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CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 401k Plan overview

Plan NameCITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN
Plan identification number 501

CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

CITIZENS FOR CITIZENS, INC. has sponsored the creation of one or more 401k plans.

Company Name:CITIZENS FOR CITIZENS, INC.
Employer identification number (EIN):046134724
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-11-01ELIZABETH BERUBE2024-03-21
5012022-11-01ELIZABETH BERUBE2024-01-31
5012021-11-01ELIZABETH BERUBE2023-05-11
5012020-11-01ELIZABETH BERUBE2022-03-01
5012019-11-01ELIZABETH BERUBE2021-03-25
5012018-11-01ELIZABETH BERUBE2020-03-09
5012017-11-01
5012016-11-01
5012015-11-01DAVID A BILTCLIFFE
5012014-11-01SUSAN GUIKEMA-ROACH SUSAN GUIKEMA-ROACH2017-03-20
5012013-11-01SUSAN GUIKEMA-ROACH SUSAN GUIKEMA-ROACH2017-03-20
5012012-11-01SUSAN GUIKEMA-ROACH SUSAN GUIKEMA-ROACH2017-03-21
5012011-11-01SUSAN GUIKEMA-ROACH SUSAN GUIKEMA-ROACH2017-03-21
5012010-11-01SUSAN GUIKEMA-ROACH SUSAN GUIKEMA-ROACH2017-03-21
5012009-11-01SUSAN GUIKEMA-ROACH SUSAN GUIKEMA-ROACH2017-03-21
5012008-11-01SUSAN GUIKEMA-ROACH SUSAN GUIKEMA-ROACH2017-03-21
5012007-11-01SUSAN GUIKEMA-ROACH SUSAN GUIKEMA-ROACH2017-03-21
5012006-11-01SUSAN GUIKEMA-ROACH SUSAN GUIKEMA-ROACH2017-03-21
5012005-11-01SUSAN GUIKEMA-ROACH SUSAN GUIKEMA-ROACH2017-03-21
5012004-11-01SUSAN GUIKEMA-ROACH SUSAN GUIKEMA-ROACH2017-03-20
5012003-11-01SUSAN GUIKEMA-ROACH SUSAN GUIKEMA-ROACH2017-03-20
5012002-11-01SUSAN GUIKEMA-ROACH SUSAN GUIKEMA-ROACH2017-03-20
5012001-11-01SUSAN GUIKEMA-ROACH SUSAN GUIKEMA-ROACH2017-03-20
5012000-11-01SUSAN GUIKEMA-ROACH SUSAN GUIKEMA-ROACH2017-03-20
5011999-11-01SUSAN GUIKEMA-ROACH SUSAN GUIKEMA-ROACH2017-03-20
5011998-11-01SUSAN GUIKEMA-ROACH SUSAN GUIKEMA-ROACH2017-03-20
5011997-11-01SUSAN GUIKEMA-ROACH SUSAN GUIKEMA-ROACH2017-03-20
5011996-11-01SUSAN GUIKEMA-ROACH SUSAN GUIKEMA-ROACH2017-03-20
5011995-11-01SUSAN GUIKEMA-ROACH SUSAN GUIKEMA-ROACH2017-03-20
5011994-11-01SUSAN GUIKEMA-ROACH SUSAN GUIKEMA-ROACH2017-03-20
5011993-11-01SUSAN GUIKEMA-ROACH SUSAN GUIKEMA-ROACH2017-03-20
5011992-11-01SUSAN GUIKEMA-ROACH SUSAN GUIKEMA-ROACH2017-03-20
5011991-11-01SUSAN GUIKEMA-ROACH SUSAN GUIKEMA-ROACH2017-03-20
5011990-11-01SUSAN GUIKEMA-ROACH SUSAN GUIKEMA-ROACH2017-03-20
5011989-11-01SUSAN GUIKEMA-ROACH SUSAN GUIKEMA-ROACH2017-03-20
5011988-11-01SUSAN GUIKEMA-ROACH SUSAN GUIKEMA-ROACH2017-03-20

Plan Statistics for CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN

401k plan membership statisitcs for CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN

