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HASKELL LEMON CONSTRUCTION CO. VISION PLAN 401k Plan overview

Plan NameHASKELL LEMON CONSTRUCTION CO. VISION PLAN
Plan identification number 504

HASKELL LEMON CONSTRUCTION CO. VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Vision
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

HASKELL LEMON CONSTRUCTION CO. has sponsored the creation of one or more 401k plans.

Company Name:HASKELL LEMON CONSTRUCTION CO.
Employer identification number (EIN):730731258
NAIC Classification:237310
NAIC Description:Highway, Street, and Bridge Construction

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HASKELL LEMON CONSTRUCTION CO. VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042020-06-01RENEE TRAVIS2022-01-11
5042019-06-01MIKE HARBERT2021-02-03
5042017-08-01MIKE HARBERT2019-05-03
5042016-08-01

Plan Statistics for HASKELL LEMON CONSTRUCTION CO. VISION PLAN

401k plan membership statisitcs for HASKELL LEMON CONSTRUCTION CO. VISION PLAN

Measure Date Value
2020: HASKELL LEMON CONSTRUCTION CO. VISION PLAN 2020 401k membership
Total participants, beginning-of-year2020-06-01100
Total number of active participants reported on line 7a of the Form 55002020-06-0182
Number of retired or separated participants receiving benefits2020-06-010
Number of other retired or separated participants entitled to future benefits2020-06-010
Total of all active and inactive participants2020-06-0182
Number of employers contributing to the scheme2020-06-010
2019: HASKELL LEMON CONSTRUCTION CO. VISION PLAN 2019 401k membership
Total participants, beginning-of-year2019-06-01100
Total number of active participants reported on line 7a of the Form 55002019-06-0173
Number of retired or separated participants receiving benefits2019-06-010
Number of other retired or separated participants entitled to future benefits2019-06-010
Total of all active and inactive participants2019-06-0173
Number of employers contributing to the scheme2019-06-010
2017: HASKELL LEMON CONSTRUCTION CO. VISION PLAN 2017 401k membership
Total participants, beginning-of-year2017-08-01153
Total number of active participants reported on line 7a of the Form 55002017-08-0136
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 participants2017-08-0136
Number of employers contributing to the scheme2017-08-010
2016: HASKELL LEMON CONSTRUCTION CO. VISION PLAN 2016 401k membership
Total participants, beginning-of-year2016-08-01100
Total number of active participants reported on line 7a of the Form 55002016-08-0138
Number of retired or separated participants receiving benefits2016-08-010
Number of other retired or separated participants entitled to future benefits2016-08-010
Total of all active and inactive participants2016-08-0138

Form 5500 Responses for HASKELL LEMON CONSTRUCTION CO. VISION PLAN

2020: HASKELL LEMON CONSTRUCTION CO. VISION PLAN 2020 form 5500 responses
2020-06-01Type of plan entitySingle employer plan
2020-06-01Plan funding arrangement – InsuranceYes
2020-06-01Plan benefit arrangement – InsuranceYes
2019: HASKELL LEMON CONSTRUCTION CO. VISION PLAN 2019 form 5500 responses
2019-06-01Type of plan entitySingle employer plan
2019-06-01Plan funding arrangement – InsuranceYes
2019-06-01Plan benefit arrangement – InsuranceYes
2017: HASKELL LEMON CONSTRUCTION CO. VISION PLAN 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – InsuranceYes
2016: HASKELL LEMON CONSTRUCTION CO. VISION PLAN 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01First time form 5500 has been submittedYes
2016-08-01Submission has been amendedNo
2016-08-01This submission is the final filingNo
2016-08-01This return/report is a short plan year return/report (less than 12 months)No
2016-08-01Plan is a collectively bargained planNo
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10071931001
Policy instance 1
Insurance contract or identification number10071931001
Number of Individuals Covered192
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,341
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10071931001
Policy instance 1
Insurance contract or identification number10071931001
Number of Individuals Covered171
Insurance policy start date2019-06-01
Insurance policy end date2020-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,141
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10071931001
Policy instance 1
Insurance contract or identification number10071931001
Number of Individuals Covered85
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,962
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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