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THE LITTLETON GROUP HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameTHE LITTLETON GROUP HEALTH AND WELFARE PLAN
Plan identification number 502

THE LITTLETON GROUP HEALTH AND WELFARE 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)
  • 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.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

THE LITTLETON GROUP WESTERN DIVISION, INC. has sponsored the creation of one or more 401k plans.

Company Name:THE LITTLETON GROUP WESTERN DIVISION, INC.
Employer identification number (EIN):760154645
NAIC Classification:524290

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE LITTLETON GROUP HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-10-01LAURIE RICHOUX2022-12-19
5022020-10-01LAURIE RICHOUX2021-12-06
5022019-10-01LAURIE RICHOUX2020-12-17
5022018-10-01LAURIE RICHOUX2020-04-17

Plan Statistics for THE LITTLETON GROUP HEALTH AND WELFARE PLAN

401k plan membership statisitcs for THE LITTLETON GROUP HEALTH AND WELFARE PLAN

Measure Date Value
2021: THE LITTLETON GROUP HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-01138
Total number of active participants reported on line 7a of the Form 55002021-10-01146
Number of retired or separated participants receiving benefits2021-10-014
Number of other retired or separated participants entitled to future benefits2021-10-010
Total of all active and inactive participants2021-10-01150
Number of employers contributing to the scheme2021-10-010
2020: THE LITTLETON GROUP HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-01100
Total number of active participants reported on line 7a of the Form 55002020-10-01112
Number of retired or separated participants receiving benefits2020-10-010
Number of other retired or separated participants entitled to future benefits2020-10-010
Total of all active and inactive participants2020-10-01112
Number of employers contributing to the scheme2020-10-010
2019: THE LITTLETON GROUP HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01103
Total number of active participants reported on line 7a of the Form 55002019-10-0196
Number of retired or separated participants receiving benefits2019-10-010
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-0196
Number of employers contributing to the scheme2019-10-010
2018: THE LITTLETON GROUP HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01103
Total number of active participants reported on line 7a of the Form 55002018-10-01103
Number of retired or separated participants receiving benefits2018-10-010
Number of other retired or separated participants entitled to future benefits2018-10-010
Total of all active and inactive participants2018-10-01103
Number of employers contributing to the scheme2018-10-010

Form 5500 Responses for THE LITTLETON GROUP HEALTH AND WELFARE PLAN

2021: THE LITTLETON GROUP HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan benefit arrangement – InsuranceYes
2020: THE LITTLETON GROUP HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – InsuranceYes
2019: THE LITTLETON GROUP HEALTH AND WELFARE PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – InsuranceYes
2018: THE LITTLETON GROUP HEALTH AND WELFARE PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01First time form 5500 has been submittedYes
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HUMANA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number588448
Policy instance 1
Insurance contract or identification number588448
Number of Individuals Covered154
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $9,000
Total amount of fees paid to insurance companyUSD $4,675
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $138,242
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,000
Amount paid for insurance broker fees3830
Additional information about fees paid to insurance brokerBONUS, NON-MONETARY COMPENSATION
Insurance broker organization code?3
HUMANA HEALTH PLAN OF TEXAS, INC. (National Association of Insurance Commissioners NAIC id number: 95024 )
Policy contract number588448
Policy instance 2
Insurance contract or identification number588448
Number of Individuals Covered134
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $50,365
Total amount of fees paid to insurance companyUSD $2,237
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,199,483
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $50,365
Amount paid for insurance broker fees2237
Additional information about fees paid to insurance brokerBONUS, NON-MONETARY COMPENSATION
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number588448
Policy instance 1
Insurance contract or identification number588448
Number of Individuals Covered112
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $6,448
Total amount of fees paid to insurance companyUSD $2,721
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $84,056
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,448
Amount paid for insurance broker fees2169
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
HUMANA HEALTH PLAN OF TEXAS, INC. (National Association of Insurance Commissioners NAIC id number: 95024 )
Policy contract number588448
Policy instance 2
Insurance contract or identification number588448
Number of Individuals Covered102
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $30,186
Total amount of fees paid to insurance companyUSD $2,470
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $681,223
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,186
Amount paid for insurance broker fees2470
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number588448
Policy instance 1
Insurance contract or identification number588448
Number of Individuals Covered96
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $6,502
Total amount of fees paid to insurance companyUSD $4,539
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $104,602
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,502
Amount paid for insurance broker fees3920
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
HUMANA HEALTH PLAN OF TEXAS, INC. (National Association of Insurance Commissioners NAIC id number: 95024 )
Policy contract number588448
Policy instance 2
Insurance contract or identification number588448
Number of Individuals Covered96
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $32,683
Total amount of fees paid to insurance companyUSD $5,882
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $843,793
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,683
Amount paid for insurance broker fees5882
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
HUMANA HEALTH PLAN OF TEXAS, INC. (National Association of Insurance Commissioners NAIC id number: 95024 )
Policy contract number588448
Policy instance 2
Insurance contract or identification number588448
Number of Individuals Covered103
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $34,387
Total amount of fees paid to insurance companyUSD $5,790
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $795,370
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,387
Amount paid for insurance broker fees5790
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number588448
Policy instance 1
Insurance contract or identification number588448
Number of Individuals Covered97
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $7,024
Total amount of fees paid to insurance companyUSD $5,094
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $89,476
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,024
Amount paid for insurance broker fees4535
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3

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