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GROUP MEDICAL BENEFITS PLAN OF COLLEGIATE SCHOOL 401k Plan overview

Plan NameGROUP MEDICAL BENEFITS PLAN OF COLLEGIATE SCHOOL
Plan identification number 501

GROUP MEDICAL BENEFITS PLAN OF COLLEGIATE SCHOOL Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

COLLEGIATE SCHOOL has sponsored the creation of one or more 401k plans.

Company Name:COLLEGIATE SCHOOL
Employer identification number (EIN):540528203
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP MEDICAL BENEFITS PLAN OF COLLEGIATE SCHOOL

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-09-01JOSHUA CASAVILCA-SERRANO2024-05-23
5012021-09-01MIRIAM ECHEVARRIA2023-03-30
5012020-09-01MIRIAM ECHEVARRIA2022-03-16
5012020-09-01MIRIAM ECHEVARRIA2022-03-16
5012019-09-01
5012016-10-01
5012015-10-01PHYLLIS PALMIERO
5012014-10-01PHYLLIS PALMIERO
5012013-10-01PHYLLIS PALMIERO
5012012-10-01PHYLLIS PALMIERO
5012011-10-01LINDA MEYERHOFFER
5012010-10-01PHYLLIS PALMIERO
5012009-10-01PHYLLIS PALMIERO

Plan Statistics for GROUP MEDICAL BENEFITS PLAN OF COLLEGIATE SCHOOL

401k plan membership statisitcs for GROUP MEDICAL BENEFITS PLAN OF COLLEGIATE SCHOOL

Measure Date Value
2022: GROUP MEDICAL BENEFITS PLAN OF COLLEGIATE SCHOOL 2022 401k membership
Total participants, beginning-of-year2022-09-01312
Total number of active participants reported on line 7a of the Form 55002022-09-01329
Number of retired or separated participants receiving benefits2022-09-014
Number of other retired or separated participants entitled to future benefits2022-09-010
Total of all active and inactive participants2022-09-01333
2021: GROUP MEDICAL BENEFITS PLAN OF COLLEGIATE SCHOOL 2021 401k membership
Total participants, beginning-of-year2021-09-01283
Total number of active participants reported on line 7a of the Form 55002021-09-01270
Number of retired or separated participants receiving benefits2021-09-019
Number of other retired or separated participants entitled to future benefits2021-09-010
Total of all active and inactive participants2021-09-01279
2020: GROUP MEDICAL BENEFITS PLAN OF COLLEGIATE SCHOOL 2020 401k membership
Total participants, beginning-of-year2020-09-01278
Total number of active participants reported on line 7a of the Form 55002020-09-01277
Number of retired or separated participants receiving benefits2020-09-016
Number of other retired or separated participants entitled to future benefits2020-09-010
Total of all active and inactive participants2020-09-01283
2019: GROUP MEDICAL BENEFITS PLAN OF COLLEGIATE SCHOOL 2019 401k membership
Total participants, beginning-of-year2019-09-01287
Total number of active participants reported on line 7a of the Form 55002019-09-01273
Number of retired or separated participants receiving benefits2019-09-015
Number of other retired or separated participants entitled to future benefits2019-09-010
Total of all active and inactive participants2019-09-01278
2016: GROUP MEDICAL BENEFITS PLAN OF COLLEGIATE SCHOOL 2016 401k membership
Total participants, beginning-of-year2016-10-01293
