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GROUP MEDICAL PLAN 401k Plan overview

Plan NameGROUP MEDICAL PLAN
Plan identification number 506

GROUP MEDICAL PLAN Benefits

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

401k Sponsoring company profile

FORTERA FEDERAL CREDIT UNION has sponsored the creation of one or more 401k plans.

Company Name:FORTERA FEDERAL CREDIT UNION
Employer identification number (EIN):610523393
NAIC Classification:522130
NAIC Description:Credit Unions

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062022-05-01
5062022-05-01
5062021-05-01
5062020-05-01
5062019-05-01
5062018-05-01
5062017-05-01SHARON WARD-HERMES

Plan Statistics for GROUP MEDICAL PLAN

401k plan membership statisitcs for GROUP MEDICAL PLAN

Measure Date Value
2022: GROUP MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-05-01126
Total number of active participants reported on line 7a of the Form 55002022-05-0197
Number of retired or separated participants receiving benefits2022-05-011
Total of all active and inactive participants2022-05-0198
Total participants2022-05-0198
Number of other retired or separated participants entitled to future benefits2022-05-010
2021: GROUP MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-05-01132
Total number of active participants reported on line 7a of the Form 55002021-05-01126
Total of all active and inactive participants2021-05-01126
Total participants2021-05-01126
2020: GROUP MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-05-01120
Total number of active participants reported on line 7a of the Form 55002020-05-01132
Number of retired or separated participants receiving benefits2020-05-011
Total of all active and inactive participants2020-05-01133
Total participants2020-05-01133
2019: GROUP MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-05-01104
Total number of active participants reported on line 7a of the Form 55002019-05-01119
Number of retired or separated participants receiving benefits2019-05-011
Total of all active and inactive participants2019-05-01120
Total participants2019-05-01120
2018: GROUP MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-05-0197
Total number of active participants reported on line 7a of the Form 55002018-05-01104
Total of all active and inactive participants2018-05-01104
Total participants2018-05-01104
2017: GROUP MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-05-01103
Total number of active participants reported on line 7a of the Form 55002017-05-0197
Total of all active and inactive participants2017-05-0197
Total participants2017-05-0197

Form 5500 Responses for GROUP MEDICAL PLAN

2022: GROUP MEDICAL PLAN 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Submission has been amendedYes
2022-05-01This submission is the final filingYes
2022-05-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-05-01Plan is a collectively bargained planNo
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan benefit arrangement – InsuranceYes
2021: GROUP MEDICAL PLAN 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan benefit arrangement – InsuranceYes
2020: GROUP MEDICAL PLAN 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan benefit arrangement – InsuranceYes
2019: GROUP MEDICAL PLAN 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan benefit arrangement – InsuranceYes
2018: GROUP MEDICAL PLAN 2018 form 5500 responses
2018-05-01Type of plan entitySingle employer plan
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan benefit arrangement – InsuranceYes
2017: GROUP MEDICAL PLAN 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number122770
Policy instance 1
Insurance contract or identification number122770
Number of Individuals Covered98
Insurance policy start date2022-05-01
Insurance policy end date2022-12-31
Total amount of fees paid to insurance companyUSD $79,253
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,085,656
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees57283
Additional information about fees paid to insurance brokerACQ/RET
Insurance broker organization code?3
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
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
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number122770
Policy instance 1
Insurance contract or identification number122770
Number of Individuals Covered126
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of fees paid to insurance companyUSD $77,717
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,467,692
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees77717
Additional information about fees paid to insurance brokerACQ/RET
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number122770
Policy instance 1
Insurance contract or identification number122770
Number of Individuals Covered133
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of fees paid to insurance companyUSD $61,162
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,468,007
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees61162
Additional information about fees paid to insurance brokerACQ/RET
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number122770
Policy instance 1
Insurance contract or identification number122770
Number of Individuals Covered120
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of fees paid to insurance companyUSD $63,862
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,299,499
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees63862
Additional information about fees paid to insurance brokerACQ/RET
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number122770
Policy instance 1
Insurance contract or identification number122770
Number of Individuals Covered104
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of fees paid to insurance companyUSD $41,650
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,108,945
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees41650
Additional information about fees paid to insurance brokerACQ/RET
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number122770
Policy instance 1
Insurance contract or identification number122770
Number of Individuals Covered97
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of fees paid to insurance companyUSD $45,988
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $831,476
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees45988
Additional information about fees paid to insurance brokerACQ/RET
Insurance broker organization code?3
Insurance broker nameDOUGLAS K BARNES

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