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LIFE SAFETY SYSTEMS BENEFIT PLANS 401k Plan overview

Plan NameLIFE SAFETY SYSTEMS BENEFIT PLANS
Plan identification number 501

LIFE SAFETY SYSTEMS BENEFIT PLANS 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

LIFE SAFETY SOLUTIONS INTEGRATORS has sponsored the creation of one or more 401k plans.

Company Name:LIFE SAFETY SOLUTIONS INTEGRATORS
Employer identification number (EIN):541081845
NAIC Classification:561900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIFE SAFETY SYSTEMS BENEFIT PLANS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-11-01JANICE BAUMANN2021-07-16
5012018-11-01JANICE BAUMANN2020-07-17
5012017-11-01JANICE BAUMANN2019-07-26
5012016-11-01
5012016-11-01JANICE BAUMANN2019-07-31
5012015-11-01JANICE M BAUMANN
5012014-11-01JANICE M BAUMANN
5012013-11-01JANICE BAUMANN
5012012-11-01JANICE BAUMANN
5012011-11-01JANICE BAUMANN
5012010-11-01DORTHY HARVEY
5012009-11-01DOROTHY HARVEY

Plan Statistics for LIFE SAFETY SYSTEMS BENEFIT PLANS

401k plan membership statisitcs for LIFE SAFETY SYSTEMS BENEFIT PLANS

Measure Date Value
2019: LIFE SAFETY SYSTEMS BENEFIT PLANS 2019 401k membership
Total participants, beginning-of-year2019-11-01119
Total number of active participants reported on line 7a of the Form 55002019-11-010
Number of retired or separated participants receiving benefits2019-11-010
Number of other retired or separated participants entitled to future benefits2019-11-010
Total of all active and inactive participants2019-11-010
Number of employers contributing to the scheme2019-11-010
2018: LIFE SAFETY SYSTEMS BENEFIT PLANS 2018 401k membership
Total participants, beginning-of-year2018-11-01120
Total number of active participants reported on line 7a of the Form 55002018-11-01119
Number of retired or separated participants receiving benefits2018-11-010
Number of other retired or separated participants entitled to future benefits2018-11-010
Total of all active and inactive participants2018-11-01119
Number of employers contributing to the scheme2018-11-010
2017: LIFE SAFETY SYSTEMS BENEFIT PLANS 2017 401k membership
Total participants, beginning-of-year2017-11-01113
Total number of active participants reported on line 7a of the Form 55002017-11-01120
Number of retired or separated participants receiving benefits2017-11-010
Number of other retired or separated participants entitled to future benefits2017-11-010
Total of all active and inactive participants2017-11-01120
Number of employers contributing to the scheme2017-11-010
2016: LIFE SAFETY SYSTEMS BENEFIT PLANS 2016 401k membership
Total participants, beginning-of-year2016-11-01113
Total number of active participants reported on line 7a of the Form 55002016-11-01120
Number of retired or separated participants receiving benefits2016-11-010
Number of other retired or separated participants entitled to future benefits2016-11-010
Total of all active and inactive participants2016-11-01120
Number of employers contributing to the scheme2016-11-010
2015: LIFE SAFETY SYSTEMS BENEFIT PLANS 2015 401k membership
Total participants, beginning-of-year2015-11-01105
Total number of active participants reported on line 7a of the Form 55002015-11-01113
Number of retired or separated participants receiving benefits2015-11-010
Number of other retired or separated participants entitled to future benefits2015-11-010
Total of all active and inactive participants2015-11-01113
2014: LIFE SAFETY SYSTEMS BENEFIT PLANS 2014 401k membership
Total participants, beginning-of-year2014-11-01105
Total number of active participants reported on line 7a of the Form 55002014-11-01104
Number of retired or separated participants receiving benefits2014-11-010
Number of other retired or separated participants entitled to future benefits2014-11-010
Total of all active and inactive participants2014-11-01104
2013: LIFE SAFETY SYSTEMS BENEFIT PLANS 2013 401k membership
Total participants, beginning-of-year2013-11-01119
Total number of active participants reported on line 7a of the Form 55002013-11-01105
Number of retired or separated participants receiving benefits2013-11-010
Number of other retired or separated participants entitled to future benefits2013-11-010
Total of all active and inactive participants2013-11-01105
2012: LIFE SAFETY SYSTEMS BENEFIT PLANS 2012 401k membership
Total participants, beginning-of-year2012-11-01117
Total number of active participants reported on line 7a of the Form 55002012-11-01119
Number of retired or separated participants receiving benefits2012-11-010
Number of other retired or separated participants entitled to future benefits2012-11-010
Total of all active and inactive participants2012-11-01119
2011: LIFE SAFETY SYSTEMS BENEFIT PLANS 2011 401k membership
Total participants, beginning-of-year2011-11-01117
Total number of active participants reported on line 7a of the Form 55002011-11-01117
Number of retired or separated participants receiving benefits2011-11-010
Number of other retired or separated participants entitled to future benefits2011-11-010
Total of all active and inactive participants2011-11-01117
2010: LIFE SAFETY SYSTEMS BENEFIT PLANS 2010 401k membership
Total participants, beginning-of-year2010-11-01117
Total number of active participants reported on line 7a of the Form 55002010-11-01117
Number of retired or separated participants receiving benefits2010-11-010
Number of other retired or separated participants entitled to future benefits2010-11-010
Total of all active and inactive participants2010-11-01117
2009: LIFE SAFETY SYSTEMS BENEFIT PLANS 2009 401k membership
Total participants, beginning-of-year2009-11-01115
Total number of active participants reported on line 7a of the Form 55002009-11-01117
Number of retired or separated participants receiving benefits2009-11-010
Number of other retired or separated participants entitled to future benefits2009-11-010
Total of all active and inactive participants2009-11-01117

