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CORNERSTONE SERVICES, INC. VISION INSURANCE PLAN 401k Plan overview

Plan NameCORNERSTONE SERVICES, INC. VISION INSURANCE PLAN
Plan identification number 505

CORNERSTONE SERVICES, INC. VISION INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Vision

401k Sponsoring company profile

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

Company Name:CORNERSTONE SERVICES, INC.
Employer identification number (EIN):362706578
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CORNERSTONE SERVICES, INC. VISION INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052017-08-01BENJAMIN STORTZ BENJAMIN STORTZ2019-02-11
5052017-08-01
5052016-08-01BENJAMIN STORTZ BENJAMIN STORTZ2018-02-22
5052015-08-01BENJAMIN STORTZ BENJAMIN STORTZ2017-02-27

Plan Statistics for CORNERSTONE SERVICES, INC. VISION INSURANCE PLAN

401k plan membership statisitcs for CORNERSTONE SERVICES, INC. VISION INSURANCE PLAN

Measure Date Value
2017: CORNERSTONE SERVICES, INC. VISION INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-08-01273
Total number of active participants reported on line 7a of the Form 55002017-08-01286
Number of retired or separated participants receiving benefits2017-08-011
Number of other retired or separated participants entitled to future benefits2017-08-010
Total of all active and inactive participants2017-08-01287
2016: CORNERSTONE SERVICES, INC. VISION INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-08-01315
Total number of active participants reported on line 7a of the Form 55002016-08-01273
Number of retired or separated participants receiving benefits2016-08-010
Number of other retired or separated participants entitled to future benefits2016-08-010
Total of all active and inactive participants2016-08-01273
2015: CORNERSTONE SERVICES, INC. VISION INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-08-01314
Total number of active participants reported on line 7a of the Form 55002015-08-01314
Number of retired or separated participants receiving benefits2015-08-011
Number of other retired or separated participants entitled to future benefits2015-08-010
Total of all active and inactive participants2015-08-01315

Form 5500 Responses for CORNERSTONE SERVICES, INC. VISION INSURANCE PLAN

2017: CORNERSTONE SERVICES, INC. VISION INSURANCE PLAN 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Submission has been amendedNo
2017-08-01This submission is the final filingNo
2017-08-01This return/report is a short plan year return/report (less than 12 months)No
2017-08-01Plan is a collectively bargained planNo
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – InsuranceYes
2016: CORNERSTONE SERVICES, INC. VISION INSURANCE PLAN 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01Submission has been amendedNo
2016-08-01This submission is the final filingNo
2016-08-01This return/report is a short plan year return/report (less than 12 months)No
2016-08-01Plan is a collectively bargained planNo
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – InsuranceYes
2015: CORNERSTONE SERVICES, INC. VISION INSURANCE PLAN 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01First time form 5500 has been submittedYes
2015-08-01Submission has been amendedNo
2015-08-01This submission is the final filingNo
2015-08-01This return/report is a short plan year return/report (less than 12 months)No
2015-08-01Plan is a collectively bargained planNo
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10012801001,2
Policy instance 1
Insurance contract or identification number10012801001,2
Number of Individuals Covered421
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,669
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10012801001,2
Policy instance 1
Insurance contract or identification number10012801001,2
Number of Individuals Covered449
Insurance policy start date2015-08-01
Insurance policy end date2016-07-31
Total amount of commissions paid to insurance brokerUSD $1,414
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $23,150
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,414
Insurance broker organization code?3
Insurance broker nameBROWN & BROWN OF NORTHERN ILLINOIS

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