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BOSTON MUTUAL INSURANCE PLAN 401k Plan overview

Plan NameBOSTON MUTUAL INSURANCE PLAN
Plan identification number 504

BOSTON MUTUAL INSURANCE PLAN Benefits

401k Plan Type
Plan Features/Benefits

    401k Sponsoring company profile

    SOUTHWEST GEORGIA COMMUNITY ACTION COUNCIL, INC. has sponsored the creation of one or more 401k plans.

    Company Name:SOUTHWEST GEORGIA COMMUNITY ACTION COUNCIL, INC.
    Employer identification number (EIN):580957513
    NAIC Classification:624100
    NAIC Description: Individual and Family Services

    Form 5500 Filing Information

    Submission information for form 5500 for 401k plan BOSTON MUTUAL INSURANCE PLAN

    Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
    5042017-01-01BEVERLY WISE
    5042016-01-01BEVERLY WISE
    5042015-12-01BEVERLY WISE
    5042015-01-01MYRTIS NDAWULA
    5042014-01-01MYRTIS NDAWULA
    5042013-01-01MYRTIS NDAWULA
    5042012-01-01MYRTIS NDAWULA MYRTIS NDAWULA2013-10-14
    5042011-01-01MYRTIS NDAWULA
    5042010-01-01MYRTIS NDAWULA
    5042009-01-01MYRTIS NDAWULA

    Plan Statistics for BOSTON MUTUAL INSURANCE PLAN

    401k plan membership statisitcs for BOSTON MUTUAL INSURANCE PLAN

    Measure Date Value
    2017: BOSTON MUTUAL INSURANCE PLAN 2017 401k membership
    Total participants, beginning-of-year2017-01-0174
    Total number of active participants reported on line 7a of the Form 55002017-01-0170
    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 participants2017-01-0170
    2016: BOSTON MUTUAL INSURANCE PLAN 2016 401k membership
    Total participants, beginning-of-year2016-01-0178
    Total number of active participants reported on line 7a of the Form 55002016-01-0174
    Total of all active and inactive participants2016-01-0174
    Total participants2016-01-0174
    2015: BOSTON MUTUAL INSURANCE PLAN 2015 401k membership
    Total participants, beginning-of-year2015-12-010
    Total number of active participants reported on line 7a of the Form 55002015-12-01133
    Total of all active and inactive participants2015-12-01133
    Total participants2015-12-01133
    Total participants, beginning-of-year2015-01-0182
    Total number of active participants reported on line 7a of the Form 55002015-01-0178
    Total of all active and inactive participants2015-01-0178
    Total participants2015-01-0178
    2014: BOSTON MUTUAL INSURANCE PLAN 2014 401k membership
    Total participants, beginning-of-year2014-01-0179
    Total number of active participants reported on line 7a of the Form 55002014-01-0182
    Total of all active and inactive participants2014-01-0182
    Total participants2014-01-0182
    2013: BOSTON MUTUAL INSURANCE PLAN 2013 401k membership
    Total participants, beginning-of-year2013-01-0194
    Total number of active participants reported on line 7a of the Form 55002013-01-0179
    Total of all active and inactive participants2013-01-0179
    Total participants2013-01-0179
    2012: BOSTON MUTUAL INSURANCE PLAN 2012 401k membership
    Total participants, beginning-of-year2012-01-01101
    Total number of active participants reported on line 7a of the Form 55002012-01-0194
    Total of all active and inactive participants2012-01-0194
    Total participants2012-01-0194
    2011: BOSTON MUTUAL INSURANCE PLAN 2011 401k membership
    Total participants, beginning-of-year2011-01-01108
    Total number of active participants reported on line 7a of the Form 55002011-01-01101
    Total of all active and inactive participants2011-01-01101
    Total participants2011-01-01101
    2010: BOSTON MUTUAL INSURANCE PLAN 2010 401k membership
    Total participants, beginning-of-year2010-01-01106
    Total number of active participants reported on line 7a of the Form 55002010-01-01108
    Total of all active and inactive participants2010-01-01108
    Total participants2010-01-01108
    2009: BOSTON MUTUAL INSURANCE PLAN 2009 401k membership
    Total participants, beginning-of-year2009-01-01103
    Total number of active participants reported on line 7a of the Form 55002009-01-01106
    Total of all active and inactive participants2009-01-01106
    Total participants2009-01-01106

