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SOUTHEASTERN INDIANA ECONOMIC OPPORTUNITY CORPORATION EMPLOYEE HEALTH BENEFIT PLAN 401k Plan overview

Plan NameSOUTHEASTERN INDIANA ECONOMIC OPPORTUNITY CORPORATION EMPLOYEE HEALTH BENEFIT PLAN
Plan identification number 501

SOUTHEASTERN INDIANA ECONOMIC OPPORTUNITY CORPORATION EMPLOYEE HEALTH BENEFIT PLAN Benefits

401k Plan Type
Plan Features/Benefits

    401k Sponsoring company profile

    SOUTHEASTERN INDIANA ECONOMIC OPPORTUNITY CORPORATION. has sponsored the creation of one or more 401k plans.

    Company Name:SOUTHEASTERN INDIANA ECONOMIC OPPORTUNITY CORPORATION.
    Employer identification number (EIN):351118476
    NAIC Classification:624100
    NAIC Description: Individual and Family Services

    Form 5500 Filing Information

    Submission information for form 5500 for 401k plan SOUTHEASTERN INDIANA ECONOMIC OPPORTUNITY CORPORATION EMPLOYEE HEALTH BENEFIT PLAN

    Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
    5012019-07-01
    5012018-07-01
    5012017-07-01COLLEEN LAY COLLEEN LAY2019-01-16
    5012016-07-01COLLEEN LAY
    5012016-07-01 COLLEEN LAY2019-01-16

    Plan Statistics for SOUTHEASTERN INDIANA ECONOMIC OPPORTUNITY CORPORATION EMPLOYEE HEALTH BENEFIT PLAN

    401k plan membership statisitcs for SOUTHEASTERN INDIANA ECONOMIC OPPORTUNITY CORPORATION EMPLOYEE HEALTH BENEFIT PLAN

    Measure Date Value
    2019
    Total participants, beginning-of-year2019-07-0133
    Total number of active participants reported on line 7a of the Form 55002019-07-0128
    Number of retired or separated participants receiving benefits2019-07-010
    Number of other retired or separated participants entitled to future benefits2019-07-010
    Total of all active and inactive participants2019-07-0128
    Total participants2019-07-0128
    2018
    Total participants, beginning-of-year2018-07-0135
    Total number of active participants reported on line 7a of the Form 55002018-07-0133
    Number of retired or separated participants receiving benefits2018-07-010
    Number of other retired or separated participants entitled to future benefits2018-07-010
    Total of all active and inactive participants2018-07-0133
    Total participants2018-07-0133
    2017
    Total participants, beginning-of-year2017-07-0138
    Total number of active participants reported on line 7a of the Form 55002017-07-010
    Number of retired or separated participants receiving benefits2017-07-010
    Number of other retired or separated participants entitled to future benefits2017-07-0135
    Total of all active and inactive participants2017-07-0135
    Total participants2017-07-0135
    2016
    Total participants, beginning-of-year2016-07-010
    Total of all active and inactive participants2016-07-010
    Total participants2016-07-010
    Total number of active participants reported on line 7a of the Form 55002016-07-0138
    Number of retired or separated participants receiving benefits2016-07-010
    Number of other retired or separated participants entitled to future benefits2016-07-010

