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GROUP SHORT TERM DISABILITY 401k Plan overview

Plan NameGROUP SHORT TERM DISABILITY
Plan identification number 507

GROUP SHORT TERM DISABILITY Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

CORE ELECTRIC COOPERATIVE has sponsored the creation of one or more 401k plans.

Company Name:CORE ELECTRIC COOPERATIVE
Employer identification number (EIN):840235244
NAIC Classification:221100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP SHORT TERM DISABILITY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5072021-12-01DIERDRE JONES2022-09-21
5072020-12-01DIERDRE JONES2022-06-30
5072019-12-01KYLE POWANDA2021-09-14
5072019-01-01PATRICK B. MOONEY2020-09-14

Plan Statistics for GROUP SHORT TERM DISABILITY

401k plan membership statisitcs for GROUP SHORT TERM DISABILITY

Measure Date Value
2021: GROUP SHORT TERM DISABILITY 2021 401k membership
Total participants, beginning-of-year2021-12-01253
Total number of active participants reported on line 7a of the Form 55002021-12-01254
Number of retired or separated participants receiving benefits2021-12-010
Number of other retired or separated participants entitled to future benefits2021-12-010
Total of all active and inactive participants2021-12-01254
Number of employers contributing to the scheme2021-12-010
2020: GROUP SHORT TERM DISABILITY 2020 401k membership
Total participants, beginning-of-year2020-12-01229
Total number of active participants reported on line 7a of the Form 55002020-12-01253
Number of retired or separated participants receiving benefits2020-12-010
Number of other retired or separated participants entitled to future benefits2020-12-010
Total of all active and inactive participants2020-12-01253
Number of employers contributing to the scheme2020-12-010
2019: GROUP SHORT TERM DISABILITY 2019 401k membership
Total participants, beginning-of-year2019-12-01154
Total number of active participants reported on line 7a of the Form 55002019-12-01229
Number of retired or separated participants receiving benefits2019-12-010
Number of other retired or separated participants entitled to future benefits2019-12-010
Total of all active and inactive participants2019-12-01229
Number of employers contributing to the scheme2019-12-010
Total participants, beginning-of-year2019-01-01145
Total number of active participants reported on line 7a of the Form 55002019-01-01154
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 participants2019-01-01154
Number of employers contributing to the scheme2019-01-010

Form 5500 Responses for GROUP SHORT TERM DISABILITY

2021: GROUP SHORT TERM DISABILITY 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan benefit arrangement – InsuranceYes
2020: GROUP SHORT TERM DISABILITY 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – InsuranceYes
2019: GROUP SHORT TERM DISABILITY 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan benefit arrangement – InsuranceYes
2019-01-01Type of plan entitySingle employer plan
2019-01-01First time form 5500 has been submittedYes
2019-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan 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 number807507G
Policy instance 1
Insurance contract or identification number807507G
Number of Individuals Covered254
Insurance policy start date2021-12-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,920
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number807507G
Policy instance 1
Insurance contract or identification number807507G
Number of Individuals Covered253
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,802
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $78,878
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 fees1802
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number807507G
Policy instance 1
Insurance contract or identification number807507G
Number of Individuals Covered229
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $70,730
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number807507G
Policy instance 1
Insurance contract or identification number807507G
Number of Individuals Covered154
Insurance policy start date2019-01-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $40,575
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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