Total number of active participants reported on line 7a of the Form 55002016-10-01288
Number of retired or separated participants receiving benefits2016-10-012
Number of other retired or separated participants entitled to future benefits2016-10-010
Total of all active and inactive participants2016-10-01290
2015: GROUP MEDICAL BENEFITS PLAN OF COLLEGIATE SCHOOL 2015 401k membership
Total participants, beginning-of-year2015-10-01288
Total number of active participants reported on line 7a of the Form 55002015-10-01288
Number of retired or separated participants receiving benefits2015-10-015
Number of other retired or separated participants entitled to future benefits2015-10-010
Total of all active and inactive participants2015-10-01293
2014: GROUP MEDICAL BENEFITS PLAN OF COLLEGIATE SCHOOL 2014 401k membership
Total participants, beginning-of-year2014-10-01271
Total number of active participants reported on line 7a of the Form 55002014-10-01282
Number of retired or separated participants receiving benefits2014-10-016
Number of other retired or separated participants entitled to future benefits2014-10-010
Total of all active and inactive participants2014-10-01288
2013: GROUP MEDICAL BENEFITS PLAN OF COLLEGIATE SCHOOL 2013 401k membership
Total participants, beginning-of-year2013-10-01280
Total number of active participants reported on line 7a of the Form 55002013-10-01271
Total of all active and inactive participants2013-10-01271
2012: GROUP MEDICAL BENEFITS PLAN OF COLLEGIATE SCHOOL 2012 401k membership
Total participants, beginning-of-year2012-10-01320
Total number of active participants reported on line 7a of the Form 55002012-10-01280
Total of all active and inactive participants2012-10-01280
2011: GROUP MEDICAL BENEFITS PLAN OF COLLEGIATE SCHOOL 2011 401k membership
Total participants, beginning-of-year2011-10-01314
Total number of active participants reported on line 7a of the Form 55002011-10-01268
Number of retired or separated participants receiving benefits2011-10-0152
Number of other retired or separated participants entitled to future benefits2011-10-010
Total of all active and inactive participants2011-10-01320
2010: GROUP MEDICAL BENEFITS PLAN OF COLLEGIATE SCHOOL 2010 401k membership
Total participants, beginning-of-year2010-10-01313
Total number of active participants reported on line 7a of the Form 55002010-10-01264
Number of retired or separated participants receiving benefits2010-10-0150
Number of other retired or separated participants entitled to future benefits2010-10-010
Total of all active and inactive participants2010-10-01314
2009: GROUP MEDICAL BENEFITS PLAN OF COLLEGIATE SCHOOL 2009 401k membership
Total participants, beginning-of-year2009-10-01314
Total number of active participants reported on line 7a of the Form 55002009-10-01261
Number of retired or separated participants receiving benefits2009-10-0152
Number of other retired or separated participants entitled to future benefits2009-10-010
Total of all active and inactive participants2009-10-01313
Total participants2009-10-01313

