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LEBUS INTERNATIONAL, INC HEALTH & WELFARE BENEFITS 401k Plan overview

Plan NameLEBUS INTERNATIONAL, INC HEALTH & WELFARE BENEFITS
Plan identification number 502

LEBUS INTERNATIONAL, INC HEALTH & WELFARE BENEFITS Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Prepaid legal
  • Long-term disability cover
  • Other welfare benefit cover
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

LEBUS INTERNATIONAL, INC. has sponsored the creation of one or more 401k plans.

Company Name:LEBUS INTERNATIONAL, INC.
Employer identification number (EIN):750956646
NAIC Classification:339900

Additional information about LEBUS INTERNATIONAL, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1957-03-01
Company Identification Number: 0013826200
Legal Registered Office Address: PO BOX 2352

LONGVIEW
United States of America (USA)
75606

More information about LEBUS INTERNATIONAL, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LEBUS INTERNATIONAL, INC HEALTH & WELFARE BENEFITS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022016-07-01CHARLES LEBUS
5022015-07-01CHARLES LEBUS
5022014-07-01CHARLES LEBUS
5022013-07-01CHARLES LEBUS
5022012-07-01CHARLES LEBUS
5022011-07-01CHARLES LEBUS
5022010-07-01CHARLES LEBUS
5022009-07-01CHARLES F. LEBUS
5022008-07-01CHARLES LEBUS
5022007-07-01CHARLES LEBUS
5022006-07-01CHARLES LEBUS

Plan Statistics for LEBUS INTERNATIONAL, INC HEALTH & WELFARE BENEFITS

401k plan membership statisitcs for LEBUS INTERNATIONAL, INC HEALTH & WELFARE BENEFITS

Measure Date Value
2016: LEBUS INTERNATIONAL, INC HEALTH & WELFARE BENEFITS 2016 401k membership
Total participants, beginning-of-year2016-07-0188
Total number of active participants reported on line 7a of the Form 55002016-07-0177
Total of all active and inactive participants2016-07-0177
Total participants2016-07-0177
2015: LEBUS INTERNATIONAL, INC HEALTH & WELFARE BENEFITS 2015 401k membership
Total participants, beginning-of-year2015-07-01120
Total number of active participants reported on line 7a of the Form 55002015-07-0188
Total of all active and inactive participants2015-07-0188
Total participants2015-07-010
2014: LEBUS INTERNATIONAL, INC HEALTH & WELFARE BENEFITS 2014 401k membership
Total participants, beginning-of-year2014-07-01121
Total number of active participants reported on line 7a of the Form 55002014-07-01120
Total of all active and inactive participants2014-07-01120
Total participants2014-07-010
2013: LEBUS INTERNATIONAL, INC HEALTH & WELFARE BENEFITS 2013 401k membership
Total participants, beginning-of-year2013-07-01128
Total number of active participants reported on line 7a of the Form 55002013-07-01121
Total of all active and inactive participants2013-07-01121
Total participants2013-07-010
2012: LEBUS INTERNATIONAL, INC HEALTH & WELFARE BENEFITS 2012 401k membership
Total participants, beginning-of-year2012-07-01123
Total number of active participants reported on line 7a of the Form 55002012-07-01128
Total of all active and inactive participants2012-07-01128
2011: LEBUS INTERNATIONAL, INC HEALTH & WELFARE BENEFITS 2011 401k membership
Total participants, beginning-of-year2011-07-01112
Total number of active participants reported on line 7a of the Form 55002011-07-01131
Number of retired or separated participants receiving benefits2011-07-011
Total of all active and inactive participants2011-07-01132
2010: LEBUS INTERNATIONAL, INC HEALTH & WELFARE BENEFITS 2010 401k membership
Total participants, beginning-of-year2010-07-01109
Total number of active participants reported on line 7a of the Form 55002010-07-01107
Number of retired or separated participants receiving benefits2010-07-010
Number of other retired or separated participants entitled to future benefits2010-07-010
Total of all active and inactive participants2010-07-01107
2009: LEBUS INTERNATIONAL, INC HEALTH & WELFARE BENEFITS 2009 401k membership
Total participants, beginning-of-year2009-07-01118
Total number of active participants reported on line 7a of the Form 55002009-07-01105
Number of retired or separated participants receiving benefits2009-07-014
Number of other retired or separated participants entitled to future benefits2009-07-010
Total of all active and inactive participants2009-07-01109
2008: LEBUS INTERNATIONAL, INC HEALTH & WELFARE BENEFITS 2008 401k membership
Total participants, beginning-of-year2008-07-01153
Total number of active participants reported on line 7a of the Form 55002008-07-01117
Number of retired or separated participants receiving benefits2008-07-011
Number of other retired or separated participants entitled to future benefits2008-07-010
Total of all active and inactive participants2008-07-01118
2007: LEBUS INTERNATIONAL, INC HEALTH & WELFARE BENEFITS 2007 401k membership
Total participants, beginning-of-year2007-07-01148
Total number of active participants reported on line 7a of the Form 55002007-07-01152
Number of retired or separated participants receiving benefits2007-07-011
Number of other retired or separated participants entitled to future benefits2007-07-010
Total of all active and inactive participants2007-07-01153
2006: LEBUS INTERNATIONAL, INC HEALTH & WELFARE BENEFITS 2006 401k membership
Total participants, beginning-of-year2006-07-01130
Total number of active participants reported on line 7a of the Form 55002006-07-01148
Number of retired or separated participants receiving benefits2006-07-010
Number of other retired or separated participants entitled to future benefits2006-07-010
Total of all active and inactive participants2006-07-01148

