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LC SERVICES 1, LLC DBA OAKPOINT WELFARE BENEFITS PLAN 401k Plan overview

Plan NameLC SERVICES 1, LLC DBA OAKPOINT WELFARE BENEFITS PLAN
Plan identification number 501

LC SERVICES 1, LLC DBA OAKPOINT WELFARE BENEFITS PLAN Benefits

401k Plan TypeWelfare 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)

401k Sponsoring company profile

LC SERVICES 1, LLC has sponsored the creation of one or more 401k plans.

Company Name:LC SERVICES 1, LLC
Employer identification number (EIN):823239171
NAIC Classification:561110
NAIC Description:Office Administrative Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LC SERVICES 1, LLC DBA OAKPOINT WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01DAYNA COON2024-06-06
5012022-04-01DAYNA COON2023-06-08

Plan Statistics for LC SERVICES 1, LLC DBA OAKPOINT WELFARE BENEFITS PLAN

401k plan membership statisitcs for LC SERVICES 1, LLC DBA OAKPOINT WELFARE BENEFITS PLAN

Measure Date Value
2023: LC SERVICES 1, LLC DBA OAKPOINT WELFARE BENEFITS PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01409
Total number of active participants reported on line 7a of the Form 55002023-01-01555
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 participants2023-01-01555
Number of employers contributing to the scheme2023-01-010
2022: LC SERVICES 1, LLC DBA OAKPOINT WELFARE BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year2022-04-01100
Total number of active participants reported on line 7a of the Form 55002022-04-01409
Number of retired or separated participants receiving benefits2022-04-010
Number of other retired or separated participants entitled to future benefits2022-04-010
Total of all active and inactive participants2022-04-01409
Number of employers contributing to the scheme2022-04-010

Form 5500 Responses for LC SERVICES 1, LLC DBA OAKPOINT WELFARE BENEFITS PLAN

2023: LC SERVICES 1, LLC DBA OAKPOINT WELFARE BENEFITS 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: LC SERVICES 1, LLC DBA OAKPOINT WELFARE BENEFITS PLAN 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01First time form 5500 has been submittedYes
2022-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1155480
Policy instance 1
Insurance contract or identification number1155480
Number of Individuals Covered665
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $72,596
Total amount of fees paid to insurance companyUSD $9,676
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, ACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $402,208
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number141736561001
Policy instance 2
Insurance contract or identification number141736561001
Number of Individuals Covered532
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $90,121
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,071,097
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1155480
Policy instance 1
Insurance contract or identification number1155480
Number of Individuals Covered496
Insurance policy start date2022-04-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $52,658
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, ACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $245,891
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,209
Amount paid for insurance broker fees0
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number141736561001
Policy instance 2
Insurance contract or identification number141736561001
Number of Individuals Covered361
Insurance policy start date2022-04-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $65,506
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,336,486
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $65,506
Amount paid for insurance broker fees0
Insurance broker organization code?3

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