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PHILLIPS EXETER ACADEMY GROUP LIFE AND AD&D PLAN 401k Plan overview

Plan NamePHILLIPS EXETER ACADEMY GROUP LIFE AND AD&D PLAN
Plan identification number 503

PHILLIPS EXETER ACADEMY GROUP LIFE AND AD&D PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Supplemental unemployment
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

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

Company Name:PHILLIPS EXETER ACADEMY
Employer identification number (EIN):020222174
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PHILLIPS EXETER ACADEMY GROUP LIFE AND AD&D PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032019-07-01CAROLINE HOOPER2021-01-27
5032018-07-01
5032017-07-01
5032016-07-01MARIJKA BEAUCHESNE MARIJKA BEAUCHESNE2018-01-29
5032015-07-01MARIJKA BEAUCHESNE MARIJKA BEAUCHESNE2017-04-13
5032014-07-01MARIJKA BEAUCHESNE MARIJKA BEAUCHESNE2016-01-28
5032013-07-01MARIJKA BEAUCHESNE, CONTROLLER
5032012-07-01MARIJKA BEAUCHESNE
5032011-07-01CHRISTOPHER V. WEJCHERT
5032009-07-01CHRISTOPHER V. WEJCHERT KATHLEEN M. TAYLOR2011-04-15

Plan Statistics for PHILLIPS EXETER ACADEMY GROUP LIFE AND AD&D PLAN

401k plan membership statisitcs for PHILLIPS EXETER ACADEMY GROUP LIFE AND AD&D PLAN

Measure Date Value
2019: PHILLIPS EXETER ACADEMY GROUP LIFE AND AD&D PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01549
Total number of active participants reported on line 7a of the Form 55002019-07-010
Number of retired or separated participants receiving benefits2019-07-010
Number of other retired or separated participants entitled to future benefits2019-07-010
Total of all active and inactive participants2019-07-010
Number of employers contributing to the scheme2019-07-010
2018: PHILLIPS EXETER ACADEMY GROUP LIFE AND AD&D PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01550
Total number of active participants reported on line 7a of the Form 55002018-07-01562
Number of retired or separated participants receiving benefits2018-07-011
Total of all active and inactive participants2018-07-01563
Total participants2018-07-01563
2017: PHILLIPS EXETER ACADEMY GROUP LIFE AND AD&D PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01552
Total number of active participants reported on line 7a of the Form 55002017-07-01547
Number of retired or separated participants receiving benefits2017-07-013
Total of all active and inactive participants2017-07-01550
Total participants2017-07-01550
2016: PHILLIPS EXETER ACADEMY GROUP LIFE AND AD&D PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01546
Total number of active participants reported on line 7a of the Form 55002016-07-01548
Number of retired or separated participants receiving benefits2016-07-014
Total of all active and inactive participants2016-07-01552
Total participants2016-07-01552
2015: PHILLIPS EXETER ACADEMY GROUP LIFE AND AD&D PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01539
Total number of active participants reported on line 7a of the Form 55002015-07-01542
Number of retired or separated participants receiving benefits2015-07-014
Total of all active and inactive participants2015-07-01546
Total participants2015-07-01546
2014: PHILLIPS EXETER ACADEMY GROUP LIFE AND AD&D PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01533
Total number of active participants reported on line 7a of the Form 55002014-07-01534
Number of retired or separated participants receiving benefits2014-07-015
Total of all active and inactive participants2014-07-01539
Total participants2014-07-01539
2013: PHILLIPS EXETER ACADEMY GROUP LIFE AND AD&D PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01531
Total number of active participants reported on line 7a of the Form 55002013-07-01528
Number of retired or separated participants receiving benefits2013-07-015
Total of all active and inactive participants2013-07-01533
Total participants2013-07-01533
2012: PHILLIPS EXETER ACADEMY GROUP LIFE AND AD&D PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01524
Total of all active and inactive participants2012-07-010
Total participants2012-07-010
2011: PHILLIPS EXETER ACADEMY GROUP LIFE AND AD&D PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01522
Total number of active participants reported on line 7a of the Form 55002011-07-01516
Number of retired or separated participants receiving benefits2011-07-018
Total of all active and inactive participants2011-07-01524
Total participants2011-07-01524
2009: PHILLIPS EXETER ACADEMY GROUP LIFE AND AD&D PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01547
Total number of active participants reported on line 7a of the Form 55002009-07-01524
Number of retired or separated participants receiving benefits2009-07-0112
Total of all active and inactive participants2009-07-01536
Total participants2009-07-01536

