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HOUSTON SPCA EMPLOYEE INDEMNITY POLICY 401k Plan overview

Plan NameHOUSTON SPCA EMPLOYEE INDEMNITY POLICY
Plan identification number 501

HOUSTON SPCA EMPLOYEE INDEMNITY POLICY Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

HOUSTON SPCA has sponsored the creation of one or more 401k plans.

Company Name:HOUSTON SPCA
Employer identification number (EIN):741287171
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOUSTON SPCA EMPLOYEE INDEMNITY POLICY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012018-09-06
5012017-09-06
5012016-09-06ANTHONY HEDGER
5012015-09-06ANTHONY HEDGER

Plan Statistics for HOUSTON SPCA EMPLOYEE INDEMNITY POLICY

401k plan membership statisitcs for HOUSTON SPCA EMPLOYEE INDEMNITY POLICY

Measure Date Value
2018: HOUSTON SPCA EMPLOYEE INDEMNITY POLICY 2018 401k membership
Total participants, beginning-of-year2018-09-06105
Total number of active participants reported on line 7a of the Form 55002018-09-06112
Number of retired or separated participants receiving benefits2018-09-060
Number of other retired or separated participants entitled to future benefits2018-09-060
Total of all active and inactive participants2018-09-06112
2017: HOUSTON SPCA EMPLOYEE INDEMNITY POLICY 2017 401k membership
Total participants, beginning-of-year2017-09-06105
Total number of active participants reported on line 7a of the Form 55002017-09-06104
Number of retired or separated participants receiving benefits2017-09-060
Number of other retired or separated participants entitled to future benefits2017-09-060
Total of all active and inactive participants2017-09-06104
2016: HOUSTON SPCA EMPLOYEE INDEMNITY POLICY 2016 401k membership
Total participants, beginning-of-year2016-09-06105
Total number of active participants reported on line 7a of the Form 55002016-09-06104
Number of retired or separated participants receiving benefits2016-09-060
Number of other retired or separated participants entitled to future benefits2016-09-060
Total of all active and inactive participants2016-09-06104
2015: HOUSTON SPCA EMPLOYEE INDEMNITY POLICY 2015 401k membership
Total participants, beginning-of-year2015-09-06101
Total number of active participants reported on line 7a of the Form 55002015-09-06105
Number of retired or separated participants receiving benefits2015-09-060
Number of other retired or separated participants entitled to future benefits2015-09-060
Total of all active and inactive participants2015-09-06105

Form 5500 Responses for HOUSTON SPCA EMPLOYEE INDEMNITY POLICY

2018: HOUSTON SPCA EMPLOYEE INDEMNITY POLICY 2018 form 5500 responses
2018-09-06Type of plan entitySingle employer plan
2018-09-06Submission has been amendedNo
2018-09-06This submission is the final filingNo
2018-09-06This return/report is a short plan year return/report (less than 12 months)No
2018-09-06Plan is a collectively bargained planNo
2018-09-06Plan funding arrangement – InsuranceYes
2018-09-06Plan benefit arrangement – InsuranceYes
2017: HOUSTON SPCA EMPLOYEE INDEMNITY POLICY 2017 form 5500 responses
2017-09-06Type of plan entitySingle employer plan
2017-09-06Submission has been amendedNo
2017-09-06This submission is the final filingNo
2017-09-06This return/report is a short plan year return/report (less than 12 months)No
2017-09-06Plan is a collectively bargained planNo
2017-09-06Plan funding arrangement – InsuranceYes
2017-09-06Plan benefit arrangement – InsuranceYes
2016: HOUSTON SPCA EMPLOYEE INDEMNITY POLICY 2016 form 5500 responses
2016-09-06Type of plan entitySingle employer plan
2016-09-06Submission has been amendedNo
2016-09-06This submission is the final filingNo
2016-09-06This return/report is a short plan year return/report (less than 12 months)No
2016-09-06Plan is a collectively bargained planNo
2016-09-06Plan funding arrangement – InsuranceYes
2016-09-06Plan benefit arrangement – InsuranceYes
2015: HOUSTON SPCA EMPLOYEE INDEMNITY POLICY 2015 form 5500 responses
2015-09-06Type of plan entitySingle employer plan
2015-09-06First time form 5500 has been submittedYes
2015-09-06Submission has been amendedNo
2015-09-06This submission is the final filingNo
2015-09-06This return/report is a short plan year return/report (less than 12 months)No
2015-09-06Plan is a collectively bargained planNo
2015-09-06Plan funding arrangement – InsuranceYes
2015-09-06Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

NORTH AMERICAN SPECIALTY INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 29874 )
Policy contract numberEPH070057
Policy instance 1
Insurance contract or identification numberEPH070057
Number of Individuals Covered112
Insurance policy start date2018-09-06
Insurance policy end date2019-09-05
Total amount of commissions paid to insurance brokerUSD $17,659
Total amount of fees paid to insurance companyUSD $4,700
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 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 BenefitYes
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
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 $90,557
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $6,339
Amount paid for insurance broker fees1200
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
NORTH AMERICAN SPECIALTY INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 29874 )
Policy contract numberEPH050057
Policy instance 1
Insurance contract or identification numberEPH050057
Number of Individuals Covered0
Insurance policy start date2017-09-06
Insurance policy end date2018-09-05
Total amount of commissions paid to insurance brokerUSD $19,478
Total amount of fees paid to insurance companyUSD $4,200
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 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 BenefitYes
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
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 $95,006
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
NORTH AMERICAN SPECIALTY INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 29874 )
Policy contract numberEPH040057
Policy instance 1
Insurance contract or identification numberEPH040057
Number of Individuals Covered0
Insurance policy start date2015-09-06
Insurance policy end date2016-09-05
Total amount of commissions paid to insurance brokerUSD $14,227
Total amount of fees paid to insurance companyUSD $4,989
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 BenefitYes
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
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 $69,399
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $10,410
Insurance broker organization code?3
Amount paid for insurance broker fees3200
Additional information about fees paid to insurance brokerFEES
Insurance broker nameANCHOR RISK MANAGEMENT

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