INSIDE EDGE COMMERCIAL INTERIOR SERVICES, LLC HEALTH AND WELFARE PLAN 401k Plan overview
| Plan Name | INSIDE EDGE COMMERCIAL INTERIOR SERVICES, LLC HEALTH AND WELFARE PLAN |
| Plan identification number | 504 |
INSIDE EDGE COMMERCIAL INTERIOR SERVICES, LLC HEALTH AND WELFARE PLAN Benefits
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits | - Health (other than dental or vision)
- Life insurance
- Dental
- Vision
- Temporary disability (accident and sickness)
- Long-term disability cover
- Death benefits (include travel accident but not life insurance)
- Other welfare benefit cover
|
401k Sponsoring company profile
INSIDE EDGE COMMERCIAL INTERIOR SERVICES, LLC has sponsored the creation of one or more 401k plans.
Additional information about INSIDE EDGE COMMERCIAL INTERIOR SERVICES, LLC
| Jurisdiction of Incorporation: | State of Delaware Division of Corporations |
| Incorporation Date: | |
| Company Identification Number: | 4656122 |
More information about INSIDE EDGE COMMERCIAL INTERIOR SERVICES, LLC
Form 5500 Filing Information
Submission information for form 5500 for 401k plan INSIDE EDGE COMMERCIAL INTERIOR SERVICES, LLC HEALTH AND WELFARE PLAN
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 504 | 2023-04-01 | KEVIN RILEY | 2024-03-14 | | |
Form 5500 Responses for INSIDE EDGE COMMERCIAL INTERIOR SERVICES, LLC HEALTH AND WELFARE PLAN
| 2023: INSIDE EDGE COMMERCIAL INTERIOR SERVICES, LLC HEALTH AND WELFARE PLAN 2023 form 5500 responses |
|---|
| 2023-04-01 | Type of plan entity | Single employer plan |
| 2023-04-01 | First time form 5500 has been submitted | Yes |
| 2023-04-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2023-04-01 | Plan funding arrangement – Insurance | Yes |
| 2023-04-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2023-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2023-04-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
Insurance Providers Used on plan
| MEDICA (National Association of Insurance Commissioners NAIC id number: 12459 ) |
| Policy contract number | 307514 |
| Policy instance | 1 |
| Insurance contract or identification number | 307514 | | Number of Individuals Covered | 257 | | Insurance policy start date | 2023-04-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $60,623 | | Total amount of fees paid to insurance company | USD $4,594 | | Health Insurance Welfare Benefit | Yes | | Other welfare benefits provided | EMPLOYEE ASSISTANCE PROGRAM | | Welfare Benefit Premiums Paid to Carrier | USD $1,322,583 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 10109631001 |
| Policy instance | 2 |
| Insurance contract or identification number | 10109631001 | | Number of Individuals Covered | 188 | | Insurance policy start date | 2023-04-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $1,272 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $11,521 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) |
| Policy contract number | 1018088 |
| Policy instance | 3 |
| Insurance contract or identification number | 1018088 | | Number of Individuals Covered | 280 | | Insurance policy start date | 2023-04-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $17,765 | | Total amount of fees paid to insurance company | USD $1,273 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM, ACCIDENT, CRITICAL ILLNESS | | Welfare Benefit Premiums Paid to Carrier | USD $96,193 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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