401k Plan data: RHOADS & SINON, LLP GROUP BENEFIT PLAN plan

RHOADS & SINON, LLP GROUP BENEFIT PLAN 401k Plan overview

Plan Name	RHOADS & SINON, LLP GROUP BENEFIT PLAN
Plan identification number	501

RHOADS & SINON, LLP GROUP BENEFIT PLAN Benefits

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

401k Sponsoring company profile

RHOADS & SINON, LLP has sponsored the creation of one or more 401k plans.

Company Name: RHOADS & SINON, LLP

Employer identification number (EIN): 231305377

NAIC Classification: 541110
NAIC Description: Offices of Lawyers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RHOADS & SINON, LLP GROUP BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2019-01-01 THOMAS HERWEG 2020-07-15
501 2018-01-01 THOMAS HERWEG 2019-07-29
501 2017-01-01 THOMAS HERWEG 2018-07-20
501 2016-01-01 ELIZABETH LEBO 2017-06-15
501 2015-01-01 ELIZABETH LEBO

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2019-01-01	THOMAS HERWEG	2020-07-15
501	2018-01-01	THOMAS HERWEG	2019-07-29
501	2017-01-01	THOMAS HERWEG	2018-07-20
501	2016-01-01	ELIZABETH LEBO	2017-06-15
501	2015-01-01	ELIZABETH LEBO

Plan Statistics for RHOADS & SINON, LLP GROUP BENEFIT PLAN

401k plan membership statisitcs for RHOADS & SINON, LLP GROUP BENEFIT PLAN

Measure Date Value
2015: RHOADS & SINON, LLP GROUP BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 52
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 52

Measure	Date	Value
2015: RHOADS & SINON, LLP GROUP BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	52
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	52

Form 5500 Responses for RHOADS & SINON, LLP GROUP BENEFIT PLAN

2015: RHOADS & SINON, LLP GROUP BENEFIT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	First time form 5500 has been submitted	Yes
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00483447

Policy instance

Insurance contract or identification number	00483447
Number of Individuals Covered	85
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $11,512
Total amount of fees paid to insurance company	USD $6,159
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	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	AD&D, SHORT TERM DISABILITY
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 $125,443
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,801
Amount paid for insurance broker fees	6159
Additional information about fees paid to insurance broker	FEES
Insurance broker organization code?	3
Insurance broker name	INDEPENDENCE PLANNING GROUP, LLC

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )

Policy contract number

51117

Policy instance

Insurance contract or identification number	51117
Number of Individuals Covered	50
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $357
Total amount of fees paid to insurance company	USD $0
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	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 $7,145
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $357
Insurance broker organization code?	3
Insurance broker name	L.R. WEBBER ASSOCIATES, INC.

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Company Name:	RHOADS & SINON, LLP
Employer identification number (EIN):	231305377
NAIC Classification:	541110
NAIC Description:	Offices of Lawyers