401k Plan data: GEORGE WASHINGTON UNIVERSITY POSTDOCTORAL BENEFIT PROGRAM plan

GEORGE WASHINGTON UNIVERSITY POSTDOCTORAL BENEFIT PROGRAM 401k Plan overview

Plan Name	GEORGE WASHINGTON UNIVERSITY POSTDOCTORAL BENEFIT PROGRAM
Plan identification number	550

GEORGE WASHINGTON UNIVERSITY POSTDOCTORAL BENEFIT PROGRAM Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

THE GEORGE WASHINGTON UNIVERSITY has sponsored the creation of one or more 401k plans.

Company Name: THE GEORGE WASHINGTON UNIVERSITY

Employer identification number (EIN): 530196584

NAIC Classification: 611000

Additional information about THE GEORGE WASHINGTON UNIVERSITY

Jurisdiction of Incorporation: Virginia Secretary of State

Incorporation Date: 1963-01-03

Company Identification Number: F016566

Legal Registered Office Address: 10300 EATON PL STE 210

FAIRFAX
United States of America (USA)
22030

More information about THE GEORGE WASHINGTON UNIVERSITY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GEORGE WASHINGTON UNIVERSITY POSTDOCTORAL BENEFIT PROGRAM

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
550 2022-01-01 JENNIFER LOPEZ 2023-10-13

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
550	2022-01-01	JENNIFER LOPEZ	2023-10-13

Plan Statistics for GEORGE WASHINGTON UNIVERSITY POSTDOCTORAL BENEFIT PROGRAM

401k plan membership statisitcs for GEORGE WASHINGTON UNIVERSITY POSTDOCTORAL BENEFIT PROGRAM

Measure Date Value
2022: GEORGE WASHINGTON UNIVERSITY POSTDOCTORAL BENEFIT PROGRAM 2022 401k membership
Total participants, beginning-of-year 2022-01-01 66
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 66
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 66
Number of employers contributing to the scheme 2022-01-01 0

Measure	Date	Value
2022: GEORGE WASHINGTON UNIVERSITY POSTDOCTORAL BENEFIT PROGRAM 2022 401k membership
Total participants, beginning-of-year	2022-01-01	66
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	66
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	66
Number of employers contributing to the scheme	2022-01-01	0

Form 5500 Responses for GEORGE WASHINGTON UNIVERSITY POSTDOCTORAL BENEFIT PROGRAM

2022: GEORGE WASHINGTON UNIVERSITY POSTDOCTORAL BENEFIT PROGRAM 2022 form 5500 responses
2022-01-01	Type of plan entity	Mulitple employer plan
2022-01-01	First time form 5500 has been submitted	Yes
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

0622758-0175055

Policy instance

Insurance contract or identification number	0622758-0175055
Number of Individuals Covered	65
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $847
Total amount of fees paid to insurance company	USD $193
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $25,232
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $847
Amount paid for insurance broker fees	193
Additional information about fees paid to insurance broker	INDIRECT COMPENSATION
Insurance broker organization code?	3

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

925169

Policy instance

Insurance contract or identification number	925169
Number of Individuals Covered	57
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $241
Total amount of fees paid to insurance company	USD $24,020
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Welfare Benefit Premiums Paid to Carrier	USD $580,835
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $241
Amount paid for insurance broker fees	24020
Additional information about fees paid to insurance broker	SERVICE FEE AGREEMENT
Insurance broker organization code?	3

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

SA388005458201

Policy instance

Insurance contract or identification number	SA388005458201
Number of Individuals Covered	66
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $1
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $9,030
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

Potentially related plans

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Company Name:	THE GEORGE WASHINGTON UNIVERSITY
Employer identification number (EIN):	530196584
NAIC Classification:	611000

Jurisdiction of Incorporation:	Virginia Secretary of State
Incorporation Date:	1963-01-03
Company Identification Number:	F016566
Legal Registered Office Address:	10300 EATON PL STE 210 FAIRFAX United States of America (USA) 22030