    Form 5500 Responses for BOSTON MUTUAL INSURANCE PLAN

    2017: BOSTON MUTUAL INSURANCE PLAN 2017 form 5500 responses
    2017-01-01Type of plan entitySingle employer plan
    2017-01-01Submission has been amendedNo
    2017-01-01This submission is the final filingNo
    2017-01-01This return/report is a short plan year return/report (less than 12 months)No
    2017-01-01Plan is a collectively bargained planNo
    2017-01-01Plan funding arrangement – InsuranceYes
    2017-01-01Plan benefit arrangement – InsuranceYes
    2016: BOSTON MUTUAL INSURANCE PLAN 2016 form 5500 responses
    2016-01-01Type of plan entitySingle employer plan
    2016-01-01Submission has been amendedNo
    2016-01-01This submission is the final filingNo
    2016-01-01This return/report is a short plan year return/report (less than 12 months)No
    2016-01-01Plan is a collectively bargained planNo
    2016-01-01Plan funding arrangement – InsuranceYes
    2016-01-01Plan benefit arrangement – InsuranceYes
    2015: BOSTON MUTUAL INSURANCE PLAN 2015 form 5500 responses
    2015-12-01Type of plan entitySingle employer plan
    2015-12-01First time form 5500 has been submittedYes
    2015-12-01Submission has been amendedNo
    2015-12-01This submission is the final filingNo
    2015-12-01This return/report is a short plan year return/report (less than 12 months)No
    2015-12-01Plan is a collectively bargained planNo
    2015-12-01Plan funding arrangement – InsuranceYes
    2015-12-01Plan benefit arrangement – InsuranceYes
    2015-01-01Type of plan entitySingle employer plan
    2015-01-01Submission has been amendedNo
    2015-01-01This submission is the final filingNo
    2015-01-01This return/report is a short plan year return/report (less than 12 months)No
    2015-01-01Plan is a collectively bargained planNo
    2015-01-01Plan funding arrangement – InsuranceYes
    2015-01-01Plan benefit arrangement – InsuranceYes
    2014: BOSTON MUTUAL INSURANCE PLAN 2014 form 5500 responses
    2014-01-01Type of plan entitySingle employer plan
    2014-01-01Submission has been amendedNo
    2014-01-01This submission is the final filingNo
    2014-01-01This return/report is a short plan year return/report (less than 12 months)No
    2014-01-01Plan is a collectively bargained planNo
    2014-01-01Plan funding arrangement – InsuranceYes
    2014-01-01Plan benefit arrangement – InsuranceYes
    2013: BOSTON MUTUAL INSURANCE PLAN 2013 form 5500 responses
    2013-01-01Type of plan entitySingle employer plan
    2013-01-01Submission has been amendedNo
    2013-01-01This submission is the final filingNo
    2013-01-01This return/report is a short plan year return/report (less than 12 months)No
    2013-01-01Plan is a collectively bargained planNo
    2013-01-01Plan funding arrangement – InsuranceYes
    2013-01-01Plan benefit arrangement – InsuranceYes
    2012: BOSTON MUTUAL INSURANCE PLAN 2012 form 5500 responses
    2012-01-01Type of plan entitySingle employer plan
    2012-01-01Submission has been amendedNo
    2012-01-01This submission is the final filingNo
    2012-01-01This return/report is a short plan year return/report (less than 12 months)No
    2012-01-01Plan is a collectively bargained planNo
    2012-01-01Plan funding arrangement – InsuranceYes
    2012-01-01Plan benefit arrangement – InsuranceYes
    2011: BOSTON MUTUAL INSURANCE PLAN 2011 form 5500 responses
    2011-01-01Type of plan entitySingle employer plan
    2011-01-01Submission has been amendedNo
    2011-01-01This submission is the final filingNo
    2011-01-01This return/report is a short plan year return/report (less than 12 months)No
    2011-01-01Plan is a collectively bargained planNo
    2011-01-01Plan funding arrangement – InsuranceYes
    2011-01-01Plan benefit arrangement – InsuranceYes
    2010: BOSTON MUTUAL INSURANCE PLAN 2010 form 5500 responses
    2010-01-01Type of plan entitySingle employer plan
    2010-01-01Submission has been amendedNo
    2010-01-01This submission is the final filingNo
    2010-01-01This return/report is a short plan year return/report (less than 12 months)No
    2010-01-01Plan is a collectively bargained planNo
    2010-01-01Plan funding arrangement – InsuranceYes
    2010-01-01Plan benefit arrangement – InsuranceYes
    2009: BOSTON MUTUAL INSURANCE PLAN 2009 form 5500 responses
    2009-01-01Type of plan entitySingle employer plan
    2009-01-01Submission has been amendedNo
    2009-01-01This submission is the final filingNo
    2009-01-01This return/report is a short plan year return/report (less than 12 months)No
    2009-01-01Plan is a collectively bargained planNo
    2009-01-01Plan funding arrangement – InsuranceYes
    2009-01-01Plan benefit arrangement – InsuranceYes

