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SUN CITY PALM DESERT COMMUNITY ASSOCIATION FLEX COMP PLAN 401k Plan overview

Plan NameSUN CITY PALM DESERT COMMUNITY ASSOCIATION FLEX COMP PLAN
Plan identification number 502

SUN CITY PALM DESERT COMMUNITY ASSOCIATION FLEX COMP PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Long-term disability cover

401k Sponsoring company profile

SUN CITY PALM SPRINGS COMMUNIT has sponsored the creation of one or more 401k plans.

Company Name:SUN CITY PALM SPRINGS COMMUNIT
Employer identification number (EIN):943200731
NAIC Classification:531310

Additional information about SUN CITY PALM SPRINGS COMMUNIT

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: C1708092

More information about SUN CITY PALM SPRINGS COMMUNIT

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SUN CITY PALM DESERT COMMUNITY ASSOCIATION FLEX COMP PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022015-01-01ROBERTA HOFFMAN
5022014-01-01ROBERTA HOFFMAN ROBERTA HOFFMAN2015-07-16
5022013-01-01ROBERTA HOFFMAN
5022012-01-01ROBERTA HOFFMAN

Plan Statistics for SUN CITY PALM DESERT COMMUNITY ASSOCIATION FLEX COMP PLAN

401k plan membership statisitcs for SUN CITY PALM DESERT COMMUNITY ASSOCIATION FLEX COMP PLAN

Measure Date Value
2015: SUN CITY PALM DESERT COMMUNITY ASSOCIATION FLEX COMP PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01163
Total number of active participants reported on line 7a of the Form 55002015-01-01155
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01155
2014: SUN CITY PALM DESERT COMMUNITY ASSOCIATION FLEX COMP PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01162
Total number of active participants reported on line 7a of the Form 55002014-01-010
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-010
2013: SUN CITY PALM DESERT COMMUNITY ASSOCIATION FLEX COMP PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01162
Total number of active participants reported on line 7a of the Form 55002013-01-01162
Total of all active and inactive participants2013-01-01162
2012: SUN CITY PALM DESERT COMMUNITY ASSOCIATION FLEX COMP PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-010
Total number of active participants reported on line 7a of the Form 55002012-01-01162
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01162

Form 5500 Responses for SUN CITY PALM DESERT COMMUNITY ASSOCIATION FLEX COMP PLAN

2015: SUN CITY PALM DESERT COMMUNITY ASSOCIATION FLEX COMP PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: SUN CITY PALM DESERT COMMUNITY ASSOCIATION FLEX COMP PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: SUN CITY PALM DESERT COMMUNITY ASSOCIATION FLEX COMP PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: SUN CITY PALM DESERT COMMUNITY ASSOCIATION FLEX COMP PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01First time form 5500 has been submittedYes
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 )
Policy contract numberW0053638
Policy instance 2
Insurance contract or identification numberW0053638
Number of Individuals Covered120
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $50,925
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $50,925
Insurance broker organization code?3
Insurance broker nameBENEFITS ARCHITECTS INSURANCE
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00472486
Policy instance 1
Insurance contract or identification number00472486
Number of Individuals Covered155
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $10,818
Total amount of fees paid to insurance companyUSD $3,213
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD & D
Commission paid to Insurance BrokerUSD $10,818
Amount paid for insurance broker fees3213
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
Insurance broker nameEMPLOYER RESOURCE GROUP & INS SVCS
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number165473
Policy instance 3
Insurance contract or identification number165473
Number of Individuals Covered0
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,659
Total amount of fees paid to insurance companyUSD $663
Commission paid to Insurance BrokerUSD $1,659
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
Insurance broker nameLISI, INC.
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 )
Policy contract number
Policy instance 1
Number of Individuals Covered128
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $37,138
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $37,138
Insurance broker organization code?3
Insurance broker nameEMPLOYER RESOURCE GROUP & INS SVCS
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00472486
Policy instance 2
Insurance contract or identification number00472486
Number of Individuals Covered163
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $10,479
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD & D
Commission paid to Insurance BrokerUSD $10,479
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameEMPLOYER RESOURCE GROUP & INS SVCS
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00472486
Policy instance 3
Insurance contract or identification number00472486
Number of Individuals Covered162
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $10,016
Total amount of fees paid to insurance companyUSD $2,067
Commission paid to Insurance BrokerUSD $10,016
Amount paid for insurance broker fees2067
Additional information about fees paid to insurance brokerFEES PAID
Insurance broker organization code?3
Insurance broker nameEMPLOYER RESOURCE GROUP & INS SVCS
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number165473
Policy instance 2
Insurance contract or identification number165473
Number of Individuals Covered41
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $20,471
Total amount of fees paid to insurance companyUSD $6,880
Health Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $20,471
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES PAID
Insurance broker nameLISI, INC.
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number230575
Policy instance 1
Insurance contract or identification number230575
Number of Individuals Covered141
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $20,589
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $20,589
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameEMPLOYER RESOURCE GROUP & INS SVCS
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number165473
Policy instance 3
Insurance contract or identification number165473
Number of Individuals Covered44
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $21,605
Total amount of fees paid to insurance companyUSD $8,527
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $464,966
Commission paid to Insurance BrokerUSD $21,605
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES PAID
Insurance broker nameLISI, INC.
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number230575
Policy instance 2
Insurance contract or identification number230575
Number of Individuals Covered115
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $24,426
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $24,426
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameEMPLOYER RESOURCE GROUP & INS SVCS
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00472486
Policy instance 1
Insurance contract or identification number00472486
Number of Individuals Covered162
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $9,277
Total amount of fees paid to insurance companyUSD $0
Commission paid to Insurance BrokerUSD $9,277
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameEMPLOYER RESOURCE GROUP & INS SVCS

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