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GROUP MEDICAL PLAN 401k Plan overview

Plan NameGROUP MEDICAL PLAN
Plan identification number 502

GROUP MEDICAL PLAN Benefits

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

401k Sponsoring company profile

ELEUTHERIAN MILLS - HAGLEY FOUNDATION, INC. has sponsored the creation of one or more 401k plans.

Company Name:ELEUTHERIAN MILLS - HAGLEY FOUNDATION, INC.
Employer identification number (EIN):510070531
NAIC Classification:712100
NAIC Description: Museums, Historical Sites, and Similar Institutions

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-07-01KAREN CRONIN2023-04-09
5022020-07-01KAREN CRONIN2021-08-16 KAREN CRONIN2021-08-16
5022019-07-01KAREN CRONIN2020-08-19 KAREN CRONIN2020-08-19
5022018-07-01KAREN CRONIN2019-10-29 KAREN CRONIN2019-10-29
5022017-07-01JEANNE BELK2018-10-31 JEANNE BELK2018-10-31
5022016-07-01JEANNE BELK2017-11-28 JEANNE BELK2017-11-28
5022015-07-01JEANNE BELK2016-11-22
5022014-07-01JEANNE BELK2015-11-23 JEANNE BELK2015-11-23
5022013-07-01JEANNE BELK2015-01-07 JEANNE BELK2015-01-07
5022012-07-01JEANNE BELK2014-01-07 JEANNE BELK2014-01-07
5022011-07-01JEANNE BELK2012-12-13
5022010-07-01JEANNE BELK2012-01-27

Plan Statistics for GROUP MEDICAL PLAN

401k plan membership statisitcs for GROUP MEDICAL PLAN

Measure Date Value
2021: GROUP MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-0169
Total number of active participants reported on line 7a of the Form 55002021-07-0175
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 participants2021-07-0175

Form 5500 Responses for GROUP MEDICAL PLAN

2021: GROUP MEDICAL PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingYes
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL33299
Policy instance 1
Insurance contract or identification numberHCL33299
Number of Individuals Covered73
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $0
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 BenefitNo
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 $448,139
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

Potentially related plans

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