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GOULD ACADEMY LONG TERM DISABILITY PLAN 401k Plan overview

Plan NameGOULD ACADEMY LONG TERM DISABILITY PLAN
Plan identification number 502

GOULD ACADEMY LONG TERM DISABILITY PLAN Benefits

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

401k Sponsoring company profile

GOULD ACADEMY has sponsored the creation of one or more 401k plans.

Company Name:GOULD ACADEMY
Employer identification number (EIN):010211509
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GOULD ACADEMY LONG TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022016-10-01
5022015-10-01
5022014-10-01
5022013-10-01
5022012-10-01
5022012-09-01
5022011-09-01
5022010-09-01

Plan Statistics for GOULD ACADEMY LONG TERM DISABILITY PLAN

401k plan membership statisitcs for GOULD ACADEMY LONG TERM DISABILITY PLAN

Measure Date Value
2016: GOULD ACADEMY LONG TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-0199
Total number of active participants reported on line 7a of the Form 55002016-10-0199
Total of all active and inactive participants2016-10-0199
2015: GOULD ACADEMY LONG TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-01103
Total number of active participants reported on line 7a of the Form 55002015-10-0191
Total of all active and inactive participants2015-10-0191
2014: GOULD ACADEMY LONG TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-01104
Total number of active participants reported on line 7a of the Form 55002014-10-01103
Total of all active and inactive participants2014-10-01103
2013: GOULD ACADEMY LONG TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-0193
Total number of active participants reported on line 7a of the Form 55002013-10-01104
Total of all active and inactive participants2013-10-01104
2012: GOULD ACADEMY LONG TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-0199
Total number of active participants reported on line 7a of the Form 55002012-10-0193
Total of all active and inactive participants2012-10-0193
Total participants, beginning-of-year2012-09-01101
Total number of active participants reported on line 7a of the Form 55002012-09-0199
Total of all active and inactive participants2012-09-0199
2011: GOULD ACADEMY LONG TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-09-01101
Total number of active participants reported on line 7a of the Form 55002011-09-01101
Total of all active and inactive participants2011-09-01101
2010: GOULD ACADEMY LONG TERM DISABILITY PLAN 2010 401k membership
Total participants, beginning-of-year2010-09-01102
Total number of active participants reported on line 7a of the Form 55002010-09-01101
Total of all active and inactive participants2010-09-01101

Form 5500 Responses for GOULD ACADEMY LONG TERM DISABILITY PLAN

2016: GOULD ACADEMY LONG TERM DISABILITY PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01This submission is the final filingYes
2016-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – InsuranceYes
2015: GOULD ACADEMY LONG TERM DISABILITY PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – InsuranceYes
2014: GOULD ACADEMY LONG TERM DISABILITY PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – InsuranceYes
2013: GOULD ACADEMY LONG TERM DISABILITY PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan benefit arrangement – InsuranceYes
2012: GOULD ACADEMY LONG TERM DISABILITY PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan benefit arrangement – InsuranceYes
2012-09-01Type of plan entitySingle employer plan
2012-09-01This return/report is a short plan year return/report (less than 12 months)Yes
2012-09-01Plan funding arrangement – InsuranceYes
2012-09-01Plan benefit arrangement – InsuranceYes
2011: GOULD ACADEMY LONG TERM DISABILITY PLAN 2011 form 5500 responses
2011-09-01Type of plan entitySingle employer plan
2011-09-01Submission has been amendedYes
2011-09-01Plan funding arrangement – InsuranceYes
2011-09-01Plan benefit arrangement – InsuranceYes
2010: GOULD ACADEMY LONG TERM DISABILITY PLAN 2010 form 5500 responses
2010-09-01Type of plan entitySingle employer plan
2010-09-01First time form 5500 has been submittedYes
2010-09-01Plan funding arrangement – InsuranceYes
2010-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AMEY
Policy instance 1
Insurance contract or identification numberG000AMEY
Number of Individuals Covered91
Insurance policy start date2015-10-01
Insurance policy end date2016-09-30
Total amount of commissions paid to insurance brokerUSD $809
Total amount of fees paid to insurance companyUSD $469
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,089
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $809
Amount paid for insurance broker fees469
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameJENNIFER A BORISLOW INS AGENCY INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AMEY
Policy instance 1
Insurance contract or identification numberG000AMEY
Number of Individuals Covered103
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $864
Total amount of fees paid to insurance companyUSD $374
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,643
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $864
Amount paid for insurance broker fees374
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameJENNIFER A BORISLOW INS AGENCY INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AMEY
Policy instance 1
Insurance contract or identification numberG000AMEY
Number of Individuals Covered104
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $733
Total amount of fees paid to insurance companyUSD $314
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,328
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $733
Amount paid for insurance broker fees314
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameJENNIFER A BORISLOW INS AGENCY INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AMEY
Policy instance 1
Insurance contract or identification numberG000AMEY
Number of Individuals Covered93
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $691
Total amount of fees paid to insurance companyUSD $62
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,909
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $691
Amount paid for insurance broker fees62
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameJENNIFER A BORISLOW INS AGENCY INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010117982
Policy instance 1
Insurance contract or identification number000010117982
Number of Individuals Covered99
Insurance policy start date2012-09-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $107
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $714
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $107
Insurance broker organization code?3
Insurance broker nameJENNIFER A BORISLOW INS AGENCY INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010117982
Policy instance 1
Insurance contract or identification number000010117982
Number of Individuals Covered101
Insurance policy start date2011-09-01
Insurance policy end date2012-08-31
Total amount of commissions paid to insurance brokerUSD $1,312
Total amount of fees paid to insurance companyUSD $422
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,749
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,312
Amount paid for insurance broker fees422
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameJENNIFER A BORISLOW INS AGENCY INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010117982
Policy instance 1
Insurance contract or identification number000010117982
Number of Individuals Covered101
Insurance policy start date2010-09-01
Insurance policy end date2011-08-31
Total amount of commissions paid to insurance brokerUSD $1,240
Total amount of fees paid to insurance companyUSD $410
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,267
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,240
Amount paid for insurance broker fees410
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameJENNIFER A BORISLOW INS AGENCY INC

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