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MAINE CREDIT UNION LEAGUE INSURANCE TRUST EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan NameMAINE CREDIT UNION LEAGUE INSURANCE TRUST EMPLOYEE BENEFIT PLAN
Plan identification number 501

MAINE CREDIT UNION LEAGUE INSURANCE TRUST EMPLOYEE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

MAINE CREDIT UNION LEAGUE INSURANCE TRUST has sponsored the creation of one or more 401k plans.

Company Name:MAINE CREDIT UNION LEAGUE INSURANCE TRUST
Employer identification number (EIN):836759671
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MAINE CREDIT UNION LEAGUE INSURANCE TRUST EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-04-01
5012021-04-01
5012021-04-01
5012020-04-01
5012019-04-01
5012019-04-01

Plan Statistics for MAINE CREDIT UNION LEAGUE INSURANCE TRUST EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for MAINE CREDIT UNION LEAGUE INSURANCE TRUST EMPLOYEE BENEFIT PLAN

Measure Date Value
2022: MAINE CREDIT UNION LEAGUE INSURANCE TRUST EMPLOYEE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-04-011,120
Total number of active participants reported on line 7a of the Form 55002022-04-011,138
Number of retired or separated participants receiving benefits2022-04-0113
Number of other retired or separated participants entitled to future benefits2022-04-010
Total of all active and inactive participants2022-04-011,151
2021: MAINE CREDIT UNION LEAGUE INSURANCE TRUST EMPLOYEE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-04-011,069
Total number of active participants reported on line 7a of the Form 55002021-04-011,117
Number of retired or separated participants receiving benefits2021-04-013
Number of other retired or separated participants entitled to future benefits2021-04-010
Total of all active and inactive participants2021-04-011,120
2020: MAINE CREDIT UNION LEAGUE INSURANCE TRUST EMPLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-04-01916
Total number of active participants reported on line 7a of the Form 55002020-04-011,058
Number of retired or separated participants receiving benefits2020-04-0111
Number of other retired or separated participants entitled to future benefits2020-04-010
Total of all active and inactive participants2020-04-011,069
2019: MAINE CREDIT UNION LEAGUE INSURANCE TRUST EMPLOYEE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-010
Total number of active participants reported on line 7a of the Form 55002019-04-01907
Number of retired or separated participants receiving benefits2019-04-019
Number of other retired or separated participants entitled to future benefits2019-04-010
Total of all active and inactive participants2019-04-01916

