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VISION PLAN 401k Plan overview

Plan NameVISION PLAN
Plan identification number 503

VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Vision

401k Sponsoring company profile

EASTERN SHAWNEE TRIBE has sponsored the creation of one or more 401k plans.

Company Name:EASTERN SHAWNEE TRIBE
Employer identification number (EIN):731024490
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032015-02-01GLENNA J. WALLACE2022-08-15
5032014-02-01GLENNA J. WALLACE2022-08-15
5032013-02-01GLENNA J. WALLACE2022-08-15
5032012-02-01GLENNA J. WALLACE2022-08-15

Plan Statistics for VISION PLAN

401k plan membership statisitcs for VISION PLAN

Measure Date Value
2015: VISION PLAN 2015 401k membership
Total participants, beginning-of-year2015-02-01596
Total number of active participants reported on line 7a of the Form 55002015-02-010
Number of retired or separated participants receiving benefits2015-02-010
Number of other retired or separated participants entitled to future benefits2015-02-010
Total of all active and inactive participants2015-02-010
Number of employers contributing to the scheme2015-02-010
2014: VISION PLAN 2014 401k membership
Total participants, beginning-of-year2014-02-01570
Total number of active participants reported on line 7a of the Form 55002014-02-01596
Number of retired or separated participants receiving benefits2014-02-010
Number of other retired or separated participants entitled to future benefits2014-02-010
Total of all active and inactive participants2014-02-01596
Number of employers contributing to the scheme2014-02-010
2013: VISION PLAN 2013 401k membership
Total participants, beginning-of-year2013-02-01100
Total number of active participants reported on line 7a of the Form 55002013-02-01570
Number of retired or separated participants receiving benefits2013-02-010
Number of other retired or separated participants entitled to future benefits2013-02-010
Total of all active and inactive participants2013-02-01570
Number of employers contributing to the scheme2013-02-010
2012: VISION PLAN 2012 401k membership
Total participants, beginning-of-year2012-02-01100
Total number of active participants reported on line 7a of the Form 55002012-02-01100
Number of retired or separated participants receiving benefits2012-02-010
Number of other retired or separated participants entitled to future benefits2012-02-010
Total of all active and inactive participants2012-02-01100
Number of employers contributing to the scheme2012-02-010

Form 5500 Responses for VISION PLAN

2015: VISION PLAN 2015 form 5500 responses
2015-02-01Type of plan entitySingle employer plan
2015-02-01This submission is the final filingYes
2015-02-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan benefit arrangement – InsuranceYes
2014: VISION PLAN 2014 form 5500 responses
2014-02-01Type of plan entitySingle employer plan
2014-02-01Plan funding arrangement – InsuranceYes
2014-02-01Plan benefit arrangement – InsuranceYes
2013: VISION PLAN 2013 form 5500 responses
2013-02-01Type of plan entitySingle employer plan
2013-02-01Plan funding arrangement – InsuranceYes
2013-02-01Plan benefit arrangement – InsuranceYes
2012: VISION PLAN 2012 form 5500 responses
2012-02-01Type of plan entitySingle employer plan
2012-02-01First time form 5500 has been submittedYes
2012-02-01Plan funding arrangement – InsuranceYes
2012-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 95478 )
Policy contract number30031514
Policy instance 1
Insurance contract or identification number30031514
Number of Individuals Covered570
Insurance policy start date2015-02-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30031514
Policy instance 1
Insurance contract or identification number30031514
Number of Individuals Covered596
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $30,879
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30031514
Policy instance 1
Insurance contract or identification number30031514
Number of Individuals Covered570
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $29,177
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30031514
Policy instance 1
Insurance contract or identification number30031514
Number of Individuals Covered100
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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