401k Plan data: IRONTON-LAWRENCE WELFARE PLAN plan

IRONTON-LAWRENCE WELFARE PLAN 401k Plan overview

Plan Name	IRONTON-LAWRENCE WELFARE PLAN
Plan identification number	502

IRONTON-LAWRENCE WELFARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Dental Vision Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

IRONTON-LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION, INC. has sponsored the creation of one or more 401k plans.

Company Name: IRONTON-LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION, INC.

Employer identification number (EIN): 310714190

NAIC Classification: 624200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan IRONTON-LAWRENCE WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2023-01-01 KELLY ADKINS 2024-07-23
502 2022-01-01 KELLY ADKINS 2023-07-18
502 2021-01-01 KELLY ADKINS 2022-08-23
502 2020-01-01 KELLY ADKINS 2021-07-26
502 2019-01-01 KELLY ADKINS 2021-07-26
502 2018-01-01 KELLY ADKINS 2021-07-26
502 2017-01-01 KELLY ADKINS 2021-07-26
502 2016-01-01 KELLY ADKINS 2021-07-26
502 2015-01-01 KELLY ADKINS 2021-07-26
502 2014-01-01 KELLY ADKINS 2021-07-26
502 2013-01-01 KELLY ADKINS 2021-07-26
502 2012-01-01 KELLY ADKINS 2021-07-26
502 2011-01-01 KELLY ADKINS 2021-07-26
502 2010-01-01 KELLY ADKINS 2021-07-26

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
502	2023-01-01	KELLY ADKINS	2024-07-23
502	2022-01-01	KELLY ADKINS	2023-07-18
502	2021-01-01	KELLY ADKINS	2022-08-23
502	2020-01-01	KELLY ADKINS	2021-07-26
502	2019-01-01	KELLY ADKINS	2021-07-26
502	2018-01-01	KELLY ADKINS	2021-07-26
502	2017-01-01	KELLY ADKINS	2021-07-26
502	2016-01-01	KELLY ADKINS	2021-07-26
502	2015-01-01	KELLY ADKINS	2021-07-26
502	2014-01-01	KELLY ADKINS	2021-07-26
502	2013-01-01	KELLY ADKINS	2021-07-26
502	2012-01-01	KELLY ADKINS	2021-07-26
502	2011-01-01	KELLY ADKINS	2021-07-26
502	2010-01-01	KELLY ADKINS	2021-07-26

Form 5500 Responses for IRONTON-LAWRENCE WELFARE PLAN

2023: IRONTON-LAWRENCE WELFARE PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2022: IRONTON-LAWRENCE WELFARE PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2021: IRONTON-LAWRENCE WELFARE PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2020: IRONTON-LAWRENCE WELFARE PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: IRONTON-LAWRENCE WELFARE PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: IRONTON-LAWRENCE WELFARE PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: IRONTON-LAWRENCE WELFARE PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: IRONTON-LAWRENCE WELFARE PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: IRONTON-LAWRENCE WELFARE PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: IRONTON-LAWRENCE WELFARE PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: IRONTON-LAWRENCE WELFARE PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: IRONTON-LAWRENCE WELFARE PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: IRONTON-LAWRENCE WELFARE PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: IRONTON-LAWRENCE WELFARE PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	First time form 5500 has been submitted	Yes
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

452255

Policy instance

Insurance contract or identification number	452255
Number of Individuals Covered	440
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $12,758
Total amount of fees paid to insurance company	USD $1,474
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $147,727
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

452255

Policy instance

Insurance contract or identification number	452255
Number of Individuals Covered	425
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $12,129
Total amount of fees paid to insurance company	USD $1,025
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $138,781
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

452255

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

452255

Policy instance

MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )

Policy contract number

80354

Policy instance

MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )

Policy contract number

80354

Policy instance

MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )

Policy contract number

80354

Policy instance

MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )

Policy contract number

80354

Policy instance

MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )

Policy contract number

80354

Policy instance

MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )

Policy contract number

80354

Policy instance

MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )

Policy contract number

80354

Policy instance

MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )

Policy contract number

80354

Policy instance

MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )

Policy contract number

80354

Policy instance

MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )

Policy contract number

80354

Policy instance

MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )

Policy contract number

80354

Policy instance

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Company Name:	IRONTON-LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION, INC.
Employer identification number (EIN):	310714190
NAIC Classification:	624200