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LESSEREVIL, LLC ANCILLARY PLAN 401k Plan overview

Plan NameLESSEREVIL, LLC ANCILLARY PLAN
Plan identification number 501

LESSEREVIL, LLC ANCILLARY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

LESSEREVIL, LLC has sponsored the creation of one or more 401k plans.

Company Name:LESSEREVIL, LLC
Employer identification number (EIN):900780794
NAIC Classification:311400
NAIC Description: Fruit and Vegetable Preserving and Specialty Food Manufacturing

Additional information about LESSEREVIL, LLC

Jurisdiction of Incorporation: Connecticut Secretary of State
Incorporation Date:
Company Identification Number: 1054191

More information about LESSEREVIL, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LESSEREVIL, LLC ANCILLARY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-03-01JESSICA WESTERFIELD2024-07-31
5012022-03-01JESSICA WESTERFIELD2023-05-09

Plan Statistics for LESSEREVIL, LLC ANCILLARY PLAN

401k plan membership statisitcs for LESSEREVIL, LLC ANCILLARY PLAN

Measure Date Value
2023: LESSEREVIL, LLC ANCILLARY PLAN 2023 401k membership
Total participants, beginning-of-year2023-03-01197
Total number of active participants reported on line 7a of the Form 55002023-03-01183
Number of retired or separated participants receiving benefits2023-03-010
Number of other retired or separated participants entitled to future benefits2023-03-010
Total of all active and inactive participants2023-03-01183
Number of employers contributing to the scheme2023-03-010
2022: LESSEREVIL, LLC ANCILLARY PLAN 2022 401k membership
Total participants, beginning-of-year2022-03-01138
Total number of active participants reported on line 7a of the Form 55002022-03-01197
Number of retired or separated participants receiving benefits2022-03-010
Number of other retired or separated participants entitled to future benefits2022-03-010
Total of all active and inactive participants2022-03-01197
Number of employers contributing to the scheme2022-03-010

Form 5500 Responses for LESSEREVIL, LLC ANCILLARY PLAN

2023: LESSEREVIL, LLC ANCILLARY PLAN 2023 form 5500 responses
2023-03-01Type of plan entitySingle employer plan
2023-03-01Plan funding arrangement – InsuranceYes
2023-03-01Plan benefit arrangement – InsuranceYes
2022: LESSEREVIL, LLC ANCILLARY PLAN 2022 form 5500 responses
2022-03-01Type of plan entitySingle employer plan
2022-03-01First time form 5500 has been submittedYes
2022-03-01Plan funding arrangement – InsuranceYes
2022-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number371014
Policy instance 1
Insurance contract or identification number371014
Number of Individuals Covered183
Insurance policy start date2023-03-01
Insurance policy end date2024-02-29
Total amount of commissions paid to insurance brokerUSD $26,688
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $478,442
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRUSTMARK INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61425 )
Policy contract number3000001478
Policy instance 2
Insurance contract or identification number3000001478
Number of Individuals Covered79
Insurance policy start date2023-03-01
Insurance policy end date2024-02-29
Total amount of commissions paid to insurance brokerUSD $16,006
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENT,CRITICAL ILLNESS,HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $34,131
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number585500
Policy instance 1
Insurance contract or identification number585500
Number of Individuals Covered193
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $16,349
Total amount of fees paid to insurance companyUSD $2,964
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, ACCIDENT, CRITICAL ILLNESS, HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $69,843
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,831
Amount paid for insurance broker fees2964
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3

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