401k Plan data: TITAN AMERICA LLC GROUP MEDICAL PLAN plan

TITAN AMERICA LLC GROUP MEDICAL PLAN 401k Plan overview

Plan Name	TITAN AMERICA LLC GROUP MEDICAL PLAN
Plan identification number	501

TITAN AMERICA LLC GROUP MEDICAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

TITAN AMERICA LLC has sponsored the creation of one or more 401k plans.

Company Name: TITAN AMERICA LLC

Employer identification number (EIN): 980124782

NAIC Classification: 523900

Additional information about TITAN AMERICA LLC

Jurisdiction of Incorporation: Virginia Secretary of State

Incorporation Date: 2001-05-24

Company Identification Number: S063173

Legal Registered Office Address: STATE ROAD 779

CLOVERDALE
United States of America (USA)
24077

More information about TITAN AMERICA LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TITAN AMERICA LLC GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2016-04-01 YVONNE SMITH
501 2015-04-01 YSMITH@TITANAMERICA.COM
501 2014-04-01 YVONNE SMITH
501 2014-04-01 YSMITH@TITANAMERICA.COM
501 2013-04-01 YVONNE SMITH
501 2012-04-01 YVONNE SMITH
501 2011-04-01 YVONNE SMITH
501 2010-04-01 YVONNE SMITH
501 2009-04-01 YVONNE SMITH

Plan id#	Filing Submission Date	Name of Administrator
501	2016-04-01	YVONNE SMITH
501	2015-04-01	YSMITH@TITANAMERICA.COM
501	2014-04-01	YVONNE SMITH
501	2014-04-01	YSMITH@TITANAMERICA.COM
501	2013-04-01	YVONNE SMITH
501	2012-04-01	YVONNE SMITH
501	2011-04-01	YVONNE SMITH
501	2010-04-01	YVONNE SMITH
501	2009-04-01	YVONNE SMITH

Plan Statistics for TITAN AMERICA LLC GROUP MEDICAL PLAN

401k plan membership statisitcs for TITAN AMERICA LLC GROUP MEDICAL PLAN

Measure Date Value
2016: TITAN AMERICA LLC GROUP MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-04-01 1,760
Total number of active participants reported on line 7a of the Form 5500 2016-04-01 0
Number of retired or separated participants receiving benefits 2016-04-01 0
Number of other retired or separated participants entitled to future benefits 2016-04-01 0
Total of all active and inactive participants 2016-04-01 0
2015: TITAN AMERICA LLC GROUP MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-04-01 1,346
Total number of active participants reported on line 7a of the Form 5500 2015-04-01 1,677
Number of retired or separated participants receiving benefits 2015-04-01 6
Number of other retired or separated participants entitled to future benefits 2015-04-01 0
Total of all active and inactive participants 2015-04-01 1,683
2014: TITAN AMERICA LLC GROUP MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-04-01 1,410
Total number of active participants reported on line 7a of the Form 5500 2014-04-01 1,344
Number of retired or separated participants receiving benefits 2014-04-01 23
Number of other retired or separated participants entitled to future benefits 2014-04-01 0
Total of all active and inactive participants 2014-04-01 1,367
2013: TITAN AMERICA LLC GROUP MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-04-01 1,343
Total number of active participants reported on line 7a of the Form 5500 2013-04-01 1,274
Number of retired or separated participants receiving benefits 2013-04-01 14
Number of other retired or separated participants entitled to future benefits 2013-04-01 0
Total of all active and inactive participants 2013-04-01 1,288
2012: TITAN AMERICA LLC GROUP MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-04-01 1,376
Total number of active participants reported on line 7a of the Form 5500 2012-04-01 1,287
Number of retired or separated participants receiving benefits 2012-04-01 21
Number of other retired or separated participants entitled to future benefits 2012-04-01 0
Total of all active and inactive participants 2012-04-01 1,308
2011: TITAN AMERICA LLC GROUP MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-04-01 1,441
Total number of active participants reported on line 7a of the Form 5500 2011-04-01 1,318
Number of retired or separated participants receiving benefits 2011-04-01 36
Number of other retired or separated participants entitled to future benefits 2011-04-01 0
Total of all active and inactive participants 2011-04-01 1,354
2010: TITAN AMERICA LLC GROUP MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year 2010-04-01 1,460
Total number of active participants reported on line 7a of the Form 5500 2010-04-01 1,336
Number of retired or separated participants receiving benefits 2010-04-01 35
Number of other retired or separated participants entitled to future benefits 2010-04-01 0
Total of all active and inactive participants 2010-04-01 1,371
2009: TITAN AMERICA LLC GROUP MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-04-01 1,654
Total number of active participants reported on line 7a of the Form 5500 2009-04-01 1,381
Number of retired or separated participants receiving benefits 2009-04-01 57
Number of other retired or separated participants entitled to future benefits 2009-04-01 0
Total of all active and inactive participants 2009-04-01 1,438

