CLIFFS CLUB SERVICES, LLC TELEHEALTH PLAN 401k Plan overview
| Plan Name | CLIFFS CLUB SERVICES, LLC TELEHEALTH PLAN |
| Plan identification number | 505 |
CLIFFS CLUB SERVICES, LLC TELEHEALTH PLAN Benefits
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits | - Health (other than dental or vision)
|
401k Sponsoring company profile
CLIFFS CLUB SERVICES, LLC has sponsored the creation of one or more 401k plans.
Additional information about CLIFFS CLUB SERVICES, LLC
| Jurisdiction of Incorporation: | State of Delaware Division of Corporations |
| Incorporation Date: | |
| Company Identification Number: | 5166769 |
More information about CLIFFS CLUB SERVICES, LLC
Form 5500 Filing Information
Submission information for form 5500 for 401k plan CLIFFS CLUB SERVICES, LLC TELEHEALTH PLAN
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 505 | 2019-01-01 | DIXIE NORRIS | 2020-07-06 | | |
Plan Statistics for CLIFFS CLUB SERVICES, LLC TELEHEALTH PLAN
401k plan membership statisitcs for CLIFFS CLUB SERVICES, LLC TELEHEALTH PLAN
| Measure | Date | Value |
|---|
| 2019: CLIFFS CLUB SERVICES, LLC TELEHEALTH PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 0 |
| Total of all active and inactive participants | 2019-01-01 | 0 |
| Number of employers contributing to the scheme | 2019-01-01 | 0 |
Form 5500 Responses for CLIFFS CLUB SERVICES, LLC TELEHEALTH PLAN
| 2019: CLIFFS CLUB SERVICES, LLC TELEHEALTH PLAN 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | First time form 5500 has been submitted | Yes |
| 2019-01-01 | This submission is the final filing | Yes |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
Insurance Providers Used on plan
| EDOCHOME (National Association of Insurance Commissioners NAIC id number: 62111 ) |
| Policy contract number | CLIFFS1010 |
| Policy instance | 1 |
| Insurance contract or identification number | CLIFFS1010 | | Number of Individuals Covered | 79 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $1,104 | | Other welfare benefits provided | TELEHEALTH | | Welfare Benefit Premiums Paid to Carrier | USD $6,256 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 1104 | | Additional information about fees paid to insurance broker | BROKER FEES | | Insurance broker organization code? | 3 |
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