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AD&D PLAN FOR EMPLOYEES OF CAMPUS USA CREDIT UNION 401k Plan overview

Plan NameAD&D PLAN FOR EMPLOYEES OF CAMPUS USA CREDIT UNION
Plan identification number 510

AD&D PLAN FOR EMPLOYEES OF CAMPUS USA CREDIT UNION Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

CAMPUS USA CREDIT UNION has sponsored the creation of one or more 401k plans.

Company Name:CAMPUS USA CREDIT UNION
Employer identification number (EIN):590637646
NAIC Classification:522130
NAIC Description:Credit Unions

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AD&D PLAN FOR EMPLOYEES OF CAMPUS USA CREDIT UNION

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5102014-09-13JILL E. HARPER
5102013-09-13JILL E. HARPER
5102012-09-13JILL E. HARPER
5102011-09-13JILL HARPER JILL HARPER2013-02-20
5102010-09-13JILL HARPER CAMPUS USA CREDIT UNION2012-03-30
5102009-09-13JILL E HARPER

Plan Statistics for AD&D PLAN FOR EMPLOYEES OF CAMPUS USA CREDIT UNION

401k plan membership statisitcs for AD&D PLAN FOR EMPLOYEES OF CAMPUS USA CREDIT UNION

Measure Date Value
2014: AD&D PLAN FOR EMPLOYEES OF CAMPUS USA CREDIT UNION 2014 401k membership
Total participants, beginning-of-year2014-09-13177
Total number of active participants reported on line 7a of the Form 55002014-09-13177
Number of retired or separated participants receiving benefits2014-09-130
Number of other retired or separated participants entitled to future benefits2014-09-130
Total of all active and inactive participants2014-09-13177
2013: AD&D PLAN FOR EMPLOYEES OF CAMPUS USA CREDIT UNION 2013 401k membership
Total participants, beginning-of-year2013-09-13186
Total number of active participants reported on line 7a of the Form 55002013-09-13177
Number of retired or separated participants receiving benefits2013-09-130
Number of other retired or separated participants entitled to future benefits2013-09-130
Total of all active and inactive participants2013-09-13177
2012: AD&D PLAN FOR EMPLOYEES OF CAMPUS USA CREDIT UNION 2012 401k membership
Total participants, beginning-of-year2012-09-13171
Total number of active participants reported on line 7a of the Form 55002012-09-13171
Number of retired or separated participants receiving benefits2012-09-130
Number of other retired or separated participants entitled to future benefits2012-09-130
Total of all active and inactive participants2012-09-13171
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-09-130
Total participants2012-09-13171
Number of participants with account balances2012-09-130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-09-130
2011: AD&D PLAN FOR EMPLOYEES OF CAMPUS USA CREDIT UNION 2011 401k membership
Total participants, beginning-of-year2011-09-13160
Total number of active participants reported on line 7a of the Form 55002011-09-13160
Number of retired or separated participants receiving benefits2011-09-130
Number of other retired or separated participants entitled to future benefits2011-09-130
Total of all active and inactive participants2011-09-13160
2010: AD&D PLAN FOR EMPLOYEES OF CAMPUS USA CREDIT UNION 2010 401k membership
Total participants, beginning-of-year2010-09-13162
Total number of active participants reported on line 7a of the Form 55002010-09-13162
Number of retired or separated participants receiving benefits2010-09-130
Number of other retired or separated participants entitled to future benefits2010-09-130
Total of all active and inactive participants2010-09-13162
2009: AD&D PLAN FOR EMPLOYEES OF CAMPUS USA CREDIT UNION 2009 401k membership
Total participants, beginning-of-year2009-09-13173
Total number of active participants reported on line 7a of the Form 55002009-09-13173
Number of retired or separated participants receiving benefits2009-09-130
Number of other retired or separated participants entitled to future benefits2009-09-130
Total of all active and inactive participants2009-09-13173

