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PROVIDENCE MANAGEMENT COMPANY, LLC LIFE, AD&D, LTD AND STD INSURANCE. PLAN 401k Plan overview

Plan NamePROVIDENCE MANAGEMENT COMPANY, LLC LIFE, AD&D, LTD AND STD INSURANCE. PLAN
Plan identification number 501

PROVIDENCE MANAGEMENT COMPANY, LLC LIFE, AD&D, LTD AND STD INSURANCE. PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Prepaid legal
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

PROVIDENCE MANAGEMENT COMPANY, LLC has sponsored the creation of one or more 401k plans.

Company Name:PROVIDENCE MANAGEMENT COMPANY, LLC
Employer identification number (EIN):364334227
NAIC Classification:531390
NAIC Description:Other Activities Related to Real Estate

Additional information about PROVIDENCE MANAGEMENT COMPANY, LLC

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 2006-07-31
Company Identification Number: L06000075599
Legal Registered Office Address: 12534 MISSION HILLS CIRCLE SOUTH

JACKSONVILLE

32225

More information about PROVIDENCE MANAGEMENT COMPANY, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PROVIDENCE MANAGEMENT COMPANY, LLC LIFE, AD&D, LTD AND STD INSURANCE. PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-06-01KAREN PHILLIPS2023-07-21 KAREN PHILLIPS2023-07-21
5012021-06-01KAREN PHILLIPS2022-09-20 KAREN PHILLIPS2022-09-20
5012020-06-01KAREN PHILLIPS2021-08-19 KAREN PHILLIPS2021-08-19
5012019-06-01KAREN PHILLIPS2020-08-13 KAREN PHILLIPS2020-08-13
5012018-06-01KAREN PHILLIPS2019-08-28 KAREN PHILLIPS2019-08-28
5012018-01-01
5012017-01-01
5012016-01-01
5012015-01-01
5012014-06-01SCOTT EMERING

Plan Statistics for PROVIDENCE MANAGEMENT COMPANY, LLC LIFE, AD&D, LTD AND STD INSURANCE. PLAN

401k plan membership statisitcs for PROVIDENCE MANAGEMENT COMPANY, LLC LIFE, AD&D, LTD AND STD INSURANCE. PLAN

Measure Date Value
2022: PROVIDENCE MANAGEMENT COMPANY, LLC LIFE, AD&D, LTD AND STD INSURANCE. PLAN 2022 401k membership
Total participants, beginning-of-year2022-06-01152
Total number of active participants reported on line 7a of the Form 55002022-06-01162
Total of all active and inactive participants2022-06-01162
2021: PROVIDENCE MANAGEMENT COMPANY, LLC LIFE, AD&D, LTD AND STD INSURANCE. PLAN 2021 401k membership
Total participants, beginning-of-year2021-06-01122
Total number of active participants reported on line 7a of the Form 55002021-06-01152
Number of retired or separated participants receiving benefits2021-06-010
Number of other retired or separated participants entitled to future benefits2021-06-010
Total of all active and inactive participants2021-06-01152
2020: PROVIDENCE MANAGEMENT COMPANY, LLC LIFE, AD&D, LTD AND STD INSURANCE. PLAN 2020 401k membership
Total participants, beginning-of-year2020-06-01136
Total number of active participants reported on line 7a of the Form 55002020-06-01122
Number of retired or separated participants receiving benefits2020-06-010
Number of other retired or separated participants entitled to future benefits2020-06-010
Total of all active and inactive participants2020-06-01122
2019: PROVIDENCE MANAGEMENT COMPANY, LLC LIFE, AD&D, LTD AND STD INSURANCE. PLAN 2019 401k membership
Total participants, beginning-of-year2019-06-01113
Total number of active participants reported on line 7a of the Form 55002019-06-01136
Number of retired or separated participants receiving benefits2019-06-010
Number of other retired or separated participants entitled to future benefits2019-06-010
Total of all active and inactive participants2019-06-01136
2018: PROVIDENCE MANAGEMENT COMPANY, LLC LIFE, AD&D, LTD AND STD INSURANCE. PLAN 2018 401k membership
Total participants, beginning-of-year2018-06-01113
Total number of active participants reported on line 7a of the Form 55002018-06-01113
Number of retired or separated participants receiving benefits2018-06-010
Number of other retired or separated participants entitled to future benefits2018-06-010
Total of all active and inactive participants2018-06-01113
Total participants, beginning-of-year2018-01-01238
Total number of active participants reported on line 7a of the Form 55002018-01-01113
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01113
2017: PROVIDENCE MANAGEMENT COMPANY, LLC LIFE, AD&D, LTD AND STD INSURANCE. PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01228
Total number of active participants reported on line 7a of the Form 55002017-01-01238
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01238
2016: PROVIDENCE MANAGEMENT COMPANY, LLC LIFE, AD&D, LTD AND STD INSURANCE. PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01113
Total number of active participants reported on line 7a of the Form 55002016-01-01228
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01228
2015: PROVIDENCE MANAGEMENT COMPANY, LLC LIFE, AD&D, LTD AND STD INSURANCE. PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01103
Total number of active participants reported on line 7a of the Form 55002015-01-01113
Total of all active and inactive participants2015-01-01113
2014: PROVIDENCE MANAGEMENT COMPANY, LLC LIFE, AD&D, LTD AND STD INSURANCE. PLAN 2014 401k membership
Total participants, beginning-of-year2014-06-01112
Total number of active participants reported on line 7a of the Form 55002014-06-01103
Total of all active and inactive participants2014-06-01103

