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HEALTH AND WELFARE BENEFITS PLAN 401k Plan overview

Plan NameHEALTH AND WELFARE BENEFITS PLAN
Plan identification number 501

HEALTH AND WELFARE BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

KIDS UNLIMITED OF OREGON has sponsored the creation of one or more 401k plans.

Company Name:KIDS UNLIMITED OF OREGON
Employer identification number (EIN):931329922
NAIC Classification:611000

Additional information about KIDS UNLIMITED OF OREGON

Jurisdiction of Incorporation: Oregon Secretary of State Corporations Division
Incorporation Date: 2001-11-05
Company Identification Number: 4768990
Legal Registered Office Address: 14 N CENTRAL #104

MEDFORD
United States of America (USA)
97501

More information about KIDS UNLIMITED OF OREGON

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEALTH AND WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01TOM COLE2023-10-25

Plan Statistics for HEALTH AND WELFARE BENEFITS PLAN

401k plan membership statisitcs for HEALTH AND WELFARE BENEFITS PLAN

Measure Date Value
2022: HEALTH AND WELFARE BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01122
Total number of active participants reported on line 7a of the Form 55002022-01-01130
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01130
Number of employers contributing to the scheme2022-01-010

Form 5500 Responses for HEALTH AND WELFARE BENEFITS PLAN

2022: HEALTH AND WELFARE BENEFITS PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01First time form 5500 has been submittedYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0BJKY
Policy instance 1
Insurance contract or identification numberGLUG0BJKY
Number of Individuals Covered130
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,295
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT,EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $39,313
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 fees2295
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3

Potentially related plans

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