401k Plan data: JUPITER CHRISTIAN SCHOOL, INC. HEALTH PLAN plan

JUPITER CHRISTIAN SCHOOL, INC. HEALTH PLAN 401k Plan overview

Plan Name	JUPITER CHRISTIAN SCHOOL, INC. HEALTH PLAN
Plan identification number	508

JUPITER CHRISTIAN SCHOOL, INC. HEALTH 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) Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

JUPITER CHRISTIAN SCHOOL, INC. has sponsored the creation of one or more 401k plans.

Company Name: JUPITER CHRISTIAN SCHOOL, INC.

Employer identification number (EIN): 591109899

NAIC Classification: 611000

Additional information about JUPITER CHRISTIAN SCHOOL, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 1964-05-06

Company Identification Number: 707251

Legal Registered Office Address: 700 S. DELAWARE BLVD.

JUPITER

33458

More information about JUPITER CHRISTIAN SCHOOL, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JUPITER CHRISTIAN SCHOOL, INC. HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
508 2023-01-01 REBECCA HANSEN 2024-06-06

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
508	2023-01-01	REBECCA HANSEN	2024-06-06

Plan Statistics for JUPITER CHRISTIAN SCHOOL, INC. HEALTH PLAN

401k plan membership statisitcs for JUPITER CHRISTIAN SCHOOL, INC. HEALTH PLAN

Measure Date Value
2023: JUPITER CHRISTIAN SCHOOL, INC. HEALTH PLAN 2023 401k membership
Total participants, beginning-of-year 2023-01-01 159
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 168
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 2023-01-01 168
Number of employers contributing to the scheme 2023-01-01 0

Measure	Date	Value
2023: JUPITER CHRISTIAN SCHOOL, INC. HEALTH PLAN 2023 401k membership
Total participants, beginning-of-year	2023-01-01	159
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	168
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	168
Number of employers contributing to the scheme	2023-01-01	0

Form 5500 Responses for JUPITER CHRISTIAN SCHOOL, INC. HEALTH PLAN

2023: JUPITER CHRISTIAN SCHOOL, INC. HEALTH 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 benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

NEW DIRECTIONS BEHAVORIAL HEALTH (National Association of Insurance Commissioners NAIC id number: 00369 )

Policy contract number

Policy instance

Insurance contract or identification number	00
Number of Individuals Covered	175
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $4,210
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )

Policy contract number

4523

Policy instance

Insurance contract or identification number	4523
Number of Individuals Covered	34
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $22,230
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )

Policy contract number

4523

Policy instance

Insurance contract or identification number	4523
Number of Individuals Covered	85
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $40,276
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SOLSTICE BENEFITS, INC (National Association of Insurance Commissioners NAIC id number: 12341 )

Policy contract number

14990

Policy instance

Insurance contract or identification number	14990
Number of Individuals Covered	208
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $4,316
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $43,163
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )

Policy contract number

49523

Policy instance

Insurance contract or identification number	49523
Number of Individuals Covered	70
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $1,335
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $13,348
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )

Policy contract number

50037010

Policy instance

Insurance contract or identification number	50037010
Number of Individuals Covered	173
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $6,345
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $49,148
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	JUPITER CHRISTIAN SCHOOL, INC.
Employer identification number (EIN):	591109899
NAIC Classification:	611000

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	1964-05-06
Company Identification Number:	707251
Legal Registered Office Address:	700 S. DELAWARE BLVD. JUPITER 33458