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LAKESHORE CONSORTIUM INC 401k Plan overview

Plan NameLAKESHORE CONSORTIUM INC
Plan identification number 501

LAKESHORE CONSORTIUM INC Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Long-term disability cover
  • 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.

401k Sponsoring company profile

LAKESHORE CONSORTIUM INC. has sponsored the creation of one or more 401k plans.

Company Name:LAKESHORE CONSORTIUM INC.
Employer identification number (EIN):270165451
NAIC Classification:561300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LAKESHORE CONSORTIUM INC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-01-01

Plan Statistics for LAKESHORE CONSORTIUM INC

401k plan membership statisitcs for LAKESHORE CONSORTIUM INC

Measure Date Value
2017: LAKESHORE CONSORTIUM INC 2017 401k membership
Total participants, beginning-of-year2017-01-01112
Total number of active participants reported on line 7a of the Form 55002017-01-0175
Number of retired or separated participants receiving benefits2017-01-014
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-0179

Form 5500 Responses for LAKESHORE CONSORTIUM INC

2017: LAKESHORE CONSORTIUM INC 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01First time form 5500 has been submittedYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract number195987
Policy instance 1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12253026
Policy instance 2
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number418587
Policy instance 3
ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE, INC. (National Association of Insurance Commissioners NAIC id number: 11011 )
Policy contract number885786
Policy instance 4

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