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EBS LIFE/DISABILITY PLAN 401k Plan overview

Plan NameEBS LIFE/DISABILITY PLAN
Plan identification number 502

EBS LIFE/DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

ELLSWORTH BUILDERS SUPPLY INC. has sponsored the creation of one or more 401k plans.

Company Name:ELLSWORTH BUILDERS SUPPLY INC.
Employer identification number (EIN):010247727
NAIC Classification:444110
NAIC Description:Home Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EBS LIFE/DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022023-07-01HANNAH COLSON2025-01-23 HANNAH COLSON2025-01-23
5022022-07-01HANNAH COLSON2024-02-22 HANNAH COLSON2024-02-22
5022021-07-01HANNAH COLSON2023-01-31 HANNAH COLSON2023-01-31
5022020-07-01
5022017-07-01HANNAH COLSON
5022016-07-01HANNAH COLSON HANNAH COLSON2017-10-03
5022015-07-01STEPHEN EATON
5022014-07-01STEPHEN EATON STEPHEN EATON2015-12-15
5022013-07-01STEPHEN EATON STEPHEN EATON2014-10-14
5022012-07-01STEPHEN EATON STEPHEN EATON2013-10-07
5022011-07-01STEPHEN EATON
5022010-07-01STEPHEN EATON
5022009-07-01STEPHEN EATON

Plan Statistics for EBS LIFE/DISABILITY PLAN

401k plan membership statisitcs for EBS LIFE/DISABILITY PLAN

Measure Date Value
2023: EBS LIFE/DISABILITY PLAN 2023 401k membership
Total participants, beginning-of-year2023-07-01294
Total number of active participants reported on line 7a of the Form 55002023-07-01304
Total of all active and inactive participants2023-07-01304
2022: EBS LIFE/DISABILITY PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-01288
Total number of active participants reported on line 7a of the Form 55002022-07-01294
Total of all active and inactive participants2022-07-01294
2021: EBS LIFE/DISABILITY PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01274
Total number of active participants reported on line 7a of the Form 55002021-07-01288
Total of all active and inactive participants2021-07-01288
2020: EBS LIFE/DISABILITY PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01272
Total number of active participants reported on line 7a of the Form 55002020-07-01274
Total of all active and inactive participants2020-07-01274
Total participants2020-07-01274
2017: EBS LIFE/DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01229
Total number of active participants reported on line 7a of the Form 55002017-07-01238
Total of all active and inactive participants2017-07-01238
Total participants2017-07-01238
2016: EBS LIFE/DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01224
Total number of active participants reported on line 7a of the Form 55002016-07-01229
Total of all active and inactive participants2016-07-01229
Total participants2016-07-01229
2015: EBS LIFE/DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01207
Total number of active participants reported on line 7a of the Form 55002015-07-01224
Total of all active and inactive participants2015-07-01224
Total participants2015-07-01224
2014: EBS LIFE/DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01220
Total number of active participants reported on line 7a of the Form 55002014-07-01207
Total of all active and inactive participants2014-07-01207
Total participants2014-07-01207
2013: EBS LIFE/DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01204
Total number of active participants reported on line 7a of the Form 55002013-07-01220
Total of all active and inactive participants2013-07-01220
Total participants2013-07-01220
2012: EBS LIFE/DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01196
Total number of active participants reported on line 7a of the Form 55002012-07-01204
Total of all active and inactive participants2012-07-01204
Total participants2012-07-01204
2011: EBS LIFE/DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01202
Total number of active participants reported on line 7a of the Form 55002011-07-01197
Total of all active and inactive participants2011-07-01197
Total participants2011-07-01197
2010: EBS LIFE/DISABILITY PLAN 2010 401k membership
Total participants, beginning-of-year2010-07-01200
Total number of active participants reported on line 7a of the Form 55002010-07-01197
Total of all active and inactive participants2010-07-01197
Total participants2010-07-01197
2009: EBS LIFE/DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01237
Total number of active participants reported on line 7a of the Form 55002009-07-01200
Number of retired or separated participants receiving benefits2009-07-011
Total of all active and inactive participants2009-07-01201
Total participants2009-07-01201

Form 5500 Responses for EBS LIFE/DISABILITY PLAN

2023: EBS LIFE/DISABILITY PLAN 2023 form 5500 responses
2023-07-01Type of plan entitySingle employer plan
2023-07-01Plan funding arrangement – InsuranceYes
2023-07-01Plan benefit arrangement – InsuranceYes
2022: EBS LIFE/DISABILITY PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – InsuranceYes
2021: EBS LIFE/DISABILITY PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes
2020: EBS LIFE/DISABILITY PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planNo
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes
2017: EBS LIFE/DISABILITY PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2016: EBS LIFE/DISABILITY PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: EBS LIFE/DISABILITY PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: EBS LIFE/DISABILITY PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: EBS LIFE/DISABILITY PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: EBS LIFE/DISABILITY PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: EBS LIFE/DISABILITY PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2010: EBS LIFE/DISABILITY PLAN 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Submission has been amendedNo
2010-07-01This submission is the final filingNo
2010-07-01This return/report is a short plan year return/report (less than 12 months)No
2010-07-01Plan is a collectively bargained planNo
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan benefit arrangement – InsuranceYes
2009: EBS LIFE/DISABILITY PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AWZ8
Policy instance 1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05390493
Policy instance 1
Insurance contract or identification numberTM05390493
Number of Individuals Covered732
Insurance policy start date2023-07-01
Insurance policy end date2024-06-30
Total amount of commissions paid to insurance brokerUSD $13,623
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $263,274
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05390493
Policy instance 1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5390493
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00550756
Policy instance 1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AWZ8
Policy instance 1
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-036742
Policy instance 2
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-036742
Policy instance 2
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-36742
Policy instance 2
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010090433
Policy instance 1
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-36742
Policy instance 2
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010090433
Policy instance 1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010090433
Policy instance 1
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-036742
Policy instance 2
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-036742
Policy instance 2
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010090433
Policy instance 1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010090433
Policy instance 1

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