Measure	Date	Value
2016: TITAN AMERICA LLC GROUP MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-04-01	1,760
Total number of active participants reported on line 7a of the Form 5500	2016-04-01	0
Number of retired or separated participants receiving benefits	2016-04-01	0
Number of other retired or separated participants entitled to future benefits	2016-04-01	0
Total of all active and inactive participants	2016-04-01	0
2015: TITAN AMERICA LLC GROUP MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-04-01	1,346
Total number of active participants reported on line 7a of the Form 5500	2015-04-01	1,677
Number of retired or separated participants receiving benefits	2015-04-01	6
Number of other retired or separated participants entitled to future benefits	2015-04-01	0
Total of all active and inactive participants	2015-04-01	1,683
2014: TITAN AMERICA LLC GROUP MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-04-01	1,410
Total number of active participants reported on line 7a of the Form 5500	2014-04-01	1,344
Number of retired or separated participants receiving benefits	2014-04-01	23
Number of other retired or separated participants entitled to future benefits	2014-04-01	0
Total of all active and inactive participants	2014-04-01	1,367
2013: TITAN AMERICA LLC GROUP MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-04-01	1,343
Total number of active participants reported on line 7a of the Form 5500	2013-04-01	1,274
Number of retired or separated participants receiving benefits	2013-04-01	14
Number of other retired or separated participants entitled to future benefits	2013-04-01	0
Total of all active and inactive participants	2013-04-01	1,288
2012: TITAN AMERICA LLC GROUP MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-04-01	1,376
Total number of active participants reported on line 7a of the Form 5500	2012-04-01	1,287
Number of retired or separated participants receiving benefits	2012-04-01	21
Number of other retired or separated participants entitled to future benefits	2012-04-01	0
Total of all active and inactive participants	2012-04-01	1,308
2011: TITAN AMERICA LLC GROUP MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-04-01	1,441
Total number of active participants reported on line 7a of the Form 5500	2011-04-01	1,318
Number of retired or separated participants receiving benefits	2011-04-01	36
Number of other retired or separated participants entitled to future benefits	2011-04-01	0
Total of all active and inactive participants	2011-04-01	1,354
2010: TITAN AMERICA LLC GROUP MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year	2010-04-01	1,460
Total number of active participants reported on line 7a of the Form 5500	2010-04-01	1,336
Number of retired or separated participants receiving benefits	2010-04-01	35
Number of other retired or separated participants entitled to future benefits	2010-04-01	0
Total of all active and inactive participants	2010-04-01	1,371
2009: TITAN AMERICA LLC GROUP MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-04-01	1,654
Total number of active participants reported on line 7a of the Form 5500	2009-04-01	1,381
Number of retired or separated participants receiving benefits	2009-04-01	57
Number of other retired or separated participants entitled to future benefits	2009-04-01	0
Total of all active and inactive participants	2009-04-01	1,438

