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LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN 401k Plan overview

Plan NameLAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN
Plan identification number 501

LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

LAKEVIEW CHRISTIAN HOME OF THE SOUTHWEST, INC. has sponsored the creation of one or more 401k plans.

Company Name:LAKEVIEW CHRISTIAN HOME OF THE SOUTHWEST, INC.
Employer identification number (EIN):850160614
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-11-01
5012020-11-01
5012019-11-01
5012018-11-01
5012017-11-01
5012016-11-01DEBRA SIMMONS, HR DIRECTOR DEBRA SIMMONS, HR DIRECTOR2018-08-14
5012015-11-01MISTI CROUCH, HR DIRECTOR MISTI CROUCH, HR DIRECTOR2017-08-14
5012014-11-01MISTI CROUCH, HR DIRECTOR MISTI CROUCH, HR DIRECTOR2016-05-24
5012013-11-01JOANNA KNOX, CEO JOANNA KNOX, CEO2015-05-19
5012012-11-01MISTI CROUCH, HR DIRECTOR MISTI CROUCH, HR DIRECTOR2014-05-29
5012011-11-01MARTI DEAL, HR DIRECTOR MARTI DEAL, HR DIRECTOR2013-02-04
5012010-11-01MARTI DEAL, HR DIRECTOR MARTI DEAL, HR DIRECTOR2012-04-30
5012009-11-01JODIE STRILEY
5012008-11-01KELLY MURPHY

Plan Statistics for LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN

401k plan membership statisitcs for LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN

Measure Date Value
2021: LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-11-01265
Total number of active participants reported on line 7a of the Form 55002021-11-01210
Number of retired or separated participants receiving benefits2021-11-010
Number of other retired or separated participants entitled to future benefits2021-11-010
Total of all active and inactive participants2021-11-01210
2020: LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-11-01265
Total number of active participants reported on line 7a of the Form 55002020-11-01265
Number of retired or separated participants receiving benefits2020-11-010
Number of other retired or separated participants entitled to future benefits2020-11-010
Total of all active and inactive participants2020-11-01265
2019: LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-11-01265
Total number of active participants reported on line 7a of the Form 55002019-11-01265
Number of retired or separated participants receiving benefits2019-11-010
Number of other retired or separated participants entitled to future benefits2019-11-010
Total of all active and inactive participants2019-11-01265
2018: LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-11-01184
Total number of active participants reported on line 7a of the Form 55002018-11-01190
Number of retired or separated participants receiving benefits2018-11-010
Number of other retired or separated participants entitled to future benefits2018-11-010
Total of all active and inactive participants2018-11-01190
2017: LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-11-01184
Total number of active participants reported on line 7a of the Form 55002017-11-01184
Number of retired or separated participants receiving benefits2017-11-010
Number of other retired or separated participants entitled to future benefits2017-11-010
Total of all active and inactive participants2017-11-01184
2016: LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-11-01126
Total number of active participants reported on line 7a of the Form 55002016-11-01184
Number of retired or separated participants receiving benefits2016-11-010
Number of other retired or separated participants entitled to future benefits2016-11-010
Total of all active and inactive participants2016-11-01184
2015: LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-11-01179
Total number of active participants reported on line 7a of the Form 55002015-11-01126
Number of retired or separated participants receiving benefits2015-11-010
Number of other retired or separated participants entitled to future benefits2015-11-010
Total of all active and inactive participants2015-11-01126
2014: LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-11-01185
Total number of active participants reported on line 7a of the Form 55002014-11-01179
Number of retired or separated participants receiving benefits2014-11-010
Number of other retired or separated participants entitled to future benefits2014-11-010
Total of all active and inactive participants2014-11-01179
2013: LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-11-01153
Total number of active participants reported on line 7a of the Form 55002013-11-01185
Total of all active and inactive participants2013-11-01185
2012: LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-11-01168
Total number of active participants reported on line 7a of the Form 55002012-11-01153
Total of all active and inactive participants2012-11-01153
2011: LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-11-01126
Total of all active and inactive participants2011-11-010
2010: LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-11-01126
Total number of active participants reported on line 7a of the Form 55002010-11-01126
Total of all active and inactive participants2010-11-01126
2009: LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-11-01127
Total number of active participants reported on line 7a of the Form 55002009-11-01126
Total of all active and inactive participants2009-11-01126
2008: LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN 2008 401k membership
Total participants, beginning-of-year2008-11-0199
Total number of active participants reported on line 7a of the Form 55002008-11-01127
Total of all active and inactive participants2008-11-01127

