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NORTH COBB CHRISTIAN SCHOOL, INC. CAFETERIA PLAN 401k Plan overview

Plan NameNORTH COBB CHRISTIAN SCHOOL, INC. CAFETERIA PLAN
Plan identification number 501

NORTH COBB CHRISTIAN SCHOOL, INC. CAFETERIA PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Long-term disability cover

401k Sponsoring company profile

NORTH COBB CHRISTIAN SCHOOL, INC. has sponsored the creation of one or more 401k plans.

Company Name:NORTH COBB CHRISTIAN SCHOOL, INC.
Employer identification number (EIN):581519089
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH COBB CHRISTIAN SCHOOL, INC. CAFETERIA PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-09-01JENNIFER BOSONETTO2023-05-04
5012020-09-01JULIE NICHOLS2022-06-07
5012019-09-01JULIE NICHOLS2021-06-12
5012018-09-01JULIE NICHOLS2020-07-10
5012017-09-01
5012016-09-01CHRISTINE BUTLER
5012015-09-01CHRISTINE BUTLER
5012014-09-01BARBARA SANDIDGE
5012013-09-01BARBARA SANDIDGE
5012012-09-01BARBARA SANDIDGE
5012011-09-01BARBARA SANDIDGE
5012009-09-01ADMINISTRATOR

Plan Statistics for NORTH COBB CHRISTIAN SCHOOL, INC. CAFETERIA PLAN

401k plan membership statisitcs for NORTH COBB CHRISTIAN SCHOOL, INC. CAFETERIA PLAN

Measure Date Value
2021: NORTH COBB CHRISTIAN SCHOOL, INC. CAFETERIA PLAN 2021 401k membership
Total participants, beginning-of-year2021-09-01202
Total number of active participants reported on line 7a of the Form 55002021-09-01214
Number of retired or separated participants receiving benefits2021-09-01212
Total of all active and inactive participants2021-09-01426
2020: NORTH COBB CHRISTIAN SCHOOL, INC. CAFETERIA PLAN 2020 401k membership
Total participants, beginning-of-year2020-09-01212
Number of retired or separated participants receiving benefits2020-09-01200
Total of all active and inactive participants2020-09-01200
2019: NORTH COBB CHRISTIAN SCHOOL, INC. CAFETERIA PLAN 2019 401k membership
Total participants, beginning-of-year2019-09-01212
Number of retired or separated participants receiving benefits2019-09-01210
Total of all active and inactive participants2019-09-01210
2018: NORTH COBB CHRISTIAN SCHOOL, INC. CAFETERIA PLAN 2018 401k membership
Total participants, beginning-of-year2018-09-01210
Number of retired or separated participants receiving benefits2018-09-01210
Total of all active and inactive participants2018-09-01210
2017: NORTH COBB CHRISTIAN SCHOOL, INC. CAFETERIA PLAN 2017 401k membership
Total participants, beginning-of-year2017-09-01191
Total number of active participants reported on line 7a of the Form 55002017-09-01175
Total of all active and inactive participants2017-09-01175
2016: NORTH COBB CHRISTIAN SCHOOL, INC. CAFETERIA PLAN 2016 401k membership
Total participants, beginning-of-year2016-09-01184
Total number of active participants reported on line 7a of the Form 55002016-09-01175
Total of all active and inactive participants2016-09-01175
2015: NORTH COBB CHRISTIAN SCHOOL, INC. CAFETERIA PLAN 2015 401k membership
Total participants, beginning-of-year2015-09-01148
Total number of active participants reported on line 7a of the Form 55002015-09-01184
Total of all active and inactive participants2015-09-01184
2014: NORTH COBB CHRISTIAN SCHOOL, INC. CAFETERIA PLAN 2014 401k membership
Total participants, beginning-of-year2014-09-01150
Total number of active participants reported on line 7a of the Form 55002014-09-01148
Number of retired or separated participants receiving benefits2014-09-010
Number of other retired or separated participants entitled to future benefits2014-09-010
Total of all active and inactive participants2014-09-01148
2013: NORTH COBB CHRISTIAN SCHOOL, INC. CAFETERIA PLAN 2013 401k membership
Total participants, beginning-of-year2013-09-01159
Total number of active participants reported on line 7a of the Form 55002013-09-01148
Total of all active and inactive participants2013-09-01148
2012: NORTH COBB CHRISTIAN SCHOOL, INC. CAFETERIA PLAN 2012 401k membership
Total participants, beginning-of-year2012-09-01135
Total number of active participants reported on line 7a of the Form 55002012-09-01159
Total of all active and inactive participants2012-09-01159
2011: NORTH COBB CHRISTIAN SCHOOL, INC. CAFETERIA PLAN 2011 401k membership
Total participants, beginning-of-year2011-09-01140
Total number of active participants reported on line 7a of the Form 55002011-09-01135
Total of all active and inactive participants2011-09-01135
2009: NORTH COBB CHRISTIAN SCHOOL, INC. CAFETERIA PLAN 2009 401k membership
Total participants, beginning-of-year2009-09-01237
Total number of active participants reported on line 7a of the Form 55002009-09-01135
Total of all active and inactive participants2009-09-01135

