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ALEX LEE, INC. INDIVIDUAL DISABILITY INSURANCE PLA 401k Plan overview

Plan NameALEX LEE, INC. INDIVIDUAL DISABILITY INSURANCE PLA
Plan identification number 502

ALEX LEE, INC. INDIVIDUAL DISABILITY INSURANCE PLA Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Other welfare benefit cover

401k Sponsoring company profile

ALEX LEE, INC. has sponsored the creation of one or more 401k plans.

Company Name:ALEX LEE, INC.
Employer identification number (EIN):561780605
NAIC Classification:424400

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ALEX LEE, INC. INDIVIDUAL DISABILITY INSURANCE PLA

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-10-01
5022020-10-01
5022019-10-01
5022018-10-01
5022017-10-01
5022016-10-01KIM DAVIS

Plan Statistics for ALEX LEE, INC. INDIVIDUAL DISABILITY INSURANCE PLA

401k plan membership statisitcs for ALEX LEE, INC. INDIVIDUAL DISABILITY INSURANCE PLA

Measure Date Value
2021: ALEX LEE, INC. INDIVIDUAL DISABILITY INSURANCE PLA 2021 401k membership
Total participants, beginning-of-year2021-10-01133
Total number of active participants reported on line 7a of the Form 55002021-10-01157
Total of all active and inactive participants2021-10-01157
2020: ALEX LEE, INC. INDIVIDUAL DISABILITY INSURANCE PLA 2020 401k membership
Total participants, beginning-of-year2020-10-01113
Total number of active participants reported on line 7a of the Form 55002020-10-01133
Total of all active and inactive participants2020-10-01133
2019: ALEX LEE, INC. INDIVIDUAL DISABILITY INSURANCE PLA 2019 401k membership
Total participants, beginning-of-year2019-10-0193
Total number of active participants reported on line 7a of the Form 55002019-10-01113
Total of all active and inactive participants2019-10-01113
2018: ALEX LEE, INC. INDIVIDUAL DISABILITY INSURANCE PLA 2018 401k membership
Total participants, beginning-of-year2018-10-0185
Total number of active participants reported on line 7a of the Form 55002018-10-0193
Total of all active and inactive participants2018-10-0193
2017: ALEX LEE, INC. INDIVIDUAL DISABILITY INSURANCE PLA 2017 401k membership
Total participants, beginning-of-year2017-10-0187
Total number of active participants reported on line 7a of the Form 55002017-10-0185
Total of all active and inactive participants2017-10-0185
2016: ALEX LEE, INC. INDIVIDUAL DISABILITY INSURANCE PLA 2016 401k membership
Total participants, beginning-of-year2016-10-0187
Total number of active participants reported on line 7a of the Form 55002016-10-0187
Total of all active and inactive participants2016-10-0187

Form 5500 Responses for ALEX LEE, INC. INDIVIDUAL DISABILITY INSURANCE PLA

2021: ALEX LEE, INC. INDIVIDUAL DISABILITY INSURANCE PLA 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan benefit arrangement – InsuranceYes
2020: ALEX LEE, INC. INDIVIDUAL DISABILITY INSURANCE PLA 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – InsuranceYes
2019: ALEX LEE, INC. INDIVIDUAL DISABILITY INSURANCE PLA 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – InsuranceYes
2018: ALEX LEE, INC. INDIVIDUAL DISABILITY INSURANCE PLA 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – InsuranceYes
2017: ALEX LEE, INC. INDIVIDUAL DISABILITY INSURANCE PLA 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – InsuranceYes
2016: ALEX LEE, INC. INDIVIDUAL DISABILITY INSURANCE PLA 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01First time form 5500 has been submittedYes
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number167251
Policy instance 1
Insurance contract or identification number167251
Number of Individuals Covered157
Insurance policy start date2022-01-01
Insurance policy end date2023-01-01
Total amount of commissions paid to insurance brokerUSD $69,842
Total amount of fees paid to insurance companyUSD $27,674
Other welfare benefits providedINDIVIDUAL DISABILITY INSURANCE
Welfare Benefit Premiums Paid to CarrierUSD $333,942
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $69,395
Amount paid for insurance broker fees27674
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION PAID
Insurance broker organization code?3
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number167251
Policy instance 1
Insurance contract or identification number167251
Number of Individuals Covered133
Insurance policy start date2021-01-01
Insurance policy end date2022-01-01
Total amount of commissions paid to insurance brokerUSD $49,516
Total amount of fees paid to insurance companyUSD $1,822
Other welfare benefits providedINDIVIDUAL DISABILITY INSURANCE
Welfare Benefit Premiums Paid to CarrierUSD $250,438
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $48,536
Amount paid for insurance broker fees1822
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION PAID
Insurance broker organization code?3
PAUL REVERE VARIABLE ANNUITY INS. CO. (National Association of Insurance Commissioners NAIC id number: 67601 )
Policy contract number167251
Policy instance 1
Insurance contract or identification number167251
Number of Individuals Covered93
Insurance policy start date2019-10-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedINDIVIDUAL DISABILITY INSURANCE
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number167251
Policy instance 2
Insurance contract or identification number167251
Number of Individuals Covered113
Insurance policy start date2020-01-01
Insurance policy end date2021-01-01
Total amount of commissions paid to insurance brokerUSD $54,876
Total amount of fees paid to insurance companyUSD $857
Other welfare benefits providedINDIVIDUAL DISABILITY INSURANCE
Welfare Benefit Premiums Paid to CarrierUSD $211,886
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $53,878
Amount paid for insurance broker fees857
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION PAID
Insurance broker organization code?3
PAUL REVERE VARIABLE ANNUITY INS. CO. (National Association of Insurance Commissioners NAIC id number: 67601 )
Policy contract number167251
Policy instance 1
Insurance contract or identification number167251
Number of Individuals Covered93
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedINDIVIDUAL DISABILITY INSURANCE
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0154483
Policy instance 1
Insurance contract or identification number0154483
Number of Individuals Covered85
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedINDIVIDUAL DISABILITY INSURANCE
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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