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JOHNSON DEVELOPMENT ASSOCIATES, INC. SHORT TERM DISABILITY 401k Plan overview

Plan NameJOHNSON DEVELOPMENT ASSOCIATES, INC. SHORT TERM DISABILITY
Plan identification number 504

JOHNSON DEVELOPMENT ASSOCIATES, INC. SHORT TERM DISABILITY Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

JOHNSON DEVELOPMENT ASSOCIATES, INC. has sponsored the creation of one or more 401k plans.

Company Name:JOHNSON DEVELOPMENT ASSOCIATES, INC.
Employer identification number (EIN):570833391
NAIC Classification:531310

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JOHNSON DEVELOPMENT ASSOCIATES, INC. SHORT TERM DISABILITY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042017-08-01
5042017-08-01KATIE LOVELL2019-06-10

Plan Statistics for JOHNSON DEVELOPMENT ASSOCIATES, INC. SHORT TERM DISABILITY

401k plan membership statisitcs for JOHNSON DEVELOPMENT ASSOCIATES, INC. SHORT TERM DISABILITY

Measure Date Value
2017: JOHNSON DEVELOPMENT ASSOCIATES, INC. SHORT TERM DISABILITY 2017 401k membership
Total participants, beginning-of-year2017-08-01118
Total number of active participants reported on line 7a of the Form 55002017-08-01126
Number of retired or separated participants receiving benefits2017-08-010
Number of other retired or separated participants entitled to future benefits2017-08-010
Total of all active and inactive participants2017-08-01126
Number of employers contributing to the scheme2017-08-010

Form 5500 Responses for JOHNSON DEVELOPMENT ASSOCIATES, INC. SHORT TERM DISABILITY

2017: JOHNSON DEVELOPMENT ASSOCIATES, INC. SHORT TERM DISABILITY 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01First time form 5500 has been submittedYes
2017-08-01Submission has been amendedYes
2017-08-01This submission is the final filingYes
2017-08-01This return/report is a short plan year return/report (less than 12 months)Yes
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUG0B2ZR
Policy instance 1
Insurance contract or identification numberGUG0B2ZR
Number of Individuals Covered126
Insurance policy start date2017-08-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,590
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,898
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,590
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameSTEPHENS INSURANCE, LLC

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