    Insurance Providers Used on plan

    BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
    Policy contract numberG-10222
    Policy instance 1
    Insurance contract or identification numberG-10222
    Number of Individuals Covered70
    Insurance policy start date2017-01-01
    Insurance policy end date2017-12-31
    Total amount of commissions paid to insurance brokerUSD $374
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?0
    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 BenefitYes
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
    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 $3,735
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $374
    Insurance broker organization code?3
    Insurance broker nameRETIREMENT CONSULTANTAS NETWORKS
    BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
    Policy contract numberG-10222
    Policy instance 1
    Insurance contract or identification numberG-10222
    Number of Individuals Covered78
    Insurance policy start date2015-01-01
    Insurance policy end date2015-12-31
    Total amount of commissions paid to insurance brokerUSD $436
    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 BenefitYes
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
    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 $4,364
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $436
    Insurance broker organization code?3
    Insurance broker nameS.E. BROKERS ADMINISTRATORS
    BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
    Policy contract numberG-10222
    Policy instance 1
    Insurance contract or identification numberG-10222
    Number of Individuals Covered82
    Insurance policy start date2014-01-01
    Insurance policy end date2013-12-31
    Total amount of commissions paid to insurance brokerUSD $454
    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 BenefitYes
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
    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 $4,543
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $454
    Insurance broker organization code?3
    Insurance broker nameS. E. BROKERS ADMINISTRATORS
    BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
    Policy contract numberG-10222
    Policy instance 1
    Insurance contract or identification numberG-10222
    Number of Individuals Covered79
    Insurance policy start date2013-01-01
    Insurance policy end date2013-12-31
    Total amount of commissions paid to insurance brokerUSD $480
    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 BenefitYes
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
    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 $4,800
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $480
    Insurance broker organization code?3
    Insurance broker nameS. E. BROKERS ADMINISTRATORS
    BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
    Policy contract numberG-10222
    Policy instance 1
    Insurance contract or identification numberG-10222
    Number of Individuals Covered94
    Insurance policy start date2012-01-01
    Insurance policy end date2012-12-31
    Total amount of commissions paid to insurance brokerUSD $554
    Life Insurance Welfare BenefitYes
    Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
    Welfare Benefit Premiums Paid to CarrierUSD $5,536
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $554
    Insurance broker organization code?3
    Insurance broker nameS.E. BROKERS ADMINISTRATORS
    BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
    Policy contract numberG10222
    Policy instance 1
    Insurance contract or identification numberG10222
    Number of Individuals Covered101
    Insurance policy start date2011-01-01
    Insurance policy end date2011-12-31
    Total amount of commissions paid to insurance brokerUSD $627
    Life Insurance Welfare BenefitYes
    Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT DEPENDANT LIFE INSURANCE
    Welfare Benefit Premiums Paid to CarrierUSD $6,267
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
    Policy contract numberG-10222
    Policy instance 1
    Insurance contract or identification numberG-10222
    Number of Individuals Covered108
    Insurance policy start date2010-01-01
    Insurance policy end date2010-12-31
    Total amount of commissions paid to insurance brokerUSD $645
    Life Insurance Welfare BenefitYes
    Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE
    Welfare Benefit Premiums Paid to CarrierUSD $6,452
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $645
    Insurance broker organization code?3
    Insurance broker nameS.E. BROKERS ADMINISTRATORS

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