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DODGE CITY COMMUNITY COLLEGE FLEXIBLE WELFARE BENEFIT PLAN 401k Plan overview

Plan NameDODGE CITY COMMUNITY COLLEGE FLEXIBLE WELFARE BENEFIT PLAN
Plan identification number 501

DODGE CITY COMMUNITY COLLEGE FLEXIBLE WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

DODGE CITY COMMUNITY COLLEGE has sponsored the creation of one or more 401k plans.

Company Name:DODGE CITY COMMUNITY COLLEGE
Employer identification number (EIN):521718586
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DODGE CITY COMMUNITY COLLEGE FLEXIBLE WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-01-01
5012020-01-01
5012017-06-01KRISTI OHLSCHWAGER
5012016-06-01SANDY MOORE SANDY MOORE2018-01-02
5012015-06-01SANDY MOORE SANDY MOORE2017-01-20
5012014-06-01DEBBIE BISCH DEBBIE BISCH2015-12-16
5012013-06-01DEBBIE BISCH DEBBIE BISCH2014-11-10
5012012-06-01DEBBIE BISCH DEBBIE BISCH2013-10-21
5012011-06-01DEBBIE BISCH DEBBIE BISCH2012-10-31
5012009-06-01DEBBIE BISCH DEBBIE BISCH2010-11-24

Plan Statistics for DODGE CITY COMMUNITY COLLEGE FLEXIBLE WELFARE BENEFIT PLAN

401k plan membership statisitcs for DODGE CITY COMMUNITY COLLEGE FLEXIBLE WELFARE BENEFIT PLAN

Measure Date Value
2021: DODGE CITY COMMUNITY COLLEGE FLEXIBLE WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01155
Total number of active participants reported on line 7a of the Form 55002021-01-01162
Number of retired or separated participants receiving benefits2021-01-016
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01168
Total participants2021-01-01168
2020: DODGE CITY COMMUNITY COLLEGE FLEXIBLE WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01147
Total number of active participants reported on line 7a of the Form 55002020-01-01152
Number of retired or separated participants receiving benefits2020-01-017
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01159
Total participants2020-01-01159
2017: DODGE CITY COMMUNITY COLLEGE FLEXIBLE WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-06-01195
Total number of active participants reported on line 7a of the Form 55002017-06-01183
Number of retired or separated participants receiving benefits2017-06-010
Number of other retired or separated participants entitled to future benefits2017-06-010
Total of all active and inactive participants2017-06-01183
Total participants2017-06-01183
2016: DODGE CITY COMMUNITY COLLEGE FLEXIBLE WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-06-01204
Total number of active participants reported on line 7a of the Form 55002016-06-01205
Total of all active and inactive participants2016-06-01205
2015: DODGE CITY COMMUNITY COLLEGE FLEXIBLE WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-06-01212
Number of retired or separated participants receiving benefits2015-06-01204
Total of all active and inactive participants2015-06-01204
2014: DODGE CITY COMMUNITY COLLEGE FLEXIBLE WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-06-01202
Total number of active participants reported on line 7a of the Form 55002014-06-01212
Total of all active and inactive participants2014-06-01212
2013: DODGE CITY COMMUNITY COLLEGE FLEXIBLE WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-06-01202
Total number of active participants reported on line 7a of the Form 55002013-06-01202
Total of all active and inactive participants2013-06-01202
2012: DODGE CITY COMMUNITY COLLEGE FLEXIBLE WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-06-01187
Total number of active participants reported on line 7a of the Form 55002012-06-01202
Total of all active and inactive participants2012-06-01202
2011: DODGE CITY COMMUNITY COLLEGE FLEXIBLE WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-06-01178
Total number of active participants reported on line 7a of the Form 55002011-06-01187
Total of all active and inactive participants2011-06-01187
2009: DODGE CITY COMMUNITY COLLEGE FLEXIBLE WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-06-01167
Total number of active participants reported on line 7a of the Form 55002009-06-01167
Total of all active and inactive participants2009-06-01167

Form 5500 Responses for DODGE CITY COMMUNITY COLLEGE FLEXIBLE WELFARE BENEFIT PLAN

