RURAL ALASKA COMMUNITY ACTION PROGRAM, INC MEDICAL PLAN 401k Plan overview
| Plan Name | RURAL ALASKA COMMUNITY ACTION PROGRAM, INC MEDICAL PLAN |
| Plan identification number | 503 |
RURAL ALASKA COMMUNITY ACTION PROGRAM, INC MEDICAL PLAN Benefits
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits | - Health (other than dental or vision)
- Dental
- Vision
- Other welfare benefit cover
- 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
RURAL ALASKA COMMUNITY ACTION PROGRAM, INC. has sponsored the creation of one or more 401k plans.
Additional information about RURAL ALASKA COMMUNITY ACTION PROGRAM, INC.
| Jurisdiction of Incorporation: | Alaska Department Commerce, Community & Economic Development |
| Incorporation Date: | 1965-07-30 |
| Company Identification Number: | 6814D |
| Legal Registered Office Address: |
731 E 8TH AVENUE
ANCHORAGE
United States of America (USA)
99501
|
More information about RURAL ALASKA COMMUNITY ACTION PROGRAM, INC.
Form 5500 Filing Information
Submission information for form 5500 for 401k plan RURAL ALASKA COMMUNITY ACTION PROGRAM, INC MEDICAL PLAN
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 503 | 2018-01-01 | | | | |
| 503 | 2017-04-01 | CYNTHIA TISHER | | | |
| 503 | 2016-04-01 | CYNTHIA TISHER | | | |
| 503 | 2016-04-01 | | | | |
Plan Statistics for RURAL ALASKA COMMUNITY ACTION PROGRAM, INC MEDICAL PLAN
401k plan membership statisitcs for RURAL ALASKA COMMUNITY ACTION PROGRAM, INC MEDICAL PLAN
| Measure | Date | Value |
|---|
| 2018: RURAL ALASKA COMMUNITY ACTION PROGRAM, INC MEDICAL PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 245 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 233 |
| Number of retired or separated participants receiving benefits | 2018-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-01-01 | 0 |
| Total of all active and inactive participants | 2018-01-01 | 233 |
| 2017: RURAL ALASKA COMMUNITY ACTION PROGRAM, INC MEDICAL PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-04-01 | 156 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-04-01 | 149 |
| Number of retired or separated participants receiving benefits | 2017-04-01 | 2 |
| Total of all active and inactive participants | 2017-04-01 | 151 |
| Total participants | 2017-04-01 | 151 |
| 2016: RURAL ALASKA COMMUNITY ACTION PROGRAM, INC MEDICAL PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-04-01 | 173 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-04-01 | 236 |
| Number of retired or separated participants receiving benefits | 2016-04-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-04-01 | 0 |
| Total of all active and inactive participants | 2016-04-01 | 236 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2016-04-01 | 0 |
| Total participants | 2016-04-01 | 236 |
Form 5500 Responses for RURAL ALASKA COMMUNITY ACTION PROGRAM, INC MEDICAL PLAN
| 2018: RURAL ALASKA COMMUNITY ACTION PROGRAM, INC MEDICAL PLAN 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: RURAL ALASKA COMMUNITY ACTION PROGRAM, INC MEDICAL PLAN 2017 form 5500 responses |
|---|
| 2017-04-01 | Type of plan entity | Single employer plan |
| 2017-04-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2017-04-01 | Plan funding arrangement – Insurance | Yes |
| 2017-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: RURAL ALASKA COMMUNITY ACTION PROGRAM, INC MEDICAL PLAN 2016 form 5500 responses |
|---|
| 2016-04-01 | Type of plan entity | Single employer plan |
| 2016-04-01 | First time form 5500 has been submitted | Yes |
| 2016-04-01 | Submission has been amended | Yes |
| 2016-04-01 | Plan funding arrangement – Insurance | Yes |
| 2016-04-01 | Plan benefit arrangement – Insurance | Yes |
Insurance Providers Used on plan
| PREMERA BLUE CROSS BLUE SHIELD OF ALASKA, INC. (National Association of Insurance Commissioners NAIC id number: 11677 ) |
| Policy contract number | 4009896 |
| Policy instance | 1 |
| Insurance contract or identification number | 4009896 | | Number of Individuals Covered | 189 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of fees paid to insurance company | USD $9,395 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,055,248 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 4855 | | Additional information about fees paid to insurance broker | PREFERRED PRODUCER PROGRAM | | Insurance broker organization code? | 3 |
|
| PREMERA BLUE CROSS BLUE SHIELD OF ALASKA, INC. (National Association of Insurance Commissioners NAIC id number: 11677 ) |
| Policy contract number | 4009896 |
| Policy instance | 1 |
| Insurance contract or identification number | 4009896 | | Number of Individuals Covered | 154 | | Insurance policy start date | 2017-04-01 | | Insurance policy end date | 2017-12-31 | | Total amount of fees paid to insurance company | USD $6,935 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,580,586 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 6935 | | Additional information about fees paid to insurance broker | PRFERRED PRODUCER PROGRAM | | Insurance broker organization code? | 3 | | Insurance broker name | KIBBLE & PRENTICE HOLDING CO. |
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