401k Plan data: JOB OPTIONS, INC. plan

JOB OPTIONS, INC. 401k Plan overview

Plan Name	JOB OPTIONS, INC.
Plan identification number	502

JOB OPTIONS, INC. Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

JOB OPTIONS, INC. has sponsored the creation of one or more 401k plans.

Company Name: JOB OPTIONS, INC.

Employer identification number (EIN): 330603379

NAIC Classification: 624310
NAIC Description: Vocational Rehabilitation Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JOB OPTIONS, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2023-07-01 JOUNINA BOKA 2024-12-16
502 2022-07-01 JOUNINA BOKA 2024-01-29
502 2021-07-01 JOUNINA BOKA 2023-06-05

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
502	2023-07-01	JOUNINA BOKA	2024-12-16
502	2022-07-01	JOUNINA BOKA	2024-01-29
502	2021-07-01	JOUNINA BOKA	2023-06-05

Form 5500 Responses for JOB OPTIONS, INC.

2023: JOB OPTIONS, INC. 2023 form 5500 responses
2023-07-01	Type of plan entity	Single employer plan
2023-07-01	Plan funding arrangement – Insurance	Yes
2023-07-01	Plan benefit arrangement – Insurance	Yes
2022: JOB OPTIONS, INC. 2022 form 5500 responses
2022-07-01	Type of plan entity	Single employer plan
2022-07-01	Plan funding arrangement – Insurance	Yes
2022-07-01	Plan benefit arrangement – Insurance	Yes
2021: JOB OPTIONS, INC. 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
2021-07-01	Plan funding arrangement – Insurance	Yes
2021-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )

Policy contract number

L00330

Policy instance

Insurance contract or identification number	L00330
Number of Individuals Covered	80
Insurance policy start date	2023-07-01
Insurance policy end date	2024-06-30
Total amount of commissions paid to insurance broker	USD $478
Total amount of fees paid to insurance company	USD $10
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $19,768
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HEALTH AND HUMAN RESOURCES CENTER, INC. (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

65325

Policy instance

Insurance contract or identification number	65325
Number of Individuals Covered	833
Insurance policy start date	2023-07-01
Insurance policy end date	2024-06-30
Total amount of commissions paid to insurance broker	USD $762
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $16,768
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )

Policy contract number

L00330

Policy instance

Insurance contract or identification number	L00330
Number of Individuals Covered	60
Insurance policy start date	2024-04-01
Insurance policy end date	2024-06-30
Total amount of commissions paid to insurance broker	USD $1,905
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $12,728
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )

Policy contract number

L00330

Policy instance

HEALTH AND HUMAN RESOURCES CENTER, INC. (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

65325

Policy instance

ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )

Policy contract number

L00330

Policy instance

HEALTH AND HUMAN RESOURCES CENTER, INC. (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

65325

Policy instance

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Company Name:	JOB OPTIONS, INC.
Employer identification number (EIN):	330603379
NAIC Classification:	624310
NAIC Description:	Vocational Rehabilitation Services