401k Plan data: LEWIS MARINE SUPPLY WELFARE BENEFITS PLAN plan

LEWIS MARINE SUPPLY WELFARE BENEFITS PLAN 401k Plan overview

Plan Name	LEWIS MARINE SUPPLY WELFARE BENEFITS PLAN
Plan identification number	501

LEWIS MARINE SUPPLY WELFARE BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	SELECT distinct(Description) AS Description FROM 401k_benefit_codes LEFT JOIN 401k_benefit_code_description ON BenefitCode=Code COLLATE utf8_unicode_ci WHERE EIN='590777799' AND PlanID='501'

401k Sponsoring company profile

LEWIS MARINE SUPPLY, INC. has sponsored the creation of one or more 401k plans.

Company Name: LEWIS MARINE SUPPLY, INC.

Employer identification number (EIN): 590777799

NAIC Classification: 423800

Additional information about LEWIS MARINE SUPPLY, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 1956-08-07

Company Identification Number: 195135

Legal Registered Office Address: C/O TRIPP SCOTT, P.A.

FORT LAUDERDALE

33301

More information about LEWIS MARINE SUPPLY, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LEWIS MARINE SUPPLY WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-03-01 FERIAL HASSAN 2024-12-03
501 2022-03-01 FERIAL HASSAN 2023-09-22
501 2021-03-01 LINDSAY COLLINS 2022-10-20
501 2015-02-01 SANDRA LEWIS
501 2014-02-01 SANDI LEWIS
501 2013-02-01 SANDI LEWIS
501 2012-02-01 SANDRA LEWIS
501 2011-02-01 LISA EVANS
501 2010-02-01 SANDRA LEWIS
501 2009-02-01 MELISSA CASSELS

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2023-03-01	FERIAL HASSAN	2024-12-03
501	2022-03-01	FERIAL HASSAN	2023-09-22
501	2021-03-01	LINDSAY COLLINS	2022-10-20
501	2015-02-01	SANDRA LEWIS
501	2014-02-01	SANDI LEWIS
501	2013-02-01	SANDI LEWIS
501	2012-02-01	SANDRA LEWIS
501	2011-02-01	LISA EVANS
501	2010-02-01	SANDRA LEWIS
501	2009-02-01	MELISSA CASSELS

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLTD0BVLP

Policy instance

Insurance contract or identification number	GLTD0BVLP
Number of Individuals Covered	202
Insurance policy start date	2023-03-01
Insurance policy end date	2024-02-29
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

HUMANA MEDICAL PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95270 )

Policy contract number

855580

Policy instance

Insurance contract or identification number	855580
Number of Individuals Covered	202
Insurance policy start date	2023-03-01
Insurance policy end date	2023-05-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )

Policy contract number

855580

Policy instance

Insurance contract or identification number	855580
Number of Individuals Covered	202
Insurance policy start date	2023-03-01
Insurance policy end date	2024-02-28
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

COMPBENEFITS COMPANY (National Association of Insurance Commissioners NAIC id number: 52015 )

Policy contract number

855580

Policy instance

Insurance contract or identification number	855580
Number of Individuals Covered	202
Insurance policy start date	2023-03-01
Insurance policy end date	2024-02-28
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

650137

Policy instance

Insurance contract or identification number	650137
Number of Individuals Covered	202
Insurance policy start date	2023-06-01
Insurance policy end date	2024-02-28
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )

Policy contract number

855580

Policy instance

HUMANA MEDICAL PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95270 )

Policy contract number

855580

Policy instance

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG0BVLP

Policy instance

COMPBENEFITS COMPANY (National Association of Insurance Commissioners NAIC id number: 52015 )

Policy contract number

855580

Policy instance

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG0BVLP

Policy instance

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

621955

Policy instance

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

621955

Policy instance

BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )

Policy contract number

64191

Policy instance

BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )

Policy contract number

64191

Policy instance

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

1D021277

Policy instance

BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )

Policy contract number

64191

Policy instance

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

10067534

Policy instance

BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )

Policy contract number

64191

Policy instance

BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )

Policy contract number

64191

Policy instance

BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )

Policy contract number

64191

Policy instance

BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )

Policy contract number

64191

Policy instance

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

10067534

Policy instance

BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )

Policy contract number

64191

Policy instance

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

10067534

Policy instance

AETNA HEALTH INC (National Association of Insurance Commissioners NAIC id number: 95088 )

Policy contract number

US399804

Policy instance

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

10067534

Policy instance

AETNA HEALTH INC (National Association of Insurance Commissioners NAIC id number: 95088 )

Policy contract number

US399804

Policy instance

AETNA HEALTH INC (National Association of Insurance Commissioners NAIC id number: 95088 )

Policy contract number

US399804

Policy instance

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

666691

Policy instance

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

10067534

Policy instance

Potentially related plans

LEWIS MARINE SUPPLY 401(K) PLAN [EIN = 833169627]

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Company Name:	LEWIS MARINE SUPPLY, INC.
Employer identification number (EIN):	590777799
NAIC Classification:	423800

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	1956-08-07
Company Identification Number:	195135
Legal Registered Office Address:	C/O TRIPP SCOTT, P.A. FORT LAUDERDALE 33301