2021: DODGE CITY COMMUNITY COLLEGE FLEXIBLE WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: DODGE CITY COMMUNITY COLLEGE FLEXIBLE WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2017: DODGE CITY COMMUNITY COLLEGE FLEXIBLE WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-06-01Type of plan entitySingle employer plan
2017-06-01Submission has been amendedNo
2017-06-01This submission is the final filingNo
2017-06-01This return/report is a short plan year return/report (less than 12 months)No
2017-06-01Plan is a collectively bargained planNo
2017-06-01Plan funding arrangement – InsuranceYes
2017-06-01Plan benefit arrangement – InsuranceYes
2016: DODGE CITY COMMUNITY COLLEGE FLEXIBLE WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-06-01Type of plan entitySingle employer plan
2016-06-01Plan funding arrangement – InsuranceYes
2016-06-01Plan benefit arrangement – InsuranceYes
2015: DODGE CITY COMMUNITY COLLEGE FLEXIBLE WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-06-01Type of plan entitySingle employer plan
2015-06-01Plan funding arrangement – InsuranceYes
2015-06-01Plan benefit arrangement – InsuranceYes
2014: DODGE CITY COMMUNITY COLLEGE FLEXIBLE WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-06-01Type of plan entitySingle employer plan
2014-06-01Plan funding arrangement – InsuranceYes
2014-06-01Plan benefit arrangement – InsuranceYes
2013: DODGE CITY COMMUNITY COLLEGE FLEXIBLE WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-06-01Type of plan entitySingle employer plan
2013-06-01Plan funding arrangement – InsuranceYes
2013-06-01Plan benefit arrangement – InsuranceYes
2012: DODGE CITY COMMUNITY COLLEGE FLEXIBLE WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-06-01Type of plan entitySingle employer plan
2012-06-01Plan funding arrangement – InsuranceYes
2012-06-01Plan benefit arrangement – InsuranceYes
2011: DODGE CITY COMMUNITY COLLEGE FLEXIBLE WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-06-01Type of plan entitySingle employer plan
2011-06-01Plan funding arrangement – InsuranceYes
2011-06-01Plan benefit arrangement – InsuranceYes
2009: DODGE CITY COMMUNITY COLLEGE FLEXIBLE WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-06-01Type of plan entitySingle employer plan
2009-06-01First time form 5500 has been submittedYes
2009-06-01This submission is the final filingNo
2009-06-01Plan funding arrangement – InsuranceYes
2009-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number9907-77-48
Policy instance 1
Insurance contract or identification number9907-77-48
Number of Individuals Covered183
Insurance policy start date2021-07-01
Insurance policy end date2022-07-01
Total amount of commissions paid to insurance brokerUSD $428
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 BenefitYes
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 $2,850
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees428
Additional information about fees paid to insurance brokerSTRAIGHT COMMISSION PAID TO WHOLESALER/BROKER OF RECORD
Insurance broker organization code?3
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number9907-77-48
Policy instance 1
Insurance contract or identification number9907-77-48
Number of Individuals Covered183
Insurance policy start date2020-05-04
Insurance policy end date2021-05-04
Total amount of commissions paid to insurance brokerUSD $499
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 BenefitYes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees499
Insurance broker organization code?3
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number9907-77-48
Policy instance 1
Insurance contract or identification number9907-77-48
Number of Individuals Covered183
Insurance policy start date2017-05-04
Insurance policy end date2018-05-04
Total amount of fees paid to insurance companyUSD $427
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 BenefitYes
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 $2,850
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number000099077748
Policy instance 1
Insurance contract or identification number000099077748
Number of Individuals Covered204
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $428
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,850
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees428
Insurance broker organization code?3
Insurance broker nameFEE INSURANCE GROUP, INC.
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG# 73748
Policy instance 1
Insurance contract or identification numberG# 73748
Number of Individuals Covered212
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $211
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,574
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees211
Insurance broker organization code?3
Insurance broker nameFISERV HEALTH - KANSAS
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG# 73748
Policy instance 1
Insurance contract or identification numberG# 73748
Number of Individuals Covered202
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
Total amount of commissions paid to insurance brokerUSD $812
Total amount of fees paid to insurance companyUSD $203
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,148
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $812
Insurance broker organization code?3
Amount paid for insurance broker fees203
Additional information about fees paid to insurance brokerADMINISTRATION FEE
Insurance broker nameFISERV HEALTH - KANSAS
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG# 73748
Policy instance 1
Insurance contract or identification numberG# 73748
Number of Individuals Covered202
Insurance policy start date2012-06-01
Insurance policy end date2013-05-31
Total amount of commissions paid to insurance brokerUSD $784
Total amount of fees paid to insurance companyUSD $196
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,806
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $784
Insurance broker organization code?3
Amount paid for insurance broker fees196
Additional information about fees paid to insurance brokerADMINISTRATION FEE
Insurance broker nameFISERV HEALTH - KANSAS
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG# 73748
Policy instance 1
Insurance contract or identification numberG# 73748
Number of Individuals Covered187
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $12
Total amount of fees paid to insurance companyUSD $188
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,399
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG# 73748
Policy instance 1
Insurance contract or identification numberG# 73748
Number of Individuals Covered178
Insurance policy start date2010-06-01
Insurance policy end date2011-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $172
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,588
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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