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HEALTH PLAN FOR EMPLOYEES OF AUGUSTANA COLLEGE 401k Plan overview

Plan NameHEALTH PLAN FOR EMPLOYEES OF AUGUSTANA COLLEGE
Plan identification number 502

HEALTH PLAN FOR EMPLOYEES OF AUGUSTANA COLLEGE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

AUGUSTANA COLLEGE ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name:AUGUSTANA COLLEGE ASSOCIATION
Employer identification number (EIN):460224558
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEALTH PLAN FOR EMPLOYEES OF AUGUSTANA COLLEGE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022017-01-01
5022016-01-01
5022015-01-01
5022014-08-01

Plan Statistics for HEALTH PLAN FOR EMPLOYEES OF AUGUSTANA COLLEGE

401k plan membership statisitcs for HEALTH PLAN FOR EMPLOYEES OF AUGUSTANA COLLEGE

Measure Date Value
2017: HEALTH PLAN FOR EMPLOYEES OF AUGUSTANA COLLEGE 2017 401k membership
Total participants, beginning-of-year2017-01-01292
Total number of active participants reported on line 7a of the Form 55002017-01-01298
Number of retired or separated participants receiving benefits2017-01-0113
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01311
2016: HEALTH PLAN FOR EMPLOYEES OF AUGUSTANA COLLEGE 2016 401k membership
Total participants, beginning-of-year2016-01-01297
Total number of active participants reported on line 7a of the Form 55002016-01-01300
Number of retired or separated participants receiving benefits2016-01-017
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01307
2015: HEALTH PLAN FOR EMPLOYEES OF AUGUSTANA COLLEGE 2015 401k membership
Total participants, beginning-of-year2015-01-01280
Total number of active participants reported on line 7a of the Form 55002015-01-01279
Number of retired or separated participants receiving benefits2015-01-017
Total of all active and inactive participants2015-01-01286
2014: HEALTH PLAN FOR EMPLOYEES OF AUGUSTANA COLLEGE 2014 401k membership
Total participants, beginning-of-year2014-08-01266
Total number of active participants reported on line 7a of the Form 55002014-08-01277
Number of retired or separated participants receiving benefits2014-08-017
Number of other retired or separated participants entitled to future benefits2014-08-010
Total of all active and inactive participants2014-08-01284

Form 5500 Responses for HEALTH PLAN FOR EMPLOYEES OF AUGUSTANA COLLEGE

2017: HEALTH PLAN FOR EMPLOYEES OF AUGUSTANA COLLEGE 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: HEALTH PLAN FOR EMPLOYEES OF AUGUSTANA COLLEGE 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: HEALTH PLAN FOR EMPLOYEES OF AUGUSTANA COLLEGE 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: HEALTH PLAN FOR EMPLOYEES OF AUGUSTANA COLLEGE 2014 form 5500 responses
2014-08-01Type of plan entitySingle employer plan
2014-08-01Submission has been amendedNo
2014-08-01This submission is the final filingNo
2014-08-01This return/report is a short plan year return/report (less than 12 months)Yes
2014-08-01Plan is a collectively bargained planNo
2014-08-01Plan funding arrangement – InsuranceYes
2014-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

SANFORD HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95683 )
Policy contract numberHP000647
Policy instance 1
Insurance contract or identification numberHP000647
Number of Individuals Covered825
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $52,901
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $4,555,106
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $52,901
Insurance broker organization code?3
Insurance broker nameSILVERSTONE GROUP
SANFORD HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95683 )
Policy contract numberHP000647
Policy instance 1
Insurance contract or identification numberHP000647
Number of Individuals Covered784
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $46,393
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,904,627
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $46,393
Insurance broker organization code?3
Insurance broker nameSILVERSTONE GROUP
SANFORD HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95683 )
Policy contract numberHP000647
Policy instance 1
Insurance contract or identification numberHP000647
Number of Individuals Covered771
Insurance policy start date2014-08-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $23,122
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,577,223
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,122
Insurance broker organization code?3
Insurance broker nameSILVERSTONE GROUP

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