021-09-01 | Type of plan entity | Single employer plan |
2021-09-01 | Plan funding arrangement – Insurance | Yes |
2021-09-01 | Plan benefit arrangement – Insurance | Yes |
2020: HOLZHEUS EL RANCHO MARKET INC. WELFARE BENEFITS PLAN 2020 form 5500 responses | ||
2020-09-01 | Type of plan entity | Single employer plan |
2020-09-01 | Submission has been amended | No |
2020-09-01 | This submission is the final filing | No |
2020-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2020-09-01 | Plan is a collectively bargained plan | No |
2020-09-01 | Plan funding arrangement – Insurance | Yes |
2020-09-01 | Plan benefit arrangement – Insurance | Yes |
2016: HOLZHEUS EL RANCHO MARKET INC. WELFARE BENEFITS PLAN 2016 form 5500 responses | ||
2016-09-01 | Type of plan entity | Single employer plan |
2016-09-01 | Submission has been amended | No |
2016-09-01 | This submission is the final filing | No |
2016-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2016-09-01 | Plan is a collectively bargained plan | No |
2016-09-01 | Plan funding arrangement – Insurance | Yes |
2016-09-01 | Plan benefit arrangement – Insurance | Yes |
2015: HOLZHEUS EL RANCHO MARKET INC. WELFARE BENEFITS PLAN 2015 form 5500 responses | ||
2015-09-01 | Type of plan entity | Single employer plan |
2015-09-01 | First time form 5500 has been submitted | Yes |
2015-09-01 | Submission has been amended | No |
2015-09-01 | This submission is the final filing | No |
2015-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2015-09-01 | Plan is a collectively bargained plan | No |
2015-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2015-09-01 | Plan benefit arrangement – Insurance | Yes |
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 278081 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 278081 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 535878 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 278081 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 3000000/5460289 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 3 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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