Form 5500 Responses for AD&D PLAN FOR EMPLOYEES OF CAMPUS USA CREDIT UNION

2014: AD&D PLAN FOR EMPLOYEES OF CAMPUS USA CREDIT UNION 2014 form 5500 responses
2014-09-13Type of plan entitySingle employer plan
2014-09-13Submission has been amendedNo
2014-09-13This submission is the final filingNo
2014-09-13This return/report is a short plan year return/report (less than 12 months)Yes
2014-09-13Plan is a collectively bargained planNo
2014-09-13Plan funding arrangement – InsuranceYes
2014-09-13Plan benefit arrangement – InsuranceYes
2013: AD&D PLAN FOR EMPLOYEES OF CAMPUS USA CREDIT UNION 2013 form 5500 responses
2013-09-13Type of plan entitySingle employer plan
2013-09-13Submission has been amendedNo
2013-09-13This submission is the final filingNo
2013-09-13This return/report is a short plan year return/report (less than 12 months)No
2013-09-13Plan is a collectively bargained planNo
2013-09-13Plan funding arrangement – InsuranceYes
2013-09-13Plan benefit arrangement – InsuranceYes
2012: AD&D PLAN FOR EMPLOYEES OF CAMPUS USA CREDIT UNION 2012 form 5500 responses
2012-09-13Type of plan entitySingle employer plan
2012-09-13Submission has been amendedNo
2012-09-13This submission is the final filingNo
2012-09-13This return/report is a short plan year return/report (less than 12 months)No
2012-09-13Plan is a collectively bargained planNo
2012-09-13Plan funding arrangement – InsuranceYes
2012-09-13Plan benefit arrangement – InsuranceYes
2011: AD&D PLAN FOR EMPLOYEES OF CAMPUS USA CREDIT UNION 2011 form 5500 responses
2011-09-13Type of plan entitySingle employer plan
2011-09-13Submission has been amendedNo
2011-09-13This submission is the final filingNo
2011-09-13This return/report is a short plan year return/report (less than 12 months)No
2011-09-13Plan is a collectively bargained planNo
2011-09-13Plan funding arrangement – InsuranceYes
2011-09-13Plan benefit arrangement – InsuranceYes
2010: AD&D PLAN FOR EMPLOYEES OF CAMPUS USA CREDIT UNION 2010 form 5500 responses
2010-09-13Type of plan entitySingle employer plan
2010-09-13Submission has been amendedNo
2010-09-13This submission is the final filingNo
2010-09-13This return/report is a short plan year return/report (less than 12 months)No
2010-09-13Plan is a collectively bargained planNo
2010-09-13Plan funding arrangement – InsuranceYes
2010-09-13Plan benefit arrangement – InsuranceYes
2009: AD&D PLAN FOR EMPLOYEES OF CAMPUS USA CREDIT UNION 2009 form 5500 responses
2009-09-13Type of plan entitySingle employer plan
2009-09-13Submission has been amendedNo
2009-09-13This submission is the final filingNo
2009-09-13This return/report is a short plan year return/report (less than 12 months)No
2009-09-13Plan is a collectively bargained planNo
2009-09-13Plan funding arrangement – InsuranceYes
2009-09-13Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU-5081960-00
Policy instance 1
Insurance contract or identification numberGTU-5081960-00
Number of Individuals Covered177
Insurance policy start date2014-09-13
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $227
Total amount of fees paid to insurance companyUSD $0
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $1,135
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $227
Insurance broker organization code?3
Insurance broker nameDIGITAL INSURANCE, INC.
CUNA MUTUAL GROUP (National Association of Insurance Commissioners NAIC id number: 62626 )
Policy contract number009-0115-4
Policy instance 1
Insurance contract or identification number009-0115-4
Number of Individuals Covered186
Insurance policy start date2013-09-13
Insurance policy end date2013-12-31
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $1,417
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU-5081960-00
Policy instance 2
Insurance contract or identification numberGTU-5081960-00
Number of Individuals Covered177
Insurance policy start date2014-01-01
Insurance policy end date2014-09-12
Total amount of commissions paid to insurance brokerUSD $529
Total amount of fees paid to insurance companyUSD $0
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $2,647
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $529
Insurance broker organization code?3
Insurance broker nameDIGITAL INSURANCE, INC.
CUNA MUTUAL GROUP (National Association of Insurance Commissioners NAIC id number: 62626 )
Policy contract number009-0115-4
Policy instance 1
Insurance contract or identification number009-0115-4
Number of Individuals Covered171
Insurance policy start date2012-09-13
Insurance policy end date2013-09-12
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $3,580
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CUNA MUTUAL GROUP (National Association of Insurance Commissioners NAIC id number: 62626 )
Policy contract number023-0401-8
Policy instance 1
Insurance contract or identification number023-0401-8
Number of Individuals Covered160
Insurance policy start date2011-09-13
Insurance policy end date2012-09-12
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & 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 $3,360
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CUNA MUTUAL GROUP (National Association of Insurance Commissioners NAIC id number: 62626 )
Policy contract number023-0401-8
Policy instance 1
Insurance contract or identification number023-0401-8
Number of Individuals Covered162
Insurance policy start date2010-09-13
Insurance policy end date2011-09-12
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & 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 $3,400
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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