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GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT GROUP LONG TERM DISABILITY INSURANCE 401k Plan overview

Plan NameGROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT GROUP LONG TERM DISABILITY INSURANCE
Plan identification number 505

GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT GROUP LONG TERM DISABILITY INSURANCE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

RIVER REGION HUMAN SERVICES, INC has sponsored the creation of one or more 401k plans.

Company Name:RIVER REGION HUMAN SERVICES, INC
Employer identification number (EIN):591952727
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT GROUP LONG TERM DISABILITY INSURANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052017-01-01
5052016-11-01CAROL SAFRAN
5052015-11-01CAROL SAFRAN
5052014-11-01CAROL SAFRAN
5052013-11-01PAYAL PATEL
5052012-11-01ALTONYA M REDDICK, MBA
5052011-11-01SUSAN M. COCHRAN
5052009-11-01SUSAN M. COCHRAN
5052008-11-01SUSAN M. COCHRAN

Plan Statistics for GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT GROUP LONG TERM DISABILITY INSURANCE

401k plan membership statisitcs for GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT GROUP LONG TERM DISABILITY INSURANCE

Measure Date Value
2017: GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT GROUP LONG TERM DISABILITY INSURANCE 2017 401k membership
Total participants, beginning-of-year2017-01-01160
Total number of active participants reported on line 7a of the Form 55002017-01-01122
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01122
2016: GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT GROUP LONG TERM DISABILITY INSURANCE 2016 401k membership
Total participants, beginning-of-year2016-11-01163
Total number of active participants reported on line 7a of the Form 55002016-11-01160
Number of retired or separated participants receiving benefits2016-11-010
Number of other retired or separated participants entitled to future benefits2016-11-010
Total of all active and inactive participants2016-11-01160
2015: GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT GROUP LONG TERM DISABILITY INSURANCE 2015 401k membership
Total participants, beginning-of-year2015-11-01171
Total number of active participants reported on line 7a of the Form 55002015-11-01163
Number of retired or separated participants receiving benefits2015-11-010
Number of other retired or separated participants entitled to future benefits2015-11-010
Total of all active and inactive participants2015-11-01163
2014: GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT GROUP LONG TERM DISABILITY INSURANCE 2014 401k membership
Total participants, beginning-of-year2014-11-01201
Total number of active participants reported on line 7a of the Form 55002014-11-01171
Number of retired or separated participants receiving benefits2014-11-010
Number of other retired or separated participants entitled to future benefits2014-11-010
Total of all active and inactive participants2014-11-01171
2013: GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT GROUP LONG TERM DISABILITY INSURANCE 2013 401k membership
Total participants, beginning-of-year2013-11-01201
Total number of active participants reported on line 7a of the Form 55002013-11-01201
Number of retired or separated participants receiving benefits2013-11-010
Number of other retired or separated participants entitled to future benefits2013-11-010
Total of all active and inactive participants2013-11-01201
2012: GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT GROUP LONG TERM DISABILITY INSURANCE 2012 401k membership
Total participants, beginning-of-year2012-11-01182
Total number of active participants reported on line 7a of the Form 55002012-11-01201
Number of retired or separated participants receiving benefits2012-11-010
Number of other retired or separated participants entitled to future benefits2012-11-010
Total of all active and inactive participants2012-11-01201
2011: GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT GROUP LONG TERM DISABILITY INSURANCE 2011 401k membership
Total participants, beginning-of-year2011-11-01206
Total number of active participants reported on line 7a of the Form 55002011-11-01182
Number of retired or separated participants receiving benefits2011-11-010
Number of other retired or separated participants entitled to future benefits2011-11-010
Total of all active and inactive participants2011-11-01182
2009: GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT GROUP LONG TERM DISABILITY INSURANCE 2009 401k membership
Total participants, beginning-of-year2009-11-01188
Total number of active participants reported on line 7a of the Form 55002009-11-01189
Number of retired or separated participants receiving benefits2009-11-010
Number of other retired or separated participants entitled to future benefits2009-11-010
Total of all active and inactive participants2009-11-01189
2008: GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT GROUP LONG TERM DISABILITY INSURANCE 2008 401k membership
Total participants, beginning-of-year2008-11-01188
Total number of active participants reported on line 7a of the Form 55002008-11-01188
Number of retired or separated participants receiving benefits2008-11-010
Number of other retired or separated participants entitled to future benefits2008-11-010
Total of all active and inactive participants2008-11-01188

