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EMPLOYEE BENEFIT PLAN OF TRI-COUNTY COMMUNITY ACTION INC 401k Plan overview

Plan NameEMPLOYEE BENEFIT PLAN OF TRI-COUNTY COMMUNITY ACTION INC
Plan identification number 501

EMPLOYEE BENEFIT PLAN OF TRI-COUNTY COMMUNITY ACTION INC 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
  • Other welfare benefit cover

401k Sponsoring company profile

TRI-COUNTY COMMUNITY ACTION, INC. has sponsored the creation of one or more 401k plans.

Company Name:TRI-COUNTY COMMUNITY ACTION, INC.
Employer identification number (EIN):751213282
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE BENEFIT PLAN OF TRI-COUNTY COMMUNITY ACTION INC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-01-01ASHTON KENNEY2020-08-21
5012017-01-01

Plan Statistics for EMPLOYEE BENEFIT PLAN OF TRI-COUNTY COMMUNITY ACTION INC

401k plan membership statisitcs for EMPLOYEE BENEFIT PLAN OF TRI-COUNTY COMMUNITY ACTION INC

Measure Date Value
2019: EMPLOYEE BENEFIT PLAN OF TRI-COUNTY COMMUNITY ACTION INC 2019 401k membership
Total participants, beginning-of-year2019-01-01119
Total number of active participants reported on line 7a of the Form 55002019-01-01121
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01121
2017: EMPLOYEE BENEFIT PLAN OF TRI-COUNTY COMMUNITY ACTION INC 2017 401k membership
Total participants, beginning-of-year2017-01-01112
Total number of active participants reported on line 7a of the Form 55002017-01-01120
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 participants2017-01-01120

Form 5500 Responses for EMPLOYEE BENEFIT PLAN OF TRI-COUNTY COMMUNITY ACTION INC

2019: EMPLOYEE BENEFIT PLAN OF TRI-COUNTY COMMUNITY ACTION INC 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2017: EMPLOYEE BENEFIT PLAN OF TRI-COUNTY COMMUNITY ACTION INC 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number014311
Policy instance 1
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF019628
Policy instance 2
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number925057
Policy instance 3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number014311
Policy instance 1
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF019628
Policy instance 2
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5465396
Policy instance 3

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