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KEYSTONE MOUNTAIN LAKES REGIONAL COUNCIL LIFE INSURANCE PLAN 401k Plan overview

Plan NameKEYSTONE MOUNTAIN LAKES REGIONAL COUNCIL LIFE INSURANCE PLAN
Plan identification number 501

KEYSTONE MOUNTAIN LAKES REGIONAL COUNCIL LIFE INSURANCE 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)

401k Sponsoring company profile

EASTERN ATLANTIC STATES REGIONAL COUNCIL OF CARPENTERS has sponsored the creation of one or more 401k plans.

Company Name:EASTERN ATLANTIC STATES REGIONAL COUNCIL OF CARPENTERS
Employer identification number (EIN):223848173
NAIC Classification:813930
NAIC Description:Labor Unions and Similar Labor Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KEYSTONE MOUNTAIN LAKES REGIONAL COUNCIL LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-01-01
5012019-01-01

Plan Statistics for KEYSTONE MOUNTAIN LAKES REGIONAL COUNCIL LIFE INSURANCE PLAN

401k plan membership statisitcs for KEYSTONE MOUNTAIN LAKES REGIONAL COUNCIL LIFE INSURANCE PLAN

Measure Date Value
2020: KEYSTONE MOUNTAIN LAKES REGIONAL COUNCIL LIFE INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01212
Total number of active participants reported on line 7a of the Form 55002020-01-01166
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01166
2019: KEYSTONE MOUNTAIN LAKES REGIONAL COUNCIL LIFE INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-010
Total number of active participants reported on line 7a of the Form 55002019-01-01212
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01212

Form 5500 Responses for KEYSTONE MOUNTAIN LAKES REGIONAL COUNCIL LIFE INSURANCE PLAN

2020: KEYSTONE MOUNTAIN LAKES REGIONAL COUNCIL LIFE INSURANCE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: KEYSTONE MOUNTAIN LAKES REGIONAL COUNCIL LIFE INSURANCE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01First time form 5500 has been submittedYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00534572
Policy instance 1
Insurance contract or identification number00534572
Number of Individuals Covered166
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $8,511
Welfare Benefit Premiums Paid to CarrierUSD $123,852
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,511
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00534572
Policy instance 1
Insurance contract or identification number00534572
Number of Individuals Covered212
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $16,433
Welfare Benefit Premiums Paid to CarrierUSD $172,303
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,433
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3

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