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VANTAGE EYECARE LLC DENTAL, STD, AND LIFE/AD&D PLAN 401k Plan overview

Plan NameVANTAGE EYECARE LLC DENTAL, STD, AND LIFE/AD&D PLAN
Plan identification number 502

VANTAGE EYECARE LLC DENTAL, STD, AND LIFE/AD&D PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

VANTAGE EYECARE LLC has sponsored the creation of one or more 401k plans.

Company Name:VANTAGE EYECARE LLC
Employer identification number (EIN):822364678
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VANTAGE EYECARE LLC DENTAL, STD, AND LIFE/AD&D PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022018-01-01
5022018-01-01ZACHARY KUSHNER2020-06-18

Plan Statistics for VANTAGE EYECARE LLC DENTAL, STD, AND LIFE/AD&D PLAN

401k plan membership statisitcs for VANTAGE EYECARE LLC DENTAL, STD, AND LIFE/AD&D PLAN

Measure Date Value
2018: VANTAGE EYECARE LLC DENTAL, STD, AND LIFE/AD&D PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01100
Total number of active participants reported on line 7a of the Form 55002018-01-01246
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01246
Number of employers contributing to the scheme2018-01-010

Form 5500 Responses for VANTAGE EYECARE LLC DENTAL, STD, AND LIFE/AD&D PLAN

2018: VANTAGE EYECARE LLC DENTAL, STD, AND LIFE/AD&D PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01First time form 5500 has been submittedYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5948679
Policy instance 1
Insurance contract or identification number5948679
Number of Individuals Covered577
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $33,950
Total amount of fees paid to insurance companyUSD $21,095
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $299,034
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,597
Amount paid for insurance broker fees15597
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3

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