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Plan Name | EMCLAIRE FINANCIAL CORP. GROUP MEDICAL PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | EMCLAIRE FINANCIAL CORP. |
Employer identification number (EIN): | 250472020 |
NAIC Classification: | 522110 |
NAIC Description: | Commercial Banking |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2022-01-01 | BRITTANY A. KERCHERSKY | 2023-08-14 | ||
501 | 2021-01-01 | BRITTANY A. KERCHERSKY | 2022-03-07 | ||
501 | 2020-01-01 | BRITTANY A. KERCHERSKY | 2021-03-17 | ||
501 | 2019-01-01 | BRITTANY A. KERCHERSKY | 2020-07-08 | ||
501 | 2018-01-01 | BRITTANY A. KERCHERSKY | 2019-07-30 | ||
501 | 2017-01-01 | BRITTANY A. BASHAM | 2018-04-05 | ||
501 | 2016-01-01 | BRITTANY A. BASHAM | 2017-06-12 | ||
501 | 2015-01-01 | BRITTANY A. BASHAM | 2016-05-09 | ||
501 | 2014-01-01 | BRITTANY A. BASHAM | 2015-05-11 | ||
501 | 2013-01-01 | BRITTANY A. BASHAM | 2014-04-22 | ||
501 | 2012-01-01 | HEATHER KING | |||
501 | 2011-01-01 | HEATHER KING | |||
501 | 2010-01-01 | HEATHER KING | |||
501 | 2009-01-01 | PAIGE TURK |
Measure | Date | Value |
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2012: EMCLAIRE FINANCIAL CORP. GROUP MEDICAL PLAN 2012 401k membership | ||
Total participants, beginning-of-year | 2012-01-01 | 142 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 103 |
Number of retired or separated participants receiving benefits | 2012-01-01 | 3 |
Number of other retired or separated participants entitled to future benefits | 2012-01-01 | 0 |
Total of all active and inactive participants | 2012-01-01 | 106 |
2011: EMCLAIRE FINANCIAL CORP. GROUP MEDICAL PLAN 2011 401k membership | ||
Total participants, beginning-of-year | 2011-01-01 | 142 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 142 |
Number of retired or separated participants receiving benefits | 2011-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2011-01-01 | 0 |
Total of all active and inactive participants | 2011-01-01 | 142 |
Total participants | 2011-01-01 | 142 |
2010: EMCLAIRE FINANCIAL CORP. GROUP MEDICAL PLAN 2010 401k membership | ||
Total participants, beginning-of-year | 2010-01-01 | 200 |
Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 200 |
Total of all active and inactive participants | 2010-01-01 | 200 |
Total participants | 2010-01-01 | 200 |
2009: EMCLAIRE FINANCIAL CORP. GROUP MEDICAL PLAN 2009 401k membership | ||
Total participants, beginning-of-year | 2009-01-01 | 240 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 240 |
Total of all active and inactive participants | 2009-01-01 | 240 |
Total participants | 2009-01-01 | 240 |
2012: EMCLAIRE FINANCIAL CORP. GROUP MEDICAL PLAN 2012 form 5500 responses | ||
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2012-01-01 | Type of plan entity | Single employer plan |
2012-01-01 | Submission has been amended | No |
2012-01-01 | This submission is the final filing | No |
2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2012-01-01 | Plan is a collectively bargained plan | No |
2012-01-01 | Plan funding arrangement – Insurance | Yes |
2012-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2012-01-01 | Plan benefit arrangement – Insurance | Yes |
2012-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2011: EMCLAIRE FINANCIAL CORP. GROUP MEDICAL PLAN 2011 form 5500 responses | ||
2011-01-01 | Type of plan entity | Single employer plan |
2011-01-01 | Submission has been amended | No |
2011-01-01 | This submission is the final filing | No |
2011-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2011-01-01 | Plan is a collectively bargained plan | No |
2011-01-01 | Plan funding arrangement – Insurance | Yes |
2011-01-01 | Plan benefit arrangement – Insurance | Yes |
2010: EMCLAIRE FINANCIAL CORP. GROUP MEDICAL PLAN 2010 form 5500 responses | ||
2010-01-01 | Type of plan entity | Single employer plan |
2010-01-01 | Submission has been amended | Yes |
2010-01-01 | This submission is the final filing | No |
2010-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2010-01-01 | Plan is a collectively bargained plan | No |
2010-01-01 | Plan funding arrangement – Insurance | Yes |
2010-01-01 | Plan benefit arrangement – Insurance | Yes |
2009: EMCLAIRE FINANCIAL CORP. GROUP MEDICAL PLAN 2009 form 5500 responses | ||
2009-01-01 | Type of plan entity | Single employer plan |
2009-01-01 | Submission has been amended | No |
2009-01-01 | This submission is the final filing | No |
2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2009-01-01 | Plan is a collectively bargained plan | No |
2009-01-01 | Plan funding arrangement – Insurance | Yes |
2009-01-01 | Plan benefit arrangement – Insurance | Yes |
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 469921 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 003887 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 221477 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 3 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 469921 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 469921 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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