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GSCU VISION SERVICE PLAN 401k Plan overview

Plan NameGSCU VISION SERVICE PLAN
Plan identification number 511

GSCU VISION SERVICE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Vision
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

GRANITE STATE CREDIT UNION has sponsored the creation of one or more 401k plans.

Company Name:GRANITE STATE CREDIT UNION
Employer identification number (EIN):020227484
NAIC Classification:522130
NAIC Description:Credit Unions

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GSCU VISION SERVICE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5112021-11-01KAREN LAPLUMME2023-05-24
5112020-11-01KAREN LAPLUMME2022-09-22
5112016-11-01
5112016-11-01KAREN LAPLUMME2022-09-22
5112015-11-01
5112014-11-01
5112012-11-01DOTTIE O'GORMAN
5112011-11-01DOTTIE O'GORMAN

Plan Statistics for GSCU VISION SERVICE PLAN

401k plan membership statisitcs for GSCU VISION SERVICE PLAN

Measure Date Value
2021: GSCU VISION SERVICE PLAN 2021 401k membership
Total participants, beginning-of-year2021-11-01125
Total number of active participants reported on line 7a of the Form 55002021-11-01128
Number of retired or separated participants receiving benefits2021-11-010
Number of other retired or separated participants entitled to future benefits2021-11-010
Total of all active and inactive participants2021-11-01128
Number of employers contributing to the scheme2021-11-010
2020: GSCU VISION SERVICE PLAN 2020 401k membership
Total participants, beginning-of-year2020-11-01100
Total number of active participants reported on line 7a of the Form 55002020-11-01125
Number of retired or separated participants receiving benefits2020-11-010
Number of other retired or separated participants entitled to future benefits2020-11-010
Total of all active and inactive participants2020-11-01125
Number of employers contributing to the scheme2020-11-010
2016: GSCU VISION SERVICE PLAN 2016 401k membership
Total participants, beginning-of-year2016-11-01105
Total number of active participants reported on line 7a of the Form 55002016-11-01117
Total of all active and inactive participants2016-11-01117
Number of retired or separated participants receiving benefits2016-11-010
Number of other retired or separated participants entitled to future benefits2016-11-010
Number of employers contributing to the scheme2016-11-010
2015: GSCU VISION SERVICE PLAN 2015 401k membership
Total participants, beginning-of-year2015-11-01105
Total number of active participants reported on line 7a of the Form 55002015-11-01109
Total of all active and inactive participants2015-11-01109
2014: GSCU VISION SERVICE PLAN 2014 401k membership
Total participants, beginning-of-year2014-11-01101
Total number of active participants reported on line 7a of the Form 55002014-11-01105
Total of all active and inactive participants2014-11-01105
2012: GSCU VISION SERVICE PLAN 2012 401k membership
Total participants, beginning-of-year2012-11-01105
Total number of active participants reported on line 7a of the Form 55002012-11-01102
Total of all active and inactive participants2012-11-01102
2011: GSCU VISION SERVICE PLAN 2011 401k membership
Total participants, beginning-of-year2011-11-01101
Total number of active participants reported on line 7a of the Form 55002011-11-01105
Total of all active and inactive participants2011-11-01105

Form 5500 Responses for GSCU VISION SERVICE PLAN

2021: GSCU VISION SERVICE PLAN 2021 form 5500 responses
2021-11-01Type of plan entitySingle employer plan
2021-11-01Plan funding arrangement – InsuranceYes
2021-11-01Plan benefit arrangement – InsuranceYes
2020: GSCU VISION SERVICE PLAN 2020 form 5500 responses
2020-11-01Type of plan entitySingle employer plan
2020-11-01Plan funding arrangement – InsuranceYes
2020-11-01Plan benefit arrangement – InsuranceYes
2016: GSCU VISION SERVICE PLAN 2016 form 5500 responses
2016-11-01Type of plan entitySingle employer plan
2016-11-01Submission has been amendedYes
2016-11-01Plan funding arrangement – InsuranceYes
2016-11-01Plan benefit arrangement – InsuranceYes
2015: GSCU VISION SERVICE PLAN 2015 form 5500 responses
2015-11-01Type of plan entitySingle employer plan
2015-11-01Plan funding arrangement – InsuranceYes
2015-11-01Plan benefit arrangement – InsuranceYes
2014: GSCU VISION SERVICE PLAN 2014 form 5500 responses
2014-11-01Type of plan entitySingle employer plan
2014-11-01Plan funding arrangement – InsuranceYes
2014-11-01Plan benefit arrangement – InsuranceYes
2012: GSCU VISION SERVICE PLAN 2012 form 5500 responses
2012-11-01Type of plan entitySingle employer plan
2012-11-01Plan funding arrangement – InsuranceYes
2012-11-01Plan benefit arrangement – InsuranceYes
2011: GSCU VISION SERVICE PLAN 2011 form 5500 responses
2011-11-01Type of plan entitySingle employer plan
2011-11-01Plan funding arrangement – InsuranceYes
2011-11-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12029850
Policy instance 1
Insurance contract or identification number12029850
Number of Individuals Covered128
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $1,215
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $23,659
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,215
Amount paid for insurance broker fees0
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12029850
Policy instance 1
Insurance contract or identification number12029850
Number of Individuals Covered125
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $1,187
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,865
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,187
Amount paid for insurance broker fees0
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12029850
Policy instance 1
Insurance contract or identification number12029850
Number of Individuals Covered117
Insurance policy start date2016-11-01
Insurance policy end date2017-10-31
Total amount of commissions paid to insurance brokerUSD $1,104
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,939
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,104
Amount paid for insurance broker fees0
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12029850
Policy instance 1
Insurance contract or identification number12029850
Number of Individuals Covered117
Insurance policy start date2015-11-01
Insurance policy end date2016-10-31
Total amount of commissions paid to insurance brokerUSD $1,091
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,585
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,091
Insurance broker organization code?3
Insurance broker nameNEW ENGLAND EMPLOYEE BENEFITS CO
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12029850
Policy instance 1
Insurance contract or identification number12029850
Number of Individuals Covered105
Insurance policy start date2014-11-01
Insurance policy end date2015-10-31
Total amount of commissions paid to insurance brokerUSD $994
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,866
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $994
Insurance broker nameNEW ENGLAND EMPLOYEE BENEFITS CO
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12029850
Policy instance 1
Insurance contract or identification number12029850
Number of Individuals Covered102
Insurance policy start date2012-11-01
Insurance policy end date2013-10-31
Total amount of commissions paid to insurance brokerUSD $983
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,550
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $983
Insurance broker organization code?3
Insurance broker nameNEW ENGLAND EMPLOYEE BENEFITS CO.
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12029850
Policy instance 1
Insurance contract or identification number12029850
Number of Individuals Covered105
Insurance policy start date2012-03-01
Insurance policy end date2012-10-31
Total amount of commissions paid to insurance brokerUSD $976
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,339
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12029850
Policy instance 1
Insurance contract or identification number12029850
Number of Individuals Covered105
Insurance policy start date2011-03-01
Insurance policy end date2011-10-31
Total amount of commissions paid to insurance brokerUSD $954
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,722
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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