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OAK-LEYDEN DEVELOPMENTAL SERVICES, INC. GROUP LIFE INSURANCE PLAN 401k Plan overview

Plan NameOAK-LEYDEN DEVELOPMENTAL SERVICES, INC. GROUP LIFE INSURANCE PLAN
Plan identification number 503

OAK-LEYDEN DEVELOPMENTAL SERVICES, INC. GROUP LIFE INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Other welfare benefit cover
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

OAK-LEYDEN DEVELOPMENTAL SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:OAK-LEYDEN DEVELOPMENTAL SERVICES, INC.
Employer identification number (EIN):237380622
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OAK-LEYDEN DEVELOPMENTAL SERVICES, INC. GROUP LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032017-07-01MARAI MARTINEZ MARAI MARTINEZ2018-12-19

Plan Statistics for OAK-LEYDEN DEVELOPMENTAL SERVICES, INC. GROUP LIFE INSURANCE PLAN

401k plan membership statisitcs for OAK-LEYDEN DEVELOPMENTAL SERVICES, INC. GROUP LIFE INSURANCE PLAN

Measure Date Value
2017: OAK-LEYDEN DEVELOPMENTAL SERVICES, INC. GROUP LIFE INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01109
Total number of active participants reported on line 7a of the Form 55002017-07-0197
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-010
Total of all active and inactive participants2017-07-0197

Form 5500 Responses for OAK-LEYDEN DEVELOPMENTAL SERVICES, INC. GROUP LIFE INSURANCE PLAN

2017: OAK-LEYDEN DEVELOPMENTAL SERVICES, INC. GROUP LIFE INSURANCE PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01First time form 5500 has been submittedYes
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number878663G
Policy instance 1
Insurance contract or identification number878663G
Number of Individuals Covered97
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $2,480
Total amount of fees paid to insurance companyUSD $1,002
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $29,436
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,480
Insurance broker organization code?3
Amount paid for insurance broker fees1002
Additional information about fees paid to insurance brokerBONUS PAID
Insurance broker nameTHE HORTON GROUP INC.

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