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BOYS & GIRLS CLUBS OF CHICAGO WELFARE BENEFIT PLAN 401k Plan overview

Plan NameBOYS & GIRLS CLUBS OF CHICAGO WELFARE BENEFIT PLAN
Plan identification number 501

BOYS & GIRLS CLUBS OF CHICAGO WELFARE BENEFIT PLAN 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)
  • Other welfare benefit cover
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

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

Company Name:BOYS & GIRLS CLUBS OF CHICAGO
Employer identification number (EIN):362166997
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 CHICAGO WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-07-01MICHELLE DANIELS2024-12-02
5012022-07-01MICHELLE DANIELS2023-11-02
5012021-07-01MICHELLE DANIELS2023-03-16
5012012-01-01MIKE CLARK MIKE CLARK2013-10-11
5012012-01-01MICHELLE DANIELS2023-03-13
5012011-01-01MIKE CLARK MIKE CLARK2012-10-11
5012010-01-01KATIE MCMANAMAN KATIE MCMANAMAN2011-09-27
5012009-01-01KATIE MCMANAMAN KATIE MCMANAMAN2010-10-15

Plan Statistics for BOYS & GIRLS CLUBS OF CHICAGO WELFARE BENEFIT PLAN

401k plan membership statisitcs for BOYS & GIRLS CLUBS OF CHICAGO WELFARE BENEFIT PLAN

Measure Date Value
2023: BOYS & GIRLS CLUBS OF CHICAGO WELFARE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year2023-07-01174
Total number of active participants reported on line 7a of the Form 55002023-07-01113
Number of retired or separated participants receiving benefits2023-07-010
Number of other retired or separated participants entitled to future benefits2023-07-010
Total of all active and inactive participants2023-07-01113
Number of employers contributing to the scheme2023-07-010
2022: BOYS & GIRLS CLUBS OF CHICAGO WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-01161
Total number of active participants reported on line 7a of the Form 55002022-07-01174
Number of retired or separated participants receiving benefits2022-07-010
Number of other retired or separated participants entitled to future benefits2022-07-010
Total of all active and inactive participants2022-07-01174
Number of employers contributing to the scheme2022-07-010
2021: BOYS & GIRLS CLUBS OF CHICAGO WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01143
Total number of active participants reported on line 7a of the Form 55002021-07-01161
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-01161
Number of employers contributing to the scheme2021-07-011
2012: BOYS & GIRLS CLUBS OF CHICAGO WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0185
Total number of active participants reported on line 7a of the Form 55002012-01-0192
Total of all active and inactive participants2012-01-0192
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Number of employers contributing to the scheme2012-01-010
2011: BOYS & GIRLS CLUBS OF CHICAGO WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0187
Total number of active participants reported on line 7a of the Form 55002011-01-0185
Total of all active and inactive participants2011-01-0185
2010: BOYS & GIRLS CLUBS OF CHICAGO WELFARE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01107
Total number of active participants reported on line 7a of the Form 55002010-01-0187
Total of all active and inactive participants2010-01-0187
2009: BOYS & GIRLS CLUBS OF CHICAGO WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01143
Total number of active participants reported on line 7a of the Form 55002009-01-01107
Total of all active and inactive participants2009-01-01107

Form 5500 Responses for BOYS & GIRLS CLUBS OF CHICAGO WELFARE BENEFIT PLAN

2023: BOYS & GIRLS CLUBS OF CHICAGO WELFARE BENEFIT PLAN 2023 form 5500 responses
2023-07-01Type of plan entitySingle employer plan
2023-07-01Plan funding arrangement – InsuranceYes
2023-07-01Plan funding arrangement – General assets of the sponsorYes
2023-07-01Plan benefit arrangement – InsuranceYes
2023-07-01Plan benefit arrangement – General assets of the sponsorYes
2022: BOYS & GIRLS CLUBS OF CHICAGO WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan funding arrangement – General assets of the sponsorYes
2022-07-01Plan benefit arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – General assets of the sponsorYes
2021: BOYS & GIRLS CLUBS OF CHICAGO WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – General assets of the sponsorYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – General assets of the sponsorYes
2012: BOYS & GIRLS CLUBS OF CHICAGO WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: BOYS & GIRLS CLUBS OF CHICAGO WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: BOYS & GIRLS CLUBS OF CHICAGO WELFARE BENEFIT PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: BOYS & GIRLS CLUBS OF CHICAGO WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1142377
Policy instance 3
Insurance contract or identification number1142377
Number of Individuals Covered169
Insurance policy start date2023-07-01
Insurance policy end date2024-06-30
Total amount of commissions paid to insurance brokerUSD $6,100
Total amount of fees paid to insurance companyUSD $1,577
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $68,224
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberB17184
Policy instance 2
Insurance contract or identification numberB17184
Number of Individuals Covered145
Insurance policy start date2023-07-01
Insurance policy end date2024-06-30
Total amount of commissions paid to insurance brokerUSD $37,957
Total amount of fees paid to insurance companyUSD $2,300
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $946,928
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF022788
Policy instance 1
Insurance contract or identification numberF022788
Number of Individuals Covered180
Insurance policy start date2023-07-01
Insurance policy end date2024-06-30
Total amount of commissions paid to insurance brokerUSD $9,098
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $77,367
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1142377
Policy instance 3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberB17184
Policy instance 2
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF022788
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1142377
Policy instance 3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number17184
Policy instance 2
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF022788
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number04196
Policy instance 3
Insurance contract or identification number04196
Number of Individuals Covered72
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $1,964
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $33,322
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameAON CONSULTING INC.
DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )
Policy contract number10003
Policy instance 2
Insurance contract or identification number10003
Number of Individuals Covered53
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $2,024
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,866
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameAON CONSULTING INC.
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberB/H/P17184
Policy instance 1
Insurance contract or identification numberB/H/P17184
Number of Individuals Covered92
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $18,628
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $461,933
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameAON CONSULTING INC.
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number04196
Policy instance 3
DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )
Policy contract number10003
Policy instance 2
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberB/H/P17184
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number04196
Policy instance 3
DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )
Policy contract number10003
Policy instance 2
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberB/H/P17184
Policy instance 1

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