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LEMARK DIVERSIFIED INVESTMENTS CORP. WELFARE BENEFITS PLAN 401k Plan overview

Plan NameLEMARK DIVERSIFIED INVESTMENTS CORP. WELFARE BENEFITS PLAN
Plan identification number 502

LEMARK DIVERSIFIED INVESTMENTS CORP. WELFARE BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

LEMARK DIVERSIFIED INVESTMENTS CORP. has sponsored the creation of one or more 401k plans.

Company Name:LEMARK DIVERSIFIED INVESTMENTS CORP.
Employer identification number (EIN):880882793
NAIC Classification:236200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LEMARK DIVERSIFIED INVESTMENTS CORP. WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-12-01MARIA RODRIGUEZ2024-05-28

Plan Statistics for LEMARK DIVERSIFIED INVESTMENTS CORP. WELFARE BENEFITS PLAN

401k plan membership statisitcs for LEMARK DIVERSIFIED INVESTMENTS CORP. WELFARE BENEFITS PLAN

Measure Date Value
2022: LEMARK DIVERSIFIED INVESTMENTS CORP. WELFARE BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year2022-12-01100
Total number of active participants reported on line 7a of the Form 55002022-12-01110
Number of retired or separated participants receiving benefits2022-12-010
Number of other retired or separated participants entitled to future benefits2022-12-010
Total of all active and inactive participants2022-12-01110
Number of employers contributing to the scheme2022-12-010

Form 5500 Responses for LEMARK DIVERSIFIED INVESTMENTS CORP. WELFARE BENEFITS PLAN

2022: LEMARK DIVERSIFIED INVESTMENTS CORP. WELFARE BENEFITS PLAN 2022 form 5500 responses
2022-12-01Type of plan entitySingle employer plan
2022-12-01First time form 5500 has been submittedYes
2022-12-01Plan funding arrangement – InsuranceYes
2022-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AVMED HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 95263 )
Policy contract number201562
Policy instance 1
Insurance contract or identification number201562
Number of Individuals Covered73
Insurance policy start date2022-12-01
Insurance policy end date2023-11-30
Total amount of commissions paid to insurance brokerUSD $24,574
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $440,640
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,574
Amount paid for insurance broker fees0
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number43037
Policy instance 2
Insurance contract or identification number43037
Number of Individuals Covered110
Insurance policy start date2022-12-01
Insurance policy end date2023-11-30
Total amount of commissions paid to insurance brokerUSD $4,026
Total amount of fees paid to insurance companyUSD $920
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $39,387
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,026
Amount paid for insurance broker fees920
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10150491001
Policy instance 3
Insurance contract or identification number10150491001
Number of Individuals Covered85
Insurance policy start date2022-12-01
Insurance policy end date2023-11-30
Total amount of commissions paid to insurance brokerUSD $413
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,259
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $413
Amount paid for insurance broker fees0
Insurance broker organization code?3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE5800743
Policy instance 4
Insurance contract or identification numberE5800743
Number of Individuals Covered25
Insurance policy start date2022-12-01
Insurance policy end date2023-11-30
Total amount of commissions paid to insurance brokerUSD $7,485
Total amount of fees paid to insurance companyUSD $2,249
Other welfare benefits providedCRITICAL ILLNESS, HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $22,127
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,746
Amount paid for insurance broker fees85
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE5816061
Policy instance 5
Insurance contract or identification numberE5816061
Number of Individuals Covered16
Insurance policy start date2022-12-01
Insurance policy end date2023-11-30
Total amount of commissions paid to insurance brokerUSD $4,469
Total amount of fees paid to insurance companyUSD $1,676
Other welfare benefits providedCRITICAL ILLNESS, HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $13,198
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,228
Amount paid for insurance broker fees870
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3

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