Form 5500 Responses for LIFE SAFETY SYSTEMS BENEFIT PLANS

2019: LIFE SAFETY SYSTEMS BENEFIT PLANS 2019 form 5500 responses
2019-11-01Type of plan entitySingle employer plan
2019-11-01This submission is the final filingYes
2019-11-01Plan funding arrangement – InsuranceYes
2019-11-01Plan benefit arrangement – InsuranceYes
2018: LIFE SAFETY SYSTEMS BENEFIT PLANS 2018 form 5500 responses
2018-11-01Type of plan entitySingle employer plan
2018-11-01Plan funding arrangement – InsuranceYes
2018-11-01Plan benefit arrangement – InsuranceYes
2017: LIFE SAFETY SYSTEMS BENEFIT PLANS 2017 form 5500 responses
2017-11-01Type of plan entitySingle employer plan
2017-11-01Plan funding arrangement – InsuranceYes
2017-11-01Plan benefit arrangement – InsuranceYes
2016: LIFE SAFETY SYSTEMS BENEFIT PLANS 2016 form 5500 responses
2016-11-01Type of plan entitySingle employer plan
2016-11-01Submission has been amendedYes
2016-11-01Plan funding arrangement – InsuranceYes
2016-11-01Plan benefit arrangement – InsuranceYes
2015: LIFE SAFETY SYSTEMS BENEFIT PLANS 2015 form 5500 responses
2015-11-01Type of plan entitySingle employer plan
2015-11-01Submission has been amendedNo
2015-11-01This submission is the final filingNo
2015-11-01This return/report is a short plan year return/report (less than 12 months)No
2015-11-01Plan is a collectively bargained planNo
2015-11-01Plan funding arrangement – InsuranceYes
2015-11-01Plan benefit arrangement – InsuranceYes
2014: LIFE SAFETY SYSTEMS BENEFIT PLANS 2014 form 5500 responses
2014-11-01Type of plan entitySingle employer plan
2014-11-01Submission has been amendedNo
2014-11-01This submission is the final filingNo
2014-11-01This return/report is a short plan year return/report (less than 12 months)No
2014-11-01Plan is a collectively bargained planNo
2014-11-01Plan funding arrangement – InsuranceYes
2014-11-01Plan benefit arrangement – InsuranceYes
2013: LIFE SAFETY SYSTEMS BENEFIT PLANS 2013 form 5500 responses
2013-11-01Type of plan entitySingle employer plan
2013-11-01Submission has been amendedNo
2013-11-01This submission is the final filingNo
2013-11-01This return/report is a short plan year return/report (less than 12 months)No
2013-11-01Plan is a collectively bargained planNo
2013-11-01Plan funding arrangement – InsuranceYes
2013-11-01Plan benefit arrangement – InsuranceYes
2012: LIFE SAFETY SYSTEMS BENEFIT PLANS 2012 form 5500 responses
2012-11-01Type of plan entitySingle employer plan
2012-11-01Submission has been amendedNo
2012-11-01This submission is the final filingNo
2012-11-01This return/report is a short plan year return/report (less than 12 months)No
2012-11-01Plan is a collectively bargained planNo
2012-11-01Plan funding arrangement – InsuranceYes
2012-11-01Plan benefit arrangement – InsuranceYes
2011: LIFE SAFETY SYSTEMS BENEFIT PLANS 2011 form 5500 responses
2011-11-01Type of plan entitySingle employer plan
2011-11-01Submission has been amendedNo
2011-11-01This submission is the final filingNo
2011-11-01This return/report is a short plan year return/report (less than 12 months)No
2011-11-01Plan is a collectively bargained planNo
2011-11-01Plan funding arrangement – InsuranceYes
2011-11-01Plan benefit arrangement – InsuranceYes
2010: LIFE SAFETY SYSTEMS BENEFIT PLANS 2010 form 5500 responses
2010-11-01Type of plan entitySingle employer plan
2010-11-01Submission has been amendedNo
2010-11-01This submission is the final filingNo
2010-11-01This return/report is a short plan year return/report (less than 12 months)No
2010-11-01Plan is a collectively bargained planNo
2010-11-01Plan funding arrangement – InsuranceYes
2010-11-01Plan benefit arrangement – InsuranceYes
2009: LIFE SAFETY SYSTEMS BENEFIT PLANS 2009 form 5500 responses
2009-11-01Type of plan entitySingle employer plan
2009-11-01First time form 5500 has been submittedYes
2009-11-01Submission has been amendedNo
2009-11-01This submission is the final filingNo
2009-11-01This return/report is a short plan year return/report (less than 12 months)No
2009-11-01Plan is a collectively bargained planNo
2009-11-01Plan funding arrangement – InsuranceYes
2009-11-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number854696G
Policy instance 4
Insurance contract or identification number854696G
Number of Individuals Covered123
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $2,448
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $12,414
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,008
Amount paid for insurance broker fees0
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 )
Policy contract number24468
Policy instance 3
Insurance contract or identification number24468
Number of Individuals Covered150
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $41,195