Form 5500 Responses for PROVIDENCE MANAGEMENT COMPANY, LLC LIFE, AD&D, LTD AND STD INSURANCE. PLAN

2022: PROVIDENCE MANAGEMENT COMPANY, LLC LIFE, AD&D, LTD AND STD INSURANCE. 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 benefit arrangement – InsuranceYes
2021: PROVIDENCE MANAGEMENT COMPANY, LLC LIFE, AD&D, LTD AND STD INSURANCE. PLAN 2021 form 5500 responses
2021-06-01Type of plan entitySingle employer plan
2021-06-01Submission has been amendedNo
2021-06-01This submission is the final filingNo
2021-06-01This return/report is a short plan year return/report (less than 12 months)No
2021-06-01Plan is a collectively bargained planYes
2021-06-01Plan funding arrangement – InsuranceYes
2021-06-01Plan benefit arrangement – InsuranceYes
2020: PROVIDENCE MANAGEMENT COMPANY, LLC LIFE, AD&D, LTD AND STD INSURANCE. PLAN 2020 form 5500 responses
2020-06-01Type of plan entitySingle employer plan
2020-06-01Submission has been amendedNo
2020-06-01This submission is the final filingNo
2020-06-01This return/report is a short plan year return/report (less than 12 months)No
2020-06-01Plan is a collectively bargained planNo
2020-06-01Plan funding arrangement – InsuranceYes
2020-06-01Plan benefit arrangement – InsuranceYes
2019: PROVIDENCE MANAGEMENT COMPANY, LLC LIFE, AD&D, LTD AND STD INSURANCE. PLAN 2019 form 5500 responses
2019-06-01Type of plan entitySingle employer plan
2019-06-01Submission has been amendedNo
2019-06-01This submission is the final filingNo
2019-06-01This return/report is a short plan year return/report (less than 12 months)No
2019-06-01Plan is a collectively bargained planNo
2019-06-01Plan funding arrangement – InsuranceYes
2019-06-01Plan benefit arrangement – InsuranceYes
2018: PROVIDENCE MANAGEMENT COMPANY, LLC LIFE, AD&D, LTD AND STD INSURANCE. PLAN 2018 form 5500 responses
2018-06-01Type of plan entitySingle employer plan
2018-06-01Submission has been amendedNo
2018-06-01This submission is the final filingNo
2018-06-01This return/report is a short plan year return/report (less than 12 months)No
2018-06-01Plan is a collectively bargained planNo
2018-06-01Plan funding arrangement – InsuranceYes
2018-06-01Plan benefit arrangement – InsuranceYes
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: PROVIDENCE MANAGEMENT COMPANY, LLC LIFE, AD&D, LTD AND STD INSURANCE. PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: PROVIDENCE MANAGEMENT COMPANY, LLC LIFE, AD&D, LTD AND STD INSURANCE. PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: PROVIDENCE MANAGEMENT COMPANY, LLC LIFE, AD&D, LTD AND STD INSURANCE. PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: PROVIDENCE MANAGEMENT COMPANY, LLC LIFE, AD&D, LTD AND STD INSURANCE. PLAN 2014 form 5500 responses
2014-06-01Type of plan entitySingle employer plan
2014-06-01First time form 5500 has been submittedYes
2014-06-01Submission has been amendedNo
2014-06-01This submission is the final filingNo
2014-06-01This return/report is a short plan year return/report (less than 12 months)Yes
2014-06-01Plan is a collectively bargained planNo
2014-06-01Plan funding arrangement – InsuranceYes
2014-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1141257
Policy instance 1
Insurance contract or identification number1141257
Number of Individuals Covered162
Insurance policy start date2022-06-01
Insurance policy end date2023-05-31
Total amount of commissions paid to insurance brokerUSD $11,264
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $91,823
Commission paid to Insurance BrokerUSD $11,264
Insurance broker organization code?4
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1141257
Policy instance 1
Insurance contract or identification number1141257
Number of Individuals Covered152
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $14,568
Total amount of fees paid to insurance companyUSD $9,732
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $106,790
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $14,568
Amount paid for insurance broker fees9732
Additional information about fees paid to insurance brokerSERVUCE FEE $3,000 AND BONUS $6,732
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010242365
Policy instance 3
Insurance contract or identification number000010242365
Number of Individuals Covered122
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
Total amount of commissions paid to insurance brokerUSD $1,102
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $9,015
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,102
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010242367
Policy instance 2
Insurance contract or identification number000010242367
Number of Individuals Covered119
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
Total amount of commissions paid to insurance brokerUSD $1,501
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedWEEKLY INCOME
Welfare Benefit Premiums Paid to CarrierUSD $13,634
