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THE LOVESAC COMPANY'S LIFE AND DISABILITY PLANS 401k Plan overview

Plan NameTHE LOVESAC COMPANY'S LIFE AND DISABILITY PLANS
Plan identification number 502

THE LOVESAC COMPANY'S LIFE AND DISABILITY PLANS Benefits

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

401k Sponsoring company profile

THE LOVESAC COMPANY has sponsored the creation of one or more 401k plans.

Company Name:THE LOVESAC COMPANY
Employer identification number (EIN):320514958
NAIC Classification:442110
NAIC Description:Furniture Stores

Additional information about THE LOVESAC COMPANY

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2017-05-26
Company Identification Number: 0802732963
Legal Registered Office Address: 2 LANDMARK SQ STE 300

STAMFORD
United States of America (USA)
06901

More information about THE LOVESAC COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE LOVESAC COMPANY'S LIFE AND DISABILITY PLANS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-09-01GUNJAN RAWAT2022-09-07
5022020-09-01GUNJAN RAWAT2022-03-18
5022019-09-01ARLENE MUSSENDEN2021-03-16
5022018-09-01ARLENE MUSSENDEN2020-05-08

Plan Statistics for THE LOVESAC COMPANY'S LIFE AND DISABILITY PLANS

401k plan membership statisitcs for THE LOVESAC COMPANY'S LIFE AND DISABILITY PLANS

Measure Date Value
2021: THE LOVESAC COMPANY'S LIFE AND DISABILITY PLANS 2021 401k membership
Total participants, beginning-of-year2021-09-01337
Total number of active participants reported on line 7a of the Form 55002021-09-010
Number of retired or separated participants receiving benefits2021-09-010
Number of other retired or separated participants entitled to future benefits2021-09-010
Total of all active and inactive participants2021-09-010
Number of employers contributing to the scheme2021-09-010
2020: THE LOVESAC COMPANY'S LIFE AND DISABILITY PLANS 2020 401k membership
Total participants, beginning-of-year2020-09-01299
Total number of active participants reported on line 7a of the Form 55002020-09-01337
Number of retired or separated participants receiving benefits2020-09-010
Number of other retired or separated participants entitled to future benefits2020-09-010
Total of all active and inactive participants2020-09-01337
Number of employers contributing to the scheme2020-09-010
2019: THE LOVESAC COMPANY'S LIFE AND DISABILITY PLANS 2019 401k membership
Total participants, beginning-of-year2019-09-01126
Total number of active participants reported on line 7a of the Form 55002019-09-01299
Number of retired or separated participants receiving benefits2019-09-010
Number of other retired or separated participants entitled to future benefits2019-09-010
Total of all active and inactive participants2019-09-01299
Number of employers contributing to the scheme2019-09-010
2018: THE LOVESAC COMPANY'S LIFE AND DISABILITY PLANS 2018 401k membership
Total participants, beginning-of-year2018-09-01100
Total number of active participants reported on line 7a of the Form 55002018-09-01126
Number of retired or separated participants receiving benefits2018-09-010
Number of other retired or separated participants entitled to future benefits2018-09-010
Total of all active and inactive participants2018-09-01126
Number of employers contributing to the scheme2018-09-010

Form 5500 Responses for THE LOVESAC COMPANY'S LIFE AND DISABILITY PLANS

2021: THE LOVESAC COMPANY'S LIFE AND DISABILITY PLANS 2021 form 5500 responses
2021-09-01Type of plan entitySingle employer plan
2021-09-01This submission is the final filingYes
2021-09-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-09-01Plan funding arrangement – InsuranceYes
2021-09-01Plan benefit arrangement – InsuranceYes
2020: THE LOVESAC COMPANY'S LIFE AND DISABILITY PLANS 2020 form 5500 responses
2020-09-01Type of plan entitySingle employer plan
2020-09-01Plan funding arrangement – InsuranceYes
2020-09-01Plan benefit arrangement – InsuranceYes
2019: THE LOVESAC COMPANY'S LIFE AND DISABILITY PLANS 2019 form 5500 responses
2019-09-01Type of plan entitySingle employer plan
2019-09-01Plan funding arrangement – InsuranceYes
2019-09-01Plan benefit arrangement – InsuranceYes
2018: THE LOVESAC COMPANY'S LIFE AND DISABILITY PLANS 2018 form 5500 responses
2018-09-01Type of plan entitySingle employer plan
2018-09-01First time form 5500 has been submittedYes
2018-09-01Plan funding arrangement – InsuranceYes
2018-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number305745
Policy instance 1
Insurance contract or identification number305745
Number of Individuals Covered550
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $17,367
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $147,187
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,367
Amount paid for insurance broker fees0
Insurance broker organization code?3
PAUL REVERE VARIABLE ANNUITY INS. CO. (National Association of Insurance Commissioners NAIC id number: 67601 )
Policy contract number428549
Policy instance 2
Insurance contract or identification number428549
Number of Individuals Covered95
Insurance policy start date2021-09-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $348
Total amount of fees paid to insurance companyUSD $119
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedCRITICAL ILLNESS,ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $10,443
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $348
Amount paid for insurance broker fees119
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number305745
Policy instance 1
Insurance contract or identification number305745
Number of Individuals Covered337
Insurance policy start date2020-09-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $2,016
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $35,393
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,016
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number305745
Policy instance 1
Insurance contract or identification number305745
Number of Individuals Covered299
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $12,656
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $109,899
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,656
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number305745
Policy instance 1
Insurance contract or identification number305745
Number of Individuals Covered295
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $6,419
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $99,051
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,419
Amount paid for insurance broker fees0
Insurance broker organization code?3

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