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THE ARC OF PALM BEACH COUNTY HEALTH AND WELFARE BENEFITS WRAP PLAN 401k Plan overview

Plan NameTHE ARC OF PALM BEACH COUNTY HEALTH AND WELFARE BENEFITS WRAP PLAN
Plan identification number 501

THE ARC OF PALM BEACH COUNTY HEALTH AND WELFARE BENEFITS WRAP PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

THE ARC OF PALM BEACH COUNTY, IN has sponsored the creation of one or more 401k plans.

Company Name:THE ARC OF PALM BEACH COUNTY, IN
Employer identification number (EIN):590883386
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE ARC OF PALM BEACH COUNTY HEALTH AND WELFARE BENEFITS WRAP PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-06-01CYNTHIA JUARBE2024-01-05

Plan Statistics for THE ARC OF PALM BEACH COUNTY HEALTH AND WELFARE BENEFITS WRAP PLAN

401k plan membership statisitcs for THE ARC OF PALM BEACH COUNTY HEALTH AND WELFARE BENEFITS WRAP PLAN

Measure Date Value
2022: THE ARC OF PALM BEACH COUNTY HEALTH AND WELFARE BENEFITS WRAP PLAN 2022 401k membership
Total participants, beginning-of-year2022-06-01183
Total number of active participants reported on line 7a of the Form 55002022-06-01177
Number of retired or separated participants receiving benefits2022-06-010
Number of other retired or separated participants entitled to future benefits2022-06-010
Total of all active and inactive participants2022-06-01177
Number of employers contributing to the scheme2022-06-010

Form 5500 Responses for THE ARC OF PALM BEACH COUNTY HEALTH AND WELFARE BENEFITS WRAP PLAN

2022: THE ARC OF PALM BEACH COUNTY HEALTH AND WELFARE BENEFITS WRAP PLAN 2022 form 5500 responses
2022-06-01Type of plan entitySingle employer plan
2022-06-01First time form 5500 has been submittedYes
2022-06-01Plan funding arrangement – InsuranceYes
2022-06-01Plan funding arrangement – General assets of the sponsorYes
2022-06-01Plan benefit arrangement – InsuranceYes
2022-06-01Plan 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 number924385
Policy instance 1
Insurance contract or identification number924385
Number of Individuals Covered144
Insurance policy start date2022-06-01
Insurance policy end date2023-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $92,351
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,328,247
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees92351
Additional information about fees paid to insurance brokerSERVICE FEE AGREEMENT
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number425568
Policy instance 2
Insurance contract or identification number425568
Number of Individuals Covered181
Insurance policy start date2022-06-01
Insurance policy end date2023-05-31
Total amount of commissions paid to insurance brokerUSD $26,248
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $191,551
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $26,078
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number1544124
Policy instance 3
Insurance contract or identification number1544124
Number of Individuals Covered177
Insurance policy start date2022-06-01
Insurance policy end date2023-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $3,294
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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