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LEWIS & ELLIS MEDICAL BENEFITS PLAN 401k Plan overview

Plan NameLEWIS & ELLIS MEDICAL BENEFITS PLAN
Plan identification number 501

LEWIS & ELLIS MEDICAL BENEFITS PLAN Benefits

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

401k Sponsoring company profile

LEWIS & ELLIS, INC. has sponsored the creation of one or more 401k plans.

Company Name:LEWIS & ELLIS, INC.
Employer identification number (EIN):751281520
NAIC Classification:524290

Additional information about LEWIS & ELLIS, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1968-05-10
Company Identification Number: 0024697500
Legal Registered Office Address: 6600 CHASE OAKS BLVD STE 150

PLANO
United States of America (USA)
75023

More information about LEWIS & ELLIS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LEWIS & ELLIS MEDICAL BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012018-01-01DENISE HONG2019-05-07
5012014-01-01DENISE HONG2015-06-18
5012013-01-01ADRIAN CLINTON2014-07-29
5012012-01-01ADRIAN CLINTON2013-06-18
5012011-01-01ADRIAN CLINTON
5012010-01-01ADRIAN CLINTON
5012009-01-01ADRIAN CLINTON
5012009-01-01ADRIAN CLINTON

Plan Statistics for LEWIS & ELLIS MEDICAL BENEFITS PLAN

401k plan membership statisitcs for LEWIS & ELLIS MEDICAL BENEFITS PLAN

Measure Date Value
2011: LEWIS & ELLIS MEDICAL BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0144
Total number of active participants reported on line 7a of the Form 55002011-01-0146
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-0146
Total participants2011-01-0146
2010: LEWIS & ELLIS MEDICAL BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0145
Total number of active participants reported on line 7a of the Form 55002010-01-0144
Total of all active and inactive participants2010-01-0144
Total participants2010-01-0144
2009: LEWIS & ELLIS MEDICAL BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0141
Total number of active participants reported on line 7a of the Form 55002009-01-0145
Total of all active and inactive participants2009-01-0145
Total participants2009-01-0145

Financial Data on LEWIS & ELLIS MEDICAL BENEFITS PLAN

Measure Date Value
2011 : LEWIS & ELLIS MEDICAL BENEFITS PLAN 2011 401k financial data
Total income from all sources2011-12-31$665,683
Expenses. Total of all expenses incurred2011-12-31$801,693
Benefits paid (including direct rollovers)2011-12-31$637,703
Total plan assets at end of year2011-12-31$13,024
Total plan assets at beginning of year2011-12-31$149,034
Value of fidelity bond covering the plan2011-12-31$500,000
Expenses. Other expenses not covered elsewhere2011-12-31$163,990
Contributions received from other sources (not participants or employers)2011-12-31$10,683
Net income (gross income less expenses)2011-12-31$-136,010
Net plan assets at end of year (total assets less liabilities)2011-12-31$13,024
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$149,034
Total contributions received or receivable from employer(s)2011-12-31$655,000
2010 : LEWIS & ELLIS MEDICAL BENEFITS PLAN 2010 401k financial data
Total income from all sources2010-12-31$555,613
Expenses. Total of all expenses incurred2010-12-31$565,337
Benefits paid (including direct rollovers)2010-12-31$398,968
Total plan assets at end of year2010-12-31$149,034
Total plan assets at beginning of year2010-12-31$158,757
Value of fidelity bond covering the plan2010-12-31$500,000
Expenses. Other expenses not covered elsewhere2010-12-31$166,369
Other income received2010-12-31$504
Net income (gross income less expenses)2010-12-31$-9,724
Net plan assets at end of year (total assets less liabilities)2010-12-31$149,034
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$158,757
Total contributions received or receivable from employer(s)2010-12-31$555,109

Form 5500 Responses for LEWIS & ELLIS MEDICAL BENEFITS PLAN

2011: LEWIS & ELLIS MEDICAL BENEFITS PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: LEWIS & ELLIS MEDICAL BENEFITS PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: LEWIS & ELLIS MEDICAL BENEFITS PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number9960-7964
Policy instance 1
Insurance contract or identification number9960-7964
Number of Individuals Covered46
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $77,008
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number9960-7964
Policy instance 1
Insurance contract or identification number9960-7964
Number of Individuals Covered44
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $93,370
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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