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MUTUAL OF OMAHA VLIFE 401k Plan overview

Plan NameMUTUAL OF OMAHA VLIFE
Plan identification number 503

MUTUAL OF OMAHA VLIFE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

SIA PARTNERS US, INC. has sponsored the creation of one or more 401k plans.

Company Name:SIA PARTNERS US, INC.
Employer identification number (EIN):743243189
NAIC Classification:541600

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MUTUAL OF OMAHA VLIFE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032023-06-01MICHAEL EEM2024-08-20
5032022-06-01MICHAEL EEM2023-12-21
5032021-06-01SHARI SPARLING2023-01-10

Plan Statistics for MUTUAL OF OMAHA VLIFE

401k plan membership statisitcs for MUTUAL OF OMAHA VLIFE

Measure Date Value
2023: MUTUAL OF OMAHA VLIFE 2023 401k membership
Total participants, beginning-of-year2023-06-01143
Total number of active participants reported on line 7a of the Form 55002023-06-01150
Number of retired or separated participants receiving benefits2023-06-010
Number of other retired or separated participants entitled to future benefits2023-06-010
Total of all active and inactive participants2023-06-01150
Number of employers contributing to the scheme2023-06-010
2022: MUTUAL OF OMAHA VLIFE 2022 401k membership
Total participants, beginning-of-year2022-06-01103
Total number of active participants reported on line 7a of the Form 55002022-06-01143
Number of retired or separated participants receiving benefits2022-06-010
Number of other retired or separated participants entitled to future benefits2022-06-010
Total of all active and inactive participants2022-06-01143
Number of employers contributing to the scheme2022-06-010
2021: MUTUAL OF OMAHA VLIFE 2021 401k membership
Total participants, beginning-of-year2021-06-01103
Total number of active participants reported on line 7a of the Form 55002021-06-01103
Number of retired or separated participants receiving benefits2021-06-010
Number of other retired or separated participants entitled to future benefits2021-06-010
Total of all active and inactive participants2021-06-01103
Number of employers contributing to the scheme2021-06-010

Form 5500 Responses for MUTUAL OF OMAHA VLIFE

2023: MUTUAL OF OMAHA VLIFE 2023 form 5500 responses
2023-06-01Type of plan entitySingle employer plan
2023-06-01This return/report is a short plan year return/report (less than 12 months)Yes
2023-06-01Plan funding arrangement – InsuranceYes
2023-06-01Plan benefit arrangement – InsuranceYes
2022: MUTUAL OF OMAHA VLIFE 2022 form 5500 responses
2022-06-01Type of plan entitySingle employer plan
2022-06-01Plan funding arrangement – InsuranceYes
2022-06-01Plan benefit arrangement – InsuranceYes
2021: MUTUAL OF OMAHA VLIFE 2021 form 5500 responses
2021-06-01Type of plan entitySingle employer plan
2021-06-01First time form 5500 has been submittedYes
2021-06-01Plan funding arrangement – InsuranceYes
2021-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract numberGCEL0BWJ5
Policy instance 1
Insurance contract or identification numberGCEL0BWJ5
Number of Individuals Covered150
Insurance policy start date2023-06-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $1,660
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,067
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract numberGCEL0BWJ5
Policy instance 1
Insurance contract or identification numberGCEL0BWJ5
Number of Individuals Covered143
Insurance policy start date2022-06-01
Insurance policy end date2023-05-31
Total amount of commissions paid to insurance brokerUSD $2,644
Total amount of fees paid to insurance companyUSD $1,208
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,627
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,644
Amount paid for insurance broker fees1208
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract numberGCEL0BWJ5
Policy instance 1
Insurance contract or identification numberGCEL0BWJ5
Number of Individuals Covered103
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $1,499
Total amount of fees paid to insurance companyUSD $422
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,995
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,499
Amount paid for insurance broker fees422
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3

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