    Financial Data on SOUTHEASTERN INDIANA ECONOMIC OPPORTUNITY CORPORATION EMPLOYEE HEALTH BENEFIT PLAN

    Measure Date Value
    2020
    Total income from all sources2020-06-30$705,059
    Expenses. Total of all expenses incurred2020-06-30$705,059
    Benefits paid (including direct rollovers)2020-06-30$464,221
    Total plan assets at end of year2020-06-30$0
    Total plan assets at beginning of year2020-06-30$0
    Value of fidelity bond covering the plan2020-06-30$250,000
    Total contributions received or receivable from participants2020-06-30$78,094
    Expenses. Other expenses not covered elsewhere2020-06-30$208,489
    Net income (gross income less expenses)2020-06-30$0
    Net plan assets at end of year (total assets less liabilities)2020-06-30$0
    Net plan assets at beginning of year (total assets less liabilities)2020-06-30$0
    Total contributions received or receivable from employer(s)2020-06-30$626,965
    Expenses. Administrative service providers (salaries,fees and commissions)2020-06-30$32,349
    2019
    Total income from all sources2019-06-30$690,538
    Expenses. Total of all expenses incurred2019-06-30$690,538
    Benefits paid (including direct rollovers)2019-06-30$430,513
    Total plan assets at end of year2019-06-30$0
    Total plan assets at beginning of year2019-06-30$0
    Value of fidelity bond covering the plan2019-06-30$250,000
    Total contributions received or receivable from participants2019-06-30$99,770
    Expenses. Other expenses not covered elsewhere2019-06-30$222,560
    Contributions received from other sources (not participants or employers)2019-06-30$1,798
    Net income (gross income less expenses)2019-06-30$0
    Net plan assets at end of year (total assets less liabilities)2019-06-30$0
    Net plan assets at beginning of year (total assets less liabilities)2019-06-30$0
    Total contributions received or receivable from employer(s)2019-06-30$588,970
    Expenses. Administrative service providers (salaries,fees and commissions)2019-06-30$37,465
    2018
    Total income from all sources2018-06-30$657,141
    Expenses. Total of all expenses incurred2018-06-30$657,141
    Benefits paid (including direct rollovers)2018-06-30$421,806
    Total plan assets at end of year2018-06-30$0
    Total plan assets at beginning of year2018-06-30$0
    Value of fidelity bond covering the plan2018-06-30$250,000
    Total contributions received or receivable from participants2018-06-30$88,963
    Expenses. Other expenses not covered elsewhere2018-06-30$203,589
    Net income (gross income less expenses)2018-06-30$0
    Net plan assets at end of year (total assets less liabilities)2018-06-30$0
    Net plan assets at beginning of year (total assets less liabilities)2018-06-30$0
    Total contributions received or receivable from employer(s)2018-06-30$568,178
    Expenses. Administrative service providers (salaries,fees and commissions)2018-06-30$31,746
    2017
    Total income from all sources2017-06-30$456,467
    Expenses. Total of all expenses incurred2017-06-30$456,467
    Benefits paid (including direct rollovers)2017-06-30$297,294
    Total plan assets at end of year2017-06-30$0
    Total plan assets at beginning of year2017-06-30$0
    Value of fidelity bond covering the plan2017-06-30$250,000
    Total contributions received or receivable from participants2017-06-30$60,451
    Expenses. Other expenses not covered elsewhere2017-06-30$128,051
    Net income (gross income less expenses)2017-06-30$0
    Net plan assets at end of year (total assets less liabilities)2017-06-30$0
    Net plan assets at beginning of year (total assets less liabilities)2017-06-30$0
    Total contributions received or receivable from employer(s)2017-06-30$396,016
    Expenses. Administrative service providers (salaries,fees and commissions)2017-06-30$31,122

    Form 5500 Responses

    2019
    2019-07-01Type of plan entitySingle employer plan
    2019-07-01Submission has been amendedNo
    2019-07-01This submission is the final filingNo
    2019-07-01This return/report is a short plan year return/report (less than 12 months)No
    2019-07-01Plan is a collectively bargained planNo
    2019-07-01Plan funding arrangement – InsuranceYes
    2019-07-01Plan funding arrangement – TrustYes
    2019-07-01Plan benefit arrangement – InsuranceYes
    2019-07-01Plan benefit arrangement - TrustYes
    2018
    2018-07-01Type of plan entitySingle employer plan
    2018-07-01Submission has been amendedNo
    2018-07-01This submission is the final filingNo
    2018-07-01This return/report is a short plan year return/report (less than 12 months)No
    2018-07-01Plan is a collectively bargained planNo
    2018-07-01Plan funding arrangement – InsuranceYes
    2018-07-01Plan funding arrangement – TrustYes
    2018-07-01Plan benefit arrangement – InsuranceYes
    2018-07-01Plan benefit arrangement - TrustYes
    2017
    2017-07-01Type of plan entitySingle employer plan
    2017-07-01Submission has been amendedNo
    2017-07-01This submission is the final filingNo
    2017-07-01This return/report is a short plan year return/report (less than 12 months)No
    2017-07-01Plan is a collectively bargained planNo
    2017-07-01Plan funding arrangement – InsuranceYes
    2017-07-01Plan funding arrangement – TrustYes
    2017-07-01Plan benefit arrangement – InsuranceYes
    2017-07-01Plan benefit arrangement - TrustYes
    2016
    2016-07-01Type of plan entitySingle employer plan
    2016-07-01First time form 5500 has been submittedYes
    2016-07-01Submission has been amendedYes
    2016-07-01This submission is the final filingNo
    2016-07-01This return/report is a short plan year return/report (less than 12 months)No
    2016-07-01Plan is a collectively bargained planNo
    2016-07-01Plan funding arrangement – InsuranceYes
    2016-07-01Plan funding arrangement – TrustYes
    2016-07-01Plan benefit arrangement – InsuranceYes
    2016-07-01Plan benefit arrangement - TrustYes

