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NSA, LLC LONG TERM CARE PLAN 401k Plan overview

Plan NameNSA, LLC LONG TERM CARE PLAN
Plan identification number 506

NSA, LLC LONG TERM CARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Other welfare benefit cover

401k Sponsoring company profile

THE JUICE PLUS COMPANY, LLC has sponsored the creation of one or more 401k plans.

Company Name:THE JUICE PLUS COMPANY, LLC
Employer identification number (EIN):204819292
NAIC Classification:339900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NSA, LLC LONG TERM CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062015-01-01BEVERLY ROBERTSON
5062015-01-01BEVERLY ROBERTSON
5062015-01-01KAREN CLAWSON2020-09-28
5062014-01-01JILL HIDAJI
5062013-01-01JILL HIDAJI
5062012-01-01MICHAEL FERRARIS

Plan Statistics for NSA, LLC LONG TERM CARE PLAN

401k plan membership statisitcs for NSA, LLC LONG TERM CARE PLAN

Measure Date Value
2015: NSA, LLC LONG TERM CARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01453
Total number of active participants reported on line 7a of the Form 55002015-01-01502
Total of all active and inactive participants2015-01-01502
Total participants2015-01-010
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Number of employers contributing to the scheme2015-01-010
2014: NSA, LLC LONG TERM CARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01447
Total number of active participants reported on line 7a of the Form 55002014-01-01453
Total of all active and inactive participants2014-01-01453
Total participants2014-01-010
2013: NSA, LLC LONG TERM CARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01444
Total number of active participants reported on line 7a of the Form 55002013-01-01447
Total of all active and inactive participants2013-01-01447
Total participants2013-01-010
2012: NSA, LLC LONG TERM CARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01444
Total number of active participants reported on line 7a of the Form 55002012-01-01444
Total of all active and inactive participants2012-01-01444
Total participants2012-01-010

Form 5500 Responses for NSA, LLC LONG TERM CARE PLAN

2015: NSA, LLC LONG TERM CARE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: NSA, LLC LONG TERM CARE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: NSA, LLC LONG TERM CARE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: NSA, LLC LONG TERM CARE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01First time form 5500 has been submittedYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number226015
Policy instance 1
Insurance contract or identification number226015
Number of Individuals Covered502
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $42,344
Other welfare benefits providedGROUP LONG TERM CARE
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number226015
Policy instance 1
Insurance contract or identification number226015
Number of Individuals Covered461
Insurance policy start date2014-01-01
Insurance policy end date2015-01-01
Total amount of commissions paid to insurance brokerUSD $46,643
Other welfare benefits providedGROUP LONG TERM CARE
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $46,643
Insurance broker organization code?3
Insurance broker nameLIPSCOMB & PITTS INSURANCE LLC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number226015
Policy instance 1
Insurance contract or identification number226015
Number of Individuals Covered447
Insurance policy start date2013-01-01
Insurance policy end date2014-01-01
Total amount of commissions paid to insurance brokerUSD $49,170
Other welfare benefits providedGROUP LONG TERM CARE
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $49,170
Insurance broker organization code?3
Insurance broker nameLIPSCOMB & PITTS INSURANCE LLC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number226015
Policy instance 1
Insurance contract or identification number226015
Number of Individuals Covered444
Insurance policy start date2012-01-01
Insurance policy end date2013-01-01
Total amount of commissions paid to insurance brokerUSD $52,474
Other welfare benefits providedGROUP LONG TERM CARE
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $52,474
Insurance broker organization code?3
Insurance broker nameLIPSCOMB & PITTS INSURANCE LLC

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