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WELBORN HEALTH PLANS 401k Plan overview

Plan NameWELBORN HEALTH PLANS
Plan identification number 504

WELBORN HEALTH PLANS Benefits

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

401k Sponsoring company profile

UNIVERSITY OF EVANSVILLE has sponsored the creation of one or more 401k plans.

Company Name:UNIVERSITY OF EVANSVILLE
Employer identification number (EIN):350868074
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WELBORN HEALTH PLANS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042012-06-01KEITH GEHLHAUSEN
5042011-06-01KEITH GEHLHAUSEN
5042010-06-01KEITH GEHLHAUSEN
5042009-06-01KEITH GEHLHAUSEN

Plan Statistics for WELBORN HEALTH PLANS

401k plan membership statisitcs for WELBORN HEALTH PLANS

Measure Date Value
2012: WELBORN HEALTH PLANS 2012 401k membership
Total participants, beginning-of-year2012-06-01203
Total number of active participants reported on line 7a of the Form 55002012-06-010
Total of all active and inactive participants2012-06-010
Total participants2012-06-010
2011: WELBORN HEALTH PLANS 2011 401k membership
Total participants, beginning-of-year2011-06-01203
Total number of active participants reported on line 7a of the Form 55002011-06-01203
Total of all active and inactive participants2011-06-01203
Total participants2011-06-01203
2010: WELBORN HEALTH PLANS 2010 401k membership
Total participants, beginning-of-year2010-06-01464
Total number of active participants reported on line 7a of the Form 55002010-06-01203
Total of all active and inactive participants2010-06-01203
Total participants2010-06-01203
2009: WELBORN HEALTH PLANS 2009 401k membership
Total participants, beginning-of-year2009-06-01423
Total number of active participants reported on line 7a of the Form 55002009-06-01464
Total of all active and inactive participants2009-06-01464
Total participants2009-06-01464

Form 5500 Responses for WELBORN HEALTH PLANS

2012: WELBORN HEALTH PLANS 2012 form 5500 responses
2012-06-01Type of plan entitySingle employer plan
2012-06-01Submission has been amendedNo
2012-06-01This submission is the final filingYes
2012-06-01This return/report is a short plan year return/report (less than 12 months)Yes
2012-06-01Plan is a collectively bargained planNo
2012-06-01Plan funding arrangement – InsuranceYes
2012-06-01Plan benefit arrangement – InsuranceYes
2011: WELBORN HEALTH PLANS 2011 form 5500 responses
2011-06-01Type of plan entitySingle employer plan
2011-06-01Submission has been amendedNo
2011-06-01This submission is the final filingNo
2011-06-01This return/report is a short plan year return/report (less than 12 months)No
2011-06-01Plan is a collectively bargained planNo
2011-06-01Plan funding arrangement – InsuranceYes
2011-06-01Plan benefit arrangement – InsuranceYes
2010: WELBORN HEALTH PLANS 2010 form 5500 responses
2010-06-01Type of plan entitySingle employer plan
2010-06-01Submission has been amendedNo
2010-06-01This submission is the final filingNo
2010-06-01This return/report is a short plan year return/report (less than 12 months)No
2010-06-01Plan is a collectively bargained planNo
2010-06-01Plan funding arrangement – InsuranceYes
2010-06-01Plan benefit arrangement – InsuranceYes
2009: WELBORN HEALTH PLANS 2009 form 5500 responses
2009-06-01Type of plan entitySingle employer plan
2009-06-01Submission has been amendedNo
2009-06-01This submission is the final filingNo
2009-06-01This return/report is a short plan year return/report (less than 12 months)No
2009-06-01Plan is a collectively bargained planNo
2009-06-01Plan funding arrangement – InsuranceYes
2009-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

WELBORN HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 12540 )
Policy contract numberW9383
Policy instance 1
Insurance contract or identification numberW9383
Number of Individuals Covered234
Insurance policy start date2012-06-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $19,376
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $749,643
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,376
Insurance broker organization code?3
Insurance broker nameTHOMAS SOUTHWOOD
WELBORN HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 12540 )
Policy contract numberW9383
Policy instance 1
Insurance contract or identification numberW9383
Number of Individuals Covered203
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $44,333
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,854,573
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WELBORN HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 12540 )
Policy contract numberW9328
Policy instance 1
Insurance contract or identification numberW9328
Number of Individuals Covered203
Insurance policy start date2010-06-01
Insurance policy end date2011-05-31
Total amount of commissions paid to insurance brokerUSD $32,802
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,421,181
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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