Financial Data on MAINE CREDIT UNION LEAGUE INSURANCE TRUST EMPLOYEE BENEFIT PLAN

Measure Date Value
2023 : MAINE CREDIT UNION LEAGUE INSURANCE TRUST EMPLOYEE BENEFIT PLAN 2023 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2023-03-31$-135,328
Total unrealized appreciation/depreciation of assets2023-03-31$-135,328
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-03-31$2,195,172
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-03-31$546,166
Total income from all sources (including contributions)2023-03-31$7,798,421
Total loss/gain on sale of assets2023-03-31$0
Total of all expenses incurred2023-03-31$9,639,669
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-03-31$8,693,751
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-03-31$7,893,683
Value of total assets at end of year2023-03-31$2,407,437
Value of total assets at beginning of year2023-03-31$2,599,679
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-03-31$945,918
Total interest from all sources2023-03-31$40,066
Total dividends received (eg from common stock, registered investment company shares)2023-03-31$0
Administrative expenses professional fees incurred2023-03-31$77,383
Was this plan covered by a fidelity bond2023-03-31Yes
Value of fidelity bond cover2023-03-31$1,000,000
If this is an individual account plan, was there a blackout period2023-03-31No
Were there any nonexempt tranactions with any party-in-interest2023-03-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-03-31$87,579
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-03-31$32,890
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-03-31$721,253
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-03-31$272,575
Administrative expenses (other) incurred2023-03-31$90,699
Liabilities. Value of operating payables at end of year2023-03-31$20,342
Liabilities. Value of operating payables at beginning of year2023-03-31$6,410
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-03-31No
Value of net income/loss2023-03-31$-1,841,248
Value of net assets at end of year (total assets less liabilities)2023-03-31$212,265
Value of net assets at beginning of year (total assets less liabilities)2023-03-31$2,053,513
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-03-31No
Were any leases to which the plan was party in default or uncollectible2023-03-31No
Investment advisory and management fees2023-03-31$7,264
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-03-31$427,369
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-03-31$1,277,152
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-03-31$1,623,230
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-03-31$907,613
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-03-31$907,613
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-03-31$40,066
Asset value of US Government securities at end of year2023-03-31$269,259
Asset value of US Government securities at beginning of year2023-03-31$382,024
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-03-31No
Was there a failure to transmit to the plan any participant contributions2023-03-31No
Has the plan failed to provide any benefit when due under the plan2023-03-31No
Contributions received in cash from employer2023-03-31$7,893,683
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-03-31$8,693,751
Contract administrator fees2023-03-31$770,572
Liabilities. Value of benefit claims payable at end of year2023-03-31$1,453,577
Liabilities. Value of benefit claims payable at beginning of year2023-03-31$267,181
Did the plan have assets held for investment2023-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-03-31No
Opinion of an independent qualified public accountant for this plan2023-03-31Unqualified
Accountancy firm name2023-03-31WIPFLI LLP
Accountancy firm EIN2023-03-31390758449
2022 : MAINE CREDIT UNION LEAGUE INSURANCE TRUST EMPLOYEE BENEFIT PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-03-31$-46,355
Total unrealized appreciation/depreciation of assets2022-03-31$-46,355
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-03-31$546,166
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-03-31$286,584
Total income from all sources (including contributions)2022-03-31$6,462,501
Total loss/gain on sale of assets2022-03-31$0
Total of all expenses incurred2022-03-31$7,059,752
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-03-31$6,071,039
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-03-31$6,402,857
Value of total assets at end of year2022-03-31$2,599,679
Value of total assets at beginning of year2022-03-31$2,937,348
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-03-31$988,713
Total interest from all sources2022-03-31$30,420
Total dividends received (eg from common stock, registered investment company shares)2022-03-31$0
Administrative expenses professional fees incurred2022-03-31$89,531
Was this plan covered by a fidelity bond2022-03-31Yes
Value of fidelity bond cover2022-03-31$500,000
If this is an individual account plan, was there a blackout period2022-03-31No
Were there any nonexempt tranactions with any party-in-interest2022-03-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-03-31$32,890
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-03-31$2,960
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-03-31$272,575
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-03-31$204,485
Other income not declared elsewhere2022-03-31$75,579
Administrative expenses (other) incurred2022-03-31$80,926
Liabilities. Value of operating payables at end of year2022-03-31$6,410
Liabilities. Value of operating payables at beginning of year2022-03-31$7,508
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-03-31No
Value of net income/loss2022-03-31$-597,251
Value of net assets at end of year (total assets less liabilities)2022-03-31$2,053,513
Value of net assets at beginning of year (total assets less liabilities)2022-03-31$2,650,764
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-03-31No
Were any leases to which the plan was party in default or uncollectible2022-03-31No
Investment advisory and management fees2022-03-31$8,517
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-03-31$1,277,152
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-03-31$1,167,719
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-03-31$907,613
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-03-31$1,276,916
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-03-31$1,276,916
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-03-31$30,420
Asset value of US Government securities at end of year2022-03-31$382,024
Asset value of US Government securities at beginning of year2022-03-31$408,974
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-03-31No
Was there a failure to transmit to the plan any participant contributions2022-03-31No
Has the plan failed to provide any benefit when due under the plan2022-03-31No
Contributions received in cash from employer2022-03-31$6,402,857
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-03-31$6,071,039
Asset. Corporate debt instrument debt (other) at end of year2022-03-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2022-03-31$80,779
Contract administrator fees2022-03-31$809,739
Liabilities. Value of benefit claims payable at end of year2022-03-31$267,181
Liabilities. Value of benefit claims payable at beginning of year2022-03-31$74,591
Did the plan have assets held for investment2022-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-03-31No
Opinion of an independent qualified public accountant for this plan2022-03-31Unqualified
Accountancy firm name2022-03-31WIPFLI LLP
Accountancy firm EIN2022-03-31390758449
2021 : MAINE CREDIT UNION LEAGUE INSURANCE TRUST EMPLOYEE BENEFIT PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-03-31$126,008
