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ICON LEGACY CUSTOM MODULAR HOMES, L.L.C. GROUP MEDICAL PLAN 401k Plan overview

Plan NameICON LEGACY CUSTOM MODULAR HOMES, L.L.C. GROUP MEDICAL PLAN
Plan identification number 501

ICON LEGACY CUSTOM MODULAR HOMES, L.L.C. GROUP MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

ICON LEGACY CUSTOM MODULAR HOMES, LLC has sponsored the creation of one or more 401k plans.

Company Name:ICON LEGACY CUSTOM MODULAR HOMES, LLC
Employer identification number (EIN):320223154
NAIC Classification:236110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ICON LEGACY CUSTOM MODULAR HOMES, L.L.C. GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-06-01
5012022-06-01

Plan Statistics for ICON LEGACY CUSTOM MODULAR HOMES, L.L.C. GROUP MEDICAL PLAN

401k plan membership statisitcs for ICON LEGACY CUSTOM MODULAR HOMES, L.L.C. GROUP MEDICAL PLAN

Measure Date Value
2023: ICON LEGACY CUSTOM MODULAR HOMES, L.L.C. GROUP MEDICAL PLAN 2023 401k membership
Total participants, beginning-of-year2023-06-0193
Total number of active participants reported on line 7a of the Form 55002023-06-0194
Number of retired or separated participants receiving benefits2023-06-010
Number of other retired or separated participants entitled to future benefits2023-06-010
Total of all active and inactive participants2023-06-0194
2022: ICON LEGACY CUSTOM MODULAR HOMES, L.L.C. GROUP MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-06-0198
Total number of active participants reported on line 7a of the Form 55002022-06-0186
Number of retired or separated participants receiving benefits2022-06-010
Number of other retired or separated participants entitled to future benefits2022-06-010
Total of all active and inactive participants2022-06-0186

Financial Data on ICON LEGACY CUSTOM MODULAR HOMES, L.L.C. GROUP MEDICAL PLAN

Measure Date Value
2023 : ICON LEGACY CUSTOM MODULAR HOMES, L.L.C. GROUP MEDICAL PLAN 2023 401k financial data
Total plan liabilities at end of year2023-06-30$431,065
Total plan liabilities at beginning of year2023-06-30$368,196
Total income from all sources2023-06-30$89,458
Expenses. Total of all expenses incurred2023-06-30$-124,703
Benefits paid (including direct rollovers)2023-06-30$-160,973
Total plan assets at end of year2023-06-30$303,694
Total plan assets at beginning of year2023-06-30$26,664
Value of fidelity bond covering the plan2023-06-30$500,000
Total contributions received or receivable from participants2023-06-30$21,627
Expenses. Other expenses not covered elsewhere2023-06-30$35,754
Contributions received from other sources (not participants or employers)2023-06-30$0
Other income received2023-06-30$121
Net income (gross income less expenses)2023-06-30$214,161
Net plan assets at end of year (total assets less liabilities)2023-06-30$-127,371
Net plan assets at beginning of year (total assets less liabilities)2023-06-30$-341,532
Total contributions received or receivable from employer(s)2023-06-30$67,710
Value of corrective distributions2023-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2023-06-30$516
Total plan liabilities at end of year2023-05-31$368,196
Total plan liabilities at beginning of year2023-05-31$0
Total income from all sources2023-05-31$1,048,437
Expenses. Total of all expenses incurred2023-05-31$1,389,969
Benefits paid (including direct rollovers)2023-05-31$971,229
Total plan assets at end of year2023-05-31$26,664
Total plan assets at beginning of year2023-05-31$0
Value of fidelity bond covering the plan2023-05-31$500,000
Total contributions received or receivable from participants2023-05-31$0
Expenses. Other expenses not covered elsewhere2023-05-31$428,200
Contributions received from other sources (not participants or employers)2023-05-31$0
Other income received2023-05-31$385
Net income (gross income less expenses)2023-05-31$-341,532
Net plan assets at end of year (total assets less liabilities)2023-05-31$-341,532
Net plan assets at beginning of year (total assets less liabilities)2023-05-31$0
Total contributions received or receivable from employer(s)2023-05-31$1,048,052
Value of corrective distributions2023-05-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2023-05-31$-9,460

Form 5500 Responses for ICON LEGACY CUSTOM MODULAR HOMES, L.L.C. GROUP MEDICAL PLAN

2023: ICON LEGACY CUSTOM MODULAR HOMES, L.L.C. GROUP MEDICAL PLAN 2023 form 5500 responses
2023-06-01Type of plan entitySingle employer plan
2023-06-01Submission has been amendedNo
2023-06-01This submission is the final filingNo
2023-06-01This return/report is a short plan year return/report (less than 12 months)Yes
2023-06-01Plan is a collectively bargained planNo
2023-06-01Plan funding arrangement – InsuranceYes
2023-06-01Plan funding arrangement – TrustYes
2023-06-01Plan funding arrangement – General assets of the sponsorYes
2023-06-01Plan benefit arrangement – InsuranceYes
2023-06-01Plan benefit arrangement - TrustYes
2023-06-01Plan benefit arrangement – General assets of the sponsorYes
2022: ICON LEGACY CUSTOM MODULAR HOMES, L.L.C. GROUP MEDICAL PLAN 2022 form 5500 responses
2022-06-01Type of plan entitySingle employer plan
2022-06-01Submission has been amendedNo
2022-06-01This submission is the final filingNo
2022-06-01This return/report is a short plan year return/report (less than 12 months)No
2022-06-01Plan is a collectively bargained planNo
2022-06-01Plan funding arrangement – InsuranceYes
2022-06-01Plan funding arrangement – TrustYes
2022-06-01Plan funding arrangement – General assets of the sponsorYes
2022-06-01Plan benefit arrangement – InsuranceYes
2022-06-01Plan benefit arrangement - TrustYes
2022-06-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number31000311-221
Policy instance 1
Insurance contract or identification number31000311-221
Number of Individuals Covered94
Insurance policy start date2023-06-01
Insurance policy end date2023-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $31,276
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number31000311-221
Policy instance 1
Insurance contract or identification number31000311-221
Number of Individuals Covered86
Insurance policy start date2022-06-01
Insurance policy end date2023-05-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $371,317
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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