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NOVA GROUP SERVICES LIFE & AD&D PLAN 401k Plan overview

Plan NameNOVA GROUP SERVICES LIFE & AD&D PLAN
Plan identification number 504

NOVA GROUP SERVICES LIFE & AD&D PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

NOVA GROUP SERVICES has sponsored the creation of one or more 401k plans.

Company Name:NOVA GROUP SERVICES
Employer identification number (EIN):208447159
NAIC Classification:541330
NAIC Description:Engineering Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NOVA GROUP SERVICES LIFE & AD&D PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042017-05-01TAMRE PASSMORE
5042016-05-01TAMRE PASSMORE
5042015-05-01TAMRE PASSMORE
5042014-05-01TAMRE PASSMORE
5042013-05-01TAMRE PASSMORE
5042011-05-01TAMRE PASSMORE

Plan Statistics for NOVA GROUP SERVICES LIFE & AD&D PLAN

401k plan membership statisitcs for NOVA GROUP SERVICES LIFE & AD&D PLAN

Measure Date Value
2017: NOVA GROUP SERVICES LIFE & AD&D PLAN 2017 401k membership
Total participants, beginning-of-year2017-05-01269
Total number of active participants reported on line 7a of the Form 55002017-05-01296
Total of all active and inactive participants2017-05-01296
2016: NOVA GROUP SERVICES LIFE & AD&D PLAN 2016 401k membership
Total participants, beginning-of-year2016-05-01241
Total number of active participants reported on line 7a of the Form 55002016-05-01269
Number of retired or separated participants receiving benefits2016-05-010
Number of other retired or separated participants entitled to future benefits2016-05-010
Total of all active and inactive participants2016-05-01269
2015: NOVA GROUP SERVICES LIFE & AD&D PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-01203
Total number of active participants reported on line 7a of the Form 55002015-05-01241
Total of all active and inactive participants2015-05-01241
2014: NOVA GROUP SERVICES LIFE & AD&D PLAN 2014 401k membership
Total participants, beginning-of-year2014-05-01151
Total number of active participants reported on line 7a of the Form 55002014-05-01203
Total of all active and inactive participants2014-05-01203
2013: NOVA GROUP SERVICES LIFE & AD&D PLAN 2013 401k membership
Total participants, beginning-of-year2013-05-01105
Total number of active participants reported on line 7a of the Form 55002013-05-01151
Total of all active and inactive participants2013-05-01151
2011: NOVA GROUP SERVICES LIFE & AD&D PLAN 2011 401k membership
Total participants, beginning-of-year2011-05-01157
Total number of active participants reported on line 7a of the Form 55002011-05-01134
Total of all active and inactive participants2011-05-01134

Form 5500 Responses for NOVA GROUP SERVICES LIFE & AD&D PLAN

2017: NOVA GROUP SERVICES LIFE & AD&D PLAN 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01This submission is the final filingYes
2017-05-01This return/report is a short plan year return/report (less than 12 months)Yes
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan benefit arrangement – InsuranceYes
2016: NOVA GROUP SERVICES LIFE & AD&D PLAN 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan benefit arrangement – InsuranceYes
2015: NOVA GROUP SERVICES LIFE & AD&D PLAN 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan benefit arrangement – InsuranceYes
2014: NOVA GROUP SERVICES LIFE & AD&D PLAN 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan benefit arrangement – InsuranceYes
2013: NOVA GROUP SERVICES LIFE & AD&D PLAN 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan benefit arrangement – InsuranceYes
2011: NOVA GROUP SERVICES LIFE & AD&D PLAN 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AG4G
Policy instance 1
Insurance contract or identification numberG000AG4G
Number of Individuals Covered296
Insurance policy start date2017-05-01
Insurance policy end date2018-03-01
Total amount of commissions paid to insurance brokerUSD $4,480
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $29,866
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,718
Insurance broker organization code?3
Insurance broker nameVANBRIDGE LLC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AG4G
Policy instance 1
Insurance contract or identification numberG000AG4G
Number of Individuals Covered241
Insurance policy start date2015-05-01
Insurance policy end date2016-05-01
Total amount of commissions paid to insurance brokerUSD $3,153
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $21,016
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,617
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD
Insurance broker organization code?3
Insurance broker nameVANBRIDGE LLC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AG4G
Policy instance 1
Insurance contract or identification numberG000AG4G
Number of Individuals Covered203
Insurance policy start date2014-05-01
Insurance policy end date2015-05-01
Total amount of commissions paid to insurance brokerUSD $2,605
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $17,364
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,162
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD
Insurance broker organization code?3
Insurance broker nameVANBRIDGE LLC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AG4G
Policy instance 1
Insurance contract or identification numberG000AG4G
Number of Individuals Covered151
Insurance policy start date2013-05-01
Insurance policy end date2014-05-01
Total amount of commissions paid to insurance brokerUSD $1,721
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $11,473
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,428
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD
Insurance broker organization code?3
Insurance broker nameSHAREBRIDGE PRIVATE EQUITY
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AG4G
Policy instance 1
Insurance contract or identification numberG000AG4G
Number of Individuals Covered134
Insurance policy start date2011-05-01
Insurance policy end date2012-05-01
Total amount of commissions paid to insurance brokerUSD $992
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $9,149
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $426
Insurance broker organization code?3
Insurance broker nameSHAREBRIDGE PRIVATE EQUITY

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