GENERAL VISION SERVICES, LLC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan ANTHEM NON CONTRIBUTORY LIFE AND AD&D
| Measure | Date | Value |
|---|
| 2022: ANTHEM NON CONTRIBUTORY LIFE AND AD&D 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-06-01 | 223 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-06-01 | 0 |
| Number of retired or separated participants receiving benefits | 2022-06-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-06-01 | 0 |
| Total of all active and inactive participants | 2022-06-01 | 0 |
| Number of employers contributing to the scheme | 2022-06-01 | 0 |
| 2021: ANTHEM NON CONTRIBUTORY LIFE AND AD&D 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-06-01 | 150 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-06-01 | 223 |
| Number of retired or separated participants receiving benefits | 2021-06-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-06-01 | 0 |
| Total of all active and inactive participants | 2021-06-01 | 223 |
| Number of employers contributing to the scheme | 2021-06-01 | 0 |
| 2020: ANTHEM NON CONTRIBUTORY LIFE AND AD&D 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-06-01 | 114 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-06-01 | 143 |
| Number of retired or separated participants receiving benefits | 2020-06-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-06-01 | 0 |
| Total of all active and inactive participants | 2020-06-01 | 143 |
| Number of employers contributing to the scheme | 2020-06-01 | 0 |
| 2019: ANTHEM NON CONTRIBUTORY LIFE AND AD&D 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-06-01 | 115 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-06-01 | 115 |
| Number of retired or separated participants receiving benefits | 2019-06-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-06-01 | 0 |
| Total of all active and inactive participants | 2019-06-01 | 115 |
| Number of employers contributing to the scheme | 2019-06-01 | 0 |
| 2022: ANTHEM NON CONTRIBUTORY LIFE AND AD&D 2022 form 5500 responses |
|---|
| 2022-06-01 | Type of plan entity | Single employer plan |
| 2022-06-01 | This submission is the final filing | Yes |
| 2022-06-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2022-06-01 | Plan funding arrangement – Insurance | Yes |
| 2022-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: ANTHEM NON CONTRIBUTORY LIFE AND AD&D 2021 form 5500 responses |
|---|
| 2021-06-01 | Type of plan entity | Single employer plan |
| 2021-06-01 | Plan funding arrangement – Insurance | Yes |
| 2021-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: ANTHEM NON CONTRIBUTORY LIFE AND AD&D 2020 form 5500 responses |
|---|
| 2020-06-01 | Type of plan entity | Single employer plan |
| 2020-06-01 | Plan funding arrangement – Insurance | Yes |
| 2020-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: ANTHEM NON CONTRIBUTORY LIFE AND AD&D 2019 form 5500 responses |
|---|
| 2019-06-01 | Type of plan entity | Single employer plan |
| 2019-06-01 | First time form 5500 has been submitted | Yes |
| 2019-06-01 | Plan funding arrangement – Insurance | Yes |
| 2019-06-01 | Plan benefit arrangement – Insurance | Yes |
| ANTHEM LIFE & DISABILITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13573 ) |
| Policy contract number | AL00006758 |
| Policy instance | 1 |
| Insurance contract or identification number | AL00006758 | | Number of Individuals Covered | 128 | | Insurance policy start date | 2022-06-01 | | Insurance policy end date | 2022-07-31 | | Total amount of commissions paid to insurance broker | USD $220 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $1,661 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $220 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| ANTHEM LIFE & DISABILITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13573 ) |
| Policy contract number | AL00006758 |
| Policy instance | 1 |
| Insurance contract or identification number | AL00006758 | | Number of Individuals Covered | 244 | | Insurance policy start date | 2021-06-01 | | Insurance policy end date | 2022-05-31 | | Total amount of commissions paid to insurance broker | USD $2,124 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $14,001 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,124 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| ANTHEM LIFE & DISABILITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13573 ) |
| Policy contract number | AL00006758 |
| Policy instance | 1 |
| Insurance contract or identification number | AL00006758 | | Number of Individuals Covered | 154 | | Insurance policy start date | 2020-06-01 | | Insurance policy end date | 2021-05-31 | | Total amount of commissions paid to insurance broker | USD $3,255 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $12,905 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,255 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| ANTHEM LIFE & DISABILITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13573 ) |
| Policy contract number | AL00006758 |
| Policy instance | 1 |
| Insurance contract or identification number | AL00006758 | | Number of Individuals Covered | 115 | | Insurance policy start date | 2019-06-01 | | Insurance policy end date | 2020-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $12,316 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
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