401k Plan data: MIDWEST EMPLOYEE LEASING VISION PLAN plan

MIDWEST EMPLOYEE LEASING VISION PLAN 401k Plan overview

Plan Name	MIDWEST EMPLOYEE LEASING VISION PLAN
Plan identification number	503

MIDWEST EMPLOYEE LEASING VISION PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Vision

401k Sponsoring company profile

MIDWEST HR, LLC has sponsored the creation of one or more 401k plans.

Company Name: MIDWEST HR, LLC

Employer identification number (EIN): 880457743

NAIC Classification: 541214
NAIC Description: Payroll Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MIDWEST EMPLOYEE LEASING VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2019-01-01

Plan Statistics for MIDWEST EMPLOYEE LEASING VISION PLAN

401k plan membership statisitcs for MIDWEST EMPLOYEE LEASING VISION PLAN

Measure Date Value
2019: MIDWEST EMPLOYEE LEASING VISION PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 628
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 797
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 797

Measure	Date	Value
2019: MIDWEST EMPLOYEE LEASING VISION PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	628
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	797
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	797

Form 5500 Responses for MIDWEST EMPLOYEE LEASING VISION PLAN

2019: MIDWEST EMPLOYEE LEASING VISION PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )

Policy contract number

12164497

Policy instance

Insurance contract or identification number	12164497
Number of Individuals Covered	797
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $1,538
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $87,358
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,538
Additional information about fees paid to insurance broker	COMMISSIONS
Insurance broker organization code?	3

Potentially related plans

MIDWEST EMPLOYEE BENEFITS, INC 401(K) PLAN [EIN = 463423270]

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Company Name:	MIDWEST HR, LLC
Employer identification number (EIN):	880457743
NAIC Classification:	541214
NAIC Description:	Payroll Services