Form 5500 Responses for NORTH COBB CHRISTIAN SCHOOL, INC. CAFETERIA PLAN

2021: NORTH COBB CHRISTIAN SCHOOL, INC. CAFETERIA PLAN 2021 form 5500 responses
2021-09-01Type of plan entitySingle employer plan
2021-09-01Plan funding arrangement – InsuranceYes
2021-09-01Plan benefit arrangement – InsuranceYes
2020: NORTH COBB CHRISTIAN SCHOOL, INC. CAFETERIA PLAN 2020 form 5500 responses
2020-09-01Type of plan entitySingle employer plan
2020-09-01Plan funding arrangement – InsuranceYes
2020-09-01Plan benefit arrangement – InsuranceYes
2019: NORTH COBB CHRISTIAN SCHOOL, INC. CAFETERIA PLAN 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: NORTH COBB CHRISTIAN SCHOOL, INC. CAFETERIA PLAN 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: NORTH COBB CHRISTIAN SCHOOL, INC. CAFETERIA PLAN 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: NORTH COBB CHRISTIAN SCHOOL, INC. CAFETERIA PLAN 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: NORTH COBB CHRISTIAN SCHOOL, INC. CAFETERIA PLAN 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: NORTH COBB CHRISTIAN SCHOOL, INC. CAFETERIA PLAN 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: NORTH COBB CHRISTIAN SCHOOL, INC. CAFETERIA PLAN 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: NORTH COBB CHRISTIAN SCHOOL, INC. CAFETERIA PLAN 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: NORTH COBB CHRISTIAN SCHOOL, INC. CAFETERIA PLAN 2011 form 5500 responses
2011-09-01Type of plan entitySingle employer plan
2011-09-01Plan funding arrangement – InsuranceYes
2011-09-01Plan benefit arrangement – InsuranceYes
2009: NORTH COBB CHRISTIAN SCHOOL, INC. CAFETERIA PLAN 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

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0838017
Policy instance 4
Insurance contract or identification number0838017
Number of Individuals Covered6
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Total amount of commissions paid to insurance brokerUSD $819
Total amount of fees paid to insurance companyUSD $24
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,488
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $819
Amount paid for insurance broker fees24
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00540750
Policy instance 3
Insurance contract or identification number00540750
Number of Individuals Covered151
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Total amount of commissions paid to insurance brokerUSD $24,073
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $207,919
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,073
Amount paid for insurance broker fees0
Insurance broker organization code?3
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95094 )
Policy contract number0838017HNO
Policy instance 2
Insurance contract or identification number0838017HNO
Number of Individuals Covered214
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Total amount of commissions paid to insurance brokerUSD $47,343
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $902,228
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $47,343
Insurance broker organization code?3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number822723296
Policy instance 1
Insurance contract or identification number822723296
Number of Individuals Covered33
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Total amount of commissions paid to insurance brokerUSD $7,681
Total amount of fees paid to insurance companyUSD $26
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $37,338
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,981
Amount paid for insurance broker fees21
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00540750
Policy instance 3
Insurance contract or identification number00540750
Number of Individuals Covered143
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $19,968
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $167,864
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,968
Insurance broker organization code?3
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95094 )
Policy contract number0838017HNO
Policy instance 2
Insurance contract or identification number0838017HNO
Number of Individuals Covered202
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $43,650
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $821,410
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $43,650
Insurance broker organization code?3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number822723296
Policy instance 1
Insurance contract or identification number822723296
Number of Individuals Covered33
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $11,502
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,298
Insurance broker organization code?4
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00540750
Policy instance 3
Insurance contract or identification number00540750
Number of Individuals Covered144
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $20,133
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $172,877
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,133
Insurance broker organization code?3
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95094 )
Policy contract number0838017HNO
Policy instance 2
Insurance contract or identification number0838017HNO
Number of Individuals Covered212
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $52,742
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,005,827
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $52,742
Insurance broker organization code?3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number822723296
Policy instance 1
Insurance contract or identification number822723296
Number of Individuals Covered39
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $3,535
Total amount of fees paid to insurance companyUSD $23
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,074
Amount paid for insurance broker fees17
Insurance broker organization code?4
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00540750
Policy instance 3
Insurance contract or identification number00540750
Number of Individuals Covered146
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $18,919
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $162,216
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,919
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
Insurance broker organization code?3
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95094 )
Policy contract number0838017HNO
Policy instance 2
Insurance contract or identification number0838017HNO
Number of Individuals Covered210
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $50,447
Total amount of fees paid to insurance companyUSD $96
Welfare Benefit Premiums Paid to CarrierUSD $982,522
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $50,447
Amount paid for insurance broker fees96
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
Insurance broker organization code?3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number822723296
Policy instance 1
Insurance contract or identification number822723296
Number of Individuals Covered26
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $2,371
Total amount of fees paid to insurance companyUSD $358
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $686
Amount paid for insurance broker fees298
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
Insurance broker organization code?4
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00540750
Policy instance 3
Insurance contract or identification number00540750
Number of Individuals Covered134
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $16,170
Total amount of fees paid to insurance companyUSD $766
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $138,882
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95094 )
Policy contract number0838017HNO
Policy instance 2
Insurance contract or identification number0838017HNO
Number of Individuals Covered191
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $36,484
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $776,404
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number4052350
Policy instance 1
Insurance contract or identification number4052350
Number of Individuals Covered42
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $9,158
Total amount of fees paid to insurance companyUSD $8,852
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $61,043
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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