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SALEMTOWNE SHORT-TERM DISABILITY 401k Plan overview

Plan NameSALEMTOWNE SHORT-TERM DISABILITY
Plan identification number 512

SALEMTOWNE SHORT-TERM DISABILITY Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

MORAVIAN HOME, INC. DBA SALEMTOWNE has sponsored the creation of one or more 401k plans.

Company Name:MORAVIAN HOME, INC. DBA SALEMTOWNE
Employer identification number (EIN):560963926
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SALEMTOWNE SHORT-TERM DISABILITY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5122020-09-01ALLISON E. VESSELS2022-03-09
5122020-09-01ALLISON E. VESSELS2023-01-18
5122019-09-01BRIAN TUCKMANTEL2021-06-02
5122018-09-01KATHY WILSON2020-06-05
5122017-09-01KATHY WILSON2019-06-13
5122016-09-01
5122015-09-01
5122014-09-01
5122013-09-01
5122012-09-01CAROLYN TWISDALE, CFO
5122011-09-01CAROLYN TWISDALE
5122010-09-01CAROLYN TWISDALE
5122009-09-01CAROLYN TWISDALE

Plan Statistics for SALEMTOWNE SHORT-TERM DISABILITY

401k plan membership statisitcs for SALEMTOWNE SHORT-TERM DISABILITY

Measure Date Value
2020: SALEMTOWNE SHORT-TERM DISABILITY 2020 401k membership
Total participants, beginning-of-year2020-09-01215
Total number of active participants reported on line 7a of the Form 55002020-09-01215
Total of all active and inactive participants2020-09-01215
Number of retired or separated participants receiving benefits2020-09-010
Number of other retired or separated participants entitled to future benefits2020-09-010
Number of employers contributing to the scheme2020-09-010
2019: SALEMTOWNE SHORT-TERM DISABILITY 2019 401k membership
Total participants, beginning-of-year2019-09-01215
Total number of active participants reported on line 7a of the Form 55002019-09-01215
Total of all active and inactive participants2019-09-01215
2018: SALEMTOWNE SHORT-TERM DISABILITY 2018 401k membership
Total participants, beginning-of-year2018-09-01200
Total number of active participants reported on line 7a of the Form 55002018-09-01215
Total of all active and inactive participants2018-09-01215
2017: SALEMTOWNE SHORT-TERM DISABILITY 2017 401k membership
Total participants, beginning-of-year2017-09-01180
Total number of active participants reported on line 7a of the Form 55002017-09-01200
Total of all active and inactive participants2017-09-01200
2016: SALEMTOWNE SHORT-TERM DISABILITY 2016 401k membership
Total participants, beginning-of-year2016-09-01161
Total number of active participants reported on line 7a of the Form 55002016-09-01180
Total of all active and inactive participants2016-09-01180
2015: SALEMTOWNE SHORT-TERM DISABILITY 2015 401k membership
Total participants, beginning-of-year2015-09-01184
Total number of active participants reported on line 7a of the Form 55002015-09-01161
Total of all active and inactive participants2015-09-01161
Total participants2015-09-01161
2014: SALEMTOWNE SHORT-TERM DISABILITY 2014 401k membership
Total participants, beginning-of-year2014-09-01173
Total number of active participants reported on line 7a of the Form 55002014-09-01184
Total of all active and inactive participants2014-09-01184
2013: SALEMTOWNE SHORT-TERM DISABILITY 2013 401k membership
Total participants, beginning-of-year2013-09-01169
Total number of active participants reported on line 7a of the Form 55002013-09-01173
Total of all active and inactive participants2013-09-01173
2012: SALEMTOWNE SHORT-TERM DISABILITY 2012 401k membership
Total participants, beginning-of-year2012-09-01169
Total number of active participants reported on line 7a of the Form 55002012-09-01169
Total of all active and inactive participants2012-09-01169
2011: SALEMTOWNE SHORT-TERM DISABILITY 2011 401k membership
Total participants, beginning-of-year2011-09-01157
Total number of active participants reported on line 7a of the Form 55002011-09-01169
Total of all active and inactive participants2011-09-01169
2010: SALEMTOWNE SHORT-TERM DISABILITY 2010 401k membership
Total participants, beginning-of-year2010-09-01170
Total number of active participants reported on line 7a of the Form 55002010-09-01157
Total of all active and inactive participants2010-09-01157
2009: SALEMTOWNE SHORT-TERM DISABILITY 2009 401k membership
Total participants, beginning-of-year2009-09-01159
Total number of active participants reported on line 7a of the Form 55002009-09-01170
Total of all active and inactive participants2009-09-01170

