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CENTRAL NEBRASKA COMMUNITY SERVICES EMPLOYEE MEDICAL & PRESCRIPTION DRUG BENEFIT PLAN 401k Plan overview

Plan NameCENTRAL NEBRASKA COMMUNITY SERVICES EMPLOYEE MEDICAL & PRESCRIPTION DRUG BENEFIT PLAN
Plan identification number 501

CENTRAL NEBRASKA COMMUNITY SERVICES EMPLOYEE MEDICAL & PRESCRIPTION DRUG BENEFIT PLAN Benefits

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

401k Sponsoring company profile

CENTRAL NEBRASKA COMMUNITY ACTION PARTNERSHIP, INC has sponsored the creation of one or more 401k plans.

Company Name:CENTRAL NEBRASKA COMMUNITY ACTION PARTNERSHIP, INC
Employer identification number (EIN):470495122
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CENTRAL NEBRASKA COMMUNITY SERVICES EMPLOYEE MEDICAL & PRESCRIPTION DRUG BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012018-02-01
5012017-02-01
5012016-02-01
5012015-02-01
5012014-02-01
5012013-02-01
5012012-02-01DONNA OBERMILLER

Plan Statistics for CENTRAL NEBRASKA COMMUNITY SERVICES EMPLOYEE MEDICAL & PRESCRIPTION DRUG BENEFIT PLAN

401k plan membership statisitcs for CENTRAL NEBRASKA COMMUNITY SERVICES EMPLOYEE MEDICAL & PRESCRIPTION DRUG BENEFIT PLAN

Measure Date Value
2018: CENTRAL NEBRASKA COMMUNITY SERVICES EMPLOYEE MEDICAL & PRESCRIPTION DRUG BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-02-010
Total number of active participants reported on line 7a of the Form 55002018-02-010
Number of retired or separated participants receiving benefits2018-02-010
Number of other retired or separated participants entitled to future benefits2018-02-010
Total of all active and inactive participants2018-02-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-02-010
Number of participants with account balances2018-02-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-02-010
Number of employers contributing to the scheme2018-02-010
2017: CENTRAL NEBRASKA COMMUNITY SERVICES EMPLOYEE MEDICAL & PRESCRIPTION DRUG BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-02-01157
Total number of active participants reported on line 7a of the Form 55002017-02-01211
Total of all active and inactive participants2017-02-01211
2016: CENTRAL NEBRASKA COMMUNITY SERVICES EMPLOYEE MEDICAL & PRESCRIPTION DRUG BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-02-01144
Total number of active participants reported on line 7a of the Form 55002016-02-01157
Total of all active and inactive participants2016-02-01157
2015: CENTRAL NEBRASKA COMMUNITY SERVICES EMPLOYEE MEDICAL & PRESCRIPTION DRUG BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-02-01109
Total number of active participants reported on line 7a of the Form 55002015-02-01144
Total of all active and inactive participants2015-02-01144
2014: CENTRAL NEBRASKA COMMUNITY SERVICES EMPLOYEE MEDICAL & PRESCRIPTION DRUG BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-02-01110
Total number of active participants reported on line 7a of the Form 55002014-02-01109
Total of all active and inactive participants2014-02-01109
2013: CENTRAL NEBRASKA COMMUNITY SERVICES EMPLOYEE MEDICAL & PRESCRIPTION DRUG BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-02-01117
Total number of active participants reported on line 7a of the Form 55002013-02-01110
Total of all active and inactive participants2013-02-01110
2012: CENTRAL NEBRASKA COMMUNITY SERVICES EMPLOYEE MEDICAL & PRESCRIPTION DRUG BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-02-0199
Total number of active participants reported on line 7a of the Form 55002012-02-01117
Total of all active and inactive participants2012-02-01117

