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LOMBARDO HOMES OF SE MICHIGAN, LLC WELFARE PLAN 401k Plan overview

Plan NameLOMBARDO HOMES OF SE MICHIGAN, LLC WELFARE PLAN
Plan identification number 501

LOMBARDO HOMES OF SE MICHIGAN, LLC WELFARE PLAN Benefits

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

401k Sponsoring company profile

LOMBARDO HOMES OF SE MICHIGAN, LLC has sponsored the creation of one or more 401k plans.

Company Name:LOMBARDO HOMES OF SE MICHIGAN, LLC
Employer identification number (EIN):262908104
NAIC Classification:236110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LOMBARDO HOMES OF SE MICHIGAN, LLC WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-02-01ANNA LISA LOMBARDO2021-09-10
5012019-02-01ANNA LISA LOMBARDO2020-09-16
5012018-02-01ANNA LISA LOMBARDO2020-09-16
5012017-02-01ANNA LISA LOMBARDO2020-09-16
5012016-02-01ANNA LISA LOMBARDO2020-09-16
5012015-02-01ANNA LISA LOMBARDO2020-09-16
5012014-02-01ANNA LISA LOMBARDO2020-09-16

Plan Statistics for LOMBARDO HOMES OF SE MICHIGAN, LLC WELFARE PLAN

401k plan membership statisitcs for LOMBARDO HOMES OF SE MICHIGAN, LLC WELFARE PLAN

Measure Date Value
2020: LOMBARDO HOMES OF SE MICHIGAN, LLC WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-02-01142
Total number of active participants reported on line 7a of the Form 55002020-02-01141
Total of all active and inactive participants2020-02-01141
2019: LOMBARDO HOMES OF SE MICHIGAN, LLC WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-02-01145
Total number of active participants reported on line 7a of the Form 55002019-02-01142
Total of all active and inactive participants2019-02-01142
2018: LOMBARDO HOMES OF SE MICHIGAN, LLC WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-02-01130
Total number of active participants reported on line 7a of the Form 55002018-02-01145
Total of all active and inactive participants2018-02-01145
2017: LOMBARDO HOMES OF SE MICHIGAN, LLC WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-02-01117
Total number of active participants reported on line 7a of the Form 55002017-02-01130
Total of all active and inactive participants2017-02-01130
2016: LOMBARDO HOMES OF SE MICHIGAN, LLC WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-02-01110
Total number of active participants reported on line 7a of the Form 55002016-02-01117
Total of all active and inactive participants2016-02-01117
2015: LOMBARDO HOMES OF SE MICHIGAN, LLC WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-02-01115
Total number of active participants reported on line 7a of the Form 55002015-02-01110
Total of all active and inactive participants2015-02-01110
2014: LOMBARDO HOMES OF SE MICHIGAN, LLC WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-02-01100
Total number of active participants reported on line 7a of the Form 55002014-02-01115
Total of all active and inactive participants2014-02-01115