Total unrealized appreciation/depreciation of assets2021-03-31$126,008
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-03-31$286,584
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-03-31$260,116
Total income from all sources (including contributions)2021-03-31$6,181,077
Total loss/gain on sale of assets2021-03-31$926
Total of all expenses incurred2021-03-31$4,967,441
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-03-31$4,017,900
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-03-31$6,031,741
Value of total assets at end of year2021-03-31$2,937,348
Value of total assets at beginning of year2021-03-31$1,697,244
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-03-31$949,541
Total interest from all sources2021-03-31$22,402
Total dividends received (eg from common stock, registered investment company shares)2021-03-31$0
Administrative expenses professional fees incurred2021-03-31$88,682
Was this plan covered by a fidelity bond2021-03-31Yes
Value of fidelity bond cover2021-03-31$500,000
If this is an individual account plan, was there a blackout period2021-03-31No
Were there any nonexempt tranactions with any party-in-interest2021-03-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-03-31$2,960
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-03-31$3,764
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-03-31$204,485
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-03-31$181,935
Administrative expenses (other) incurred2021-03-31$69,250
Liabilities. Value of operating payables at end of year2021-03-31$7,508
Liabilities. Value of operating payables at beginning of year2021-03-31$12,281
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-03-31No
Value of net income/loss2021-03-31$1,213,636
Value of net assets at end of year (total assets less liabilities)2021-03-31$2,650,764
Value of net assets at beginning of year (total assets less liabilities)2021-03-31$1,437,128
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-03-31No
Were any leases to which the plan was party in default or uncollectible2021-03-31No
Investment advisory and management fees2021-03-31$3,351
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-03-31$1,167,719
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-03-31$497,521
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-03-31$1,276,916
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-03-31$412,021
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-03-31$412,021
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-03-31$22,402
Asset value of US Government securities at end of year2021-03-31$408,974
Asset value of US Government securities at beginning of year2021-03-31$702,710
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-03-31No
Was there a failure to transmit to the plan any participant contributions2021-03-31No
Has the plan failed to provide any benefit when due under the plan2021-03-31No
Contributions received in cash from employer2021-03-31$6,031,741
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-03-31$4,017,900
Asset. Corporate debt instrument debt (other) at end of year2021-03-31$80,779
Asset. Corporate debt instrument debt (other) at beginning of year2021-03-31$81,228
Contract administrator fees2021-03-31$788,258
Liabilities. Value of benefit claims payable at end of year2021-03-31$74,591
Liabilities. Value of benefit claims payable at beginning of year2021-03-31$65,900
Did the plan have assets held for investment2021-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-03-31No
Aggregate proceeds on sale of assets2021-03-31$330,000
Aggregate carrying amount (costs) on sale of assets2021-03-31$329,074
Opinion of an independent qualified public accountant for this plan2021-03-31Unqualified
Accountancy firm name2021-03-31WIPFLI LLP
Accountancy firm EIN2021-03-31390758449
2020 : MAINE CREDIT UNION LEAGUE INSURANCE TRUST EMPLOYEE BENEFIT PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-03-31$-29,748
Total unrealized appreciation/depreciation of assets2020-03-31$-29,748
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-03-31$260,116
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-03-31$0
Total income from all sources (including contributions)2020-03-31$5,830,340
Total loss/gain on sale of assets2020-03-31$2,729
Total of all expenses incurred2020-03-31$4,393,212
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-03-31$3,743,726
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-03-31$5,827,901
Value of total assets at end of year2020-03-31$1,697,244
Value of total assets at beginning of year2020-03-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-03-31$649,486
Total interest from all sources2020-03-31$29,458
Total dividends received (eg from common stock, registered investment company shares)2020-03-31$0
Administrative expenses professional fees incurred2020-03-31$55,882
Was this plan covered by a fidelity bond2020-03-31Yes
Value of fidelity bond cover2020-03-31$500,000
If this is an individual account plan, was there a blackout period2020-03-31No
Were there any nonexempt tranactions with any party-in-interest2020-03-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-03-31$3,764
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-03-31$181,935
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-03-31$0
Administrative expenses (other) incurred2020-03-31$52,346
Liabilities. Value of operating payables at end of year2020-03-31$12,281
Liabilities. Value of operating payables at beginning of year2020-03-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-03-31No
Value of net income/loss2020-03-31$1,437,128
Value of net assets at end of year (total assets less liabilities)2020-03-31$1,437,128
Value of net assets at beginning of year (total assets less liabilities)2020-03-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-03-31No
Were any leases to which the plan was party in default or uncollectible2020-03-31No
Investment advisory and management fees2020-03-31$6,689
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-03-31$497,521
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-03-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-03-31$412,021
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-03-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-03-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-03-31$29,458
Asset value of US Government securities at end of year2020-03-31$702,710
Asset value of US Government securities at beginning of year2020-03-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-03-31No
Was there a failure to transmit to the plan any participant contributions2020-03-31No
Has the plan failed to provide any benefit when due under the plan2020-03-31No
Contributions received in cash from employer2020-03-31$5,827,901
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-03-31$3,743,726
Asset. Corporate debt instrument debt (other) at end of year2020-03-31$81,228
Asset. Corporate debt instrument debt (other) at beginning of year2020-03-31$0
Contract administrator fees2020-03-31$534,569
Liabilities. Value of benefit claims payable at end of year2020-03-31$65,900
Liabilities. Value of benefit claims payable at beginning of year2020-03-31$0
Did the plan have assets held for investment2020-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-03-31No
Aggregate proceeds on sale of assets2020-03-31$630,000
Aggregate carrying amount (costs) on sale of assets2020-03-31$627,271
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-03-31No
Opinion of an independent qualified public accountant for this plan2020-03-31Unqualified
Accountancy firm name2020-03-31WIPFLI LLP
Accountancy firm EIN2020-03-31390758449

