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BOYS & GIRLS CLUBS OF NORTHEAST OHIO 401k Plan overview

Plan NameBOYS & GIRLS CLUBS OF NORTHEAST OHIO
Plan identification number 501

BOYS & GIRLS CLUBS OF NORTHEAST OHIO Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

BOYS & GIRLS CLUBS OF NORTHEAST OHIO has sponsored the creation of one or more 401k plans.

Company Name:BOYS & GIRLS CLUBS OF NORTHEAST OHIO
Employer identification number (EIN):341856214
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BOYS & GIRLS CLUBS OF NORTHEAST OHIO

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-07-01SHELLY JOHNSON2023-11-01

Plan Statistics for BOYS & GIRLS CLUBS OF NORTHEAST OHIO

401k plan membership statisitcs for BOYS & GIRLS CLUBS OF NORTHEAST OHIO

Measure Date Value
2022: BOYS & GIRLS CLUBS OF NORTHEAST OHIO 2022 401k membership
Total participants, beginning-of-year2022-07-01158
Total number of active participants reported on line 7a of the Form 55002022-07-01161
Number of retired or separated participants receiving benefits2022-07-010
Number of other retired or separated participants entitled to future benefits2022-07-012
Total of all active and inactive participants2022-07-01163
Number of employers contributing to the scheme2022-07-010

Form 5500 Responses for BOYS & GIRLS CLUBS OF NORTHEAST OHIO

2022: BOYS & GIRLS CLUBS OF NORTHEAST OHIO 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01First time form 5500 has been submittedYes
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract numberOH2685
Policy instance 1
Insurance contract or identification numberOH2685
Number of Individuals Covered146
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $33,985
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $770,223
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33,985
Amount paid for insurance broker fees0
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number1D039696
Policy instance 2
Insurance contract or identification number1D039696
Number of Individuals Covered155
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $24,066
Total amount of fees paid to insurance companyUSD $20,763
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $189,871
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,066
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerOVERRIDES, BROKER BONUS

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