Total amount of fees paid to insurance companyUSD $19,837
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $832,147
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $41,195
Amount paid for insurance broker fees19837
Additional information about fees paid to insurance brokerBONUS NON-MONETARY COMPENSATION
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30070677
Policy instance 2
Insurance contract or identification number30070677
Number of Individuals Covered80
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $690
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,798
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $250
Amount paid for insurance broker fees0
Insurance broker organization code?3
DELTA DENTAL OF VIRGINIA (National Association of Insurance Commissioners NAIC id number: 55611 )
Policy contract number500073
Policy instance 1
Insurance contract or identification number500073
Number of Individuals Covered174
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number854696G
Policy instance 5
Insurance contract or identification number854696G
Number of Individuals Covered119
Insurance policy start date2018-12-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $1,888
Total amount of fees paid to insurance companyUSD $416
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $11,605
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,888
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBONUS
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number854696G
Policy instance 4
Insurance contract or identification number854696G
Number of Individuals Covered142
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $2,729
Total amount of fees paid to insurance companyUSD $141
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $16,993
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,729
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBONUS
KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 )
Policy contract number24468
Policy instance 3
Insurance contract or identification number24468
Number of Individuals Covered153
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $45,255
Total amount of fees paid to insurance companyUSD $6,736
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $899,519
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $45,255
Amount paid for insurance broker fees6736
Additional information about fees paid to insurance brokerBONUS NON-MONETARY COMPENSATION
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30070677
Policy instance 2
Insurance contract or identification number30070677
Number of Individuals Covered75
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $742
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,839
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $742
Amount paid for insurance broker fees0
DELTA DENTAL OF VIRGINIA (National Association of Insurance Commissioners NAIC id number: 55611 )
Policy contract number500073
Policy instance 1
Insurance contract or identification number500073
Number of Individuals Covered160
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $5,181
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,181
Amount paid for insurance broker fees0
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number854696G
Policy instance 4
Insurance contract or identification number854696G
Number of Individuals Covered129
Insurance policy start date2016-12-01
Insurance policy end date2017-11-30
Total amount of commissions paid to insurance brokerUSD $2,270
Total amount of fees paid to insurance companyUSD $189
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $14,080
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 )
Policy contract number24468
Policy instance 3
Insurance contract or identification number24468
Number of Individuals Covered186
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $45,500
Total amount of fees paid to insurance companyUSD $10,584
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $851,213
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30070677
Policy instance 2
Insurance contract or identification number30070677
Number of Individuals Covered83
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $669
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,222
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF VIRGINIA (National Association of Insurance Commissioners NAIC id number: 55611 )
Policy contract number500073
Policy instance 1
Insurance contract or identification number500073
Number of Individuals Covered187
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $5,508
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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