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SPRINGFIELD DAY NURSERY DBA SQUARE ONE LIFE, AD&D, SHORT-TERM DISABILITY AND LONG-TERM DISABILITY 401k Plan overview

Plan NameSPRINGFIELD DAY NURSERY DBA SQUARE ONE LIFE, AD&D, SHORT-TERM DISABILITY AND LONG-TERM DISABILITY
Plan identification number 501

SPRINGFIELD DAY NURSERY DBA SQUARE ONE LIFE, AD&D, SHORT-TERM DISABILITY AND LONG-TERM DISABILITY Benefits

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

SPRINGFIELD DAY NURSERY, INC. D/B/A SQUARE ONE has sponsored the creation of one or more 401k plans.

Company Name:SPRINGFIELD DAY NURSERY, INC. D/B/A SQUARE ONE
Employer identification number (EIN):042103855
NAIC Classification:624410
NAIC Description:Child Day Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SPRINGFIELD DAY NURSERY DBA SQUARE ONE LIFE, AD&D, SHORT-TERM DISABILITY AND LONG-TERM DISABILITY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-07-01HEATHER BARRETT2020-11-17
5012018-07-01DAWN DISTEFANO2019-12-12
5012017-07-01
5012016-07-01
5012015-07-01KAREN SMITH WOHLERS
5012009-07-01PATRICIA GUENETTE

Plan Statistics for SPRINGFIELD DAY NURSERY DBA SQUARE ONE LIFE, AD&D, SHORT-TERM DISABILITY AND LONG-TERM DISABILITY

401k plan membership statisitcs for SPRINGFIELD DAY NURSERY DBA SQUARE ONE LIFE, AD&D, SHORT-TERM DISABILITY AND LONG-TERM DISABILITY

Measure Date Value
2019: SPRINGFIELD DAY NURSERY DBA SQUARE ONE LIFE, AD&D, SHORT-TERM DISABILITY AND LONG-TERM DISABILITY 2019 401k membership
Total participants, beginning-of-year2019-07-01105
Total number of active participants reported on line 7a of the Form 55002019-07-0172
Number of retired or separated participants receiving benefits2019-07-010
Number of other retired or separated participants entitled to future benefits2019-07-010
Total of all active and inactive participants2019-07-0172
Number of employers contributing to the scheme2019-07-010
2018: SPRINGFIELD DAY NURSERY DBA SQUARE ONE LIFE, AD&D, SHORT-TERM DISABILITY AND LONG-TERM DISABILITY 2018 401k membership
Total participants, beginning-of-year2018-07-01100
Total number of active participants reported on line 7a of the Form 55002018-07-01105
Number of retired or separated participants receiving benefits2018-07-010
Number of other retired or separated participants entitled to future benefits2018-07-010
Total of all active and inactive participants2018-07-01105
Number of employers contributing to the scheme2018-07-010
2017: SPRINGFIELD DAY NURSERY DBA SQUARE ONE LIFE, AD&D, SHORT-TERM DISABILITY AND LONG-TERM DISABILITY 2017 401k membership
Total participants, beginning-of-year2017-07-01123
Total number of active participants reported on line 7a of the Form 55002017-07-01100
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-010
Total of all active and inactive participants2017-07-01100
2016: SPRINGFIELD DAY NURSERY DBA SQUARE ONE LIFE, AD&D, SHORT-TERM DISABILITY AND LONG-TERM DISABILITY 2016 401k membership
Total participants, beginning-of-year2016-07-01147
Total number of active participants reported on line 7a of the Form 55002016-07-01123
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-010
Total of all active and inactive participants2016-07-01123
2015: SPRINGFIELD DAY NURSERY DBA SQUARE ONE LIFE, AD&D, SHORT-TERM DISABILITY AND LONG-TERM DISABILITY 2015 401k membership
Total participants, beginning-of-year2015-07-01116
Total number of active participants reported on line 7a of the Form 55002015-07-01147
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-010
Total of all active and inactive participants2015-07-01147
2009: SPRINGFIELD DAY NURSERY DBA SQUARE ONE LIFE, AD&D, SHORT-TERM DISABILITY AND LONG-TERM DISABILITY 2009 401k membership
Total participants, beginning-of-year2009-07-01127
Total number of active participants reported on line 7a of the Form 55002009-07-01139
Number of retired or separated participants receiving benefits2009-07-010
Number of other retired or separated participants entitled to future benefits2009-07-010
Total of all active and inactive participants2009-07-01139

Form 5500 Responses for SPRINGFIELD DAY NURSERY DBA SQUARE ONE LIFE, AD&D, SHORT-TERM DISABILITY AND LONG-TERM DISABILITY

2019: SPRINGFIELD DAY NURSERY DBA SQUARE ONE LIFE, AD&D, SHORT-TERM DISABILITY AND LONG-TERM DISABILITY 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – InsuranceYes
2018: SPRINGFIELD DAY NURSERY DBA SQUARE ONE LIFE, AD&D, SHORT-TERM DISABILITY AND LONG-TERM DISABILITY 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes
2017: SPRINGFIELD DAY NURSERY DBA SQUARE ONE LIFE, AD&D, SHORT-TERM DISABILITY AND LONG-TERM DISABILITY 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2016: SPRINGFIELD DAY NURSERY DBA SQUARE ONE LIFE, AD&D, SHORT-TERM DISABILITY AND LONG-TERM DISABILITY 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: SPRINGFIELD DAY NURSERY DBA SQUARE ONE LIFE, AD&D, SHORT-TERM DISABILITY AND LONG-TERM DISABILITY 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
2009: SPRINGFIELD DAY NURSERY DBA SQUARE ONE LIFE, AD&D, SHORT-TERM DISABILITY AND LONG-TERM DISABILITY 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

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10205442
Policy instance 1
Insurance contract or identification number10205442
Number of Individuals Covered76
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,180
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $33,339
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees1180
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10205441
Policy instance 2
Insurance contract or identification number10205441
Number of Individuals Covered92
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $345
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,129
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees345
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10205440
Policy instance 3
Insurance contract or identification number10205440
Number of Individuals Covered72
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $191
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $5,326
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees191
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10205442
Policy instance 1
Insurance contract or identification number10205442
Number of Individuals Covered105
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,503
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $44,983
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees1503
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10205442
Policy instance 1
Insurance contract or identification number10205442
Number of Individuals Covered100
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $43,228
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10205440
Policy instance 1
Insurance contract or identification number10205440
Number of Individuals Covered148
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,325
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $44,612
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1325
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameUSI INSURANCE SERVICES, LLC

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