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LIFESTYLE SUPPORT SERVICES, INC GROUP LIFE & AD&D 401k Plan overview

Plan NameLIFESTYLE SUPPORT SERVICES, INC GROUP LIFE & AD&D
Plan identification number 501

LIFESTYLE SUPPORT SERVICES, INC GROUP LIFE & AD&D Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

LIFESTYLE SUPPORT SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:LIFESTYLE SUPPORT SERVICES, INC.
Employer identification number (EIN):251808601
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIFESTYLE SUPPORT SERVICES, INC GROUP LIFE & AD&D

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-07-01CONNIE BENNATI2024-01-18
5012021-07-01CONNIE BENNATI2023-02-03
5012020-07-01CONNIE BENNATI2021-12-03
5012019-07-01CONNIE BENNATI2020-10-28
5012018-07-01CONNIE BENNATI2019-11-01
5012016-07-01
5012015-07-01
5012014-07-01

Plan Statistics for LIFESTYLE SUPPORT SERVICES, INC GROUP LIFE & AD&D

401k plan membership statisitcs for LIFESTYLE SUPPORT SERVICES, INC GROUP LIFE & AD&D

Measure Date Value
2022: LIFESTYLE SUPPORT SERVICES, INC GROUP LIFE & AD&D 2022 401k membership
Total participants, beginning-of-year2022-07-01136
Total number of active participants reported on line 7a of the Form 55002022-07-01149
Total of all active and inactive participants2022-07-01149
2021: LIFESTYLE SUPPORT SERVICES, INC GROUP LIFE & AD&D 2021 401k membership
Total participants, beginning-of-year2021-07-01164
Total number of active participants reported on line 7a of the Form 55002021-07-01136
Total of all active and inactive participants2021-07-01136
2020: LIFESTYLE SUPPORT SERVICES, INC GROUP LIFE & AD&D 2020 401k membership
Total participants, beginning-of-year2020-07-01172
Total number of active participants reported on line 7a of the Form 55002020-07-01164
Total of all active and inactive participants2020-07-01164
2019: LIFESTYLE SUPPORT SERVICES, INC GROUP LIFE & AD&D 2019 401k membership
Total participants, beginning-of-year2019-07-01137
Total number of active participants reported on line 7a of the Form 55002019-07-01172
Total of all active and inactive participants2019-07-01172
2018: LIFESTYLE SUPPORT SERVICES, INC GROUP LIFE & AD&D 2018 401k membership
Total participants, beginning-of-year2018-07-01123
Total number of active participants reported on line 7a of the Form 55002018-07-01137
Total of all active and inactive participants2018-07-01137
2016: LIFESTYLE SUPPORT SERVICES, INC GROUP LIFE & AD&D 2016 401k membership
Total participants, beginning-of-year2016-07-01134
Total number of active participants reported on line 7a of the Form 55002016-07-01127
Total of all active and inactive participants2016-07-01127
2015: LIFESTYLE SUPPORT SERVICES, INC GROUP LIFE & AD&D 2015 401k membership
Total participants, beginning-of-year2015-07-01124
Total number of active participants reported on line 7a of the Form 55002015-07-01134
Total of all active and inactive participants2015-07-01134
2014: LIFESTYLE SUPPORT SERVICES, INC GROUP LIFE & AD&D 2014 401k membership
Total participants, beginning-of-year2014-07-010
Total number of active participants reported on line 7a of the Form 55002014-07-01124
Total of all active and inactive participants2014-07-01124

Form 5500 Responses for LIFESTYLE SUPPORT SERVICES, INC GROUP LIFE & AD&D

2022: LIFESTYLE SUPPORT SERVICES, INC GROUP LIFE & AD&D 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – InsuranceYes
2021: LIFESTYLE SUPPORT SERVICES, INC GROUP LIFE & AD&D 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes
2020: LIFESTYLE SUPPORT SERVICES, INC GROUP LIFE & AD&D 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes
2019: LIFESTYLE SUPPORT SERVICES, INC GROUP LIFE & AD&D 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – InsuranceYes
2018: LIFESTYLE SUPPORT SERVICES, INC GROUP LIFE & AD&D 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes
2016: LIFESTYLE SUPPORT SERVICES, INC GROUP LIFE & AD&D 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: LIFESTYLE SUPPORT SERVICES, INC GROUP LIFE & AD&D 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: LIFESTYLE SUPPORT SERVICES, INC GROUP LIFE & AD&D 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number1591
Policy instance 3
Insurance contract or identification number1591
Number of Individuals Covered119
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number010578AA0
Policy instance 2
Insurance contract or identification number010578AA0
Number of Individuals Covered141
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $4,918
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $53,770
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,918
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10243507-509
Policy instance 1
Insurance contract or identification number10243507-509
Number of Individuals Covered149
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $8,538
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $101,358
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,538
Insurance broker organization code?3
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number010578AA0
Policy instance 2
Insurance contract or identification number010578AA0
Number of Individuals Covered134
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $5,121
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $45,459
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,121
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10243507-509
Policy instance 1
Insurance contract or identification number10243507-509
Number of Individuals Covered136
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $7,902
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $90,920
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,902
Insurance broker organization code?3
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number010578AA0
Policy instance 2
Insurance contract or identification number010578AA0
Number of Individuals Covered164
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $6,183
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $61,064
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,183
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10243507-509
Policy instance 1
Insurance contract or identification number10243507-509
Number of Individuals Covered161
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $8,245
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $93,670
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,245
Insurance broker organization code?3
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number010578AA0
Policy instance 2
Insurance contract or identification number010578AA0
Number of Individuals Covered159
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $3,751
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $46,337
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,751
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10243507-509
Policy instance 1
Insurance contract or identification number10243507-509
Number of Individuals Covered172
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $8,275
Total amount of fees paid to insurance companyUSD $362
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $84,286
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,275
Amount paid for insurance broker fees362
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10243507-509
Policy instance 1
Insurance contract or identification number10243507-509
Number of Individuals Covered137
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $6,669
Total amount of fees paid to insurance companyUSD $3,103
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $66,088
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,669
Amount paid for insurance broker fees3103
Additional information about fees paid to insurance brokerBROKER BONUSBROKER BONUS
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05919081
Policy instance 1
Insurance contract or identification numberTM05919081
Number of Individuals Covered134
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $5,694
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $55,261
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,694
Insurance broker organization code?3
Insurance broker nameCBIZ BENEFITS & INS SERVICES
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05919081
Policy instance 1
Insurance contract or identification numberTM05919081
Number of Individuals Covered124
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $4,820
Total amount of fees paid to insurance companyUSD $3,425
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $52,106
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,820
Amount paid for insurance broker fees3425
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameCBIZ BENEFITS & INS SERVICES

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