Form 5500 Responses for LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN

2021: LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN 2021 form 5500 responses
2021-11-01Type of plan entitySingle employer plan
2021-11-01Plan funding arrangement – General assets of the sponsorYes
2021-11-01Plan benefit arrangement – InsuranceYes
2021-11-01Plan benefit arrangement – General assets of the sponsorYes
2020: LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN 2020 form 5500 responses
2020-11-01Type of plan entitySingle employer plan
2020-11-01Plan funding arrangement – General assets of the sponsorYes
2020-11-01Plan benefit arrangement – InsuranceYes
2020-11-01Plan benefit arrangement – General assets of the sponsorYes
2019: LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN 2019 form 5500 responses
2019-11-01Type of plan entitySingle employer plan
2019-11-01Plan funding arrangement – General assets of the sponsorYes
2019-11-01Plan benefit arrangement – InsuranceYes
2019-11-01Plan benefit arrangement – General assets of the sponsorYes
2018: LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN 2018 form 5500 responses
2018-11-01Type of plan entitySingle employer plan
2018-11-01Plan funding arrangement – General assets of the sponsorYes
2018-11-01Plan benefit arrangement – InsuranceYes
2018-11-01Plan benefit arrangement – General assets of the sponsorYes
2017: LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN 2017 form 5500 responses
2017-11-01Type of plan entitySingle employer plan
2017-11-01Plan funding arrangement – General assets of the sponsorYes
2017-11-01Plan benefit arrangement – InsuranceYes
2017-11-01Plan benefit arrangement – General assets of the sponsorYes
2016: LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN 2016 form 5500 responses
2016-11-01Type of plan entitySingle employer plan
2016-11-01Plan funding arrangement – General assets of the sponsorYes
2016-11-01Plan benefit arrangement – InsuranceYes
2016-11-01Plan benefit arrangement – General assets of the sponsorYes
2015: LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN 2015 form 5500 responses
2015-11-01Type of plan entitySingle employer plan
2015-11-01Plan funding arrangement – General assets of the sponsorYes
2015-11-01Plan benefit arrangement – InsuranceYes
2014: LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN 2014 form 5500 responses
2014-11-01Type of plan entitySingle employer plan
2014-11-01Plan funding arrangement – General assets of the sponsorYes
2014-11-01Plan benefit arrangement – InsuranceYes
2013: LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN 2013 form 5500 responses
2013-11-01Type of plan entitySingle employer plan
2013-11-01Plan funding arrangement – General assets of the sponsorYes
2013-11-01Plan benefit arrangement – InsuranceYes
2012: LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN 2012 form 5500 responses
2012-11-01Type of plan entitySingle employer plan
2012-11-01Plan funding arrangement – General assets of the sponsorYes
2012-11-01Plan benefit arrangement – InsuranceYes
2011: LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN 2011 form 5500 responses
2011-11-01Type of plan entitySingle employer plan
2011-11-01Plan funding arrangement – General assets of the sponsorYes
2011-11-01Plan benefit arrangement – InsuranceYes
2010: LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN 2010 form 5500 responses
2010-11-01Type of plan entitySingle employer plan
2010-11-01Plan funding arrangement – General assets of the sponsorYes
2010-11-01Plan benefit arrangement – InsuranceYes
2009: LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN 2009 form 5500 responses
2009-11-01Type of plan entitySingle employer plan
2009-11-01Submission has been amendedNo
2009-11-01This submission is the final filingNo
2009-11-01This return/report is a short plan year return/report (less than 12 months)No
2009-11-01Plan is a collectively bargained planNo
2009-11-01Plan funding arrangement – General assets of the sponsorYes
2009-11-01Plan benefit arrangement – InsuranceYes
2008: LAKEVIEW CHRISTIAN HOME FLEXIBLE BENEFIT PLAN 2008 form 5500 responses
2008-11-01Type of plan entitySingle employer plan
2008-11-01Submission has been amendedNo
2008-11-01This submission is the final filingNo
2008-11-01This return/report is a short plan year return/report (less than 12 months)No
2008-11-01Plan is a collectively bargained planNo
2008-11-01Plan funding arrangement – General assets of the sponsorYes
2008-11-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGD600004
Policy instance 2
Insurance contract or identification numberSGD600004
Insurance policy start date2022-02-01
Insurance policy end date2023-01-31
Total amount of commissions paid to insurance brokerUSD $3,249
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,158
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,249
Additional information about fees paid to insurance brokerLONG TERM DISABILITY 3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05736789
Policy instance 1
Insurance contract or identification numberKM05736789
