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JAKE'S INC. GROUP HEALTH PLAN 401k Plan overview

Plan NameJAKE'S INC. GROUP HEALTH PLAN
Plan identification number 503

JAKE'S INC. GROUP HEALTH PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

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

Company Name:JAKES, INC.
Employer identification number (EIN):741936814
NAIC Classification:424400

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JAKE'S INC. GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032023-01-01
5032022-01-01

Plan Statistics for JAKE'S INC. GROUP HEALTH PLAN

401k plan membership statisitcs for JAKE'S INC. GROUP HEALTH PLAN

Measure Date Value
2023: JAKE'S INC. GROUP HEALTH PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01211
Total number of active participants reported on line 7a of the Form 55002023-01-01227
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-01227
2022: JAKE'S INC. GROUP HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01211
Total number of active participants reported on line 7a of the Form 55002022-01-01211
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01211

Form 5500 Responses for JAKE'S INC. GROUP HEALTH PLAN

2023: JAKE'S INC. GROUP HEALTH PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: JAKE'S INC. GROUP HEALTH PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01First time form 5500 has been submittedYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number926500
Policy instance 1
Insurance contract or identification number926500
Number of Individuals Covered227
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,469,896
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number926500
Policy instance 1
Insurance contract or identification number926500
Number of Individuals Covered211
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,512,883
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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