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GROUP LONG TERM DISABILITY 401k Plan overview

Plan NameGROUP LONG TERM DISABILITY
Plan identification number 504

GROUP LONG TERM DISABILITY Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Long-term disability cover

401k Sponsoring company profile

CORNISH COLLEGE OF THE ARTS has sponsored the creation of one or more 401k plans.

Company Name:CORNISH COLLEGE OF THE ARTS
Employer identification number (EIN):910916534
NAIC Classification:611000

Additional information about CORNISH COLLEGE OF THE ARTS

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 1974-04-23
Company Identification Number: 600178881
Legal Registered Office Address: 1000 LENORA ST

SEATTLE
United States of America (USA)
981212951

More information about CORNISH COLLEGE OF THE ARTS

Form 5500 Filing Information

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

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042014-10-01AI NGUYEN JEFFREY RIDDELL2016-04-22
5042013-10-01AI NGUYEN JEFFREY RIDDELL2015-04-30
5042012-10-01BEVERLY PAGE JEFFREY RIDDELL2014-04-30
5042011-10-01BEVERLY PAGE JEFFREY RIDDELL2013-04-22
5042010-10-01BEVERLY PAGE JEFFREY RIDDELL2012-04-30
5042009-10-01MELISSA HUGHES JEFFREY RIDDELL2011-06-29

Plan Statistics for GROUP LONG TERM DISABILITY

401k plan membership statisitcs for GROUP LONG TERM DISABILITY

Measure Date Value
2014: GROUP LONG TERM DISABILITY 2014 401k membership
Total participants, beginning-of-year2014-10-01194
Total number of active participants reported on line 7a of the Form 55002014-10-01182
Total of all active and inactive participants2014-10-01182
Total participants2014-10-01182
2013: GROUP LONG TERM DISABILITY 2013 401k membership
Total participants, beginning-of-year2013-10-01189
Total number of active participants reported on line 7a of the Form 55002013-10-01184
Total of all active and inactive participants2013-10-01184
Total participants2013-10-01184
2012: GROUP LONG TERM DISABILITY 2012 401k membership
Total participants, beginning-of-year2012-10-01183
Total number of active participants reported on line 7a of the Form 55002012-10-01184
Total of all active and inactive participants2012-10-01184
Total participants2012-10-01184
2011: GROUP LONG TERM DISABILITY 2011 401k membership
Total participants, beginning-of-year2011-10-01183
Total number of active participants reported on line 7a of the Form 55002011-10-01185
Total of all active and inactive participants2011-10-01185
Total participants2011-10-01185
2010: GROUP LONG TERM DISABILITY 2010 401k membership
Total participants, beginning-of-year2010-10-01185
Total number of active participants reported on line 7a of the Form 55002010-10-01182
Total of all active and inactive participants2010-10-01182
Total participants2010-10-01182
2009: GROUP LONG TERM DISABILITY 2009 401k membership
Total participants, beginning-of-year2009-10-01177
Total number of active participants reported on line 7a of the Form 55002009-10-01185
Number of retired or separated participants receiving benefits2009-10-010
Number of other retired or separated participants entitled to future benefits2009-10-010
Total of all active and inactive participants2009-10-01185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-10-010
Total participants2009-10-01185

Form 5500 Responses for GROUP LONG TERM DISABILITY

2014: GROUP LONG TERM DISABILITY 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – InsuranceYes
2013: GROUP LONG TERM DISABILITY 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan benefit arrangement – InsuranceYes
2012: GROUP LONG TERM DISABILITY 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan benefit arrangement – InsuranceYes
2011: GROUP LONG TERM DISABILITY 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Submission has been amendedNo
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan benefit arrangement – InsuranceYes
2010: GROUP LONG TERM DISABILITY 2010 form 5500 responses
2010-10-01Type of plan entitySingle employer plan
2010-10-01Submission has been amendedNo
2010-10-01This submission is the final filingNo
2010-10-01This return/report is a short plan year return/report (less than 12 months)No
2010-10-01Plan is a collectively bargained planNo
2010-10-01Plan funding arrangement – InsuranceYes
2010-10-01Plan benefit arrangement – InsuranceYes
2009: GROUP LONG TERM DISABILITY 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AG9V
Policy instance 1
Insurance contract or identification numberG000AG9V
Number of Individuals Covered182
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
Unemployment Insurance Welfare BenefitNo
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 $18,068
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AG9V
Policy instance 1
Insurance contract or identification numberG000AG9V
Number of Individuals Covered184
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
Unemployment Insurance Welfare BenefitNo
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 $17,893
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AG9V
Policy instance 1
Insurance contract or identification numberG000AG9V
Number of Individuals Covered184
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
Unemployment Insurance Welfare BenefitNo
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 $17,007
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AG9V
Policy instance 1
Insurance contract or identification numberG000AG9V
Number of Individuals Covered185
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,499
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AG9V
Policy instance 1
Insurance contract or identification numberG000AG9V
Number of Individuals Covered182
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,442
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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