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CLARKE SCHOOL FOR THE DEAF SHORT TERM DISABILITY PLAN 401k Plan overview

Plan NameCLARKE SCHOOL FOR THE DEAF SHORT TERM DISABILITY PLAN
Plan identification number 503

CLARKE SCHOOL FOR THE DEAF SHORT TERM DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

CLARKE SCHOOL FOR THE DEAF has sponsored the creation of one or more 401k plans.

Company Name:CLARKE SCHOOL FOR THE DEAF
Employer identification number (EIN):042104008
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CLARKE SCHOOL FOR THE DEAF SHORT TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032011-02-01STEPHEN BALICKI
5032011-02-01
5032010-02-01STEPHEN BALICKI
5032009-02-01STEPHEN BALICKI

Plan Statistics for CLARKE SCHOOL FOR THE DEAF SHORT TERM DISABILITY PLAN

401k plan membership statisitcs for CLARKE SCHOOL FOR THE DEAF SHORT TERM DISABILITY PLAN

Measure Date Value
2011: CLARKE SCHOOL FOR THE DEAF SHORT TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-02-01162
Total number of active participants reported on line 7a of the Form 55002011-02-01169
Number of retired or separated participants receiving benefits2011-02-010
Number of other retired or separated participants entitled to future benefits2011-02-010
Total of all active and inactive participants2011-02-01169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-02-010
Number of employers contributing to the scheme2011-02-010
2010: CLARKE SCHOOL FOR THE DEAF SHORT TERM DISABILITY PLAN 2010 401k membership
Total participants, beginning-of-year2010-02-01161
Total number of active participants reported on line 7a of the Form 55002010-02-01162
Number of retired or separated participants receiving benefits2010-02-010
Number of other retired or separated participants entitled to future benefits2010-02-010
Total of all active and inactive participants2010-02-01162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-02-010
2009: CLARKE SCHOOL FOR THE DEAF SHORT TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year2009-02-01191
Total number of active participants reported on line 7a of the Form 55002009-02-01161
Number of retired or separated participants receiving benefits2009-02-010
Number of other retired or separated participants entitled to future benefits2009-02-010
Total of all active and inactive participants2009-02-01161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-02-010

Form 5500 Responses for CLARKE SCHOOL FOR THE DEAF SHORT TERM DISABILITY PLAN

2011: CLARKE SCHOOL FOR THE DEAF SHORT TERM DISABILITY PLAN 2011 form 5500 responses
2011-02-01Type of plan entitySingle employer plan
2011-02-01Submission has been amendedNo
2011-02-01This submission is the final filingNo
2011-02-01This return/report is a short plan year return/report (less than 12 months)No
2011-02-01Plan is a collectively bargained planNo
2011-02-01Plan funding arrangement – InsuranceYes
2011-02-01Plan benefit arrangement – InsuranceYes
2010: CLARKE SCHOOL FOR THE DEAF SHORT TERM DISABILITY PLAN 2010 form 5500 responses
2010-02-01Type of plan entitySingle employer plan
2010-02-01Submission has been amendedNo
2010-02-01This submission is the final filingNo
2010-02-01This return/report is a short plan year return/report (less than 12 months)No
2010-02-01Plan is a collectively bargained planNo
2010-02-01Plan funding arrangement – InsuranceYes
2010-02-01Plan benefit arrangement – InsuranceYes
2009: CLARKE SCHOOL FOR THE DEAF SHORT TERM DISABILITY PLAN 2009 form 5500 responses
2009-02-01Type of plan entitySingle employer plan
2009-02-01First time form 5500 has been submittedYes
2009-02-01Submission has been amendedNo
2009-02-01This submission is the final filingNo
2009-02-01This return/report is a short plan year return/report (less than 12 months)No
2009-02-01Plan is a collectively bargained planNo
2009-02-01Plan funding arrangement – InsuranceYes
2009-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10112998
Policy instance 1
Insurance contract or identification number10112998
Number of Individuals Covered169
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $2,514
Total amount of fees paid to insurance companyUSD $524
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,158
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,514
Amount paid for insurance broker fees524
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3

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