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FRIENDS UNIVERSITY TRAVEL ACCIDENT INSURANCE 401k Plan overview

Plan NameFRIENDS UNIVERSITY TRAVEL ACCIDENT INSURANCE
Plan identification number 506

FRIENDS UNIVERSITY TRAVEL ACCIDENT INSURANCE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

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

Company Name:FRIENDS UNIVERSITY
Employer identification number (EIN):480547702
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FRIENDS UNIVERSITY TRAVEL ACCIDENT INSURANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062016-04-22DARCY YUNKER KELLEY WILLIAMS2017-07-24
5062015-04-22MELISSA PARKS MELISSA PARKS2016-11-28
5062014-04-22MELISSA PARKS MELISSA PARKS2015-11-20
5062013-04-22KATHY BURNETT KATHY BURNETT2014-06-17
5062012-04-22KATHY BURNETT
5062011-04-21KATHY BURNETT
5062010-04-22KIMBERLY SCHRANT

Plan Statistics for FRIENDS UNIVERSITY TRAVEL ACCIDENT INSURANCE

401k plan membership statisitcs for FRIENDS UNIVERSITY TRAVEL ACCIDENT INSURANCE

Measure Date Value
2016: FRIENDS UNIVERSITY TRAVEL ACCIDENT INSURANCE 2016 401k membership
Total participants, beginning-of-year2016-04-22251
Total number of active participants reported on line 7a of the Form 55002016-04-220
Number of retired or separated participants receiving benefits2016-04-220
Number of other retired or separated participants entitled to future benefits2016-04-220
Total of all active and inactive participants2016-04-220
2015: FRIENDS UNIVERSITY TRAVEL ACCIDENT INSURANCE 2015 401k membership
Total participants, beginning-of-year2015-04-22251
Total number of active participants reported on line 7a of the Form 55002015-04-22251
Total of all active and inactive participants2015-04-22251
2014: FRIENDS UNIVERSITY TRAVEL ACCIDENT INSURANCE 2014 401k membership
Total participants, beginning-of-year2014-04-22294
Total number of active participants reported on line 7a of the Form 55002014-04-22251
Total of all active and inactive participants2014-04-22251
2013: FRIENDS UNIVERSITY TRAVEL ACCIDENT INSURANCE 2013 401k membership
Total participants, beginning-of-year2013-04-22304
Total number of active participants reported on line 7a of the Form 55002013-04-22294
Total of all active and inactive participants2013-04-22294
2012: FRIENDS UNIVERSITY TRAVEL ACCIDENT INSURANCE 2012 401k membership
Total participants, beginning-of-year2012-04-22298
Total number of active participants reported on line 7a of the Form 55002012-04-22304
Total of all active and inactive participants2012-04-22304
2011: FRIENDS UNIVERSITY TRAVEL ACCIDENT INSURANCE 2011 401k membership
Total participants, beginning-of-year2011-04-21301
Total number of active participants reported on line 7a of the Form 55002011-04-21298
Total of all active and inactive participants2011-04-21298
2010: FRIENDS UNIVERSITY TRAVEL ACCIDENT INSURANCE 2010 401k membership
Total participants, beginning-of-year2010-04-22304
Total number of active participants reported on line 7a of the Form 55002010-04-22301
Total of all active and inactive participants2010-04-22301
Total participants2010-04-22301

