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KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN 401k Plan overview

Plan NameKENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN
Plan identification number 502

KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

KENNEBEC VALLEY COMMUNITY ACTION PROGRAM has sponsored the creation of one or more 401k plans.

Company Name:KENNEBEC VALLEY COMMUNITY ACTION PROGRAM
Employer identification number (EIN):010277678
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-04-01JEFFREY RAAB2023-07-11
5022021-04-01JEFFREY RAAB2022-06-27
5022020-04-01JEFFREY RAAB2021-08-02
5022019-04-01SUZANNE WALSH2020-10-07
5022018-04-01SUZANNE WALSH2019-12-02
5022017-04-01
5022016-04-01
5022015-04-01
5022014-04-01
5022013-04-01
5022012-04-01MARK K. JOHNSTON
5022011-04-01MARK K. JOHNSTON
5022009-04-01MARK K. JOHNSTON
5022009-04-01MARK K. JOHNSTON

Plan Statistics for KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN

401k plan membership statisitcs for KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN

Measure Date Value
2022: KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year2022-04-01212
Total number of active participants reported on line 7a of the Form 55002022-04-01202
Number of retired or separated participants receiving benefits2022-04-010
Number of other retired or separated participants entitled to future benefits2022-04-010
Total of all active and inactive participants2022-04-01202
2021: KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-04-01206
Total number of active participants reported on line 7a of the Form 55002021-04-01212
Number of retired or separated participants receiving benefits2021-04-010
Number of other retired or separated participants entitled to future benefits2021-04-010
Total of all active and inactive participants2021-04-01212
2020: KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-04-01183
Total number of active participants reported on line 7a of the Form 55002020-04-01206
Number of retired or separated participants receiving benefits2020-04-010
Number of other retired or separated participants entitled to future benefits2020-04-010
Total of all active and inactive participants2020-04-01206
2019: KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-01187
Total number of active participants reported on line 7a of the Form 55002019-04-01183
Number of retired or separated participants receiving benefits2019-04-010
Number of other retired or separated participants entitled to future benefits2019-04-010
Total of all active and inactive participants2019-04-01183
2018: KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year2018-04-01190
Total number of active participants reported on line 7a of the Form 55002018-04-01187
Total of all active and inactive participants2018-04-01187
2017: KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-01185
Total number of active participants reported on line 7a of the Form 55002017-04-01190
Total of all active and inactive participants2017-04-01190
2016: KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-01179
Total number of active participants reported on line 7a of the Form 55002016-04-01185
Total of all active and inactive participants2016-04-01185
2015: KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-01155
Total number of active participants reported on line 7a of the Form 55002015-04-01179
Total of all active and inactive participants2015-04-01179
2014: KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-01135
Total number of active participants reported on line 7a of the Form 55002014-04-01155
Total of all active and inactive participants2014-04-01155
2013: KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-01139
Total number of active participants reported on line 7a of the Form 55002013-04-01135
Total of all active and inactive participants2013-04-01135
2012: KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-01123
Total number of active participants reported on line 7a of the Form 55002012-04-01139
Total of all active and inactive participants2012-04-01139
2011: KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-01174
Total number of active participants reported on line 7a of the Form 55002011-04-01123
Total of all active and inactive participants2011-04-01123
2009: KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year2009-04-01122
Total number of active participants reported on line 7a of the Form 55002009-04-01148
Total of all active and inactive participants2009-04-01148

