?>
Logo

JACKSON BROTHERS OF THE SOUTH, LLC DENTAL & VISION PLAN 401k Plan overview

Plan NameJACKSON BROTHERS OF THE SOUTH, LLC DENTAL & VISION PLAN
Plan identification number 503

JACKSON BROTHERS OF THE SOUTH, LLC DENTAL & VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental
  • Vision
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

JACKSON BROTHERS OF THE SOUTH, LLC has sponsored the creation of one or more 401k plans.

Company Name:JACKSON BROTHERS OF THE SOUTH, LLC
Employer identification number (EIN):204464350
NAIC Classification:454210
NAIC Description:Vending Machine Operators

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JACKSON BROTHERS OF THE SOUTH, LLC DENTAL & VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032016-08-01JIM GREEN JIM GREEN2018-04-20
5032016-03-01JIM GREEN
5032015-03-01JIM GREEN

Plan Statistics for JACKSON BROTHERS OF THE SOUTH, LLC DENTAL & VISION PLAN

401k plan membership statisitcs for JACKSON BROTHERS OF THE SOUTH, LLC DENTAL & VISION PLAN

Measure Date Value
2016: JACKSON BROTHERS OF THE SOUTH, LLC DENTAL & VISION PLAN 2016 401k membership
Total participants, beginning-of-year2016-08-01128
Total number of active participants reported on line 7a of the Form 55002016-08-0195
Number of retired or separated participants receiving benefits2016-08-010
Number of other retired or separated participants entitled to future benefits2016-08-010
Total of all active and inactive participants2016-08-0195
Total participants, beginning-of-year2016-03-01122
Total number of active participants reported on line 7a of the Form 55002016-03-01122
Number of retired or separated participants receiving benefits2016-03-015
Number of other retired or separated participants entitled to future benefits2016-03-010
Total of all active and inactive participants2016-03-01127
2015: JACKSON BROTHERS OF THE SOUTH, LLC DENTAL & VISION PLAN 2015 401k membership
Total participants, beginning-of-year2015-03-01109
Total number of active participants reported on line 7a of the Form 55002015-03-01117
Number of retired or separated participants receiving benefits2015-03-015
Number of other retired or separated participants entitled to future benefits2015-03-010
Total of all active and inactive participants2015-03-01122

Form 5500 Responses for JACKSON BROTHERS OF THE SOUTH, LLC DENTAL & VISION PLAN

2016: JACKSON BROTHERS OF THE SOUTH, LLC DENTAL & VISION PLAN 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01Submission has been amendedNo
2016-08-01This submission is the final filingNo
2016-08-01This return/report is a short plan year return/report (less than 12 months)No
2016-08-01Plan is a collectively bargained planNo
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – InsuranceYes
2016-03-01Type of plan entitySingle employer plan
2016-03-01Submission has been amendedNo
2016-03-01This submission is the final filingNo
2016-03-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-03-01Plan is a collectively bargained planNo
2016-03-01Plan funding arrangement – InsuranceYes
2016-03-01Plan benefit arrangement – InsuranceYes
2015: JACKSON BROTHERS OF THE SOUTH, LLC DENTAL & VISION PLAN 2015 form 5500 responses
2015-03-01Type of plan entitySingle employer plan
2015-03-01First time form 5500 has been submittedYes
2015-03-01Submission has been amendedNo
2015-03-01This submission is the final filingNo
2015-03-01This return/report is a short plan year return/report (less than 12 months)No
2015-03-01Plan is a collectively bargained planNo
2015-03-01Plan funding arrangement – InsuranceYes
2015-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0859565-VISION
Policy instance 1
Insurance contract or identification number0859565-VISION
Number of Individuals Covered326
Insurance policy start date2015-03-01
Insurance policy end date2016-02-29
Total amount of commissions paid to insurance brokerUSD $953
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,227
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $953
Insurance broker organization code?3
Insurance broker nameBUKATY AGENCY INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0869585-DENTAL
Policy instance 2
Insurance contract or identification number0869585-DENTAL
Number of Individuals Covered218
Insurance policy start date2015-03-01
Insurance policy end date2016-02-29
Total amount of commissions paid to insurance brokerUSD $2,671
Total amount of fees paid to insurance companyUSD $1,300
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $52,844
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,671
Insurance broker organization code?3
Amount paid for insurance broker fees1300
Additional information about fees paid to insurance broker2015 BROKER BONUS
Insurance broker nameDUSTIN KYLE BLY

Potentially related plans

Was this data useful?
If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us.

Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer
The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Copyright © Market Footprint Ltd
Contact us   Datalog Company Directory
401k Lookup     VAT Lookup S3