Form 5500 Responses for LOMBARDO HOMES OF SE MICHIGAN, LLC WELFARE PLAN

2020: LOMBARDO HOMES OF SE MICHIGAN, LLC WELFARE PLAN 2020 form 5500 responses
2020-02-01Type of plan entitySingle employer plan
2020-02-01Plan funding arrangement – InsuranceYes
2020-02-01Plan funding arrangement – General assets of the sponsorYes
2020-02-01Plan benefit arrangement – InsuranceYes
2020-02-01Plan benefit arrangement – General assets of the sponsorYes
2019: LOMBARDO HOMES OF SE MICHIGAN, LLC WELFARE PLAN 2019 form 5500 responses
2019-02-01Type of plan entitySingle employer plan
2019-02-01First time form 5500 has been submittedYes
2019-02-01Plan funding arrangement – InsuranceYes
2019-02-01Plan funding arrangement – General assets of the sponsorYes
2019-02-01Plan benefit arrangement – InsuranceYes
2019-02-01Plan benefit arrangement – General assets of the sponsorYes
2018: LOMBARDO HOMES OF SE MICHIGAN, LLC WELFARE PLAN 2018 form 5500 responses
2018-02-01Type of plan entitySingle employer plan
2018-02-01Plan funding arrangement – InsuranceYes
2018-02-01Plan funding arrangement – General assets of the sponsorYes
2018-02-01Plan benefit arrangement – InsuranceYes
2018-02-01Plan benefit arrangement – General assets of the sponsorYes
2017: LOMBARDO HOMES OF SE MICHIGAN, LLC WELFARE PLAN 2017 form 5500 responses
2017-02-01Type of plan entitySingle employer plan
2017-02-01Plan funding arrangement – InsuranceYes
2017-02-01Plan funding arrangement – General assets of the sponsorYes
2017-02-01Plan benefit arrangement – InsuranceYes
2017-02-01Plan benefit arrangement – General assets of the sponsorYes
2016: LOMBARDO HOMES OF SE MICHIGAN, LLC WELFARE PLAN 2016 form 5500 responses
2016-02-01Type of plan entitySingle employer plan
2016-02-01Submission has been amendedNo
2016-02-01This submission is the final filingNo
2016-02-01This return/report is a short plan year return/report (less than 12 months)No
2016-02-01Plan is a collectively bargained planNo
2016-02-01Plan funding arrangement – InsuranceYes
2016-02-01Plan funding arrangement – General assets of the sponsorYes
2016-02-01Plan benefit arrangement – InsuranceYes
2016-02-01Plan benefit arrangement – General assets of the sponsorYes
2015: LOMBARDO HOMES OF SE MICHIGAN, LLC WELFARE PLAN 2015 form 5500 responses
2015-02-01Type of plan entitySingle employer plan
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan funding arrangement – General assets of the sponsorYes
2015-02-01Plan benefit arrangement – InsuranceYes
2015-02-01Plan benefit arrangement – General assets of the sponsorYes
2014: LOMBARDO HOMES OF SE MICHIGAN, LLC WELFARE PLAN 2014 form 5500 responses
2014-02-01Type of plan entitySingle employer plan
2014-02-01First time form 5500 has been submittedYes
2014-02-01Plan funding arrangement – InsuranceYes
2014-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ALLIANCE HEALTH AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60134 )
Policy contract number10004582
Policy instance 2
Insurance contract or identification number10004582
Number of Individuals Covered227
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $32,505
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Other welfare benefits providedAHL EPO CONTRACT
Welfare Benefit Premiums Paid to CarrierUSD $871,387
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,505
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00364651
Policy instance 1
Insurance contract or identification number00364651
Number of Individuals Covered148
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $9,195
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D, OPTIONAL LIFE
Welfare Benefit Premiums Paid to CarrierUSD $111,781
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,195
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00364651
Policy instance 1
Insurance contract or identification number00364651
Number of Individuals Covered142
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $10,919
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D, OPTIONAL LIFE
Welfare Benefit Premiums Paid to CarrierUSD $131,678
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,919
Amount paid for insurance broker fees0
Insurance broker organization code?3
ALLIANCE HEALTH AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60134 )
Policy contract number10004582
Policy instance 2
Insurance contract or identification number10004582
Number of Individuals Covered235
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $32,241
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Other welfare benefits providedAHL EPO CONTRACT
Welfare Benefit Premiums Paid to CarrierUSD $848,113
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,241
Amount paid for insurance broker fees0
Insurance broker organization code?3
ALLIANCE HEALTH AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60134 )
Policy contract number10004582
Policy instance 2
Insurance contract or identification number10004582
Number of Individuals Covered223
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $40,761
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Other welfare benefits providedAHL EPO CONTRACT
Welfare Benefit Premiums Paid to CarrierUSD $879,016
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,193
Amount paid for insurance broker fees0
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00364651
Policy instance 1
Insurance contract or identification number00364651
Number of Individuals Covered145
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $9,119
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D, OPTIONAL LIFE
Welfare Benefit Premiums Paid to CarrierUSD $111,062
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $910
Amount paid for insurance broker fees0
Insurance broker organization code?3
HEALTH ALLIANCE PLAN (National Association of Insurance Commissioners NAIC id number: 95844 )
Policy contract number10004581
Policy instance 3
Insurance contract or identification number10004581
Number of Individuals Covered128
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $20,244
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $438,607
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 number00364651
Policy instance 1
Insurance contract or identification number00364651
Number of Individuals Covered130
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $8,080
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D, OPTIONAL LIFE
Welfare Benefit Premiums Paid to CarrierUSD $95,292
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANCE HEALTH AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60134 )
Policy contract number10004582
Policy instance 2
Insurance contract or identification number10004582
Number of Individuals Covered76
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $14,895
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Other welfare benefits providedAHL EPO CONTRACT
Welfare Benefit Premiums Paid to CarrierUSD $307,438
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANCE HEALTH AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60134 )
Policy contract number10004582
Policy instance 1
Insurance contract or identification number10004582
Number of Individuals Covered77
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $16,739
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Other welfare benefits providedAHL CONTRACT
Welfare Benefit Premiums Paid to CarrierUSD $265,323
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,327
Amount paid for insurance broker fees0
Insurance broker organization code?3
HEALTH ALLIANCE PLAN (National Association of Insurance Commissioners NAIC id number: 95844 )
Policy contract number10004581
Policy instance 3
Insurance contract or identification number10004581
Number of Individuals Covered111
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $19,478
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $312,855
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,720
Amount paid for insurance broker fees0
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00364651
Policy instance 2
Insurance contract or identification number00364651
Number of Individuals Covered110
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $7,341
Total amount of fees paid to insurance companyUSD $337
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D, OPTIONAL LIFE
Welfare Benefit Premiums Paid to CarrierUSD $81,544
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,341
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerOTHER
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract numberMI008080002
Policy instance 3
Insurance contract or identification numberMI008080002
Number of Individuals Covered71
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $42,438
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 )
Policy contract number380317-P80317
Policy instance 2
Insurance contract or identification number380317-P80317
Number of Individuals Covered115
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $694,410
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00364651
Policy instance 1
Insurance contract or identification number00364651
Number of Individuals Covered115
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $3,518
Total amount of fees paid to insurance companyUSD $956
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D, OPTIONAL LIFE
Welfare Benefit Premiums Paid to CarrierUSD $28,760
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,078
Amount paid for insurance broker fees956
Additional information about fees paid to insurance brokerOTHER
Insurance broker organization code?3
SVS VISION MANAGED CARE, INC. (National Association of Insurance Commissioners NAIC id number: 11082 )
Policy contract number19100
Policy instance 4
Insurance contract or identification number19100
Number of Individuals Covered47
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,889
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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