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PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN 401k Plan overview

Plan NamePHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN
Plan identification number 506

PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN Benefits

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

401k Sponsoring company profile

PHILLIPS EXETER ACADEMY has sponsored the creation of one or more 401k plans.

Company Name:PHILLIPS EXETER ACADEMY
Employer identification number (EIN):020222174
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062023-07-01CAROLINE HOOPER2025-01-14
5062022-07-01CAROLINE HOOPER2024-01-16
5062021-07-01CAROLINE HOOPER2023-01-24
5062020-07-01CAROLINE HOOPER2022-01-21
5062019-07-01CAROLINE HOOPER2021-01-27
5062016-07-01MARIJKA BEAUCHESNE MARIJKA BEAUCHESNE2018-04-16
5062015-07-01MARIJKA BEAUCHESNE MARIJKA BEAUCHESNE2017-04-13
5062014-07-01MARIJKA BEAUCHESNE
5062013-07-01MARIJKA BEAUCHESNE DAVID HANSON2015-01-15
5062012-07-01MARIJKA BEAUCHESNE
5062011-07-01CHRISTOPHER V. WEJCHERT
5062010-07-01CHRISTOPHER V. WEJCHERT MOYA S. JOOSTEN2012-04-13
5062009-07-01CHRISTOPHER V. WEJCHERT KATHLEEN M. TAYLOR2011-04-15

Plan Statistics for PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN

401k plan membership statisitcs for PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN

Measure Date Value
2023: PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN 2023 401k membership
Total participants, beginning-of-year2023-07-01123
Total number of active participants reported on line 7a of the Form 55002023-07-01119
Number of retired or separated participants receiving benefits2023-07-010
Number of other retired or separated participants entitled to future benefits2023-07-010
Total of all active and inactive participants2023-07-01119
Number of employers contributing to the scheme2023-07-010
2022: PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-01131
Total number of active participants reported on line 7a of the Form 55002022-07-01123
Number of retired or separated participants receiving benefits2022-07-010
Number of other retired or separated participants entitled to future benefits2022-07-010
Total of all active and inactive participants2022-07-01123
Number of employers contributing to the scheme2022-07-010
2021: PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01136
Total number of active participants reported on line 7a of the Form 55002021-07-01131
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-01131
Number of employers contributing to the scheme2021-07-010
2020: PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01143
Total number of active participants reported on line 7a of the Form 55002020-07-01135
Number of retired or separated participants receiving benefits2020-07-010
Number of other retired or separated participants entitled to future benefits2020-07-010
Total of all active and inactive participants2020-07-01135
Number of employers contributing to the scheme2020-07-010
2019: PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01144
Total number of active participants reported on line 7a of the Form 55002019-07-01141
Number of retired or separated participants receiving benefits2019-07-010
Number of other retired or separated participants entitled to future benefits2019-07-010
Total of all active and inactive participants2019-07-01141
Number of employers contributing to the scheme2019-07-010
2016: PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01165
Total number of active participants reported on line 7a of the Form 55002016-07-010
Number of retired or separated participants receiving benefits2016-07-01155
Total of all active and inactive participants2016-07-01155
Total participants2016-07-01155
2015: PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01168
Total number of active participants reported on line 7a of the Form 55002015-07-010
Number of retired or separated participants receiving benefits2015-07-01165
Total of all active and inactive participants2015-07-01165
Total participants2015-07-01165
2014: PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01172
Number of retired or separated participants receiving benefits2014-07-01168
Total of all active and inactive participants2014-07-01168
Total participants2014-07-01168
2013: PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01173
Number of retired or separated participants receiving benefits2013-07-01172
Total of all active and inactive participants2013-07-01172
Total participants2013-07-01172
2012: PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01173
Number of retired or separated participants receiving benefits2012-07-01173
Total of all active and inactive participants2012-07-01173
Total participants2012-07-01173
2011: PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01171
Total number of active participants reported on line 7a of the Form 55002011-07-010
Number of retired or separated participants receiving benefits2011-07-01173
Number of other retired or separated participants entitled to future benefits2011-07-010
Total of all active and inactive participants2011-07-01173
2010: PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN 2010 401k membership
Total participants, beginning-of-year2010-07-01167
Number of retired or separated participants receiving benefits2010-07-01171
Total of all active and inactive participants2010-07-01171
Total participants2010-07-01171
2009: PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01165
Number of retired or separated participants receiving benefits2009-07-01167
Total of all active and inactive participants2009-07-01167
Total participants2009-07-01167

