401k Plan data: JTC EDUCATION, INC. PPO PLAN plan

JTC EDUCATION, INC. PPO PLAN 401k Plan overview

Plan Name	JTC EDUCATION, INC. PPO PLAN
Plan identification number	503

JTC EDUCATION, INC. PPO PLAN Benefits

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

401k Sponsoring company profile

JTC EDUCATION, INC. has sponsored the creation of one or more 401k plans.

Company Name: JTC EDUCATION, INC.

Employer identification number (EIN): 263977477

NAIC Classification: 611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JTC EDUCATION, INC. PPO PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2013-07-01 WESLEY DEBNAM WESLEY DEBNAM 2015-01-21
503 2012-07-01 WESLEY DEBNAM WESLEY DEBNAM 2013-10-31
503 2011-07-01 WESLEY DEBNAM

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
503	2013-07-01	WESLEY DEBNAM	WESLEY DEBNAM	2015-01-21
503	2012-07-01	WESLEY DEBNAM	WESLEY DEBNAM	2013-10-31
503	2011-07-01	WESLEY DEBNAM

Plan Statistics for JTC EDUCATION, INC. PPO PLAN

401k plan membership statisitcs for JTC EDUCATION, INC. PPO PLAN

Measure Date Value
2013: JTC EDUCATION, INC. PPO PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 317
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 371
Total of all active and inactive participants 2013-07-01 371
2012: JTC EDUCATION, INC. PPO PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 293
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 317
Total of all active and inactive participants 2012-07-01 317
2011: JTC EDUCATION, INC. PPO PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 293
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 293
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 0
Total of all active and inactive participants 2011-07-01 293

Measure	Date	Value
2013: JTC EDUCATION, INC. PPO PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	317
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	371
Total of all active and inactive participants	2013-07-01	371
2012: JTC EDUCATION, INC. PPO PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	293
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	317
Total of all active and inactive participants	2012-07-01	317
2011: JTC EDUCATION, INC. PPO PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	293
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	293
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	0
Total of all active and inactive participants	2011-07-01	293

Form 5500 Responses for JTC EDUCATION, INC. PPO PLAN

2013: JTC EDUCATION, INC. PPO PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2012: JTC EDUCATION, INC. PPO PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2011: JTC EDUCATION, INC. PPO PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	First time form 5500 has been submitted	Yes
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 )

Policy contract number

GA6087

Policy instance

Insurance contract or identification number	GA6087
Number of Individuals Covered	371
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Total amount of commissions paid to insurance broker	USD $92,641
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,809,359
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $54,332
Insurance broker organization code?	3
Insurance broker name	DOMINIUM BENEFITS LLC

BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 )

Policy contract number

GA6087

Policy instance

Insurance contract or identification number	GA6087
Number of Individuals Covered	317
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Total amount of commissions paid to insurance broker	USD $89,733
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $2,060,310
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $79,208
Insurance broker organization code?	3
Insurance broker name	DOMINIUM BENEFITS LLC

BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 )

Policy contract number

G0385

Policy instance

Insurance contract or identification number	G0385
Number of Individuals Covered	293
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $100,629
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $1,304,148
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

JTC EDUCATION, INC. RETIREMENT PLAN [EIN = 263977634]

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Company Name:	JTC EDUCATION, INC.
Employer identification number (EIN):	263977477
NAIC Classification:	611000