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USC LLC HEALTH & WELFARE PLAN 401k Plan overview

Plan NameUSC LLC HEALTH & WELFARE PLAN
Plan identification number 501

USC LLC HEALTH & WELFARE PLAN Benefits

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

401k Sponsoring company profile

USC, LLC has sponsored the creation of one or more 401k plans.

Company Name:USC, LLC
Employer identification number (EIN):481240423
NAIC Classification:333100

Additional information about USC, LLC

Jurisdiction of Incorporation: Michigan Secretary of State
Incorporation Date: 2002-05-31
Company Identification Number: B2315E
Legal Registered Office Address: 855 FOREST AVE STE 208 BIRMINGHAM


United States of America (USA)
48009

More information about USC, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan USC LLC HEALTH & WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-12-01
5012014-12-01
5012013-12-01JAMES RENYER

Plan Statistics for USC LLC HEALTH & WELFARE PLAN

401k plan membership statisitcs for USC LLC HEALTH & WELFARE PLAN

Measure Date Value
2015: USC LLC HEALTH & WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-12-01102
Total number of active participants reported on line 7a of the Form 55002015-12-0197
Total of all active and inactive participants2015-12-0197
2014: USC LLC HEALTH & WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-12-01102
Total number of active participants reported on line 7a of the Form 55002014-12-01102
Total of all active and inactive participants2014-12-01102
2013: USC LLC HEALTH & WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-12-01109
Total number of active participants reported on line 7a of the Form 55002013-12-01109
Total of all active and inactive participants2013-12-01109

Form 5500 Responses for USC LLC HEALTH & WELFARE PLAN

2015: USC LLC HEALTH & WELFARE PLAN 2015 form 5500 responses
2015-12-01Type of plan entitySingle employer plan
2015-12-01Plan funding arrangement – InsuranceYes
2015-12-01Plan funding arrangement – General assets of the sponsorYes
2015-12-01Plan benefit arrangement – InsuranceYes
2015-12-01Plan benefit arrangement – General assets of the sponsorYes
2014: USC LLC HEALTH & WELFARE PLAN 2014 form 5500 responses
2014-12-01Type of plan entitySingle employer plan
2014-12-01Plan funding arrangement – InsuranceYes
2014-12-01Plan funding arrangement – General assets of the sponsorYes
2014-12-01Plan benefit arrangement – InsuranceYes
2014-12-01Plan benefit arrangement – General assets of the sponsorYes
2013: USC LLC HEALTH & WELFARE PLAN 2013 form 5500 responses
2013-12-01Type of plan entitySingle employer plan
2013-12-01First time form 5500 has been submittedYes
2013-12-01Plan funding arrangement – InsuranceYes
2013-12-01Plan funding arrangement – General assets of the sponsorYes
2013-12-01Plan benefit arrangement – InsuranceYes
2013-12-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number06827
Policy instance 1
Insurance contract or identification number06827
Number of Individuals Covered229
Insurance policy start date2014-12-01
Insurance policy end date2015-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $915,848
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ADVANCE INSURANCE COMPANY OF KANSAS (National Association of Insurance Commissioners NAIC id number: 12143 )
Policy contract number06827
Policy instance 2
Insurance contract or identification number06827
Number of Individuals Covered115
Insurance policy start date2014-12-01
Insurance policy end date2015-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $31,602
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number06827
Policy instance 1
Insurance contract or identification number06827
Number of Individuals Covered228
Insurance policy start date2013-12-01
Insurance policy end date2014-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $923,816
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ADVANCE INSURANCE COMPANY OF KANSAS (National Association of Insurance Commissioners NAIC id number: 12143 )
Policy contract number06827
Policy instance 2
Insurance contract or identification number06827
Number of Individuals Covered112
Insurance policy start date2013-12-01
Insurance policy end date2014-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $28,475
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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