Form 5500 Responses for PHILLIPS EXETER ACADEMY GROUP LIFE AND AD&D PLAN

2019: PHILLIPS EXETER ACADEMY GROUP LIFE AND AD&D PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01This submission is the final filingYes
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – InsuranceYes
2018: PHILLIPS EXETER ACADEMY GROUP LIFE AND AD&D PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planNo
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes
2017: PHILLIPS EXETER ACADEMY GROUP LIFE AND AD&D PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2016: PHILLIPS EXETER ACADEMY GROUP LIFE AND AD&D PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: PHILLIPS EXETER ACADEMY GROUP LIFE AND AD&D PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: PHILLIPS EXETER ACADEMY GROUP LIFE AND AD&D PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: PHILLIPS EXETER ACADEMY GROUP LIFE AND AD&D PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: PHILLIPS EXETER ACADEMY GROUP LIFE AND AD&D PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: PHILLIPS EXETER ACADEMY GROUP LIFE AND AD&D PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2009: PHILLIPS EXETER ACADEMY GROUP LIFE AND AD&D PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0BCPX
Policy instance 1
Insurance contract or identification numberGLUG0BCPX
Number of Individuals Covered560
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $15,739
Total amount of fees paid to insurance companyUSD $12,939
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $216,259
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,739
Amount paid for insurance broker fees12939
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0BCPX
Policy instance 1
Insurance contract or identification numberGLUG0BCPX
Number of Individuals Covered563
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $15,791
Total amount of fees paid to insurance companyUSD $4,321
Are there contracts with allocated funds for individual policies?0
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedEXTENDED ACCIDENTAL DEATH & DISMEMBERMENT
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 $216,529
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,791
Amount paid for insurance broker fees4321
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number44031
Policy instance 1
Insurance contract or identification number44031
Number of Individuals Covered550
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $22,180
Total amount of fees paid to insurance companyUSD $214
Are there contracts with allocated funds for individual policies?0
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedEXTENDED ACCIDENTAL DEATH & DISMEMBERMENT
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 $221,795
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number44031
Policy instance 1
Insurance contract or identification number44031
Number of Individuals Covered546
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $21,617
Total amount of fees paid to insurance companyUSD $194
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedEXTENDED ACCIDENTAL DEATH & DISMEMBERMENT
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 $216,169
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,617
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerSALES AND SERVICE COMPENSATION
Insurance broker organization code?3
Insurance broker nameAXA ASSISTANCE, USA
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number44031
Policy instance 1
Insurance contract or identification number44031
Number of Individuals Covered539
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $29,471
Total amount of fees paid to insurance companyUSD $192
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedEXTENDED ACCIDENTAL DEATH & DISMEMBERMENT
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 $210,505
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 fees192
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATION FEES
Insurance broker organization code?5
Insurance broker nameGRANITE GROUP BENEFITS LLC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number44031
Policy instance 1
Insurance contract or identification number44031
Number of Individuals Covered533
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $28,593
Total amount of fees paid to insurance companyUSD $191
Life Insurance Welfare BenefitYes
Other welfare benefits providedEXTENDED ACCIDENTAL DEATH DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $204,227
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,593
Additional information about fees paid to insurance brokerSALES AND SERVICE COMPENSATION
Insurance broker organization code?3
Amount paid for insurance broker fees191
Insurance broker nameAXA ASSISTANCE USA
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number44031
Policy instance 1
Insurance contract or identification number44031
Life Insurance Welfare BenefitYes
Other welfare benefits providedEXTENDED ACCIDENTAL DEATH DISMEMB
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number44031
Policy instance 1
Insurance contract or identification number44031
Number of Individuals Covered528
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $25,905
Total amount of fees paid to insurance companyUSD $188
Life Insurance Welfare BenefitYes
Other welfare benefits providedEXTENDED ACCIDENTAL DEATH DISMEMB
Welfare Benefit Premiums Paid to CarrierUSD $185,036
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number44031
Policy instance 1
Insurance contract or identification number44031
Number of Individuals Covered524
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $25,332
Total amount of fees paid to insurance companyUSD $191
Life Insurance Welfare BenefitYes
Other welfare benefits providedEXTENDED ACCIDENTAL DEATH DISMEMB
Welfare Benefit Premiums Paid to CarrierUSD $180,944
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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