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INTOWN HOMES, LTD HEALTH & WELFARE PLAN 401k Plan overview

Plan NameINTOWN HOMES, LTD HEALTH & WELFARE PLAN
Plan identification number 501

INTOWN HOMES, LTD HEALTH & WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

INTOWNHOMES LTD has sponsored the creation of one or more 401k plans.

Company Name:INTOWNHOMES LTD
Employer identification number (EIN):431985286
NAIC Classification:236110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INTOWN HOMES, LTD HEALTH & WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-12-01CINDY LIU2023-06-23 CINDY LIU2023-06-23
5012020-12-01CINDY LIU2022-09-13 CINDY LIU2022-09-13
5012019-12-01CINDY LIU2021-09-01 CINDY LIU2021-09-01

Plan Statistics for INTOWN HOMES, LTD HEALTH & WELFARE PLAN

401k plan membership statisitcs for INTOWN HOMES, LTD HEALTH & WELFARE PLAN

Measure Date Value
2021: INTOWN HOMES, LTD HEALTH & WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-12-01128
Total number of active participants reported on line 7a of the Form 55002021-12-01149
Number of retired or separated participants receiving benefits2021-12-012
Number of other retired or separated participants entitled to future benefits2021-12-010
Total of all active and inactive participants2021-12-01151
2020: INTOWN HOMES, LTD HEALTH & WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-01121
Total number of active participants reported on line 7a of the Form 55002020-12-01121
Number of retired or separated participants receiving benefits2020-12-010
Number of other retired or separated participants entitled to future benefits2020-12-010
Total of all active and inactive participants2020-12-01121
2019: INTOWN HOMES, LTD HEALTH & WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-12-01106
Total number of active participants reported on line 7a of the Form 55002019-12-01101
Number of retired or separated participants receiving benefits2019-12-010
Number of other retired or separated participants entitled to future benefits2019-12-010
Total of all active and inactive participants2019-12-01101

Form 5500 Responses for INTOWN HOMES, LTD HEALTH & WELFARE PLAN

2021: INTOWN HOMES, LTD HEALTH & WELFARE PLAN 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01Submission has been amendedNo
2021-12-01This submission is the final filingNo
2021-12-01This return/report is a short plan year return/report (less than 12 months)No
2021-12-01Plan is a collectively bargained planNo
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan benefit arrangement – InsuranceYes
2020: INTOWN HOMES, LTD HEALTH & WELFARE PLAN 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01Submission has been amendedNo
2020-12-01This submission is the final filingNo
2020-12-01This return/report is a short plan year return/report (less than 12 months)No
2020-12-01Plan is a collectively bargained planNo
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – InsuranceYes
2019: INTOWN HOMES, LTD HEALTH & WELFARE PLAN 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01First time form 5500 has been submittedYes
2019-12-01Submission has been amendedNo
2019-12-01This submission is the final filingNo
2019-12-01This return/report is a short plan year return/report (less than 12 months)No
2019-12-01Plan is a collectively bargained planNo
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberVF026999
Policy instance 1
Insurance contract or identification numberVF026999
Number of Individuals Covered145
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $15,778
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $110,545
Commission paid to Insurance BrokerUSD $15,778
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number330954
Policy instance 2
Insurance contract or identification number330954
Number of Individuals Covered208
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $55,781
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $910,794
Commission paid to Insurance BrokerUSD $55,781
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0920345
Policy instance 1
Insurance contract or identification number0920345
Number of Individuals Covered121
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $6,208
Total amount of fees paid to insurance companyUSD $39,892
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $820,530
Commission paid to Insurance BrokerUSD $6,208
Amount paid for insurance broker fees39892
Additional information about fees paid to insurance brokerSERVICE FEE AGREEMENT
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0920345
Policy instance 1
Insurance contract or identification number0920345
Number of Individuals Covered160
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $36,881
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $701,096
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000BMP7
Policy instance 2
Insurance contract or identification numberG000BMP7
Number of Individuals Covered106
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $12,457
Total amount of fees paid to insurance companyUSD $187
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $109,504

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