Form 5500 Responses for FRIENDS UNIVERSITY TRAVEL ACCIDENT INSURANCE

2016: FRIENDS UNIVERSITY TRAVEL ACCIDENT INSURANCE 2016 form 5500 responses
2016-04-22Type of plan entitySingle employer plan
2016-04-22Submission has been amendedNo
2016-04-22This submission is the final filingYes
2016-04-22This return/report is a short plan year return/report (less than 12 months)No
2016-04-22Plan is a collectively bargained planNo
2016-04-22Plan funding arrangement – InsuranceYes
2016-04-22Plan benefit arrangement – InsuranceYes
2015: FRIENDS UNIVERSITY TRAVEL ACCIDENT INSURANCE 2015 form 5500 responses
2015-04-22Type of plan entitySingle employer plan
2015-04-22Submission has been amendedNo
2015-04-22This submission is the final filingNo
2015-04-22This return/report is a short plan year return/report (less than 12 months)No
2015-04-22Plan is a collectively bargained planNo
2015-04-22Plan funding arrangement – InsuranceYes
2015-04-22Plan benefit arrangement – InsuranceYes
2014: FRIENDS UNIVERSITY TRAVEL ACCIDENT INSURANCE 2014 form 5500 responses
2014-04-22Type of plan entitySingle employer plan
2014-04-22Submission has been amendedNo
2014-04-22This submission is the final filingNo
2014-04-22This return/report is a short plan year return/report (less than 12 months)No
2014-04-22Plan is a collectively bargained planNo
2014-04-22Plan funding arrangement – InsuranceYes
2014-04-22Plan benefit arrangement – InsuranceYes
2013: FRIENDS UNIVERSITY TRAVEL ACCIDENT INSURANCE 2013 form 5500 responses
2013-04-22Type of plan entitySingle employer plan
2013-04-22Submission has been amendedNo
2013-04-22This submission is the final filingNo
2013-04-22This return/report is a short plan year return/report (less than 12 months)No
2013-04-22Plan is a collectively bargained planNo
2013-04-22Plan funding arrangement – InsuranceYes
2013-04-22Plan benefit arrangement – InsuranceYes
2012: FRIENDS UNIVERSITY TRAVEL ACCIDENT INSURANCE 2012 form 5500 responses
2012-04-22Type of plan entitySingle employer plan
2012-04-22Submission has been amendedNo
2012-04-22This submission is the final filingNo
2012-04-22This return/report is a short plan year return/report (less than 12 months)No
2012-04-22Plan is a collectively bargained planNo
2012-04-22Plan funding arrangement – InsuranceYes
2012-04-22Plan benefit arrangement – InsuranceYes
2011: FRIENDS UNIVERSITY TRAVEL ACCIDENT INSURANCE 2011 form 5500 responses
2011-04-21Type of plan entityMulti-employer plan
2011-04-21Submission has been amendedYes
2011-04-21This submission is the final filingNo
2011-04-21This return/report is a short plan year return/report (less than 12 months)No
2011-04-21Plan is a collectively bargained planNo
2011-04-21Plan funding arrangement – InsuranceYes
2011-04-21Plan benefit arrangement – InsuranceYes
2010: FRIENDS UNIVERSITY TRAVEL ACCIDENT INSURANCE 2010 form 5500 responses
2010-04-22Type of plan entitySingle employer plan
2010-04-22Plan funding arrangement – InsuranceYes
2010-04-22Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL455846
Policy instance 1
Insurance contract or identification numberABL455846
Number of Individuals Covered251
Insurance policy start date2015-04-22
Insurance policy end date2016-04-21
Total amount of commissions paid to insurance brokerUSD $178
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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
Other welfare benefits providedTRAVEL ACCIDENT
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 $1,185
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $178
Insurance broker organization code?3
Insurance broker nameKENNETH DINGWALL INSURANCE
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL455846
Policy instance 1
Insurance contract or identification numberABL455846
Number of Individuals Covered251
Insurance policy start date2014-04-21
Insurance policy end date2015-04-21
Total amount of commissions paid to insurance brokerUSD $202
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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
Other welfare benefits providedTRAVEL ACCIDENT
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 $1,346
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $202
Insurance broker organization code?3
Insurance broker nameKENNETH DINGWALL INSURANCE
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL455846
Policy instance 1
Insurance contract or identification numberABL455846
Number of Individuals Covered294
Insurance policy start date2013-04-21
Insurance policy end date2014-04-21
Total amount of commissions paid to insurance brokerUSD $202
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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
Other welfare benefits providedTRAVEL ACCIDENT
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 $1,346
Commission paid to Insurance BrokerUSD $202
Insurance broker organization code?3
Insurance broker nameWICHITA INSURANCE LLC
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL455846
Policy instance 1
Insurance contract or identification numberABL455846
Number of Individuals Covered304
Insurance policy start date2012-04-21
Insurance policy end date2013-04-21
Total amount of commissions paid to insurance brokerUSD $260
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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
Other welfare benefits providedTRAVEL ACCIDENT
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 $1,734
Commission paid to Insurance BrokerUSD $260
Insurance broker organization code?3
Insurance broker nameWICHITA INSURANCE LLC
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL455846
Policy instance 1
Insurance contract or identification numberABL455846
Number of Individuals Covered298
Insurance policy start date2011-04-21
Insurance policy end date2012-04-21
Total amount of commissions paid to insurance brokerUSD $260
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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
Other welfare benefits providedTRAVEL ACCIDENT
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 $1,734
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL455846
Policy instance 1
Insurance contract or identification numberABL455846
Number of Individuals Covered301
Insurance policy start date2010-04-21
Insurance policy end date2011-04-21
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,734

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