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,501
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010242366
Policy instance 1
Insurance contract or identification number000010242366
Number of Individuals Covered119
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
Total amount of commissions paid to insurance brokerUSD $1,893
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,622
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,893
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010242365
Policy instance 3
Insurance contract or identification number000010242365
Number of Individuals Covered136
Insurance policy start date2019-06-01
Insurance policy end date2020-05-31
Total amount of commissions paid to insurance brokerUSD $1,091
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $8,922
Commission paid to Insurance BrokerUSD $1,091
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010242367
Policy instance 2
Insurance contract or identification number000010242367
Number of Individuals Covered133
Insurance policy start date2019-06-01
Insurance policy end date2020-05-31
Total amount of commissions paid to insurance brokerUSD $1,480
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedWEEKLY INCOME
Welfare Benefit Premiums Paid to CarrierUSD $13,378
Commission paid to Insurance BrokerUSD $1,480
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010242366
Policy instance 1
Insurance contract or identification number000010242366
Number of Individuals Covered133
Insurance policy start date2019-06-01
Insurance policy end date2020-05-31
Total amount of commissions paid to insurance brokerUSD $1,480
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,172
Commission paid to Insurance BrokerUSD $1,480
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010242367
Policy instance 6
Insurance contract or identification number000010242367
Number of Individuals Covered113
Insurance policy start date2018-07-01
Insurance policy end date2018-12-31
Other welfare benefits providedSHORT-TERM DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $6,136
Commission paid to Insurance BrokerUSD $785
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000403007005
Policy instance 5
Insurance contract or identification number000403007005
Number of Individuals Covered36
Insurance policy start date2018-07-01
Insurance policy end date2018-12-31
Other welfare benefits providedVOL CHILD LIFE, SPOUSE AD&D, VOL AD&D
Welfare Benefit Premiums Paid to CarrierUSD $534
Commission paid to Insurance BrokerUSD $80
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010242366
Policy instance 3
Insurance contract or identification number000010242366
Number of Individuals Covered113
Insurance policy start date2018-07-01
Insurance policy end date2018-12-31
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,573
Commission paid to Insurance BrokerUSD $836
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number951464
Policy instance 2
Insurance contract or identification number951464
Number of Individuals Covered205
Insurance policy start date2018-01-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $2,533
Total amount of fees paid to insurance companyUSD $244
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D AND STD
Welfare Benefit Premiums Paid to CarrierUSD $25,189
Commission paid to Insurance BrokerUSD $2,533
Amount paid for insurance broker fees244
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010242365
Policy instance 1
Insurance contract or identification number000010242365
Number of Individuals Covered116
Insurance policy start date2018-07-01
Insurance policy end date2018-12-31
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $4,262
Commission paid to Insurance BrokerUSD $571
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000400001000
Policy instance 4
Insurance contract or identification number000400001000
Number of Individuals Covered72
Insurance policy start date2018-07-01
Insurance policy end date2018-12-31
Other welfare benefits providedVOL CHILD LIFE, VOL SPOUSE LIFE, VOL LIFE
Welfare Benefit Premiums Paid to CarrierUSD $6,835
Commission paid to Insurance BrokerUSD $1,025
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number951464
Policy instance 1
Insurance contract or identification number951464
Number of Individuals Covered238
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $7,568
Total amount of fees paid to insurance companyUSD $543
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D AND STD
Welfare Benefit Premiums Paid to CarrierUSD $79,429
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,568
Amount paid for insurance broker fees543
Additional information about fees paid to insurance brokerADITIONAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameJ. KRUG & ASSOCIATES, INC.

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