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IN-SHAPE SOLUTIONS LLC WELFARE BENEFIT PLAN 401k Plan overview

Plan NameIN-SHAPE SOLUTIONS LLC WELFARE BENEFIT PLAN
Plan identification number 501

IN-SHAPE SOLUTIONS LLC WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

IN-SHAPE SOLUTIONS, LLC has sponsored the creation of one or more 401k plans.

Company Name:IN-SHAPE SOLUTIONS, LLC
Employer identification number (EIN):861688699
NAIC Classification:713900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan IN-SHAPE SOLUTIONS LLC WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-08-01GINA AARON2024-02-19 GINA AARON2024-02-19
5012020-08-01GINA AARON2022-01-19 GINA AARON2022-01-19

Plan Statistics for IN-SHAPE SOLUTIONS LLC WELFARE BENEFIT PLAN

401k plan membership statisitcs for IN-SHAPE SOLUTIONS LLC WELFARE BENEFIT PLAN

Measure Date Value
2022: IN-SHAPE SOLUTIONS LLC WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-08-0192
Total number of active participants reported on line 7a of the Form 55002022-08-01124
Number of retired or separated participants receiving benefits2022-08-010
Number of other retired or separated participants entitled to future benefits2022-08-010
Total of all active and inactive participants2022-08-01124
2020: IN-SHAPE SOLUTIONS LLC WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-08-01329
Total number of active participants reported on line 7a of the Form 55002020-08-01241
Number of retired or separated participants receiving benefits2020-08-010
Number of other retired or separated participants entitled to future benefits2020-08-010
Total of all active and inactive participants2020-08-01241

Form 5500 Responses for IN-SHAPE SOLUTIONS LLC WELFARE BENEFIT PLAN

2022: IN-SHAPE SOLUTIONS LLC WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-08-01Type of plan entitySingle employer plan
2022-08-01Submission has been amendedNo
2022-08-01This submission is the final filingNo
2022-08-01This return/report is a short plan year return/report (less than 12 months)No
2022-08-01Plan is a collectively bargained planNo
2022-08-01Plan funding arrangement – InsuranceYes
2022-08-01Plan funding arrangement – General assets of the sponsorYes
2022-08-01Plan benefit arrangement – InsuranceYes
2022-08-01Plan benefit arrangement – General assets of the sponsorYes
2020: IN-SHAPE SOLUTIONS LLC WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-08-01Type of plan entitySingle employer plan
2020-08-01Submission has been amendedNo
2020-08-01This submission is the final filingNo
2020-08-01This return/report is a short plan year return/report (less than 12 months)No
2020-08-01Plan is a collectively bargained planNo
2020-08-01Plan funding arrangement – InsuranceYes
2020-08-01Plan funding arrangement – General assets of the sponsorYes
2020-08-01Plan benefit arrangement – InsuranceYes
2020-08-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00623047
Policy instance 6
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10395781001
Policy instance 5
EAP CONSULTANTS, LLC (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract number10681
Policy instance 4
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number607114
Policy instance 3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number235425
Policy instance 2
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract numberCA04724
Policy instance 1
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract numberCA04724
Policy instance 4
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract number395-034
Policy instance 3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00623047
Policy instance 2
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number82-2723296
Policy instance 1

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