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AMERICAN SOCIETY OF HEMATOLOGY GROUP WELFARE BENEFITS & CAFETERIA PLAN 401k Plan overview

Plan NameAMERICAN SOCIETY OF HEMATOLOGY GROUP WELFARE BENEFITS & CAFETERIA PLAN
Plan identification number 502

AMERICAN SOCIETY OF HEMATOLOGY GROUP WELFARE BENEFITS & CAFETERIA PLAN 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
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

AMERICAN SOCIETY OF HEMATOLOGY has sponsored the creation of one or more 401k plans.

Company Name:AMERICAN SOCIETY OF HEMATOLOGY
Employer identification number (EIN):237080568
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICAN SOCIETY OF HEMATOLOGY GROUP WELFARE BENEFITS & CAFETERIA PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022024-01-01MATTHEW GERTZOG
5022023-01-01MARTHA LIGGETT2024-06-26 MARTHA LIGGETT2024-06-26
5022022-01-01MARTHA LIGGETT2023-09-11 MARTHA LIGGETT2023-09-11

Form 5500 Responses for AMERICAN SOCIETY OF HEMATOLOGY GROUP WELFARE BENEFITS & CAFETERIA PLAN

2023: AMERICAN SOCIETY OF HEMATOLOGY GROUP WELFARE BENEFITS & CAFETERIA PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: AMERICAN SOCIETY OF HEMATOLOGY GROUP WELFARE BENEFITS & CAFETERIA PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01First time form 5500 has been submittedYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number677286
Policy instance 1
Insurance contract or identification number677286
Number of Individuals Covered136
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $11,196
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedDISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $111,963
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ASSOCIATION MUTUAL HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number
Policy instance 2
Number of Individuals Covered260
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $35,780
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,263,641
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0000148727
Policy instance 3
Insurance contract or identification number0000148727
Number of Individuals Covered13
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $1,844
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedDISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $24,907
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number677286
Policy instance 1
Insurance contract or identification number677286
Number of Individuals Covered124
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $16,497
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $130,700
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ASSOCIATION MUTUAL HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number
Policy instance 2
Number of Individuals Covered124
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $32,896
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,091,111
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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