    Insurance Providers Used on plan

    SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 8080 )
    Policy contract number10475
    Policy instance 1
    Insurance contract or identification number10475
    Number of Individuals Covered28
    Insurance policy start date2019-07-01
    Insurance policy end date2020-06-30
    Total amount of commissions paid to insurance brokerUSD $7,833
    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 BenefitNo
    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
    Welfare Benefit Premiums Paid to CarrierUSD $156,712
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $7,833
    Insurance broker organization code?3
    MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )
    Policy contract number10475
    Policy instance 2
    Insurance contract or identification number10475
    Number of Individuals Covered28
    Insurance policy start date2019-07-01
    Insurance policy end date2020-06-30
    Total amount of commissions paid to insurance brokerUSD $491
    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 BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitYes
    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
    Welfare Benefit Premiums Paid to CarrierUSD $9,541
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $491
    Insurance broker organization code?3
    MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )
    Policy contract number10475
    Policy instance 3
    Insurance contract or identification number10475
    Number of Individuals Covered28
    Insurance policy start date2019-07-01
    Insurance policy end date2020-06-30
    Total amount of commissions paid to insurance brokerUSD $2,532
    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 BenefitNo
    Dental Insurance Welfare BenefitYes
    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
    Welfare Benefit Premiums Paid to CarrierUSD $23,343
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $2,532
    Insurance broker organization code?3
    SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 8080 )
    Policy contract number10475
    Policy instance 1
    Insurance contract or identification number10475
    Number of Individuals Covered33
    Insurance policy start date2018-07-01
    Insurance policy end date2019-06-30
    Total amount of commissions paid to insurance brokerUSD $8,176
    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 BenefitNo
    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
    Welfare Benefit Premiums Paid to CarrierUSD $163,532
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $8,176
    Insurance broker organization code?3
    MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )
    Policy contract number10475
    Policy instance 2
    Insurance contract or identification number10475
    Number of Individuals Covered33
    Insurance policy start date2018-07-01
    Insurance policy end date2019-06-30
    Total amount of commissions paid to insurance brokerUSD $535
    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 BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitYes
    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
    Welfare Benefit Premiums Paid to CarrierUSD $10,412
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $535
    Insurance broker organization code?3
    MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )
    Policy contract number10475
    Policy instance 3
    Insurance contract or identification number10475
    Number of Individuals Covered33
    Insurance policy start date2018-07-01
    Insurance policy end date2019-06-30
    Total amount of commissions paid to insurance brokerUSD $3,102
    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 BenefitNo
    Dental Insurance Welfare BenefitYes
    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
    Welfare Benefit Premiums Paid to CarrierUSD $28,596
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $3,102
    Insurance broker organization code?3
    SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 8080 )
    Policy contract number10475
    Policy instance 1
    Insurance contract or identification number10475
    Number of Individuals Covered35
    Insurance policy start date2017-07-01
    Insurance policy end date2018-06-30
    Total amount of commissions paid to insurance brokerUSD $7,470
    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 BenefitNo
    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
    Welfare Benefit Premiums Paid to CarrierUSD $150,300
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $7,470
    Insurance broker organization code?3
    Insurance broker namePINNACLE ADVISORY GROUP OF INDIANA
    MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )
    Policy contract number10475
    Policy instance 2
    Insurance contract or identification number10475
    Number of Individuals Covered35
    Insurance policy start date2017-07-01
    Insurance policy end date2018-06-30
    Total amount of commissions paid to insurance brokerUSD $0
    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 BenefitNo
    Dental Insurance Welfare BenefitYes
    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
    Welfare Benefit Premiums Paid to CarrierUSD $27,637
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )
    Policy contract number10475
    Policy instance 3
    Insurance contract or identification number10475
    Number of Individuals Covered35
    Insurance policy start date2017-07-01
    Insurance policy end date2018-06-30
    Total amount of commissions paid to insurance brokerUSD $0
    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 BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitYes
    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
    Welfare Benefit Premiums Paid to CarrierUSD $10,139
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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