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PHOENIX-MESA GATEWAY AIRPORT AUTHORITY EMPLOYEE LIFE AND DISABILITY BENEFIT PLAN 401k Plan overview

Plan NamePHOENIX-MESA GATEWAY AIRPORT AUTHORITY EMPLOYEE LIFE AND DISABILITY BENEFIT PLAN
Plan identification number 502

PHOENIX-MESA GATEWAY AIRPORT AUTHORITY EMPLOYEE LIFE AND DISABILITY BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

PHOENIX-MESA GATEWAY AIRPORT AUTHORITY has sponsored the creation of one or more 401k plans.

Company Name:PHOENIX-MESA GATEWAY AIRPORT AUTHORITY
Employer identification number (EIN):742712930
NAIC Classification:481000
NAIC Description: Air Transportation

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PHOENIX-MESA GATEWAY AIRPORT AUTHORITY EMPLOYEE LIFE AND DISABILITY BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022019-07-01VERONICA LEWIS2021-02-02
5022017-07-01
5022017-07-01VERONICA LEWIS2019-12-31
5022010-01-01JANICE LAVALLEE LOTUS WILLIAMS2011-10-10
5022009-01-01JANICE LAVALLEE LOTUS WILLIAMS2010-10-06

Plan Statistics for PHOENIX-MESA GATEWAY AIRPORT AUTHORITY EMPLOYEE LIFE AND DISABILITY BENEFIT PLAN

401k plan membership statisitcs for PHOENIX-MESA GATEWAY AIRPORT AUTHORITY EMPLOYEE LIFE AND DISABILITY BENEFIT PLAN

Measure Date Value
2019: PHOENIX-MESA GATEWAY AIRPORT AUTHORITY EMPLOYEE LIFE AND DISABILITY BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01107
Total number of active participants reported on line 7a of the Form 55002019-07-010
Number of retired or separated participants receiving benefits2019-07-010
Number of other retired or separated participants entitled to future benefits2019-07-010
Total of all active and inactive participants2019-07-010
Number of employers contributing to the scheme2019-07-010
2017: PHOENIX-MESA GATEWAY AIRPORT AUTHORITY EMPLOYEE LIFE AND DISABILITY BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01100
Total number of active participants reported on line 7a of the Form 55002017-07-01103
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-010
Total of all active and inactive participants2017-07-01103
Number of employers contributing to the scheme2017-07-010
2010: PHOENIX-MESA GATEWAY AIRPORT AUTHORITY EMPLOYEE LIFE AND DISABILITY BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01100
Total number of active participants reported on line 7a of the Form 55002010-01-0199
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-0199
2009: PHOENIX-MESA GATEWAY AIRPORT AUTHORITY EMPLOYEE LIFE AND DISABILITY BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01103
Total number of active participants reported on line 7a of the Form 55002009-01-01100
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01100

Form 5500 Responses for PHOENIX-MESA GATEWAY AIRPORT AUTHORITY EMPLOYEE LIFE AND DISABILITY BENEFIT PLAN

2019: PHOENIX-MESA GATEWAY AIRPORT AUTHORITY EMPLOYEE LIFE AND DISABILITY BENEFIT PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01This submission is the final filingYes
2019-07-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – InsuranceYes
2017: PHOENIX-MESA GATEWAY AIRPORT AUTHORITY EMPLOYEE LIFE AND DISABILITY BENEFIT PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedYes
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2010: PHOENIX-MESA GATEWAY AIRPORT AUTHORITY EMPLOYEE LIFE AND DISABILITY BENEFIT PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: PHOENIX-MESA GATEWAY AIRPORT AUTHORITY EMPLOYEE LIFE AND DISABILITY BENEFIT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01First time form 5500 has been submittedYes
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number934649
Policy instance 1
Insurance contract or identification number934649
Number of Individuals Covered107
Insurance policy start date2019-07-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $33,920
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number934650
Policy instance 1
Insurance contract or identification number934650
Number of Individuals Covered51
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $23,462
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number934649
Policy instance 2
Insurance contract or identification number934649
Number of Individuals Covered103
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $32,232
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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