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HAWAII MEDICAL SERVICE ASSOCIATION BUSINESS TRAVEL ACCIDENT POLICY 401k Plan overview

Plan NameHAWAII MEDICAL SERVICE ASSOCIATION BUSINESS TRAVEL ACCIDENT POLICY
Plan identification number 507

HAWAII MEDICAL SERVICE ASSOCIATION BUSINESS TRAVEL ACCIDENT POLICY Benefits

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

401k Sponsoring company profile

HAWAII MEDICAL SERVICE ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name:HAWAII MEDICAL SERVICE ASSOCIATION
Employer identification number (EIN):990040115
NAIC Classification:524140

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HAWAII MEDICAL SERVICE ASSOCIATION BUSINESS TRAVEL ACCIDENT POLICY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5072024-01-01CANDACE GOO
5072023-01-01
5072023-01-01CANDACE GOO
5072022-01-01
5072022-01-01JANNA NAKAGAWA
5072021-01-01
5072021-01-01JANNA NAKAGAWA
5072020-01-01
5072019-01-01
5072018-01-01
5072017-05-11JANNA NAKAGAWA
5072016-05-11JANNA NAKAGAWA
5072015-05-11JANNA NAKAGAWA
5072014-05-11JANNA NAKAGAWA
5072013-05-11JANNA NAKAGAWA
5072012-05-11JANNA NAKAGAWA
5072011-05-11JANNA NAKAGAWA

Form 5500 Responses for HAWAII MEDICAL SERVICE ASSOCIATION BUSINESS TRAVEL ACCIDENT POLICY

2023: HAWAII MEDICAL SERVICE ASSOCIATION BUSINESS TRAVEL ACCIDENT POLICY 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: HAWAII MEDICAL SERVICE ASSOCIATION BUSINESS TRAVEL ACCIDENT POLICY 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: HAWAII MEDICAL SERVICE ASSOCIATION BUSINESS TRAVEL ACCIDENT POLICY 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: HAWAII MEDICAL SERVICE ASSOCIATION BUSINESS TRAVEL ACCIDENT POLICY 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: HAWAII MEDICAL SERVICE ASSOCIATION BUSINESS TRAVEL ACCIDENT POLICY 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: HAWAII MEDICAL SERVICE ASSOCIATION BUSINESS TRAVEL ACCIDENT POLICY 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: HAWAII MEDICAL SERVICE ASSOCIATION BUSINESS TRAVEL ACCIDENT POLICY 2017 form 5500 responses
2017-05-11Type of plan entitySingle employer plan
2017-05-11Submission has been amendedNo
2017-05-11This submission is the final filingNo
2017-05-11This return/report is a short plan year return/report (less than 12 months)Yes
2017-05-11Plan is a collectively bargained planNo
2017-05-11Plan funding arrangement – InsuranceYes
2017-05-11Plan benefit arrangement – InsuranceYes
2016: HAWAII MEDICAL SERVICE ASSOCIATION BUSINESS TRAVEL ACCIDENT POLICY 2016 form 5500 responses
2016-05-11Type of plan entitySingle employer plan
2016-05-11Submission has been amendedNo
2016-05-11This submission is the final filingNo
2016-05-11This return/report is a short plan year return/report (less than 12 months)No
2016-05-11Plan is a collectively bargained planNo
2016-05-11Plan funding arrangement – InsuranceYes
2016-05-11Plan benefit arrangement – InsuranceYes
2015: HAWAII MEDICAL SERVICE ASSOCIATION BUSINESS TRAVEL ACCIDENT POLICY 2015 form 5500 responses
2015-05-11Type of plan entitySingle employer plan
2015-05-11Submission has been amendedNo
2015-05-11This submission is the final filingNo
2015-05-11This return/report is a short plan year return/report (less than 12 months)No
2015-05-11Plan is a collectively bargained planNo
2015-05-11Plan funding arrangement – InsuranceYes
2015-05-11Plan benefit arrangement – InsuranceYes
2014: HAWAII MEDICAL SERVICE ASSOCIATION BUSINESS TRAVEL ACCIDENT POLICY 2014 form 5500 responses
2014-05-11Type of plan entitySingle employer plan
2014-05-11Submission has been amendedNo
2014-05-11This submission is the final filingNo
2014-05-11This return/report is a short plan year return/report (less than 12 months)No
2014-05-11Plan is a collectively bargained planNo
2014-05-11Plan funding arrangement – InsuranceYes
2014-05-11Plan benefit arrangement – InsuranceYes
2013: HAWAII MEDICAL SERVICE ASSOCIATION BUSINESS TRAVEL ACCIDENT POLICY 2013 form 5500 responses
2013-05-11Type of plan entitySingle employer plan
2013-05-11Submission has been amendedNo
2013-05-11This submission is the final filingNo
2013-05-11This return/report is a short plan year return/report (less than 12 months)No
2013-05-11Plan is a collectively bargained planNo
2013-05-11Plan funding arrangement – InsuranceYes
2013-05-11Plan benefit arrangement – InsuranceYes
2012: HAWAII MEDICAL SERVICE ASSOCIATION BUSINESS TRAVEL ACCIDENT POLICY 2012 form 5500 responses
2012-05-11Type of plan entitySingle employer plan
2012-05-11Submission has been amendedNo
2012-05-11This submission is the final filingNo
2012-05-11This return/report is a short plan year return/report (less than 12 months)No
2012-05-11Plan is a collectively bargained planNo
2012-05-11Plan funding arrangement – InsuranceYes
2012-05-11Plan benefit arrangement – InsuranceYes
2011: HAWAII MEDICAL SERVICE ASSOCIATION BUSINESS TRAVEL ACCIDENT POLICY 2011 form 5500 responses
2011-05-11Type of plan entitySingle employer plan
2011-05-11First time form 5500 has been submittedYes
2011-05-11Submission has been amendedNo
2011-05-11This submission is the final filingNo
2011-05-11This return/report is a short plan year return/report (less than 12 months)No
2011-05-11Plan is a collectively bargained planNo
2011-05-11Plan funding arrangement – InsuranceYes
2011-05-11Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number9907-5481
Policy instance 1
Insurance contract or identification number9907-5481
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedBUSINESS TRAVEL ACCIDENT DEATH, DIS
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number9907-5481
Policy instance 1
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number9907-5481
Policy instance 1
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number9907-5481
Policy instance 1
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number9907-5481
Policy instance 1
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number9907-5481
Policy instance 1
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number9907-5481
Policy instance 1
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number9907-54-81
Policy instance 1
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number9907-54-81
Policy instance 1
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberBTA-2222
Policy instance 1
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberBTA-2222
Policy instance 1
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberBTA-2222
Policy instance 1

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