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EBENEZER SOCIETY EMPLOYEE LONG TERM DISABILITY PLAN 401k Plan overview

Plan NameEBENEZER SOCIETY EMPLOYEE LONG TERM DISABILITY PLAN
Plan identification number 526

EBENEZER SOCIETY EMPLOYEE LONG TERM DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Long-term disability cover

401k Sponsoring company profile

EBENEZER SOCIETY has sponsored the creation of one or more 401k plans.

Company Name:EBENEZER SOCIETY
Employer identification number (EIN):410706141
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EBENEZER SOCIETY EMPLOYEE LONG TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5262019-01-01
5262018-01-01
5262017-01-01MARY SANDERS MARY SANDERS2018-10-09
5262016-01-01MARY SWARTZ MARY SWARTZ2017-10-16
5262015-01-01MARY SWARTZ MARY SWARTZ2016-08-18
5262014-01-01MARY SWARTZ MARY SWARTZ2015-05-06
5262013-01-01MARY SWARTZ MARY SWARTZ2014-10-06
5262012-01-01MARY SWARTZ
5262011-01-01PAULA PHILLIPPE

Plan Statistics for EBENEZER SOCIETY EMPLOYEE LONG TERM DISABILITY PLAN

401k plan membership statisitcs for EBENEZER SOCIETY EMPLOYEE LONG TERM DISABILITY PLAN

Measure Date Value
2019: EBENEZER SOCIETY EMPLOYEE LONG TERM DISABILITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-014,426
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-010
2018: EBENEZER SOCIETY EMPLOYEE LONG TERM DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-013,906
Total number of active participants reported on line 7a of the Form 55002018-01-014,426
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-014,426
2017: EBENEZER SOCIETY EMPLOYEE LONG TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01896
Total number of active participants reported on line 7a of the Form 55002017-01-011,588
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-011,588
2016: EBENEZER SOCIETY EMPLOYEE LONG TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01923
Total number of active participants reported on line 7a of the Form 55002016-01-01896
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01896
2015: EBENEZER SOCIETY EMPLOYEE LONG TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01970
Total number of active participants reported on line 7a of the Form 55002015-01-01923
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01923
2014: EBENEZER SOCIETY EMPLOYEE LONG TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01958
Total number of active participants reported on line 7a of the Form 55002014-01-01970
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01970
2013: EBENEZER SOCIETY EMPLOYEE LONG TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01811
Total number of active participants reported on line 7a of the Form 55002013-01-01958
Total of all active and inactive participants2013-01-01958
2012: EBENEZER SOCIETY EMPLOYEE LONG TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01759
Total number of active participants reported on line 7a of the Form 55002012-01-01811
Total of all active and inactive participants2012-01-01811
2011: EBENEZER SOCIETY EMPLOYEE LONG TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-010
Total number of active participants reported on line 7a of the Form 55002011-01-01759
Total of all active and inactive participants2011-01-01759

Financial Data on EBENEZER SOCIETY EMPLOYEE LONG TERM DISABILITY PLAN

Measure Date Value
2012 : EBENEZER SOCIETY EMPLOYEE LONG TERM DISABILITY PLAN 2012 401k financial data
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31No
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
2011 : EBENEZER SOCIETY EMPLOYEE LONG TERM DISABILITY PLAN 2011 401k financial data
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31No
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No

Form 5500 Responses for EBENEZER SOCIETY EMPLOYEE LONG TERM DISABILITY PLAN

2019: EBENEZER SOCIETY EMPLOYEE LONG TERM DISABILITY PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01This submission is the final filingYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: EBENEZER SOCIETY EMPLOYEE LONG TERM DISABILITY PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: EBENEZER SOCIETY EMPLOYEE LONG TERM DISABILITY PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: EBENEZER SOCIETY EMPLOYEE LONG TERM DISABILITY PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: EBENEZER SOCIETY EMPLOYEE LONG TERM DISABILITY PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: EBENEZER SOCIETY EMPLOYEE LONG TERM DISABILITY PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: EBENEZER SOCIETY EMPLOYEE LONG TERM DISABILITY PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: EBENEZER SOCIETY EMPLOYEE LONG TERM DISABILITY PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: EBENEZER SOCIETY EMPLOYEE LONG TERM DISABILITY PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01First time form 5500 has been submittedYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberG-50315-1
Policy instance 1
Insurance contract or identification numberG-50315-1
Number of Individuals Covered1410
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Welfare Benefit Premiums Paid to CarrierUSD $501,056
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberG-50315MN
Policy instance 1
Insurance contract or identification numberG-50315MN
Number of Individuals Covered1588
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberG-50315MN
Policy instance 1
Insurance contract or identification numberG-50315MN
Number of Individuals Covered1588
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Welfare Benefit Premiums Paid to CarrierUSD $226,940
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberG-50315MN
Policy instance 1
Insurance contract or identification numberG-50315MN
Number of Individuals Covered923
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Welfare Benefit Premiums Paid to CarrierUSD $260,257
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberG-50315MN
Policy instance 1
Insurance contract or identification numberG-50315MN
Number of Individuals Covered970
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Welfare Benefit Premiums Paid to CarrierUSD $6,738
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberG-50315MN
Policy instance 1
Insurance contract or identification numberG-50315MN
Number of Individuals Covered958
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Welfare Benefit Premiums Paid to CarrierUSD $22,094
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberG-50315-MN
Policy instance 1
Insurance contract or identification numberG-50315-MN
Number of Individuals Covered811
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $19,283
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberG-50315-MN
Policy instance 1
Insurance contract or identification numberG-50315-MN
Number of Individuals Covered759
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $6,648
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $204,382
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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