401k Plan data: LIFESTYLES FOR THE DISABLED INC. WEEKLY DISABILITY PLAN plan

LIFESTYLES FOR THE DISABLED INC. WEEKLY DISABILITY PLAN 401k Plan overview

Plan Name	LIFESTYLES FOR THE DISABLED INC. WEEKLY DISABILITY PLAN
Plan identification number	502

LIFESTYLES FOR THE DISABLED INC. WEEKLY DISABILITY PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Temporary disability (accident and sickness)

401k Sponsoring company profile

LIFESTYLES FOR THE DISABLED, INC has sponsored the creation of one or more 401k plans.

Company Name: LIFESTYLES FOR THE DISABLED, INC

Employer identification number (EIN): 133740011

NAIC Classification: 624310
NAIC Description: Vocational Rehabilitation Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIFESTYLES FOR THE DISABLED INC. WEEKLY DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2023-10-01 LORI BAIR 2025-01-16
502 2022-10-01 LORI BAIR 2024-07-15
502 2021-10-01 LORI BAIR 2023-07-10
502 2020-10-01 LORI BAIR 2022-11-15
502 2018-10-01 LORI BAIR 2022-11-17
502 2017-10-01 LORI BAIR 2022-11-17
502 2016-10-01 LORI BAIR 2022-11-17
502 2015-10-01 LORI BAIR 2022-11-15

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
502	2023-10-01	LORI BAIR	2025-01-16
502	2022-10-01	LORI BAIR	2024-07-15
502	2021-10-01	LORI BAIR	2023-07-10
502	2020-10-01	LORI BAIR	2022-11-15
502	2018-10-01	LORI BAIR	2022-11-17
502	2017-10-01	LORI BAIR	2022-11-17
502	2016-10-01	LORI BAIR	2022-11-17
502	2015-10-01	LORI BAIR	2022-11-15

Form 5500 Responses for LIFESTYLES FOR THE DISABLED INC. WEEKLY DISABILITY PLAN

2023: LIFESTYLES FOR THE DISABLED INC. WEEKLY DISABILITY PLAN 2023 form 5500 responses
2023-10-01	Type of plan entity	Single employer plan
2023-10-01	Plan funding arrangement – Insurance	Yes
2023-10-01	Plan benefit arrangement – Insurance	Yes
2022: LIFESTYLES FOR THE DISABLED INC. WEEKLY DISABILITY PLAN 2022 form 5500 responses
2022-10-01	Type of plan entity	Single employer plan
2022-10-01	Plan funding arrangement – Insurance	Yes
2022-10-01	Plan benefit arrangement – Insurance	Yes
2021: LIFESTYLES FOR THE DISABLED INC. WEEKLY DISABILITY PLAN 2021 form 5500 responses
2021-10-01	Type of plan entity	Single employer plan
2021-10-01	Plan funding arrangement – Insurance	Yes
2021-10-01	Plan benefit arrangement – Insurance	Yes
2020: LIFESTYLES FOR THE DISABLED INC. WEEKLY DISABILITY PLAN 2020 form 5500 responses
2020-10-01	Type of plan entity	Single employer plan
2020-10-01	Plan funding arrangement – Insurance	Yes
2020-10-01	Plan benefit arrangement – Insurance	Yes
2018: LIFESTYLES FOR THE DISABLED INC. WEEKLY DISABILITY PLAN 2018 form 5500 responses
2018-10-01	Type of plan entity	Single employer plan
2018-10-01	Plan funding arrangement – Insurance	Yes
2018-10-01	Plan benefit arrangement – Insurance	Yes
2017: LIFESTYLES FOR THE DISABLED INC. WEEKLY DISABILITY PLAN 2017 form 5500 responses
2017-10-01	Type of plan entity	Single employer plan
2017-10-01	Plan funding arrangement – Insurance	Yes
2017-10-01	Plan benefit arrangement – Insurance	Yes
2016: LIFESTYLES FOR THE DISABLED INC. WEEKLY DISABILITY PLAN 2016 form 5500 responses
2016-10-01	Type of plan entity	Single employer plan
2016-10-01	Plan funding arrangement – Insurance	Yes
2016-10-01	Plan benefit arrangement – Insurance	Yes
2015: LIFESTYLES FOR THE DISABLED INC. WEEKLY DISABILITY PLAN 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	First time form 5500 has been submitted	Yes
2015-10-01	Plan funding arrangement – Insurance	Yes
2015-10-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

G164171

Policy instance

Insurance contract or identification number	G164171
Number of Individuals Covered	145
Insurance policy start date	2023-07-01
Insurance policy end date	2024-06-30
Total amount of commissions paid to insurance broker	USD $3,578
Total amount of fees paid to insurance company	USD $0
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $35,779
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

G164171

Policy instance

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

G164171

Policy instance

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

G164171

Policy instance

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

G164171

Policy instance

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

G164171

Policy instance

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

G164171

Policy instance

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

G164171

Policy instance

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Company Name:	LIFESTYLES FOR THE DISABLED, INC
Employer identification number (EIN):	133740011
NAIC Classification:	624310
NAIC Description:	Vocational Rehabilitation Services