Form 5500 Responses for SALEMTOWNE SHORT-TERM DISABILITY

2020: SALEMTOWNE SHORT-TERM DISABILITY 2020 form 5500 responses
2020-09-01Type of plan entitySingle employer plan
2020-09-01Submission has been amendedYes
2020-09-01This submission is the final filingYes
2020-09-01Plan funding arrangement – InsuranceYes
2020-09-01Plan benefit arrangement – InsuranceYes
2019: SALEMTOWNE SHORT-TERM DISABILITY 2019 form 5500 responses
2019-09-01Type of plan entitySingle employer plan
2019-09-01Plan funding arrangement – InsuranceYes
2019-09-01Plan benefit arrangement – InsuranceYes
2018: SALEMTOWNE SHORT-TERM DISABILITY 2018 form 5500 responses
2018-09-01Type of plan entitySingle employer plan
2018-09-01Plan funding arrangement – InsuranceYes
2018-09-01Plan benefit arrangement – InsuranceYes
2017: SALEMTOWNE SHORT-TERM DISABILITY 2017 form 5500 responses
2017-09-01Type of plan entitySingle employer plan
2017-09-01Plan funding arrangement – InsuranceYes
2017-09-01Plan benefit arrangement – InsuranceYes
2016: SALEMTOWNE SHORT-TERM DISABILITY 2016 form 5500 responses
2016-09-01Type of plan entitySingle employer plan
2016-09-01Plan funding arrangement – InsuranceYes
2016-09-01Plan benefit arrangement – InsuranceYes
2015: SALEMTOWNE SHORT-TERM DISABILITY 2015 form 5500 responses
2015-09-01Type of plan entitySingle employer plan
2015-09-01Plan funding arrangement – InsuranceYes
2015-09-01Plan benefit arrangement – InsuranceYes
2014: SALEMTOWNE SHORT-TERM DISABILITY 2014 form 5500 responses
2014-09-01Type of plan entitySingle employer plan
2014-09-01Plan funding arrangement – InsuranceYes
2014-09-01Plan benefit arrangement – InsuranceYes
2013: SALEMTOWNE SHORT-TERM DISABILITY 2013 form 5500 responses
2013-09-01Type of plan entitySingle employer plan
2013-09-01Plan funding arrangement – InsuranceYes
2013-09-01Plan benefit arrangement – InsuranceYes
2012: SALEMTOWNE SHORT-TERM DISABILITY 2012 form 5500 responses
2012-09-01Type of plan entitySingle employer plan
2012-09-01Plan funding arrangement – InsuranceYes
2012-09-01Plan benefit arrangement – InsuranceYes
2011: SALEMTOWNE SHORT-TERM DISABILITY 2011 form 5500 responses
2011-09-01Type of plan entitySingle employer plan
2011-09-01Plan funding arrangement – InsuranceYes
2011-09-01Plan benefit arrangement – InsuranceYes
2010: SALEMTOWNE SHORT-TERM DISABILITY 2010 form 5500 responses
2010-09-01Type of plan entitySingle employer plan
2010-09-01Plan funding arrangement – InsuranceYes
2010-09-01Plan benefit arrangement – InsuranceYes
2009: SALEMTOWNE SHORT-TERM DISABILITY 2009 form 5500 responses
2009-09-01Type of plan entitySingle employer plan
2009-09-01This submission is the final filingNo
2009-09-01Plan funding arrangement – InsuranceYes
2009-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number885666G
Policy instance 1
Insurance contract or identification number885666G
Number of Individuals Covered215
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $12,502
Total amount of fees paid to insurance companyUSD $9,501
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $88,952
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,502
Insurance broker organization code?3
Amount paid for insurance broker fees6227
Additional information about fees paid to insurance brokerFEES PAID
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number885666G
Policy instance 1
Insurance contract or identification number885666G
Number of Individuals Covered215
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $31,260
Total amount of fees paid to insurance companyUSD $1,911
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D BAS AND SUPP
Welfare Benefit Premiums Paid to CarrierUSD $155,827
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,352
Amount paid for insurance broker fees1911
Additional information about fees paid to insurance brokerBONUS PAID
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0441030
Policy instance 2
Insurance contract or identification numberR0441030
Number of Individuals Covered120
Insurance policy start date2019-09-01
Insurance policy end date2020-09-01
Total amount of commissions paid to insurance brokerUSD $7,855
Total amount of fees paid to insurance companyUSD $629
Other welfare benefits providedGCIEE, GRPACCVOEN
Welfare Benefit Premiums Paid to CarrierUSD $24,722
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,855
Insurance broker organization code?3
Amount paid for insurance broker fees629
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION PAID
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number885666G
Policy instance 1
Insurance contract or identification number885666G
Number of Individuals Covered215
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $18,809
Total amount of fees paid to insurance companyUSD $13,630
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $143,973
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,809
Insurance broker organization code?3
Amount paid for insurance broker fees10078
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0441030
Policy instance 2
Insurance contract or identification numberR0441030
Number of Individuals Covered97
Insurance policy start date2018-09-01
Insurance policy end date2019-10-01
Total amount of commissions paid to insurance brokerUSD $12,469
Total amount of fees paid to insurance companyUSD $1,105
Other welfare benefits providedGCIEE
Welfare Benefit Premiums Paid to CarrierUSD $20,282
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,469
Insurance broker organization code?3
Amount paid for insurance broker fees1105
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10220077,78,79
Policy instance 1
Insurance contract or identification number10220077,78,79
Number of Individuals Covered200
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $12,271
Total amount of fees paid to insurance companyUSD $9,002
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $102,259
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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