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CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN 401k Plan overview

Plan NameCONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN
Plan identification number 501

CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN Benefits

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

401k Sponsoring company profile

CONCORDIA LUTHERAN MINISTRIES has sponsored the creation of one or more 401k plans.

Company Name:CONCORDIA LUTHERAN MINISTRIES
Employer identification number (EIN):250969458
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01KRISTEN FUHRER2024-05-24
5012022-01-01
5012022-01-01CINDY PERRI
5012021-01-01
5012021-01-01CINDY PERRI
5012020-01-01
5012019-01-01
5012017-01-01BRIAN LLEWELLYN
5012016-01-01BRIAN LLEWELLYN
5012015-01-01BRIAN LLEWELLYN BRIAN LLEWELLYN2016-10-10
5012014-01-01BRIAN LLEWELLYN BRIAN LLEWELLYN2015-10-15
5012013-01-01BRIAN LLEWELLYN
5012012-01-01BRIAN LLEWELLYN
5012011-01-01BRIAN LLEWELLYN
5012010-01-01BRIAN LLEWELLYN
5012009-01-01BRIAN LLEWELLYN

Plan Statistics for CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN

401k plan membership statisitcs for CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN

Measure Date Value
2023: CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-011,242
Total number of active participants reported on line 7a of the Form 55002023-01-011,242
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-011,242
Number of employers contributing to the scheme2023-01-010
2022: CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011,314
Total number of active participants reported on line 7a of the Form 55002022-01-011,242
Total of all active and inactive participants2022-01-011,242
Total participants2022-01-011,242
2021: CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011,470
Total number of active participants reported on line 7a of the Form 55002021-01-011,408
Total of all active and inactive participants2021-01-011,408
Total participants2021-01-011,408
2020: CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011,404
Total number of active participants reported on line 7a of the Form 55002020-01-011,306
Total of all active and inactive participants2020-01-011,306
Total participants2020-01-011,306
2019: CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,425
Total number of active participants reported on line 7a of the Form 55002019-01-011,404
Total of all active and inactive participants2019-01-011,404
Total participants2019-01-011,404
2017: CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,091
Total number of active participants reported on line 7a of the Form 55002017-01-011,100
Total of all active and inactive participants2017-01-011,100
Total participants2017-01-011,100
2016: CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,075
Total number of active participants reported on line 7a of the Form 55002016-01-011,091
Total of all active and inactive participants2016-01-011,091
Total participants2016-01-011,091
2015: CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01901
Total number of active participants reported on line 7a of the Form 55002015-01-011,075
Total of all active and inactive participants2015-01-011,075
Total participants2015-01-011,075
2014: CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01868
Total number of active participants reported on line 7a of the Form 55002014-01-01901
Total of all active and inactive participants2014-01-01901
Total participants2014-01-01901
2013: CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01857
Total number of active participants reported on line 7a of the Form 55002013-01-01868
Total of all active and inactive participants2013-01-01868
Total participants2013-01-01868
2012: CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01802
Total number of active participants reported on line 7a of the Form 55002012-01-01857
Total of all active and inactive participants2012-01-01857
Total participants2012-01-01857
2011: CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01717
Total number of active participants reported on line 7a of the Form 55002011-01-01802
Total of all active and inactive participants2011-01-01802
Total participants2011-01-01802
2010: CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01467
Total number of active participants reported on line 7a of the Form 55002010-01-01717
Total of all active and inactive participants2010-01-01717
Total participants2010-01-01717
2009: CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01245
Total number of active participants reported on line 7a of the Form 55002009-01-01467
Total of all active and inactive participants2009-01-01467
Total participants2009-01-01467

Form 5500 Responses for CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN

2023: CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – General assets of the sponsorYes
2023-01-01Plan benefit arrangement – General assets of the sponsorYes
2022: CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01First time form 5500 has been submittedYes
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2017: CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedYes
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: CONCORDIA LUTHERAN MINISTRIES CAFETERIA PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number006870
Policy instance 1
Insurance contract or identification number006870
Number of Individuals Covered1268
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $37,047
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number006870
Policy instance 1
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number006870
Policy instance 1
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number006870
Policy instance 1

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