401k Plan data: BIRMINGHAM-SOUTHERN COLLEGE LONG TERM DISABILITY PLAN plan

BIRMINGHAM-SOUTHERN COLLEGE LONG TERM DISABILITY PLAN 401k Plan overview

Plan Name	BIRMINGHAM-SOUTHERN COLLEGE LONG TERM DISABILITY PLAN
Plan identification number	513

BIRMINGHAM-SOUTHERN COLLEGE LONG TERM DISABILITY PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Long-term disability cover

401k Sponsoring company profile

BIRMINGHAM SOUTHERN COLLEGE has sponsored the creation of one or more 401k plans.

Company Name: BIRMINGHAM SOUTHERN COLLEGE

Employer identification number (EIN): 630288811

NAIC Classification: 611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BIRMINGHAM-SOUTHERN COLLEGE LONG TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
513 2017-01-01 SUSAN KINNEY
513 2016-01-01 SUSAN KINNEY SUSAN KINNEY 2017-07-24
513 2015-01-01 SUSAN KINNEY SUSAN KINNEY 2016-07-25
513 2014-01-01 SUSAN KINNEY SUSAN KINNEY 2015-07-29

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
513	2017-01-01	SUSAN KINNEY
513	2016-01-01	SUSAN KINNEY	SUSAN KINNEY	2017-07-24
513	2015-01-01	SUSAN KINNEY	SUSAN KINNEY	2016-07-25
513	2014-01-01	SUSAN KINNEY	SUSAN KINNEY	2015-07-29

Plan Statistics for BIRMINGHAM-SOUTHERN COLLEGE LONG TERM DISABILITY PLAN

401k plan membership statisitcs for BIRMINGHAM-SOUTHERN COLLEGE LONG TERM DISABILITY PLAN

Measure Date Value
2017: BIRMINGHAM-SOUTHERN COLLEGE LONG TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 99
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 91
Total of all active and inactive participants 2017-01-01 91
Total participants 2017-01-01 91
2016: BIRMINGHAM-SOUTHERN COLLEGE LONG TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 103
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 100
Total of all active and inactive participants 2016-01-01 100
Total participants 2016-01-01 100
2015: BIRMINGHAM-SOUTHERN COLLEGE LONG TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 108
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 103
Total of all active and inactive participants 2015-01-01 103
Total participants 2015-01-01 103
2014: BIRMINGHAM-SOUTHERN COLLEGE LONG TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 114
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 108
Total of all active and inactive participants 2014-01-01 108
Total participants 2014-01-01 108

Measure	Date	Value
2017: BIRMINGHAM-SOUTHERN COLLEGE LONG TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	99
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	91
Total of all active and inactive participants	2017-01-01	91
Total participants	2017-01-01	91
2016: BIRMINGHAM-SOUTHERN COLLEGE LONG TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	103
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	100
Total of all active and inactive participants	2016-01-01	100
Total participants	2016-01-01	100
2015: BIRMINGHAM-SOUTHERN COLLEGE LONG TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	108
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	103
Total of all active and inactive participants	2015-01-01	103
Total participants	2015-01-01	103
2014: BIRMINGHAM-SOUTHERN COLLEGE LONG TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	114
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	108
Total of all active and inactive participants	2014-01-01	108
Total participants	2014-01-01	108

Form 5500 Responses for BIRMINGHAM-SOUTHERN COLLEGE LONG TERM DISABILITY PLAN

2017: BIRMINGHAM-SOUTHERN COLLEGE LONG TERM DISABILITY PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: BIRMINGHAM-SOUTHERN COLLEGE LONG TERM DISABILITY PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: BIRMINGHAM-SOUTHERN COLLEGE LONG TERM DISABILITY PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: BIRMINGHAM-SOUTHERN COLLEGE LONG TERM DISABILITY PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	First time form 5500 has been submitted	Yes
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G000AYN9

Policy instance

Insurance contract or identification number	G000AYN9
Number of Individuals Covered	91
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $6,821
Total amount of fees paid to insurance company	USD $1,831
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $45,471
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,821
Insurance broker organization code?	3
Insurance broker name	SS NESBITT & COMPANY INC

UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )

Policy contract number

5469989

Policy instance

Insurance contract or identification number	5469989
Number of Individuals Covered	103
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of fees paid to insurance company	USD $7,667
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $51,579
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,667
Insurance broker organization code?	3
Insurance broker name	SS NESBITT & COMPANY INC

UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )

Policy contract number

5469989

Policy instance

Insurance contract or identification number	5469989
Number of Individuals Covered	108
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $8,140
Total amount of fees paid to insurance company	USD $1,644
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $53,803
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,140
Amount paid for insurance broker fees	1644
Insurance broker organization code?	3
Insurance broker name	SS NESBITT & COMPANY INC

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Company Name:	BIRMINGHAM SOUTHERN COLLEGE
Employer identification number (EIN):	630288811
NAIC Classification:	611000