Measure Date Value
2023: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year2023-11-01202
Total number of active participants reported on line 7a of the Form 55002023-11-01206
Number of retired or separated participants receiving benefits2023-11-010
Number of other retired or separated participants entitled to future benefits2023-11-010
Total of all active and inactive participants2023-11-01206
Number of employers contributing to the scheme2023-11-010
2022: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-11-01169
Total number of active participants reported on line 7a of the Form 55002022-11-01202
Number of retired or separated participants receiving benefits2022-11-010
Number of other retired or separated participants entitled to future benefits2022-11-010
Total of all active and inactive participants2022-11-01202
Number of employers contributing to the scheme2022-11-010
2021: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-11-01162
Total number of active participants reported on line 7a of the Form 55002021-11-01169
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 participants2021-11-01169
Number of employers contributing to the scheme2021-11-010
2020: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-11-01164
Total number of active participants reported on line 7a of the Form 55002020-11-01162
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 participants2020-11-01162
Number of employers contributing to the scheme2020-11-010
2019: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-11-01166
Total number of active participants reported on line 7a of the Form 55002019-11-01164
Number of retired or separated participants receiving benefits2019-11-010
Number of other retired or separated participants entitled to future benefits2019-11-010
Total of all active and inactive participants2019-11-01164
Number of employers contributing to the scheme2019-11-010
2018: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-11-01165
Total number of active participants reported on line 7a of the Form 55002018-11-01166
Number of retired or separated participants receiving benefits2018-11-010
Number of other retired or separated participants entitled to future benefits2018-11-010
Total of all active and inactive participants2018-11-01166
Number of employers contributing to the scheme2018-11-010
2017: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-11-01158
Total number of active participants reported on line 7a of the Form 55002017-11-01165
Number of retired or separated participants receiving benefits2017-11-010
Number of other retired or separated participants entitled to future benefits2017-11-010
Total of all active and inactive participants2017-11-01165
Number of employers contributing to the scheme2017-11-010
2016: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-11-01168
Total number of active participants reported on line 7a of the Form 55002016-11-01158
Number of retired or separated participants receiving benefits2016-11-010
Number of other retired or separated participants entitled to future benefits2016-11-010
Total of all active and inactive participants2016-11-01158
2015: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-11-01201
Total number of active participants reported on line 7a of the Form 55002015-11-01168
Number of retired or separated participants receiving benefits2015-11-010
Number of other retired or separated participants entitled to future benefits2015-11-010
Total of all active and inactive participants2015-11-01168
2014: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-11-01194
Total number of active participants reported on line 7a of the Form 55002014-11-01201
Number of retired or separated participants receiving benefits2014-11-010
Number of other retired or separated participants entitled to future benefits2014-11-010
Total of all active and inactive participants2014-11-01201
2013: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-11-01247
Total number of active participants reported on line 7a of the Form 55002013-11-01194
Total of all active and inactive participants2013-11-01194
2012: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-11-01185
Total number of active participants reported on line 7a of the Form 55002012-11-01247
Total of all active and inactive participants2012-11-01247
Total participants2012-11-01247
2011: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-11-01197
Total number of active participants reported on line 7a of the Form 55002011-11-01185
Total of all active and inactive participants2011-11-01185
Total participants2011-11-01185
2010: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-11-01119
Total number of active participants reported on line 7a of the Form 55002010-11-01197
Total of all active and inactive participants2010-11-01197
Total participants2010-11-01197
2009: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-11-01189
Total number of active participants reported on line 7a of the Form 55002009-11-01119
Total of all active and inactive participants2009-11-01119
Total participants2009-11-01119
2008: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2008 401k membership
Total participants, beginning-of-year2008-11-01192
Total number of active participants reported on line 7a of the Form 55002008-11-01189
Total of all active and inactive participants2008-11-01189
Total participants2008-11-01189
2007: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2007 401k membership
Total participants, beginning-of-year2007-11-01190
Total number of active participants reported on line 7a of the Form 55002007-11-01192
Total of all active and inactive participants2007-11-01192
Total participants2007-11-01192
2006: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2006 401k membership
Total participants, beginning-of-year2006-11-01189
Total number of active participants reported on line 7a of the Form 55002006-11-01190
Total of all active and inactive participants2006-11-01190
Total participants2006-11-01190
2005: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2005 401k membership
Total number of active participants reported on line 7a of the Form 55002005-11-01189
Total of all active and inactive participants2005-11-01189
Total participants2005-11-01189