Number of Individuals Covered265
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
Total amount of commissions paid to insurance brokerUSD $932
Total amount of fees paid to insurance companyUSD $149
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $6,132
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $932
Amount paid for insurance broker fees149
Additional information about fees paid to insurance brokerLIFE INSURANCE 3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGD600004
Policy instance 3
Insurance contract or identification numberSGD600004
Insurance policy start date2020-08-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $1,094
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,029
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,094
Additional information about fees paid to insurance brokerLONG TERM DISABILITY 3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05736789
Policy instance 2
Insurance contract or identification numberKM05736789
Number of Individuals Covered265
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $982
Total amount of fees paid to insurance companyUSD $146
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $6,732
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $982
Amount paid for insurance broker fees146
Additional information about fees paid to insurance brokerLIFE INSURANCE 3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGD600004
Policy instance 1
Insurance contract or identification numberSGD600004
Number of Individuals Covered100
Insurance policy start date2020-02-01
Insurance policy end date2021-02-01
Total amount of commissions paid to insurance brokerUSD $2,540
Total amount of fees paid to insurance companyUSD $133
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,901
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,540
Amount paid for insurance broker fees133
Additional information about fees paid to insurance brokerLONG-TERM DISABILITY 3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05736789
Policy instance 2
Insurance contract or identification numberKM05736789
Number of Individuals Covered265
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $982
Total amount of fees paid to insurance companyUSD $146
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $6,732
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $982
Amount paid for insurance broker fees146
Additional information about fees paid to insurance brokerLIFE INSURANCE 3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGD600004
Policy instance 1
Insurance contract or identification numberSGD600004
Number of Individuals Covered100
Insurance policy start date2020-02-01
Insurance policy end date2021-02-01
Total amount of commissions paid to insurance brokerUSD $2,540
Total amount of fees paid to insurance companyUSD $133
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,901
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,540
Amount paid for insurance broker fees133
Additional information about fees paid to insurance brokerLONG-TERM DISABILITY 3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05736789
Policy instance 2
Insurance contract or identification numberKM05736789
Number of Individuals Covered190
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $643
Total amount of fees paid to insurance companyUSD $152
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $4,296
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $643
Amount paid for insurance broker fees152
Additional information about fees paid to insurance brokerLIFE INSURANCE 3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGD600004
Policy instance 1
Insurance contract or identification numberSGD600004
Number of Individuals Covered100
Insurance policy start date2018-02-01
Insurance policy end date2019-02-01
Total amount of commissions paid to insurance brokerUSD $2,659
Total amount of fees paid to insurance companyUSD $119
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,084
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,659
Amount paid for insurance broker fees119
Additional information about fees paid to insurance brokerLONG-TERM DISABILITY 3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05736789
Policy instance 2
Insurance contract or identification numberKM05736789
Number of Individuals Covered184
Insurance policy start date2017-02-01
Insurance policy end date2018-02-01
Total amount of commissions paid to insurance brokerUSD $616
Total amount of fees paid to insurance companyUSD $115
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $4,091
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGD600004
Policy instance 1
Insurance contract or identification numberSGD600004
Number of Individuals Covered100
Insurance policy start date2017-02-01
Insurance policy end date2018-02-01
Total amount of commissions paid to insurance brokerUSD $2,466
Total amount of fees paid to insurance companyUSD $100
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,159
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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