BASIC AD&D INSURANCE 401k Plan overview
Plan Name | BASIC AD&D INSURANCE |
Plan identification number | 505 |
BASIC AD&D INSURANCE Benefits
401k Plan Type | Welfare Benefit |
Plan Features/Benefits | - Death benefits (include travel accident but not life insurance)
- 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.
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401k Sponsoring company profile
EYEVIEW, INC. has sponsored the creation of one or more 401k plans.
Additional information about EYEVIEW, INC.
Jurisdiction of Incorporation: | Florida Department of State Division of Corporations |
Incorporation Date: | 2005-04-20 |
Company Identification Number: | P05000057935 |
Legal Registered Office Address: |
6750 EAST ROGERS CIRCLE
BOCA RATON
33487
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More information about EYEVIEW, INC.
Form 5500 Filing Information
Submission information for form 5500 for 401k plan BASIC AD&D INSURANCE
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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505 | 2018-01-01 | | | | |
505 | 2017-01-01 | | | | |
Plan Statistics for BASIC AD&D INSURANCE
401k plan membership statisitcs for BASIC AD&D INSURANCE
Measure | Date | Value |
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2018: BASIC AD&D INSURANCE 2018 401k membership |
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Total participants, beginning-of-year | 2018-01-01 | 127 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 96 |
Number of retired or separated participants receiving benefits | 2018-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2018-01-01 | 0 |
Total of all active and inactive participants | 2018-01-01 | 96 |
Number of employers contributing to the scheme | 2018-01-01 | 0 |
2017: BASIC AD&D INSURANCE 2017 401k membership |
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Total participants, beginning-of-year | 2017-01-01 | 116 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 127 |
Number of retired or separated participants receiving benefits | 2017-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 0 |
Total of all active and inactive participants | 2017-01-01 | 127 |
Form 5500 Responses for BASIC AD&D INSURANCE
2018: BASIC AD&D INSURANCE 2018 form 5500 responses |
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2018-01-01 | Type of plan entity | Single employer plan |
2018-01-01 | Plan funding arrangement – Insurance | Yes |
2018-01-01 | Plan benefit arrangement – Insurance | Yes |
2017: BASIC AD&D INSURANCE 2017 form 5500 responses |
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2017-01-01 | Type of plan entity | Single employer plan |
2017-01-01 | First time form 5500 has been submitted | Yes |
2017-01-01 | Plan funding arrangement – Insurance | Yes |
2017-01-01 | Plan benefit arrangement – Insurance | Yes |
Insurance Providers Used on plan
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
Policy contract number | 521281 |
Policy instance | 1 |
Insurance contract or identification number | 521281 | Number of Individuals Covered | 86 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $7,837 | Total amount of fees paid to insurance company | USD $5,136 | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Welfare Benefit Premiums Paid to Carrier | USD $75,912 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $7,837 | Amount paid for insurance broker fees | 5136 | Insurance broker organization code? | 3 |
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THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
Policy contract number | 521281 |
Policy instance | 1 |
Insurance contract or identification number | 521281 | Number of Individuals Covered | 124 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $8,433 | Total amount of fees paid to insurance company | USD $3,867 | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Welfare Benefit Premiums Paid to Carrier | USD $85,140 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $8,433 | Amount paid for insurance broker fees | 3867 | Additional information about fees paid to insurance broker | FEES | Insurance broker organization code? | 3 | Insurance broker name | USI INSURANCE SERVICES, LLC |
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