Form 5500 Responses for LEBUS INTERNATIONAL, INC HEALTH & WELFARE BENEFITS

2016: LEBUS INTERNATIONAL, INC HEALTH & WELFARE BENEFITS 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – General assets of the sponsorYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: LEBUS INTERNATIONAL, INC HEALTH & WELFARE BENEFITS 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – General assets of the sponsorYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: LEBUS INTERNATIONAL, INC HEALTH & WELFARE BENEFITS 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – General assets of the sponsorYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: LEBUS INTERNATIONAL, INC HEALTH & WELFARE BENEFITS 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – General assets of the sponsorYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: LEBUS INTERNATIONAL, INC HEALTH & WELFARE BENEFITS 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – General assets of the sponsorYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: LEBUS INTERNATIONAL, INC HEALTH & WELFARE BENEFITS 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – General assets of the sponsorYes
2011-07-01Plan benefit arrangement – InsuranceYes
2010: LEBUS INTERNATIONAL, INC HEALTH & WELFARE BENEFITS 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan funding arrangement – General assets of the sponsorYes
2010-07-01Plan benefit arrangement – InsuranceYes
2009: LEBUS INTERNATIONAL, INC HEALTH & WELFARE BENEFITS 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01This submission is the final filingNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – General assets of the sponsorYes
2009-07-01Plan benefit arrangement – InsuranceYes
2008: LEBUS INTERNATIONAL, INC HEALTH & WELFARE BENEFITS 2008 form 5500 responses
2008-07-01Type of plan entitySingle employer plan
2008-07-01This submission is the final filingNo
2008-07-01Plan funding arrangement – InsuranceYes
2008-07-01Plan funding arrangement – General assets of the sponsorYes
2008-07-01Plan benefit arrangement – InsuranceYes
2007: LEBUS INTERNATIONAL, INC HEALTH & WELFARE BENEFITS 2007 form 5500 responses
2007-07-01Type of plan entitySingle employer plan
2007-07-01This submission is the final filingNo
2007-07-01Plan funding arrangement – InsuranceYes
2007-07-01Plan funding arrangement – General assets of the sponsorYes
2007-07-01Plan benefit arrangement – InsuranceYes
2006: LEBUS INTERNATIONAL, INC HEALTH & WELFARE BENEFITS 2006 form 5500 responses
2006-07-01Type of plan entitySingle employer plan
2006-07-01First time form 5500 has been submittedYes
2006-07-01This submission is the final filingNo
2006-07-01Plan funding arrangement – InsuranceYes
2006-07-01Plan funding arrangement – General assets of the sponsorYes
2006-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5459269
Policy instance 3
Insurance contract or identification number5459269
Number of Individuals Covered87
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $13,827
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $108,769
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,827
Insurance broker organization code?3
Insurance broker nameRONALD D HENSON
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number706094
Policy instance 2
Insurance contract or identification number706094
Number of Individuals Covered153
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $70,455
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,173,962
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $70,455
Insurance broker organization code?3
Insurance broker nameRONALD D HENSON
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number4052644
Policy instance 1
Insurance contract or identification number4052644
Number of Individuals Covered35
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $6,788
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $37,665
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,788
Insurance broker organization code?3
Insurance broker nameRONALD HENSON
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5459269
Policy instance 3
Insurance contract or identification number5459269
Number of Individuals Covered120
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $14,839
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $118,786
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,839
Insurance broker organization code?3
Insurance broker nameRONALD D HENSON
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number4052644
Policy instance 1
Insurance contract or identification number4052644
Number of Individuals Covered40
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $4,441
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $35,127
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,441
Insurance broker organization code?3
Insurance broker nameRONALD HENSON
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number706094
Policy instance 2
Insurance contract or identification number706094
Number of Individuals Covered119
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $80,574
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,394,606
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $80,574
Insurance broker organization code?3
Insurance broker nameRONALD D HENSON
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number4052644
Policy instance 1
Insurance contract or identification number4052644
Number of Individuals Covered41
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $3,627
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $33,413
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,627
Insurance broker organization code?3
Insurance broker nameRONALD HENSON
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number706094
Policy instance 2
Insurance contract or identification number706094
Number of Individuals Covered118
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $80,958
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,387,678
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $80,958
Insurance broker organization code?3
Insurance broker nameRONALD D HENSON
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5459269
Policy instance 3
Insurance contract or identification number5459269
Number of Individuals Covered121
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $14,478
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $116,118
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,478
Insurance broker nameRONALD D HENSON
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0706094
Policy instance 1
Insurance contract or identification number0706094
Number of Individuals Covered128
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $78,544
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
Welfare Benefit Premiums Paid to CarrierUSD $1,353,396
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $78,544
Insurance broker organization code?3
Insurance broker nameRONALD D HENSON
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5459269
Policy instance 2
Insurance contract or identification number5459269
Number of Individuals Covered127
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $1,638
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
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $10,923
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,638
Insurance broker organization code?3
Insurance broker nameRONALD D HENSON
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0706094
Policy instance 1
Insurance contract or identification number0706094
Number of Individuals Covered132
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $69,625
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
Welfare Benefit Premiums Paid to CarrierUSD $1,381,209
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5459269
Policy instance 2
Insurance contract or identification number5459269
Number of Individuals Covered123
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $1,465
Total amount of fees paid to insurance companyUSD $199
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $9,766
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0706094
Policy instance 1
Insurance contract or identification number0706094
Number of Individuals Covered107
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $66,819
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
Welfare Benefit Premiums Paid to CarrierUSD $1,214,890
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05593577
Policy instance 2
Insurance contract or identification numberTM05593577
Number of Individuals Covered107
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
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
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $22,971
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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