Form 5500 Responses for GROUP MEDICAL BENEFITS PLAN OF COLLEGIATE SCHOOL

2022: GROUP MEDICAL BENEFITS PLAN OF COLLEGIATE SCHOOL 2022 form 5500 responses
2022-09-01Type of plan entitySingle employer plan
2022-09-01Submission has been amendedNo
2022-09-01This submission is the final filingNo
2022-09-01This return/report is a short plan year return/report (less than 12 months)No
2022-09-01Plan is a collectively bargained planNo
2022-09-01Plan funding arrangement – InsuranceYes
2022-09-01Plan funding arrangement – General assets of the sponsorYes
2022-09-01Plan benefit arrangement – InsuranceYes
2022-09-01Plan benefit arrangement – General assets of the sponsorYes
2021: GROUP MEDICAL BENEFITS PLAN OF COLLEGIATE SCHOOL 2021 form 5500 responses
2021-09-01Type of plan entitySingle employer plan
2021-09-01Submission has been amendedNo
2021-09-01This submission is the final filingNo
2021-09-01This return/report is a short plan year return/report (less than 12 months)No
2021-09-01Plan is a collectively bargained planNo
2021-09-01Plan funding arrangement – InsuranceYes
2021-09-01Plan funding arrangement – General assets of the sponsorYes
2021-09-01Plan benefit arrangement – InsuranceYes
2021-09-01Plan benefit arrangement – General assets of the sponsorYes
2020: GROUP MEDICAL BENEFITS PLAN OF COLLEGIATE SCHOOL 2020 form 5500 responses
2020-09-01Type of plan entitySingle employer plan
2020-09-01Submission has been amendedYes
2020-09-01This submission is the final filingNo
2020-09-01This return/report is a short plan year return/report (less than 12 months)No
2020-09-01Plan is a collectively bargained planNo
2020-09-01Plan funding arrangement – InsuranceYes
2020-09-01Plan funding arrangement – General assets of the sponsorYes
2020-09-01Plan benefit arrangement – InsuranceYes
2020-09-01Plan benefit arrangement – General assets of the sponsorYes
2019: GROUP MEDICAL BENEFITS PLAN OF COLLEGIATE SCHOOL 2019 form 5500 responses
2019-09-01Type of plan entitySingle employer plan
2019-09-01Submission has been amendedNo
2019-09-01This submission is the final filingNo
2019-09-01This return/report is a short plan year return/report (less than 12 months)No
2019-09-01Plan is a collectively bargained planNo
2019-09-01Plan funding arrangement – InsuranceYes
2019-09-01Plan funding arrangement – General assets of the sponsorYes
2019-09-01Plan benefit arrangement – InsuranceYes
2019-09-01Plan benefit arrangement – General assets of the sponsorYes
2016: GROUP MEDICAL BENEFITS PLAN OF COLLEGIATE SCHOOL 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – InsuranceYes
2015: GROUP MEDICAL BENEFITS PLAN OF COLLEGIATE SCHOOL 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – InsuranceYes
2014: GROUP MEDICAL BENEFITS PLAN OF COLLEGIATE SCHOOL 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – InsuranceYes
2013: GROUP MEDICAL BENEFITS PLAN OF COLLEGIATE SCHOOL 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan benefit arrangement – InsuranceYes
2012: GROUP MEDICAL BENEFITS PLAN OF COLLEGIATE SCHOOL 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan benefit arrangement – InsuranceYes
2011: GROUP MEDICAL BENEFITS PLAN OF COLLEGIATE SCHOOL 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Submission has been amendedNo
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan benefit arrangement – InsuranceYes
2010: GROUP MEDICAL BENEFITS PLAN OF COLLEGIATE SCHOOL 2010 form 5500 responses
2010-10-01Type of plan entitySingle employer plan
2010-10-01Submission has been amendedNo
2010-10-01This submission is the final filingNo
2010-10-01This return/report is a short plan year return/report (less than 12 months)No
2010-10-01Plan is a collectively bargained planNo
2010-10-01Plan funding arrangement – InsuranceYes
2010-10-01Plan benefit arrangement – InsuranceYes
2009: GROUP MEDICAL BENEFITS PLAN OF COLLEGIATE SCHOOL 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract numberL02551
Policy instance 3
HEALTHKEEPERS, INC (National Association of Insurance Commissioners NAIC id number: 95169 )
Policy contract numberL02551
Policy instance 2
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract numberL02551
Policy instance 1
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract numberL02551
Policy instance 1
HEALTHKEEPERS, INC (National Association of Insurance Commissioners NAIC id number: 95169 )
Policy contract numberL02551
Policy instance 2
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract numberL02551
Policy instance 3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3339085
Policy instance 2
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number755580
Policy instance 1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0755580
Policy instance 2
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3339085
Policy instance 1
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3339085
Policy instance 1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number755580
Policy instance 1
HEALTHKEEPERS, INC (National Association of Insurance Commissioners NAIC id number: 95169 )
Policy contract numberOB623801
Policy instance 1
HEALTHKEEPERS, INC (National Association of Insurance Commissioners NAIC id number: 95169 )
Policy contract numberOB623801
Policy instance 1
HEALTHKEEPERS, INC (National Association of Insurance Commissioners NAIC id number: 95169 )
Policy contract numberOB623801
Policy instance 3
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract number90001075
Policy instance 1
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract number22379001
Policy instance 2
SH-COVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 96555 )
Policy contract number9305940000
Policy instance 2
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract number90000186
Policy instance 3
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract number22379001
Policy instance 1

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