Form 5500 Responses for KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN

2022: KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan funding arrangement – General assets of the sponsorYes
2022-04-01Plan benefit arrangement – InsuranceYes
2022-04-01Plan benefit arrangement – General assets of the sponsorYes
2021: KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN 2021 form 5500 responses
2021-04-01Type of plan entitySingle employer plan
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan funding arrangement – General assets of the sponsorYes
2021-04-01Plan benefit arrangement – InsuranceYes
2021-04-01Plan benefit arrangement – General assets of the sponsorYes
2020: KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN 2020 form 5500 responses
2020-04-01Type of plan entitySingle employer plan
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan funding arrangement – General assets of the sponsorYes
2020-04-01Plan benefit arrangement – InsuranceYes
2020-04-01Plan benefit arrangement – General assets of the sponsorYes
2019: KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan funding arrangement – General assets of the sponsorYes
2019-04-01Plan benefit arrangement – InsuranceYes
2019-04-01Plan benefit arrangement – General assets of the sponsorYes
2018: KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Plan funding arrangement – InsuranceYes
2018-04-01Plan funding arrangement – General assets of the sponsorYes
2018-04-01Plan benefit arrangement – InsuranceYes
2018-04-01Plan benefit arrangement – General assets of the sponsorYes
2017: KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan funding arrangement – General assets of the sponsorYes
2017-04-01Plan benefit arrangement – InsuranceYes
2017-04-01Plan benefit arrangement – General assets of the sponsorYes
2016: KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan funding arrangement – General assets of the sponsorYes
2016-04-01Plan benefit arrangement – InsuranceYes
2016-04-01Plan benefit arrangement – General assets of the sponsorYes
2015: KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan funding arrangement – General assets of the sponsorYes
2015-04-01Plan benefit arrangement – InsuranceYes
2015-04-01Plan benefit arrangement – General assets of the sponsorYes
2014: KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan funding arrangement – General assets of the sponsorYes
2014-04-01Plan benefit arrangement – InsuranceYes
2014-04-01Plan benefit arrangement – General assets of the sponsorYes
2013: KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan funding arrangement – General assets of the sponsorYes
2013-04-01Plan benefit arrangement – InsuranceYes
2013-04-01Plan benefit arrangement – General assets of the sponsorYes
2012: KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan funding arrangement – General assets of the sponsorYes
2012-04-01Plan benefit arrangement – InsuranceYes
2012-04-01Plan benefit arrangement – General assets of the sponsorYes
2011: KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan funding arrangement – General assets of the sponsorYes
2011-04-01Plan benefit arrangement – InsuranceYes
2011-04-01Plan benefit arrangement – General assets of the sponsorYes
2009: KENNEBEC VALLEY COMMUNITY ACTION PROGRAM HEALTH BENEFITS PLAN 2009 form 5500 responses
2009-04-01Type of plan entitySingle employer plan
2009-04-01This submission is the final filingNo
2009-04-01Plan funding arrangement – InsuranceYes
2009-04-01Plan funding arrangement – General assets of the sponsorYes
2009-04-01Plan benefit arrangement – InsuranceYes
2009-04-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL16370
Policy instance 1
Insurance contract or identification numberHCL16370
Number of Individuals Covered202
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $103,810
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $695,742
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $103,810
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL16370
Policy instance 1
Insurance contract or identification numberHCL16370
Number of Individuals Covered212
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $96,213
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $645,060
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $96,213
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL16370
Policy instance 1
Insurance contract or identification numberHCL16370
Number of Individuals Covered206
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $85,994
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $576,830
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $85,994
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL16370
Policy instance 1
Insurance contract or identification numberHCL16370
Number of Individuals Covered183
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $75,040
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $503,538
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $75,040
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL16370
Policy instance 1
Insurance contract or identification numberHCL16370
Number of Individuals Covered187
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $75,017
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $503,448
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $75,017
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL16370
Policy instance 1
Insurance contract or identification numberHCL16370
Number of Individuals Covered190
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $62,242
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $418,305
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $62,242
Insurance broker organization code?3
Insurance broker nameHEALEY ASSOCIATES
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL16370
Policy instance 1
Insurance contract or identification numberHCL16370
Number of Individuals Covered179
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $50,821
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $341,854
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $50,821
Insurance broker organization code?3
Insurance broker nameHEALEY ASSOCIATES
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL16370
Policy instance 1
Insurance contract or identification numberHCL16370
Number of Individuals Covered155
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $44,473
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $299,026
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $44,473
Insurance broker organization code?3
Insurance broker nameHEALEY ASSOCIATES
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL16370
Policy instance 1
Insurance contract or identification numberHCL16370
Number of Individuals Covered135
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $41,674
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $280,210
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $41,674
Insurance broker organization code?3
Insurance broker nameHEALEY ASSOCIATES
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL16370
Policy instance 1
Insurance contract or identification numberHCL16370
Number of Individuals Covered139
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $47,351
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $318,387
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $47,351
Insurance broker organization code?3
Insurance broker nameHEALEY ASSOCIATES
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL16370
Policy instance 1
Insurance contract or identification numberHCL16370
Number of Individuals Covered123
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $44,675
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $300,809
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL16370
Policy instance 1
Insurance contract or identification numberHCL16370
Number of Individuals Covered174
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $38,197
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $257,508
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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