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FIVE STAR CREDIT UNION GROUP MEDICAL PLAN 401k Plan overview

Plan NameFIVE STAR CREDIT UNION GROUP MEDICAL PLAN
Plan identification number 502

FIVE STAR CREDIT UNION GROUP MEDICAL PLAN Benefits

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

401k Sponsoring company profile

FIVE STAR CREDIT UNION has sponsored the creation of one or more 401k plans.

Company Name:FIVE STAR CREDIT UNION
Employer identification number (EIN):580960142
NAIC Classification:522130
NAIC Description:Credit Unions

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FIVE STAR CREDIT UNION GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-07-01
5022021-07-01ROBERT STEENSMA
5022020-07-01
5022019-07-01
5022018-12-01
5022017-12-01

Financial Data on FIVE STAR CREDIT UNION GROUP MEDICAL PLAN

Measure Date Value
2020 : FIVE STAR CREDIT UNION GROUP MEDICAL PLAN 2020 401k financial data
Total plan liabilities at end of year2020-06-30$0
Total plan liabilities at beginning of year2020-06-30$9,639
Total income from all sources2020-06-30$253,903
Expenses. Total of all expenses incurred2020-06-30$247,144
Benefits paid (including direct rollovers)2020-06-30$-10,475
Total plan assets at end of year2020-06-30$0
Total plan assets at beginning of year2020-06-30$2,880
Value of fidelity bond covering the plan2020-06-30$1,000,000
Expenses. Other expenses not covered elsewhere2020-06-30$208,821
Other income received2020-06-30$26
Net income (gross income less expenses)2020-06-30$6,759
Net plan assets at end of year (total assets less liabilities)2020-06-30$0
Net plan assets at beginning of year (total assets less liabilities)2020-06-30$-6,759
Total contributions received or receivable from employer(s)2020-06-30$253,877
Value of corrective distributions2020-06-30$80
Expenses. Administrative service providers (salaries,fees and commissions)2020-06-30$48,718
2019 : FIVE STAR CREDIT UNION GROUP MEDICAL PLAN 2019 401k financial data
Total plan liabilities at end of year2019-06-30$9,639
Total plan liabilities at beginning of year2019-06-30$36,184
Total income from all sources2019-06-30$530,312
Expenses. Total of all expenses incurred2019-06-30$554,687
Benefits paid (including direct rollovers)2019-06-30$347,304
Total plan assets at end of year2019-06-30$2,880
Total plan assets at beginning of year2019-06-30$53,800
Value of fidelity bond covering the plan2019-06-30$1,000,000
Total contributions received or receivable from participants2019-06-30$83,134
Expenses. Other expenses not covered elsewhere2019-06-30$156,496
Contributions received from other sources (not participants or employers)2019-06-30$8,253
Other income received2019-06-30$25
Net income (gross income less expenses)2019-06-30$-24,375
Net plan assets at end of year (total assets less liabilities)2019-06-30$-6,759
Net plan assets at beginning of year (total assets less liabilities)2019-06-30$17,616
Total contributions received or receivable from employer(s)2019-06-30$438,900
Expenses. Administrative service providers (salaries,fees and commissions)2019-06-30$50,887

Form 5500 Responses for FIVE STAR CREDIT UNION GROUP MEDICAL PLAN

2021: FIVE STAR CREDIT UNION 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 filingNo
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 funding arrangement – General assets of the sponsorYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – General assets of the sponsorYes
2020: FIVE STAR CREDIT UNION GROUP MEDICAL PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planNo
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: FIVE STAR CREDIT UNION GROUP MEDICAL PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planNo
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: FIVE STAR CREDIT UNION GROUP MEDICAL PLAN 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01Submission has been amendedNo
2018-12-01This submission is the final filingNo
2018-12-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-12-01Plan is a collectively bargained planNo
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan funding arrangement – TrustYes
2018-12-01Plan benefit arrangement – InsuranceYes
2018-12-01Plan benefit arrangement - TrustYes
2017: FIVE STAR CREDIT UNION GROUP MEDICAL PLAN 2017 form 5500 responses
2017-12-01Type of plan entitySingle employer plan
2017-12-01First time form 5500 has been submittedYes
2017-12-01Submission has been amendedNo
2017-12-01This submission is the final filingNo
2017-12-01This return/report is a short plan year return/report (less than 12 months)No
2017-12-01Plan is a collectively bargained planNo
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan funding arrangement – TrustYes
2017-12-01Plan benefit arrangement – InsuranceYes
2017-12-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number31000026
Policy instance 1
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number31000026
Policy instance 1
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number31000026
Policy instance 1
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract numberVERIS
Policy instance 1
BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )
Policy contract number48988
Policy instance 1
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract numberVERIS
Policy instance 2

Potentially related plans

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