Form 5500 Responses for MAINE CREDIT UNION LEAGUE INSURANCE TRUST EMPLOYEE BENEFIT PLAN

2022: MAINE CREDIT UNION LEAGUE INSURANCE TRUST EMPLOYEE BENEFIT PLAN 2022 form 5500 responses
2022-04-01Type of plan entityMulitple employer plan
2022-04-01Submission has been amendedYes
2022-04-01This submission is the final filingNo
2022-04-01This return/report is a short plan year return/report (less than 12 months)No
2022-04-01Plan is a collectively bargained planNo
2022-04-01Plan funding arrangement – TrustYes
2022-04-01Plan benefit arrangement - TrustYes
2021: MAINE CREDIT UNION LEAGUE INSURANCE TRUST EMPLOYEE BENEFIT PLAN 2021 form 5500 responses
2021-04-01Type of plan entityMulitple employer plan
2021-04-01Submission has been amendedNo
2021-04-01This submission is the final filingNo
2021-04-01This return/report is a short plan year return/report (less than 12 months)No
2021-04-01Plan is a collectively bargained planNo
2021-04-01Plan funding arrangement – TrustYes
2021-04-01Plan benefit arrangement - TrustYes
2020: MAINE CREDIT UNION LEAGUE INSURANCE TRUST EMPLOYEE BENEFIT PLAN 2020 form 5500 responses
2020-04-01Type of plan entityMulitple employer plan
2020-04-01Submission has been amendedNo
2020-04-01This submission is the final filingNo
2020-04-01This return/report is a short plan year return/report (less than 12 months)No
2020-04-01Plan is a collectively bargained planNo
2020-04-01Plan funding arrangement – TrustYes
2020-04-01Plan benefit arrangement - TrustYes
2019: MAINE CREDIT UNION LEAGUE INSURANCE TRUST EMPLOYEE BENEFIT PLAN 2019 form 5500 responses
2019-04-01Type of plan entityMulitple employer plan
2019-04-01First time form 5500 has been submittedYes
2019-04-01Submission has been amendedNo
2019-04-01This submission is the final filingNo
2019-04-01This return/report is a short plan year return/report (less than 12 months)No
2019-04-01Plan is a collectively bargained planNo
2019-04-01Plan funding arrangement – TrustYes
2019-04-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract numberG1850
Policy instance 1
Insurance contract or identification numberG1850
Number of Individuals Covered1111
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
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 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
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 $510,784
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract numberG1850
Policy instance 1
Insurance contract or identification numberG1850
Number of Individuals Covered1111
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
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 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
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 $499,562
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract numberG1850
Policy instance 1
Insurance contract or identification numberG1850
Number of Individuals Covered1067
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
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 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
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 $437,749
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract numberG1850
Policy instance 1
Insurance contract or identification numberG1850
Number of Individuals Covered907
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
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 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
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 $331,343
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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