Financial Data on PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN

Measure Date Value
2012 : PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN 2012 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$21,464
Total income from all sources (including contributions)2012-06-30$467,376
Total of all expenses incurred2012-06-30$1,108,275
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$918,703
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$427,149
Value of total assets at beginning of year2012-06-30$662,363
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$189,572
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Administrative expenses professional fees incurred2012-06-30$42,522
Was this plan covered by a fidelity bond2012-06-30No
If this is an individual account plan, was there a blackout period2012-06-30No
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$238,176
Income. Received or receivable in cash from other sources (including rollovers)2012-06-30$188,973
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-06-30$21,464
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$-640,899
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$640,899
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Investment advisory and management fees2012-06-30$1,715
Value of interest in common/collective trusts at beginning of year2012-06-30$662,363
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$138,338
Net investment gain or loss from common/collective trusts2012-06-30$40,227
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30Yes
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$780,365
Contract administrator fees2012-06-30$145,335
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-06-30No
Did the plan have assets held for investment2012-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30Yes
Opinion of an independent qualified public accountant for this plan2012-06-30Disclaimer
Accountancy firm name2012-06-30CARON & BLETZER, PLLC
Accountancy firm EIN2012-06-30043499945
2011 : PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$21,464
Total income from all sources (including contributions)2011-06-30$453,430
Total of all expenses incurred2011-06-30$956,600
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$775,014
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$318,979
Value of total assets at end of year2011-06-30$662,363
Value of total assets at beginning of year2011-06-30$1,144,069
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$181,586
Total dividends received (eg from common stock, registered investment company shares)2011-06-30$32,566
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2011-06-30$32,566
Administrative expenses professional fees incurred2011-06-30$49,590
Was this plan covered by a fidelity bond2011-06-30No
If this is an individual account plan, was there a blackout period2011-06-30No
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$208,652
Assets. Other investments not covered elsewhere at beginning of year2011-06-30$1,657
Income. Received or receivable in cash from other sources (including rollovers)2011-06-30$110,327
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-06-30$21,464
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$-503,170
Value of net assets at end of year (total assets less liabilities)2011-06-30$640,899
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$1,144,069
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Investment advisory and management fees2011-06-30$2,982
Value of interest in common/collective trusts at end of year2011-06-30$662,363
Value of interest in common/collective trusts at beginning of year2011-06-30$1,142,412
Expenses. Payments to insurance carriers foe the provision of benefits2011-06-30$127,735
Net investment gain or loss from common/collective trusts2011-06-30$101,885
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30Yes
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$647,279
Contract administrator fees2011-06-30$129,014
Did the plan have assets held for investment2011-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30Yes
Opinion of an independent qualified public accountant for this plan2011-06-30Disclaimer
Accountancy firm name2011-06-30CARON & BLETZER, PLLC
Accountancy firm EIN2011-06-30043499945

Form 5500 Responses for PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN

2023: PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN 2023 form 5500 responses
2023-07-01Type of plan entitySingle employer plan
2023-07-01Plan funding arrangement – InsuranceYes
2023-07-01Plan benefit arrangement – InsuranceYes
2022: PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – InsuranceYes
2021: PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes
2020: PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes
2019: PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – InsuranceYes
2016: PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – General assets of the sponsorYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – General assets of the sponsorYes
2015: PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – General assets of the sponsorYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – General assets of the sponsorYes
2014: PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – General assets of the sponsorYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – General assets of the sponsorYes
2013: PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – General assets of the sponsorYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – General assets of the sponsorYes
2012: PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – General assets of the sponsorYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – General assets of the sponsorYes
2011: PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2010: PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Plan funding arrangement – TrustYes
2010-07-01Plan benefit arrangement – InsuranceYes
2010-07-01Plan benefit arrangement - TrustYes
2009: PHILLIPS EXETER ACADEMY RETIREE HEALTH CARE PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

SIERRA HEALTH & LIFE (National Association of Insurance Commissioners NAIC id number: 71420 )
Policy contract numberH2001
Policy instance 1
Insurance contract or identification numberH2001
Number of Individuals Covered141
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $712,472
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SIERRA HEALTH & LIFE (National Association of Insurance Commissioners NAIC id number: 71420 )
Policy contract numberH2001
Policy instance 1
SIERRA HEALTH & LIFE (National Association of Insurance Commissioners NAIC id number: 71420 )
Policy contract numberH2001
Policy instance 1
SIERRA HEALTH & LIFE (National Association of Insurance Commissioners NAIC id number: 71420 )
Policy contract numberH2001
Policy instance 1
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number0376863
Policy instance 1
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number0376863
Policy instance 1
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number0376863
Policy instance 1
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number0376863
Policy instance 1
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number0376863
Policy instance 1
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number0376863
Policy instance 1

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