401k Plan data: LEADER BANK, NA EMPLOYEE BENEFIT PLAN plan

LEADER BANK, NA EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan Name	LEADER BANK, NA EMPLOYEE BENEFIT PLAN
Plan identification number	504

LEADER BANK, NA EMPLOYEE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Vision Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

LEADER BANK HEALTH INSURANCE PLAN has sponsored the creation of one or more 401k plans.

Company Name: LEADER BANK HEALTH INSURANCE PLAN

Employer identification number (EIN): 043557920

NAIC Classification: 522110
NAIC Description: Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LEADER BANK, NA EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2022-01-01 WES PERRY 2023-07-13 WES PERRY 2023-07-13
504 2021-01-01 WES PERRY 2022-06-30 WES PERRY 2022-06-30

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
504	2022-01-01	WES PERRY	2023-07-13	WES PERRY	2023-07-13
504	2021-01-01	WES PERRY	2022-06-30	WES PERRY	2022-06-30

Plan Statistics for LEADER BANK, NA EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for LEADER BANK, NA EMPLOYEE BENEFIT PLAN

Measure Date Value
2022: LEADER BANK, NA EMPLOYEE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 364
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 371
Total of all active and inactive participants 2022-01-01 371
2021: LEADER BANK, NA EMPLOYEE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 263
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 364
Total of all active and inactive participants 2021-01-01 364

Measure	Date	Value
2022: LEADER BANK, NA EMPLOYEE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	364
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	371
Total of all active and inactive participants	2022-01-01	371
2021: LEADER BANK, NA EMPLOYEE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	263
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	364
Total of all active and inactive participants	2021-01-01	364

Form 5500 Responses for LEADER BANK, NA EMPLOYEE BENEFIT PLAN

2022: LEADER BANK, NA EMPLOYEE BENEFIT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2021: LEADER BANK, NA EMPLOYEE BENEFIT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	First time form 5500 has been submitted	Yes
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

693047G

Policy instance

Insurance contract or identification number	693047G
Number of Individuals Covered	371
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $40,318
Total amount of fees paid to insurance company	USD $16,659
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $284,631
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $40,318
Amount paid for insurance broker fees	584
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

12700002

Policy instance

Insurance contract or identification number	12700002
Number of Individuals Covered	244
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $2,980
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,980
Insurance broker organization code?	3

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

693047G

Policy instance

Insurance contract or identification number	693047G
Number of Individuals Covered	364
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $16,475
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $116,801
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $16,475
Insurance broker organization code?	3

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

12700002

Policy instance

Insurance contract or identification number	12700002
Number of Individuals Covered	248
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $2,581
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,581
Insurance broker organization code?	3

Potentially related plans

LEADER BANK, NA VISION PLAN [EIN = 205680604]

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Company Name:	LEADER BANK HEALTH INSURANCE PLAN
Employer identification number (EIN):	043557920
NAIC Classification:	522110
NAIC Description:	Commercial Banking