Form 5500 Responses for CENTRAL NEBRASKA COMMUNITY SERVICES EMPLOYEE MEDICAL & PRESCRIPTION DRUG BENEFIT PLAN

2018: CENTRAL NEBRASKA COMMUNITY SERVICES EMPLOYEE MEDICAL & PRESCRIPTION DRUG BENEFIT PLAN 2018 form 5500 responses
2018-02-01Type of plan entitySingle employer plan
2018-02-01Submission has been amendedNo
2018-02-01This submission is the final filingYes
2018-02-01This return/report is a short plan year return/report (less than 12 months)No
2018-02-01Plan is a collectively bargained planNo
2018-02-01Plan funding arrangement – General assets of the sponsorYes
2018-02-01Plan benefit arrangement – General assets of the sponsorYes
2017: CENTRAL NEBRASKA COMMUNITY SERVICES EMPLOYEE MEDICAL & PRESCRIPTION DRUG BENEFIT PLAN 2017 form 5500 responses
2017-02-01Type of plan entitySingle employer plan
2017-02-01Plan funding arrangement – InsuranceYes
2017-02-01Plan benefit arrangement – InsuranceYes
2016: CENTRAL NEBRASKA COMMUNITY SERVICES EMPLOYEE MEDICAL & PRESCRIPTION DRUG BENEFIT PLAN 2016 form 5500 responses
2016-02-01Type of plan entitySingle employer plan
2016-02-01Plan funding arrangement – InsuranceYes
2016-02-01Plan benefit arrangement – InsuranceYes
2015: CENTRAL NEBRASKA COMMUNITY SERVICES EMPLOYEE MEDICAL & PRESCRIPTION DRUG BENEFIT PLAN 2015 form 5500 responses
2015-02-01Type of plan entitySingle employer plan
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan benefit arrangement – InsuranceYes
2014: CENTRAL NEBRASKA COMMUNITY SERVICES EMPLOYEE MEDICAL & PRESCRIPTION DRUG BENEFIT PLAN 2014 form 5500 responses
2014-02-01Type of plan entitySingle employer plan
2014-02-01Plan funding arrangement – InsuranceYes
2014-02-01Plan funding arrangement – General assets of the sponsorYes
2014-02-01Plan benefit arrangement – InsuranceYes
2014-02-01Plan benefit arrangement – General assets of the sponsorYes
2013: CENTRAL NEBRASKA COMMUNITY SERVICES EMPLOYEE MEDICAL & PRESCRIPTION DRUG BENEFIT PLAN 2013 form 5500 responses
2013-02-01Type of plan entitySingle employer plan
2013-02-01Plan funding arrangement – InsuranceYes
2013-02-01Plan funding arrangement – General assets of the sponsorYes
2013-02-01Plan benefit arrangement – InsuranceYes
2013-02-01Plan benefit arrangement – General assets of the sponsorYes
2012: CENTRAL NEBRASKA COMMUNITY SERVICES EMPLOYEE MEDICAL & PRESCRIPTION DRUG BENEFIT PLAN 2012 form 5500 responses
2012-02-01Type of plan entitySingle employer plan
2012-02-01First time form 5500 has been submittedYes
2012-02-01Plan funding arrangement – InsuranceYes
2012-02-01Plan funding arrangement – General assets of the sponsorYes
2012-02-01Plan benefit arrangement – InsuranceYes
2012-02-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number910872
Policy instance 1
Insurance contract or identification number910872
Number of Individuals Covered211
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $27,581
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $875,436
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,581
Insurance broker organization code?3
Insurance broker nameASSOCIATIONS MARKETING GROUP
COVENTRY HEALTH CARE OF NEBRASKA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number8043260000
Policy instance 1
Insurance contract or identification number8043260000
Number of Individuals Covered144
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $38,590
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $842,568
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $38,590
Insurance broker organization code?3
Insurance broker nameASSOCIATION MARKETING GROUP
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberLGS01050-14
Policy instance 1
Insurance contract or identification numberLGS01050-14
Number of Individuals Covered109
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $137,317
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVEMCO INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberHCL 19475
Policy instance 1
Insurance contract or identification numberHCL 19475
Number of Individuals Covered110
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $116,357
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVEMCO INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberHCL 19475
Policy instance 1
Insurance contract or identification numberHCL 19475
Number of Individuals Covered117
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $123,682
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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