RUDOLPH COMMUNITY AND CARE has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan RUDOLPH COMMUNITY AND CARE LIFE & DISABILITY
| Measure | Date | Value |
|---|
| 2022: RUDOLPH COMMUNITY AND CARE LIFE & DISABILITY 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 132 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 124 |
| Total of all active and inactive participants | 2022-01-01 | 124 |
| Total participants | 2022-01-01 | 124 |
| 2021: RUDOLPH COMMUNITY AND CARE LIFE & DISABILITY 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 116 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 132 |
| Total of all active and inactive participants | 2021-01-01 | 132 |
| Total participants | 2021-01-01 | 132 |
| 2020: RUDOLPH COMMUNITY AND CARE LIFE & DISABILITY 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 104 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 116 |
| Total of all active and inactive participants | 2020-01-01 | 116 |
| Total participants | 2020-01-01 | 116 |
| 2019: RUDOLPH COMMUNITY AND CARE LIFE & DISABILITY 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 103 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 1 |
| Total of all active and inactive participants | 2019-01-01 | 104 |
| Total participants | 2019-01-01 | 104 |
| Number of participants with account balances | 2019-01-01 | 0 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00580392 |
| Policy instance | 1 |
| Insurance contract or identification number | 00580392 | | Number of Individuals Covered | 124 | | Total amount of commissions paid to insurance broker | USD $5,380 | | Total amount of fees paid to insurance company | USD $1,682 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | VOL CRIT ILL; AD&D; OPT LIFE/AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $48,718 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,380 | | Amount paid for insurance broker fees | 1682 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00580392 |
| Policy instance | 1 |
| Insurance contract or identification number | 00580392 | | Number of Individuals Covered | 132 | | Total amount of commissions paid to insurance broker | USD $6,482 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | VOL CRIT ILL; AD&D; OPT LIFE/AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $55,279 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,245 | | Insurance broker organization code? | 3 |
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| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VCI 801757 |
| Policy instance | 6 |
| Insurance contract or identification number | VCI 801757 | | Number of Individuals Covered | 25 | | Total amount of commissions paid to insurance broker | USD $285 | | Total amount of fees paid to insurance company | USD $80 | | Other welfare benefits provided | VOL CRITICAL ILLNESS | | Welfare Benefit Premiums Paid to Carrier | USD $2,277 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $259 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 80 | | Additional information about fees paid to insurance broker | ADMIN AND OTHER FEES |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VAR 208511 |
| Policy instance | 5 |
| Insurance contract or identification number | VAR 208511 | | Number of Individuals Covered | 24 | | Total amount of commissions paid to insurance broker | USD $99 | | Total amount of fees paid to insurance company | USD $17 | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $661 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $95 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 17 | | Additional information about fees paid to insurance broker | ADMIN AND OTHER FEES |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VAI 826932 |
| Policy instance | 4 |
| Insurance contract or identification number | VAI 826932 | | Number of Individuals Covered | 11 | | Total amount of commissions paid to insurance broker | USD $233 | | Total amount of fees paid to insurance company | USD $96 | | Other welfare benefits provided | VOL ACCIDENT | | Welfare Benefit Premiums Paid to Carrier | USD $2,326 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $219 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 96 | | Additional information about fees paid to insurance broker | ADMIN AND OTHER FEES |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | LTD 130398 |
| Policy instance | 3 |
| Insurance contract or identification number | LTD 130398 | | Number of Individuals Covered | 28 | | Total amount of commissions paid to insurance broker | USD $546 | | Total amount of fees paid to insurance company | USD $160 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,636 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $498 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 160 | | Additional information about fees paid to insurance broker | ADMIN AND OTHER FEES |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 159921 |
| Policy instance | 2 |
| Insurance contract or identification number | GL 159921 | | Number of Individuals Covered | 116 | | Total amount of commissions paid to insurance broker | USD $762 | | Total amount of fees paid to insurance company | USD $279 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D, DEPENDENT LIFE, SUPP LIFE | | Welfare Benefit Premiums Paid to Carrier | USD $6,925 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $701 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 279 | | Additional information about fees paid to insurance broker | ADMIN AND OTHER FEES |
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| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | G 166572 |
| Policy instance | 1 |
| Insurance contract or identification number | G 166572 | | Number of Individuals Covered | 17 | | Total amount of commissions paid to insurance broker | USD $936 | | Total amount of fees paid to insurance company | USD $1,315 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $8,504 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $75 | | Amount paid for insurance broker fees | 1315 | | Additional information about fees paid to insurance broker | ADMIN AND OTHER FEES | | Insurance broker organization code? | 3 |
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| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VCI 801757 |
| Policy instance | 6 |
| Insurance contract or identification number | VCI 801757 | | Number of Individuals Covered | 16 | | Total amount of commissions paid to insurance broker | USD $199 | | Other welfare benefits provided | VOL CRITICAL ILLNESS | | Welfare Benefit Premiums Paid to Carrier | USD $1,596 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $199 | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VAR 208511 |
| Policy instance | 5 |
| Insurance contract or identification number | VAR 208511 | | Number of Individuals Covered | 22 | | Total amount of commissions paid to insurance broker | USD $52 | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $349 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $52 | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VAI 826932 |
| Policy instance | 4 |
| Insurance contract or identification number | VAI 826932 | | Number of Individuals Covered | 12 | | Total amount of commissions paid to insurance broker | USD $765 | | Other welfare benefits provided | VOL ACCIDENT | | Welfare Benefit Premiums Paid to Carrier | USD $1,912 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $765 | | Insurance broker organization code? | 3 |
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| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | LTD 130398 |
| Policy instance | 3 |
| Insurance contract or identification number | LTD 130398 | | Number of Individuals Covered | 17 | | Total amount of commissions paid to insurance broker | USD $479 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,193 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $479 | | Insurance broker organization code? | 3 |
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| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 159921 |
| Policy instance | 2 |
| Insurance contract or identification number | GL 159921 | | Number of Individuals Covered | 103 | | Total amount of commissions paid to insurance broker | USD $614 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D, DEPENDENT LIFE, SUPP LIFE | | Welfare Benefit Premiums Paid to Carrier | USD $5,576 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $614 | | Insurance broker organization code? | 3 |
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| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | G 166572 |
| Policy instance | 1 |
| Insurance contract or identification number | G 166572 | | Number of Individuals Covered | 103 | | Total amount of commissions paid to insurance broker | USD $2,515 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $26,302 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,515 | | Insurance broker organization code? | 3 |
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