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MUTUAL OF OMAHA CRITICAL ILLNESS 401k Plan overview

Plan NameMUTUAL OF OMAHA CRITICAL ILLNESS
Plan identification number 506

MUTUAL OF OMAHA CRITICAL ILLNESS Benefits

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

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 CRITICAL ILLNESS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062023-06-01MICHAEL EEM2024-08-23
5062022-06-01MICHAEL EEM2023-12-21
5062021-06-01SHARI SPARLING2023-01-10

Plan Statistics for MUTUAL OF OMAHA CRITICAL ILLNESS

401k plan membership statisitcs for MUTUAL OF OMAHA CRITICAL ILLNESS

Measure Date Value
2023: MUTUAL OF OMAHA CRITICAL ILLNESS 2023 401k membership
Total participants, beginning-of-year2023-06-01219
Total number of active participants reported on line 7a of the Form 55002023-06-01235
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 participants2023-06-01235
Number of employers contributing to the scheme2023-06-010
2022: MUTUAL OF OMAHA CRITICAL ILLNESS 2022 401k membership
Total participants, beginning-of-year2022-06-01160
Total number of active participants reported on line 7a of the Form 55002022-06-01219
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 participants2022-06-01219
Number of employers contributing to the scheme2022-06-010
2021: MUTUAL OF OMAHA CRITICAL ILLNESS 2021 401k membership
Total participants, beginning-of-year2021-06-01160
Total number of active participants reported on line 7a of the Form 55002021-06-01160
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 participants2021-06-01160
Number of employers contributing to the scheme2021-06-010

Form 5500 Responses for MUTUAL OF OMAHA CRITICAL ILLNESS

2023: MUTUAL OF OMAHA CRITICAL ILLNESS 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 CRITICAL ILLNESS 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 CRITICAL ILLNESS 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

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberGMDE0BWJ5
Policy instance 1
Insurance contract or identification numberGMDE0BWJ5
Number of Individuals Covered236
Insurance policy start date2023-06-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $1,393
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedCRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $11,609
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberGMDE0BWJ5
Policy instance 1
Insurance contract or identification numberGMDE0BWJ5
Number of Individuals Covered219
Insurance policy start date2022-06-01
Insurance policy end date2023-05-31
Total amount of commissions paid to insurance brokerUSD $2,366
Total amount of fees paid to insurance companyUSD $1,483
Other welfare benefits providedCRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $19,715
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,366
Amount paid for insurance broker fees1483
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberGMDE0BWJ5
Policy instance 1
Insurance contract or identification numberGMDE0BWJ5
Number of Individuals Covered160
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $1,518
Total amount of fees paid to insurance companyUSD $336
Other welfare benefits providedCRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $12,650
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,518
Amount paid for insurance broker fees336
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3

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