401k Plan data: LJP ENTERPRISES GROUP BENEFIT PLAN plan

LJP ENTERPRISES GROUP BENEFIT PLAN 401k Plan overview

Plan Name	LJP ENTERPRISES GROUP BENEFIT PLAN
Plan identification number	510

LJP ENTERPRISES GROUP BENEFIT 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) Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

LJP WASTE SOLUTIONS has sponsored the creation of one or more 401k plans.

Company Name: LJP WASTE SOLUTIONS

Employer identification number (EIN): 411737795

NAIC Classification: 562000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LJP ENTERPRISES GROUP BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
510 2023-01-01 ANDREW THOM 2024-04-18

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
510	2023-01-01	ANDREW THOM	2024-04-18

Form 5500 Responses for LJP ENTERPRISES GROUP BENEFIT PLAN

2023: LJP ENTERPRISES GROUP BENEFIT PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	First time form 5500 has been submitted	Yes
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 )

Policy contract number

284613

Policy instance

Insurance contract or identification number	284613
Number of Individuals Covered	188
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $4,533
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,317,492
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

1151174

Policy instance

Insurance contract or identification number	1151174
Number of Individuals Covered	214
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $5,365
Total amount of fees paid to insurance company	USD $1,278
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $94,596
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG0AEFY

Policy instance

Insurance contract or identification number	GLUG0AEFY
Number of Individuals Covered	161
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $1,740
Total amount of fees paid to insurance company	USD $272
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $11,603
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

LJP ENTERPRISES INCORPORATED RETIREMENT PLAN [EIN = 831979151]

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Company Name:	LJP WASTE SOLUTIONS
Employer identification number (EIN):	411737795
NAIC Classification:	562000