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ACCIDENTAL DEATH 401k Plan overview

Plan NameACCIDENTAL DEATH
Plan identification number 506

ACCIDENTAL DEATH Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

HEAD START OF GREATER DALLAS has sponsored the creation of one or more 401k plans.

Company Name:HEAD START OF GREATER DALLAS
Employer identification number (EIN):752247281
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ACCIDENTAL DEATH

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062022-05-01
5062021-05-01
5062013-11-01JOAN COX JOAN COX2015-02-06
5062012-11-01JOAN COX JOAN COX2013-12-20
5062011-11-01JOAN COX JOAN COX2013-02-21

Plan Statistics for ACCIDENTAL DEATH

401k plan membership statisitcs for ACCIDENTAL DEATH

Measure Date Value
2022: ACCIDENTAL DEATH 2022 401k membership
Total participants, beginning-of-year2022-05-01437
Total number of active participants reported on line 7a of the Form 55002022-05-01391
Total of all active and inactive participants2022-05-01391
Total participants2022-05-01391
2021: ACCIDENTAL DEATH 2021 401k membership
Total participants, beginning-of-year2021-05-01480
Total number of active participants reported on line 7a of the Form 55002021-05-01437
Total of all active and inactive participants2021-05-01437
Total participants2021-05-01437
2013: ACCIDENTAL DEATH 2013 401k membership
Total participants, beginning-of-year2013-11-01554
Total number of active participants reported on line 7a of the Form 55002013-11-01573
Total of all active and inactive participants2013-11-01573
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-11-011
Total participants2013-11-01574
2012: ACCIDENTAL DEATH 2012 401k membership
Total participants, beginning-of-year2012-11-01605
Total number of active participants reported on line 7a of the Form 55002012-11-01554
Total of all active and inactive participants2012-11-01554
Total participants2012-11-01554
2011: ACCIDENTAL DEATH 2011 401k membership
Total participants, beginning-of-year2011-11-010
Total number of active participants reported on line 7a of the Form 55002011-11-01605
Total of all active and inactive participants2011-11-01605
Total participants2011-11-01605

Form 5500 Responses for ACCIDENTAL DEATH

2022: ACCIDENTAL DEATH 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Submission has been amendedNo
2022-05-01This submission is the final filingNo
2022-05-01This return/report is a short plan year return/report (less than 12 months)No
2022-05-01Plan is a collectively bargained planNo
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan benefit arrangement – InsuranceYes
2021: ACCIDENTAL DEATH 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01Submission has been amendedNo
2021-05-01This submission is the final filingNo
2021-05-01This return/report is a short plan year return/report (less than 12 months)No
2021-05-01Plan is a collectively bargained planNo
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan benefit arrangement – InsuranceYes
2013: ACCIDENTAL DEATH 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: ACCIDENTAL DEATH 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: ACCIDENTAL DEATH 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

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK0970932
Policy instance 1
Insurance contract or identification numberOK0970932
Number of Individuals Covered391
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $533
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $3,858
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $533
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK970932
Policy instance 1
Insurance contract or identification numberOK970932
Number of Individuals Covered437
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $728
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $4,856
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $728
Insurance broker organization code?3

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