401k Plan data: ACADIANA LEGAL SERVICE CORPORATION EMPLOYEE BENEFIT PLAN plan

ACADIANA LEGAL SERVICE CORPORATION EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan Name	ACADIANA LEGAL SERVICE CORPORATION EMPLOYEE BENEFIT PLAN
Plan identification number	501

ACADIANA LEGAL SERVICE CORPORATION EMPLOYEE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

ACADIANA LEGAL SERVICE CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: ACADIANA LEGAL SERVICE CORPORATION

Employer identification number (EIN): 720832432

NAIC Classification: 541190

Additional information about ACADIANA LEGAL SERVICE CORPORATION

Jurisdiction of Incorporation: Louisiana Secretary Of State, Commercial Division

Incorporation Date:

Company Identification Number: 04805950N

More information about ACADIANA LEGAL SERVICE CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ACADIANA LEGAL SERVICE CORPORATION EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-06-01
501 2023-06-01 TAMIKO CHATMAN
501 2022-06-01
501 2022-06-01 TAMIKO CHATMAN
501 2021-06-01
501 2021-06-01 TAMIKO CHATMAN

Plan Statistics for ACADIANA LEGAL SERVICE CORPORATION EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for ACADIANA LEGAL SERVICE CORPORATION EMPLOYEE BENEFIT PLAN

Measure Date Value
2023: ACADIANA LEGAL SERVICE CORPORATION EMPLOYEE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year 2023-06-01 115
Total number of active participants reported on line 7a of the Form 5500 2023-06-01 123
Total of all active and inactive participants 2023-06-01 123
2022: ACADIANA LEGAL SERVICE CORPORATION EMPLOYEE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-06-01 180
Total number of active participants reported on line 7a of the Form 5500 2022-06-01 115
Total of all active and inactive participants 2022-06-01 115
2021: ACADIANA LEGAL SERVICE CORPORATION EMPLOYEE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-06-01 112
Total number of active participants reported on line 7a of the Form 5500 2021-06-01 180
Total of all active and inactive participants 2021-06-01 180

Measure	Date	Value
2023: ACADIANA LEGAL SERVICE CORPORATION EMPLOYEE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year	2023-06-01	115
Total number of active participants reported on line 7a of the Form 5500	2023-06-01	123
Total of all active and inactive participants	2023-06-01	123
2022: ACADIANA LEGAL SERVICE CORPORATION EMPLOYEE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-06-01	180
Total number of active participants reported on line 7a of the Form 5500	2022-06-01	115
Total of all active and inactive participants	2022-06-01	115
2021: ACADIANA LEGAL SERVICE CORPORATION EMPLOYEE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-06-01	112
Total number of active participants reported on line 7a of the Form 5500	2021-06-01	180
Total of all active and inactive participants	2021-06-01	180

Form 5500 Responses for ACADIANA LEGAL SERVICE CORPORATION EMPLOYEE BENEFIT PLAN

2023: ACADIANA LEGAL SERVICE CORPORATION EMPLOYEE BENEFIT PLAN 2023 form 5500 responses
2023-06-01	Type of plan entity	Single employer plan
2023-06-01	Plan funding arrangement – Insurance	Yes
2023-06-01	Plan benefit arrangement – Insurance	Yes
2022: ACADIANA LEGAL SERVICE CORPORATION EMPLOYEE BENEFIT PLAN 2022 form 5500 responses
2022-06-01	Type of plan entity	Single employer plan
2022-06-01	Plan funding arrangement – Insurance	Yes
2022-06-01	Plan benefit arrangement – Insurance	Yes
2021: ACADIANA LEGAL SERVICE CORPORATION EMPLOYEE BENEFIT PLAN 2021 form 5500 responses
2021-06-01	Type of plan entity	Single employer plan
2021-06-01	Plan funding arrangement – Insurance	Yes
2021-06-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

GL032288

Policy instance

Insurance contract or identification number	GL032288
Number of Individuals Covered	117
Insurance policy start date	2023-02-01
Insurance policy end date	2024-01-31
Total amount of commissions paid to insurance broker	USD $1,221
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $17,218
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )

Policy contract number

658902

Policy instance

Insurance contract or identification number	658902
Number of Individuals Covered	115
Insurance policy start date	2023-04-01
Insurance policy end date	2024-03-31
Total amount of commissions paid to insurance broker	USD $3,774
Total amount of fees paid to insurance company	USD $944
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $57,270
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )

Policy contract number

658902

Policy instance

Insurance contract or identification number	658902
Number of Individuals Covered	115
Insurance policy start date	2023-04-01
Insurance policy end date	2024-03-31
Total amount of commissions paid to insurance broker	USD $5,502
Total amount of fees paid to insurance company	USD $1,376
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $58,541
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

VAR204289

Policy instance

Insurance contract or identification number	VAR204289
Number of Individuals Covered	123
Insurance policy start date	2023-06-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $617
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $4,111
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )

Policy contract number

80802FF2

Policy instance

Insurance contract or identification number	80802FF2
Number of Individuals Covered	110
Insurance policy start date	2023-06-01
Insurance policy end date	2024-06-01
Total amount of commissions paid to insurance broker	USD $114
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $11,428
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )

Policy contract number

80802FF2

Policy instance

Insurance contract or identification number	80802FF2
Number of Individuals Covered	109
Insurance policy start date	2023-06-01
Insurance policy end date	2024-06-01
Total amount of commissions paid to insurance broker	USD $16,445
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,094,431
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )

Policy contract number

80802FF2

Policy instance

NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )

Policy contract number

658902

Policy instance

BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )

Policy contract number

80802FF2

Policy instance

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

GL032288

Policy instance

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

VAR204289

Policy instance

NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )

Policy contract number

658902

Policy instance

BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )

Policy contract number

80802FF2

Policy instance

NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )

Policy contract number

658902

Policy instance

NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )

Policy contract number

658902

Policy instance

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

VAR204289

Policy instance

BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )

Policy contract number

80802FF2

Policy instance

HUMANA (National Association of Insurance Commissioners NAIC id number: 95642 )

Policy contract number

821763

Policy instance

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

GL032288

Policy instance

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Company Name:	ACADIANA LEGAL SERVICE CORPORATION
Employer identification number (EIN):	720832432
NAIC Classification:	541190

Jurisdiction of Incorporation:	Louisiana Secretary Of State, Commercial Division
Incorporation Date:
Company Identification Number:	04805950N

Plan id#	Filing Submission Date	Name of Administrator
501	2023-06-01
501	2023-06-01	TAMIKO CHATMAN
501	2022-06-01
501	2022-06-01	TAMIKO CHATMAN
501	2021-06-01
501	2021-06-01	TAMIKO CHATMAN