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SAMARITANS PURSE LONG TERM CARE PLAN 401k Plan overview

Plan NameSAMARITANS PURSE LONG TERM CARE PLAN
Plan identification number 509

SAMARITANS PURSE LONG TERM CARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Other welfare benefit cover

401k Sponsoring company profile

SAMARITAN'S PURSE has sponsored the creation of one or more 401k plans.

Company Name:SAMARITAN'S PURSE
Employer identification number (EIN):581437002
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Additional information about SAMARITAN'S PURSE

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2000-02-15
Company Identification Number: 0013098007
Legal Registered Office Address: PO BOX 3000

BOONE
United States of America (USA)
28607

More information about SAMARITAN'S PURSE

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SAMARITANS PURSE LONG TERM CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5092018-01-01C. MERRILL LITTLEJOHN2019-07-26
5092017-01-01
5092016-01-01
5092015-01-01
5092014-01-01
5092013-01-01
5092012-01-01C. MERRILL LITTLEJOHN
5092011-01-01C. MERRILL LITTLEJOHN

Plan Statistics for SAMARITANS PURSE LONG TERM CARE PLAN

401k plan membership statisitcs for SAMARITANS PURSE LONG TERM CARE PLAN

Measure Date Value
2018: SAMARITANS PURSE LONG TERM CARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01197
Total number of active participants reported on line 7a of the Form 55002018-01-010
Total of all active and inactive participants2018-01-010
2017: SAMARITANS PURSE LONG TERM CARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01179
Total number of active participants reported on line 7a of the Form 55002017-01-01197
Total of all active and inactive participants2017-01-01197
2016: SAMARITANS PURSE LONG TERM CARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01161
Total number of active participants reported on line 7a of the Form 55002016-01-01179
Total of all active and inactive participants2016-01-01179
Total participants2016-01-01179
2015: SAMARITANS PURSE LONG TERM CARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01157
Total number of active participants reported on line 7a of the Form 55002015-01-01161
Total of all active and inactive participants2015-01-01161
2014: SAMARITANS PURSE LONG TERM CARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01150
Total number of active participants reported on line 7a of the Form 55002014-01-01157
Total of all active and inactive participants2014-01-01157
Total participants2014-01-01157
2013: SAMARITANS PURSE LONG TERM CARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01139
Total number of active participants reported on line 7a of the Form 55002013-01-01150
Total of all active and inactive participants2013-01-01150
2012: SAMARITANS PURSE LONG TERM CARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01107
Total number of active participants reported on line 7a of the Form 55002012-01-01139
Total of all active and inactive participants2012-01-01139
2011: SAMARITANS PURSE LONG TERM CARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0185
Total number of active participants reported on line 7a of the Form 55002011-01-01107
Total of all active and inactive participants2011-01-01107

Form 5500 Responses for SAMARITANS PURSE LONG TERM CARE PLAN

2018: SAMARITANS PURSE LONG TERM CARE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01This submission is the final filingYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: SAMARITANS PURSE LONG TERM CARE 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: SAMARITANS PURSE LONG TERM CARE 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: SAMARITANS PURSE LONG TERM CARE 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: SAMARITANS PURSE LONG TERM CARE 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: SAMARITANS PURSE LONG TERM CARE 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: SAMARITANS PURSE LONG TERM CARE 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: SAMARITANS PURSE LONG TERM CARE 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

NORTHWESTERN LONG TERM CARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69000 )
Policy contract number08403
Policy instance 1
Insurance contract or identification number08403
Number of Individuals Covered197
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $54,246
Total amount of fees paid to insurance companyUSD $20,255
Other welfare benefits providedLONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $446,037
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,647
Amount paid for insurance broker fees5524
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameJOHN B TRIPOLI
NORTHWESTERN LONG TERM CARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69000 )
Policy contract number08403
Policy instance 1
Insurance contract or identification number08403
Number of Individuals Covered161
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $44,789
Total amount of fees paid to insurance companyUSD $16,378
Other welfare benefits providedLONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $370,441
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,729
Amount paid for insurance broker fees3536
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker nameDONALD E REED CLU, CHFC
NORTHWESTERN LONG TERM CARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69000 )
Policy contract number08403
Policy instance 1
Insurance contract or identification number08403
Number of Individuals Covered157
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $32,663
Total amount of fees paid to insurance companyUSD $10,910
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedLONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $330,094
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,995
Amount paid for insurance broker fees3757
Additional information about fees paid to insurance brokerOTHER FEES
Insurance broker organization code?3
Insurance broker nameCAROLINA CONDREY GRP
NORTHWESTERN LONG TERM CARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69000 )
Policy contract number08403
Policy instance 1
Insurance contract or identification number08403
Number of Individuals Covered122
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $28,339
Total amount of fees paid to insurance companyUSD $9,380
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedLONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $293,445
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,316
Amount paid for insurance broker fees3793
Additional information about fees paid to insurance brokerOTHER FEES
Insurance broker organization code?3
Insurance broker nameDONALD E REED CLU, CHFC
NORTHWESTERN LONG TERM CARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69000 )
Policy contract number08410
Policy instance 2
Insurance contract or identification number08410
Number of Individuals Covered28
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $1
Total amount of fees paid to insurance companyUSD $-296
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedLONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $35,626
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $594
Amount paid for insurance broker fees123
Additional information about fees paid to insurance brokerOTHER FEES
Insurance broker organization code?3
Insurance broker nameWILLIAM JOHN COOPER
NORTHWESTERN LONG TERM CARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69000 )
Policy contract number08403
Policy instance 1
Insurance contract or identification number08403
Number of Individuals Covered112
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $33,156
Total amount of fees paid to insurance companyUSD $10,484
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedLONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $258,624
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,631
Amount paid for insurance broker fees4820
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameDONALD E REED CLU, CHFC
NORTHWESTERN LONG TERM CARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69000 )
Policy contract number08410
Policy instance 2
Insurance contract or identification number08410
Number of Individuals Covered27
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $8,880
Total amount of fees paid to insurance companyUSD $3,285
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedLONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $25,234
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,629
Amount paid for insurance broker fees1331
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameDONALD E REED CLU, CHFC
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number8403
Policy instance 1
Insurance contract or identification number8403
Number of Individuals Covered96
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $25,493
Total amount of fees paid to insurance companyUSD $5,746
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedLONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $213,718
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number8410
Policy instance 2
Insurance contract or identification number8410
Number of Individuals Covered11
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,555
Total amount of fees paid to insurance companyUSD $467
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedLONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $25,601
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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