401k Plan data: NOVA GROUP SERVICES LONG TERM DISABILITY PLAN plan

NOVA GROUP SERVICES LONG TERM DISABILITY PLAN 401k Plan overview

Plan Name	NOVA GROUP SERVICES LONG TERM DISABILITY PLAN
Plan identification number	505

NOVA GROUP SERVICES LONG TERM DISABILITY PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Long-term disability cover

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 LONG TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
505 2017-05-01 TAMRE PASSMORE
505 2016-05-01 TAMRE PASSMORE
505 2015-05-01 TAMRE PASSMORE
505 2014-05-01 TAMRE PASSMORE
505 2013-05-01 TAMRE PASSMORE
505 2011-05-01 TAMRE PASSMORE

Plan id#	Filing Submission Date	Name of Administrator
505	2017-05-01	TAMRE PASSMORE
505	2016-05-01	TAMRE PASSMORE
505	2015-05-01	TAMRE PASSMORE
505	2014-05-01	TAMRE PASSMORE
505	2013-05-01	TAMRE PASSMORE
505	2011-05-01	TAMRE PASSMORE

Plan Statistics for NOVA GROUP SERVICES LONG TERM DISABILITY PLAN

401k plan membership statisitcs for NOVA GROUP SERVICES LONG TERM DISABILITY PLAN

Measure Date Value
2017: NOVA GROUP SERVICES LONG TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year 2017-05-01 269
Total number of active participants reported on line 7a of the Form 5500 2017-05-01 296
Total of all active and inactive participants 2017-05-01 296
2016: NOVA GROUP SERVICES LONG TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year 2016-05-01 241
Total number of active participants reported on line 7a of the Form 5500 2016-05-01 269
Number of retired or separated participants receiving benefits 2016-05-01 0
Number of other retired or separated participants entitled to future benefits 2016-05-01 0
Total of all active and inactive participants 2016-05-01 269
2015: NOVA GROUP SERVICES LONG TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year 2015-05-01 203
Total number of active participants reported on line 7a of the Form 5500 2015-05-01 241
Total of all active and inactive participants 2015-05-01 241
2014: NOVA GROUP SERVICES LONG TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year 2014-05-01 151
Total number of active participants reported on line 7a of the Form 5500 2014-05-01 203
Total of all active and inactive participants 2014-05-01 203
2013: NOVA GROUP SERVICES LONG TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year 2013-05-01 105
Total number of active participants reported on line 7a of the Form 5500 2013-05-01 151
Total of all active and inactive participants 2013-05-01 151
2011: NOVA GROUP SERVICES LONG TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-05-01 157
Total number of active participants reported on line 7a of the Form 5500 2011-05-01 134
Total of all active and inactive participants 2011-05-01 134

Measure	Date	Value
2017: NOVA GROUP SERVICES LONG TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year	2017-05-01	269
Total number of active participants reported on line 7a of the Form 5500	2017-05-01	296
Total of all active and inactive participants	2017-05-01	296
2016: NOVA GROUP SERVICES LONG TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year	2016-05-01	241
Total number of active participants reported on line 7a of the Form 5500	2016-05-01	269
Number of retired or separated participants receiving benefits	2016-05-01	0
Number of other retired or separated participants entitled to future benefits	2016-05-01	0
Total of all active and inactive participants	2016-05-01	269
2015: NOVA GROUP SERVICES LONG TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year	2015-05-01	203
Total number of active participants reported on line 7a of the Form 5500	2015-05-01	241
Total of all active and inactive participants	2015-05-01	241
2014: NOVA GROUP SERVICES LONG TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year	2014-05-01	151
Total number of active participants reported on line 7a of the Form 5500	2014-05-01	203
Total of all active and inactive participants	2014-05-01	203
2013: NOVA GROUP SERVICES LONG TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-05-01	105
Total number of active participants reported on line 7a of the Form 5500	2013-05-01	151
Total of all active and inactive participants	2013-05-01	151
2011: NOVA GROUP SERVICES LONG TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-05-01	157
Total number of active participants reported on line 7a of the Form 5500	2011-05-01	134
Total of all active and inactive participants	2011-05-01	134

Form 5500 Responses for NOVA GROUP SERVICES LONG TERM DISABILITY PLAN

2017: NOVA GROUP SERVICES LONG TERM DISABILITY PLAN 2017 form 5500 responses
2017-05-01	Type of plan entity	Single employer plan
2017-05-01	This submission is the final filing	Yes
2017-05-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-05-01	Plan funding arrangement – Insurance	Yes
2017-05-01	Plan benefit arrangement – Insurance	Yes
2016: NOVA GROUP SERVICES LONG TERM DISABILITY PLAN 2016 form 5500 responses
2016-05-01	Type of plan entity	Single employer plan
2016-05-01	Plan funding arrangement – Insurance	Yes
2016-05-01	Plan benefit arrangement – Insurance	Yes
2015: NOVA GROUP SERVICES LONG TERM DISABILITY PLAN 2015 form 5500 responses
2015-05-01	Type of plan entity	Single employer plan
2015-05-01	Plan funding arrangement – Insurance	Yes
2015-05-01	Plan benefit arrangement – Insurance	Yes
2014: NOVA GROUP SERVICES LONG TERM DISABILITY PLAN 2014 form 5500 responses
2014-05-01	Type of plan entity	Single employer plan
2014-05-01	Plan funding arrangement – Insurance	Yes
2014-05-01	Plan benefit arrangement – Insurance	Yes
2013: NOVA GROUP SERVICES LONG TERM DISABILITY PLAN 2013 form 5500 responses
2013-05-01	Type of plan entity	Single employer plan
2013-05-01	Plan funding arrangement – Insurance	Yes
2013-05-01	Plan benefit arrangement – Insurance	Yes
2011: NOVA GROUP SERVICES LONG TERM DISABILITY PLAN 2011 form 5500 responses
2011-05-01	Type of plan entity	Single employer plan
2011-05-01	Plan funding arrangement – Insurance	Yes
2011-05-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G000AG4G

Policy instance

Insurance contract or identification number	G000AG4G
Number of Individuals Covered	296
Insurance policy start date	2017-05-01
Insurance policy end date	2018-03-01
Total amount of commissions paid to insurance broker	USD $6,502
Total amount of fees paid to insurance company	USD $0
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $43,346
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,397
Insurance broker organization code?	3
Insurance broker name	VANBRIDGE LLC

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