Plan Name | LAKE SUPERIOR CONSULTING, LLC HEALTH & WELFARE PLAN |
Plan identification number | 502 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
|
Company Name: | LAKE SUPERIOR CONSULTING |
Employer identification number (EIN): | 562300936 |
NAIC Classification: | 237990 |
NAIC Description: | Other Heavy and Civil Engineering Construction |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
---|---|---|---|---|---|
502 | 2023-01-01 | IVY KOLQUIST | 2024-09-18 |
Measure | Date | Value |
---|---|---|
2023: LAKE SUPERIOR CONSULTING, LLC HEALTH & WELFARE PLAN 2023 401k membership | ||
Total participants, beginning-of-year | 2023-01-01 | 366 |
Total number of active participants reported on line 7a of the Form 5500 | 2023-01-01 | 284 |
Number of retired or separated participants receiving benefits | 2023-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2023-01-01 | 0 |
Total of all active and inactive participants | 2023-01-01 | 284 |
Number of employers contributing to the scheme | 2023-01-01 | 0 |
2023: LAKE SUPERIOR CONSULTING, LLC HEALTH & WELFARE 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 |
BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) | |||||||||||||||||||||||||||||||||
Policy contract number | 296164 | ||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |||||||||||||||||||||||||||||||||
Policy contract number | 10411521001 | ||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 ) | |||||||||||||||||||||||||||||||||
Policy contract number | 10272745 | ||||||||||||||||||||||||||||||||
Policy instance | 3 | ||||||||||||||||||||||||||||||||
|