Form 5500 Responses for GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT GROUP LONG TERM DISABILITY INSURANCE

2017: GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT GROUP LONG TERM DISABILITY INSURANCE 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT GROUP LONG TERM DISABILITY INSURANCE 2016 form 5500 responses
2016-11-01Type of plan entitySingle employer plan
2016-11-01Submission has been amendedNo
2016-11-01This submission is the final filingNo
2016-11-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-11-01Plan is a collectively bargained planNo
2016-11-01Plan funding arrangement – InsuranceYes
2016-11-01Plan benefit arrangement – InsuranceYes
2015: GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT GROUP LONG TERM DISABILITY INSURANCE 2015 form 5500 responses
2015-11-01Type of plan entitySingle employer plan
2015-11-01Submission has been amendedNo
2015-11-01This submission is the final filingNo
2015-11-01This return/report is a short plan year return/report (less than 12 months)No
2015-11-01Plan is a collectively bargained planNo
2015-11-01Plan funding arrangement – InsuranceYes
2015-11-01Plan benefit arrangement – InsuranceYes
2014: GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT GROUP LONG TERM DISABILITY INSURANCE 2014 form 5500 responses
2014-11-01Type of plan entitySingle employer plan
2014-11-01Submission has been amendedNo
2014-11-01This submission is the final filingNo
2014-11-01This return/report is a short plan year return/report (less than 12 months)No
2014-11-01Plan is a collectively bargained planNo
2014-11-01Plan funding arrangement – InsuranceYes
2014-11-01Plan benefit arrangement – InsuranceYes
2013: GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT GROUP LONG TERM DISABILITY INSURANCE 2013 form 5500 responses
2013-11-01Type of plan entitySingle employer plan
2013-11-01Submission has been amendedNo
2013-11-01This submission is the final filingNo
2013-11-01This return/report is a short plan year return/report (less than 12 months)No
2013-11-01Plan is a collectively bargained planNo
2013-11-01Plan funding arrangement – InsuranceYes
2013-11-01Plan benefit arrangement – InsuranceYes
2012: GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT GROUP LONG TERM DISABILITY INSURANCE 2012 form 5500 responses
2012-11-01Type of plan entitySingle employer plan
2012-11-01Submission has been amendedNo
2012-11-01This submission is the final filingNo
2012-11-01This return/report is a short plan year return/report (less than 12 months)No
2012-11-01Plan is a collectively bargained planNo
2012-11-01Plan funding arrangement – InsuranceYes
2012-11-01Plan benefit arrangement – InsuranceYes
2011: GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT GROUP LONG TERM DISABILITY INSURANCE 2011 form 5500 responses
2011-11-01Type of plan entitySingle employer plan
2011-11-01Submission has been amendedNo
2011-11-01This submission is the final filingNo
2011-11-01This return/report is a short plan year return/report (less than 12 months)No
2011-11-01Plan is a collectively bargained planNo
2011-11-01Plan funding arrangement – InsuranceYes
2011-11-01Plan benefit arrangement – InsuranceYes
2009: GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT GROUP LONG TERM DISABILITY INSURANCE 2009 form 5500 responses
2009-11-01Type of plan entitySingle employer plan
2009-11-01Submission has been amendedNo
2009-11-01This submission is the final filingNo
2009-11-01This return/report is a short plan year return/report (less than 12 months)No
2009-11-01Plan is a collectively bargained planNo
2009-11-01Plan funding arrangement – InsuranceYes
2009-11-01Plan benefit arrangement – InsuranceYes
2008: GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT GROUP LONG TERM DISABILITY INSURANCE 2008 form 5500 responses
2008-11-01Type of plan entitySingle employer plan
2008-11-01Submission has been amendedNo
2008-11-01This submission is the final filingNo
2008-11-01This return/report is a short plan year return/report (less than 12 months)No
2008-11-01Plan is a collectively bargained planNo
2008-11-01Plan funding arrangement – InsuranceYes
2008-11-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number876953G
Policy instance 1
Insurance contract or identification number876953G
Number of Individuals Covered122
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $5,181
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $50,409
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,181
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameC.W. POWELL AND CO., INC.

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