Form 5500 Responses for TITAN AMERICA LLC GROUP MEDICAL PLAN

2016: TITAN AMERICA LLC GROUP MEDICAL PLAN 2016 form 5500 responses
2016-04-01	Type of plan entity	Single employer plan
2016-04-01	Submission has been amended	No
2016-04-01	This submission is the final filing	Yes
2016-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-04-01	Plan is a collectively bargained plan	No
2016-04-01	Plan funding arrangement – Insurance	Yes
2016-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-04-01	Plan benefit arrangement – Insurance	Yes
2016-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: TITAN AMERICA LLC GROUP MEDICAL PLAN 2015 form 5500 responses
2015-04-01	Type of plan entity	Single employer plan
2015-04-01	Submission has been amended	No
2015-04-01	This submission is the final filing	No
2015-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-04-01	Plan is a collectively bargained plan	No
2015-04-01	Plan funding arrangement – Insurance	Yes
2015-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-04-01	Plan benefit arrangement – Insurance	Yes
2015-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: TITAN AMERICA LLC GROUP MEDICAL PLAN 2014 form 5500 responses
2014-04-01	Type of plan entity	Single employer plan
2014-04-01	Submission has been amended	Yes
2014-04-01	This submission is the final filing	No
2014-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-04-01	Plan is a collectively bargained plan	No
2014-04-01	Plan funding arrangement – Insurance	Yes
2014-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-04-01	Plan benefit arrangement – Insurance	Yes
2014-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: TITAN AMERICA LLC GROUP MEDICAL PLAN 2013 form 5500 responses
2013-04-01	Type of plan entity	Single employer plan
2013-04-01	Submission has been amended	No
2013-04-01	This submission is the final filing	No
2013-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-04-01	Plan is a collectively bargained plan	No
2013-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: TITAN AMERICA LLC GROUP MEDICAL PLAN 2012 form 5500 responses
2012-04-01	Type of plan entity	Single employer plan
2012-04-01	Submission has been amended	No
2012-04-01	This submission is the final filing	No
2012-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-04-01	Plan is a collectively bargained plan	No
2012-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: TITAN AMERICA LLC GROUP MEDICAL PLAN 2011 form 5500 responses
2011-04-01	Type of plan entity	Single employer plan
2011-04-01	Submission has been amended	No
2011-04-01	This submission is the final filing	No
2011-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-04-01	Plan is a collectively bargained plan	No
2011-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: TITAN AMERICA LLC GROUP MEDICAL PLAN 2010 form 5500 responses
2010-04-01	Type of plan entity	Single employer plan
2010-04-01	Submission has been amended	No
2010-04-01	This submission is the final filing	No
2010-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-04-01	Plan is a collectively bargained plan	No
2010-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: TITAN AMERICA LLC GROUP MEDICAL PLAN 2009 form 5500 responses
2009-04-01	Type of plan entity	Single employer plan
2009-04-01	Submission has been amended	No
2009-04-01	This submission is the final filing	No
2009-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-04-01	Plan is a collectively bargained plan	No
2009-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-04-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )

Policy contract number

B5K53

Policy instance

Insurance contract or identification number	B5K53
Number of Individuals Covered	16
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Are there contracts with allocated funds for individual policies?	No
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	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
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 $215,002
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )

Policy contract number

B5K53

Policy instance

Insurance contract or identification number	B5K53
Number of Individuals Covered	19
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Are there contracts with allocated funds for individual policies?	No
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	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
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 $206,287
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	TITAN AMERICA LLC
Employer identification number (EIN):	980124782
NAIC Classification:	523900

Jurisdiction of Incorporation:	Virginia Secretary of State
Incorporation Date:	2001-05-24
Company Identification Number:	S063173
Legal Registered Office Address:	STATE ROAD 779 CLOVERDALE United States of America (USA) 24077