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HAWAII MEDICAL SERVICE ASSOCIATION 401k Plan overview

Plan NameHAWAII MEDICAL SERVICE ASSOCIATION
Plan identification number 503

HAWAII MEDICAL SERVICE ASSOCIATION Benefits

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

401k Sponsoring company profile

HONOLULU COMMUNITY ACTION PROGRAM, INC. has sponsored the creation of one or more 401k plans.

Company Name:HONOLULU COMMUNITY ACTION PROGRAM, INC.
Employer identification number (EIN):990140622
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HAWAII MEDICAL SERVICE ASSOCIATION

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032014-07-01JOCELYN BANKS
5032014-07-01DEREK NISHIMURA
5032013-07-01DEREK NISHIMURA
5032012-07-01DEREK NISHIMURA
5032011-07-01DEREK NISHIMURA
5032010-07-01DEREK NISHIMURA DEREK NISHIMURA2011-12-07
5032009-07-01DEREK NISHIMURA

Plan Statistics for HAWAII MEDICAL SERVICE ASSOCIATION

401k plan membership statisitcs for HAWAII MEDICAL SERVICE ASSOCIATION

Measure Date Value
2014: HAWAII MEDICAL SERVICE ASSOCIATION 2014 401k membership
Total participants, beginning-of-year2014-07-0145
Total number of active participants reported on line 7a of the Form 55002014-07-010
Total of all active and inactive participants2014-07-010
Total participants2014-07-010
2013: HAWAII MEDICAL SERVICE ASSOCIATION 2013 401k membership
Total participants, beginning-of-year2013-07-0153
Total number of active participants reported on line 7a of the Form 55002013-07-0145
Total of all active and inactive participants2013-07-0145
Total participants2013-07-0145
2012: HAWAII MEDICAL SERVICE ASSOCIATION 2012 401k membership
Total participants, beginning-of-year2012-07-0151
Total number of active participants reported on line 7a of the Form 55002012-07-0156
Total of all active and inactive participants2012-07-0156
Total participants2012-07-0156
2011: HAWAII MEDICAL SERVICE ASSOCIATION 2011 401k membership
Total participants, beginning-of-year2011-07-0162
Total number of active participants reported on line 7a of the Form 55002011-07-0160
Number of retired or separated participants receiving benefits2011-07-010
Number of other retired or separated participants entitled to future benefits2011-07-010
Total of all active and inactive participants2011-07-0160
Total participants2011-07-0160
2010: HAWAII MEDICAL SERVICE ASSOCIATION 2010 401k membership
Total participants, beginning-of-year2010-07-0174
Total number of active participants reported on line 7a of the Form 55002010-07-0160
Number of retired or separated participants receiving benefits2010-07-010
Number of other retired or separated participants entitled to future benefits2010-07-010
Total of all active and inactive participants2010-07-0160
Total participants2010-07-0160
2009: HAWAII MEDICAL SERVICE ASSOCIATION 2009 401k membership
Total participants, beginning-of-year2009-07-0182
Total number of active participants reported on line 7a of the Form 55002009-07-0174
Number of retired or separated participants receiving benefits2009-07-010
Number of other retired or separated participants entitled to future benefits2009-07-010
Total of all active and inactive participants2009-07-0174
Total participants2009-07-0174

Form 5500 Responses for HAWAII MEDICAL SERVICE ASSOCIATION

2014: HAWAII MEDICAL SERVICE ASSOCIATION 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedYes
2014-07-01This submission is the final filingYes
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: HAWAII MEDICAL SERVICE ASSOCIATION 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: HAWAII MEDICAL SERVICE ASSOCIATION 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: HAWAII MEDICAL SERVICE ASSOCIATION 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2010: HAWAII MEDICAL SERVICE ASSOCIATION 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Submission has been amendedNo
2010-07-01This submission is the final filingNo
2010-07-01This return/report is a short plan year return/report (less than 12 months)No
2010-07-01Plan is a collectively bargained planNo
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan benefit arrangement – InsuranceYes
2009: HAWAII MEDICAL SERVICE ASSOCIATION 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number1249
Policy instance 1
Insurance contract or identification number1249
Number of Individuals Covered47
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $0
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 $394,311
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number1249
Policy instance 1
Insurance contract or identification number1249
Number of Individuals Covered55
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 $426,864
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number1249
Policy instance 1
Insurance contract or identification number1249
Number of Individuals Covered65
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $427,642
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number1249
Policy instance 1
Insurance contract or identification number1249
Number of Individuals Covered70
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $471,369
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number1249
Policy instance 1
Insurance contract or identification number1249
Number of Individuals Covered60
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $472,192

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