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SEMINOLE TRIBE OF FLORIDA D/B/A SEMINOLE GAMING - BASIC LIFE/DEPENDENT LIFE/BASIC AD&D 401k Plan overview

Plan NameSEMINOLE TRIBE OF FLORIDA D/B/A SEMINOLE GAMING - BASIC LIFE/DEPENDENT LIFE/BASIC AD&D
Plan identification number 530

SEMINOLE TRIBE OF FLORIDA D/B/A SEMINOLE GAMING - BASIC LIFE/DEPENDENT LIFE/BASIC AD&D Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

SEMINOLE TRIBE OF FLORIDA has sponsored the creation of one or more 401k plans.

Company Name:SEMINOLE TRIBE OF FLORIDA
Employer identification number (EIN):591415030
NAIC Classification:921000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SEMINOLE TRIBE OF FLORIDA D/B/A SEMINOLE GAMING - BASIC LIFE/DEPENDENT LIFE/BASIC AD&D

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5302013-01-01DAVID CARROLL
5302012-01-01JOHN R. EDER

Plan Statistics for SEMINOLE TRIBE OF FLORIDA D/B/A SEMINOLE GAMING - BASIC LIFE/DEPENDENT LIFE/BASIC AD&D

401k plan membership statisitcs for SEMINOLE TRIBE OF FLORIDA D/B/A SEMINOLE GAMING - BASIC LIFE/DEPENDENT LIFE/BASIC AD&D

Measure Date Value
2013: SEMINOLE TRIBE OF FLORIDA D/B/A SEMINOLE GAMING - BASIC LIFE/DEPENDENT LIFE/BASIC AD&D 2013 401k membership
Total participants, beginning-of-year2013-01-016,754
Total number of active participants reported on line 7a of the Form 55002013-01-010
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-010
2012: SEMINOLE TRIBE OF FLORIDA D/B/A SEMINOLE GAMING - BASIC LIFE/DEPENDENT LIFE/BASIC AD&D 2012 401k membership
Total participants, beginning-of-year2012-01-015,649
Total number of active participants reported on line 7a of the Form 55002012-01-016,006
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-016,006

Form 5500 Responses for SEMINOLE TRIBE OF FLORIDA D/B/A SEMINOLE GAMING - BASIC LIFE/DEPENDENT LIFE/BASIC AD&D

2013: SEMINOLE TRIBE OF FLORIDA D/B/A SEMINOLE GAMING - BASIC LIFE/DEPENDENT LIFE/BASIC AD&D 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 filingYes
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: SEMINOLE TRIBE OF FLORIDA D/B/A SEMINOLE GAMING - BASIC LIFE/DEPENDENT LIFE/BASIC AD&D 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01First time form 5500 has been submittedYes
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

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number302209
Policy instance 1
Insurance contract or identification number302209
Number of Individuals Covered6383
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD & D, EAP
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 $449,489
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number302209
Policy instance 1
Insurance contract or identification number302209
Number of Individuals Covered7696
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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 $539,715
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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