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GROUP HEALTH PLAN OF ARAB AMER. & CHALDEAN COUNCIL 401k Plan overview

Plan NameGROUP HEALTH PLAN OF ARAB AMER. & CHALDEAN COUNCIL
Plan identification number 504

GROUP HEALTH PLAN OF ARAB AMER. & CHALDEAN COUNCIL Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

ARAB AMERICAN CHALDEAN COUNCIL has sponsored the creation of one or more 401k plans.

Company Name:ARAB AMERICAN CHALDEAN COUNCIL
Employer identification number (EIN):382311840
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP HEALTH PLAN OF ARAB AMER. & CHALDEAN COUNCIL

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042022-03-01ODIE FAKHOURI2023-10-03
5042021-03-01ODIE FAKHOURI2022-07-21
5042020-03-01HAIFA FAKHOURI2021-07-26
5042019-03-01HAIFA FAKHOURI2020-11-09
5042018-03-01HAIFA FAKHOURI2020-11-09

Plan Statistics for GROUP HEALTH PLAN OF ARAB AMER. & CHALDEAN COUNCIL

401k plan membership statisitcs for GROUP HEALTH PLAN OF ARAB AMER. & CHALDEAN COUNCIL

Measure Date Value
2022: GROUP HEALTH PLAN OF ARAB AMER. & CHALDEAN COUNCIL 2022 401k membership
Total participants, beginning-of-year2022-03-01107
Total number of active participants reported on line 7a of the Form 55002022-03-01103
Total of all active and inactive participants2022-03-01103
2021: GROUP HEALTH PLAN OF ARAB AMER. & CHALDEAN COUNCIL 2021 401k membership
Total participants, beginning-of-year2021-03-01114
Total number of active participants reported on line 7a of the Form 55002021-03-01107
Total of all active and inactive participants2021-03-01107
2020: GROUP HEALTH PLAN OF ARAB AMER. & CHALDEAN COUNCIL 2020 401k membership
Total participants, beginning-of-year2020-03-01116
Total number of active participants reported on line 7a of the Form 55002020-03-01114
Total of all active and inactive participants2020-03-01114
2019: GROUP HEALTH PLAN OF ARAB AMER. & CHALDEAN COUNCIL 2019 401k membership
Total participants, beginning-of-year2019-03-01107
Total number of active participants reported on line 7a of the Form 55002019-03-01116
Total of all active and inactive participants2019-03-01116
2018: GROUP HEALTH PLAN OF ARAB AMER. & CHALDEAN COUNCIL 2018 401k membership
Total participants, beginning-of-year2018-03-01104
Total number of active participants reported on line 7a of the Form 55002018-03-01107
Total of all active and inactive participants2018-03-01107

Form 5500 Responses for GROUP HEALTH PLAN OF ARAB AMER. & CHALDEAN COUNCIL

2022: GROUP HEALTH PLAN OF ARAB AMER. & CHALDEAN COUNCIL 2022 form 5500 responses
2022-03-01Type of plan entitySingle employer plan
2022-03-01Plan funding arrangement – InsuranceYes
2022-03-01Plan benefit arrangement – InsuranceYes
2021: GROUP HEALTH PLAN OF ARAB AMER. & CHALDEAN COUNCIL 2021 form 5500 responses
2021-03-01Type of plan entitySingle employer plan
2021-03-01Plan funding arrangement – InsuranceYes
2021-03-01Plan benefit arrangement – InsuranceYes
2020: GROUP HEALTH PLAN OF ARAB AMER. & CHALDEAN COUNCIL 2020 form 5500 responses
2020-03-01Type of plan entitySingle employer plan
2020-03-01Plan funding arrangement – InsuranceYes
2020-03-01Plan benefit arrangement – InsuranceYes
2019: GROUP HEALTH PLAN OF ARAB AMER. & CHALDEAN COUNCIL 2019 form 5500 responses
2019-03-01Type of plan entitySingle employer plan
2019-03-01Plan funding arrangement – InsuranceYes
2019-03-01Plan benefit arrangement – InsuranceYes
2018: GROUP HEALTH PLAN OF ARAB AMER. & CHALDEAN COUNCIL 2018 form 5500 responses
2018-03-01Type of plan entitySingle employer plan
2018-03-01First time form 5500 has been submittedYes
2018-03-01Plan funding arrangement – InsuranceYes
2018-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number111721
Policy instance 1
Insurance contract or identification number111721
Number of Individuals Covered251
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $56,965
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $56,965
Insurance broker organization code?3
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number111721
Policy instance 1
Insurance contract or identification number111721
Number of Individuals Covered262
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $47,675
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $47,675
Insurance broker organization code?3
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number111721
Policy instance 1
Insurance contract or identification number111721
Number of Individuals Covered270
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $39,587
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $39,587
Insurance broker organization code?3
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number111721
Policy instance 1
Insurance contract or identification number111721
Number of Individuals Covered272
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Total amount of commissions paid to insurance brokerUSD $37,160
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $37,160
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number111721
Policy instance 2
Insurance contract or identification number111721
Number of Individuals Covered3
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Total amount of commissions paid to insurance brokerUSD $382
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,336
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $382
Insurance broker organization code?3
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number111721
Policy instance 1
Insurance contract or identification number111721
Number of Individuals Covered250
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Total amount of commissions paid to insurance brokerUSD $35,601
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,601
Insurance broker organization code?3

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