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THE LUTHERAN SENIOR SERVICES BENEFITS PLAN 401k Plan overview

Plan NameTHE LUTHERAN SENIOR SERVICES BENEFITS PLAN
Plan identification number 501

THE LUTHERAN SENIOR SERVICES BENEFITS PLAN 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)
  • Other welfare benefit cover

401k Sponsoring company profile

LUTHERAN SENIOR SERVICES has sponsored the creation of one or more 401k plans.

Company Name:LUTHERAN SENIOR SERVICES
Employer identification number (EIN):430654862
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about LUTHERAN SENIOR SERVICES

Jurisdiction of Incorporation: Missouri Secretary of State
Incorporation Date:
Company Identification Number: B00002278

More information about LUTHERAN SENIOR SERVICES

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE LUTHERAN SENIOR SERVICES BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01DENIS THIEN2023-07-10
5012021-01-01DENIS THIEN2022-07-21

Plan Statistics for THE LUTHERAN SENIOR SERVICES BENEFITS PLAN

401k plan membership statisitcs for THE LUTHERAN SENIOR SERVICES BENEFITS PLAN

Measure Date Value
2022: THE LUTHERAN SENIOR SERVICES BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-012,004
Total number of active participants reported on line 7a of the Form 55002022-01-011,768
Number of retired or separated participants receiving benefits2022-01-018
Number of other retired or separated participants entitled to future benefits2022-01-0174
Total of all active and inactive participants2022-01-011,850
Number of employers contributing to the scheme2022-01-010
2021: THE LUTHERAN SENIOR SERVICES BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-012,191
Total number of active participants reported on line 7a of the Form 55002021-01-011,956
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-011,956
Number of employers contributing to the scheme2021-01-010

Form 5500 Responses for THE LUTHERAN SENIOR SERVICES BENEFITS PLAN

2022: THE LUTHERAN SENIOR SERVICES BENEFITS PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: THE LUTHERAN SENIOR SERVICES BENEFITS PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01First time form 5500 has been submittedYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 )
Policy contract number97976301001
Policy instance 1
Insurance contract or identification number97976301001
Number of Individuals Covered1746
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $14,709
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Welfare Benefit Premiums Paid to CarrierUSD $147,133
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,709
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number426747
Policy instance 2
Insurance contract or identification number426747
Number of Individuals Covered1776
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $92,562
Total amount of fees paid to insurance companyUSD $12,805
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $590,429
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $60,551
Amount paid for insurance broker fees12805
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number426747
Policy instance 1
Insurance contract or identification number426747
Number of Individuals Covered1956
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $54,898
Total amount of fees paid to insurance companyUSD $11,547
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $577,326
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $54,898
Amount paid for insurance broker fees11547
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 )
Policy contract number97976301001
Policy instance 2
Insurance contract or identification number97976301001
Number of Individuals Covered2005
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $14,792
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Welfare Benefit Premiums Paid to CarrierUSD $135,305
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,500
Amount paid for insurance broker fees0
Insurance broker organization code?3

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