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GROUP LIFE, DISABILITY AND LONG TERM BENEFITS OF CITY UNIVERSITY 401k Plan overview

Plan NameGROUP LIFE, DISABILITY AND LONG TERM BENEFITS OF CITY UNIVERSITY
Plan identification number 501

GROUP LIFE, DISABILITY AND LONG TERM BENEFITS OF CITY UNIVERSITY Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

CITY UNIVERSITY OF SEATTLE has sponsored the creation of one or more 401k plans.

Company Name:CITY UNIVERSITY OF SEATTLE
Employer identification number (EIN):237421224
NAIC Classification:611000

Additional information about CITY UNIVERSITY OF SEATTLE

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 1973-07-13
Company Identification Number: 600568524
Legal Registered Office Address: 3030 80TH AVE SE UNIT 501

MERCER ISLAND
United States of America (USA)
980402963

More information about CITY UNIVERSITY OF SEATTLE

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP LIFE, DISABILITY AND LONG TERM BENEFITS OF CITY UNIVERSITY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012012-12-01BRUCE BRYANT
5012011-12-01NANCY JOHNSON-CASSULO
5012009-12-01NANCY JOHNSON-CASSULO NANCY JOHNSON-CASSULO2011-06-14
5012008-12-01

Plan Statistics for GROUP LIFE, DISABILITY AND LONG TERM BENEFITS OF CITY UNIVERSITY

401k plan membership statisitcs for GROUP LIFE, DISABILITY AND LONG TERM BENEFITS OF CITY UNIVERSITY

Measure Date Value
2012: GROUP LIFE, DISABILITY AND LONG TERM BENEFITS OF CITY UNIVERSITY 2012 401k membership
Total participants, beginning-of-year2012-12-01206
Total number of active participants reported on line 7a of the Form 55002012-12-010
Number of retired or separated participants receiving benefits2012-12-010
Number of other retired or separated participants entitled to future benefits2012-12-010
Total of all active and inactive participants2012-12-010
2011: GROUP LIFE, DISABILITY AND LONG TERM BENEFITS OF CITY UNIVERSITY 2011 401k membership
Total participants, beginning-of-year2011-12-01217
Total number of active participants reported on line 7a of the Form 55002011-12-01205
Number of retired or separated participants receiving benefits2011-12-010
Number of other retired or separated participants entitled to future benefits2011-12-010
Total of all active and inactive participants2011-12-01205
2009: GROUP LIFE, DISABILITY AND LONG TERM BENEFITS OF CITY UNIVERSITY 2009 401k membership
Total participants, beginning-of-year2009-12-01252
Total number of active participants reported on line 7a of the Form 55002009-12-01236
Number of retired or separated participants receiving benefits2009-12-010
Number of other retired or separated participants entitled to future benefits2009-12-010
Total of all active and inactive participants2009-12-01236

Form 5500 Responses for GROUP LIFE, DISABILITY AND LONG TERM BENEFITS OF CITY UNIVERSITY

2012: GROUP LIFE, DISABILITY AND LONG TERM BENEFITS OF CITY UNIVERSITY 2012 form 5500 responses
2012-12-01Type of plan entitySingle employer plan
2012-12-01Submission has been amendedNo
2012-12-01This submission is the final filingYes
2012-12-01This return/report is a short plan year return/report (less than 12 months)No
2012-12-01Plan is a collectively bargained planNo
2012-12-01Plan funding arrangement – InsuranceYes
2012-12-01Plan benefit arrangement – InsuranceYes
2011: GROUP LIFE, DISABILITY AND LONG TERM BENEFITS OF CITY UNIVERSITY 2011 form 5500 responses
2011-12-01Type of plan entitySingle employer plan
2011-12-01Submission has been amendedNo
2011-12-01This submission is the final filingNo
2011-12-01This return/report is a short plan year return/report (less than 12 months)No
2011-12-01Plan is a collectively bargained planNo
2011-12-01Plan funding arrangement – InsuranceYes
2011-12-01Plan benefit arrangement – InsuranceYes
2009: GROUP LIFE, DISABILITY AND LONG TERM BENEFITS OF CITY UNIVERSITY 2009 form 5500 responses
2009-12-01Type of plan entitySingle employer plan
2009-12-01Submission has been amendedNo
2009-12-01This submission is the final filingNo
2009-12-01This return/report is a short plan year return/report (less than 12 months)No
2009-12-01Plan is a collectively bargained planNo
2009-12-01Plan funding arrangement – InsuranceYes
2009-12-01Plan benefit arrangement – InsuranceYes
2008: GROUP LIFE, DISABILITY AND LONG TERM BENEFITS OF CITY UNIVERSITY 2008 form 5500 responses
2008-12-01Type of plan entitySingle employer plan
2008-12-01Submission has been amendedNo
2008-12-01This submission is the final filingNo
2008-12-01This return/report is a short plan year return/report (less than 12 months)No
2008-12-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10109833
Policy instance 1
Insurance contract or identification number10109833
Number of Individuals Covered198
Insurance policy start date2012-12-01
Insurance policy end date2013-11-30
Total amount of commissions paid to insurance brokerUSD $11,501
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT EMPLOYEE ASSISTANCE PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $92,004
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,501
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICES, INC.
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10109833
Policy instance 1
Insurance contract or identification number10109833
Number of Individuals Covered205
Insurance policy start date2011-12-01
Insurance policy end date2012-11-30
Total amount of commissions paid to insurance brokerUSD $11,606
Total amount of fees paid to insurance companyUSD $3,397
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $92,850
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10109833
Policy instance 1
Insurance contract or identification number10109833
Number of Individuals Covered220
Insurance policy start date2010-12-01
Insurance policy end date2011-11-30
Total amount of commissions paid to insurance brokerUSD $12,549
Total amount of fees paid to insurance companyUSD $2,690
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $100,388
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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