Form 5500 Responses for CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN

2023: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2023 form 5500 responses
2023-11-01Type of plan entitySingle employer plan
2023-11-01This return/report is a short plan year return/report (less than 12 months)Yes
2023-11-01Plan funding arrangement – InsuranceYes
2023-11-01Plan funding arrangement – General assets of the sponsorYes
2023-11-01Plan benefit arrangement – InsuranceYes
2023-11-01Plan benefit arrangement – General assets of the sponsorYes
2022: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-11-01Type of plan entitySingle employer plan
2022-11-01Plan funding arrangement – InsuranceYes
2022-11-01Plan funding arrangement – General assets of the sponsorYes
2022-11-01Plan benefit arrangement – InsuranceYes
2022-11-01Plan benefit arrangement – General assets of the sponsorYes
2021: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-11-01Type of plan entitySingle employer plan
2021-11-01Plan funding arrangement – InsuranceYes
2021-11-01Plan funding arrangement – General assets of the sponsorYes
2021-11-01Plan benefit arrangement – InsuranceYes
2021-11-01Plan benefit arrangement – General assets of the sponsorYes
2020: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-11-01Type of plan entitySingle employer plan
2020-11-01Plan funding arrangement – InsuranceYes
2020-11-01Plan funding arrangement – General assets of the sponsorYes
2020-11-01Plan benefit arrangement – InsuranceYes
2020-11-01Plan benefit arrangement – General assets of the sponsorYes
2019: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-11-01Type of plan entitySingle employer plan
2019-11-01Plan funding arrangement – InsuranceYes
2019-11-01Plan funding arrangement – General assets of the sponsorYes
2019-11-01Plan benefit arrangement – InsuranceYes
2019-11-01Plan benefit arrangement – General assets of the sponsorYes
2018: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-11-01Type of plan entitySingle employer plan
2018-11-01Plan funding arrangement – InsuranceYes
2018-11-01Plan funding arrangement – General assets of the sponsorYes
2018-11-01Plan benefit arrangement – InsuranceYes
2018-11-01Plan benefit arrangement – General assets of the sponsorYes
2017: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-11-01Type of plan entitySingle employer plan
2017-11-01Plan funding arrangement – InsuranceYes
2017-11-01Plan funding arrangement – General assets of the sponsorYes
2017-11-01Plan benefit arrangement – InsuranceYes
2017-11-01Plan benefit arrangement – General assets of the sponsorYes
2016: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-11-01Type of plan entitySingle employer plan
2016-11-01Plan funding arrangement – InsuranceYes
2016-11-01Plan funding arrangement – General assets of the sponsorYes
2016-11-01Plan benefit arrangement – InsuranceYes
2016-11-01Plan benefit arrangement – General assets of the sponsorYes
2015: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-11-01Type of plan entitySingle employer plan
2015-11-01Submission has been amendedNo
2015-11-01This submission is the final filingNo
2015-11-01This return/report is a short plan year return/report (less than 12 months)No
2015-11-01Plan is a collectively bargained planNo
2015-11-01Plan funding arrangement – InsuranceYes
2015-11-01Plan benefit arrangement – InsuranceYes
2014: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-11-01Type of plan entitySingle employer plan
2014-11-01Submission has been amendedNo
2014-11-01This submission is the final filingNo
2014-11-01This return/report is a short plan year return/report (less than 12 months)No
2014-11-01Plan is a collectively bargained planNo
2014-11-01Plan funding arrangement – InsuranceYes
2014-11-01Plan benefit arrangement – InsuranceYes
2013: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-11-01Type of plan entitySingle employer plan
2013-11-01Submission has been amendedNo
2013-11-01This submission is the final filingNo
2013-11-01This return/report is a short plan year return/report (less than 12 months)No
2013-11-01Plan is a collectively bargained planNo
2013-11-01Plan funding arrangement – InsuranceYes
2013-11-01Plan benefit arrangement – InsuranceYes
2012: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-11-01Type of plan entitySingle employer plan
2012-11-01Submission has been amendedNo
2012-11-01This submission is the final filingNo
2012-11-01This return/report is a short plan year return/report (less than 12 months)No
2012-11-01Plan is a collectively bargained planNo
2012-11-01Plan funding arrangement – InsuranceYes
2012-11-01Plan benefit arrangement – InsuranceYes
2011: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-11-01Type of plan entitySingle employer plan
2011-11-01Submission has been amendedNo
2011-11-01This submission is the final filingNo
2011-11-01This return/report is a short plan year return/report (less than 12 months)No
2011-11-01Plan is a collectively bargained planNo
2011-11-01Plan funding arrangement – InsuranceYes
2011-11-01Plan benefit arrangement – InsuranceYes
2010: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2010 form 5500 responses
2010-11-01Type of plan entitySingle employer plan
2010-11-01Submission has been amendedNo
2010-11-01This submission is the final filingNo
2010-11-01This return/report is a short plan year return/report (less than 12 months)No
2010-11-01Plan is a collectively bargained planNo
2010-11-01Plan funding arrangement – InsuranceYes
2010-11-01Plan benefit arrangement – InsuranceYes
2009: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-11-01Type of plan entitySingle employer plan
2009-11-01Submission has been amendedNo
2009-11-01This submission is the final filingNo
2009-11-01This return/report is a short plan year return/report (less than 12 months)No
2009-11-01Plan is a collectively bargained planNo
2009-11-01Plan funding arrangement – InsuranceYes
2009-11-01Plan benefit arrangement – InsuranceYes
2008: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2008 form 5500 responses
2008-11-01Type of plan entitySingle employer plan
2008-11-01Submission has been amendedNo
2008-11-01This submission is the final filingNo
2008-11-01This return/report is a short plan year return/report (less than 12 months)No
2008-11-01Plan is a collectively bargained planNo
2008-11-01Plan funding arrangement – InsuranceYes
2008-11-01Plan benefit arrangement – InsuranceYes
2007: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2007 form 5500 responses
2007-11-01Type of plan entitySingle employer plan
2007-11-01Submission has been amendedNo
2007-11-01This submission is the final filingNo
2007-11-01This return/report is a short plan year return/report (less than 12 months)No
2007-11-01Plan is a collectively bargained planNo
2007-11-01Plan funding arrangement – InsuranceYes
2007-11-01Plan benefit arrangement – InsuranceYes
2006: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2006 form 5500 responses
2006-11-01Type of plan entitySingle employer plan
2006-11-01Submission has been amendedNo
2006-11-01This submission is the final filingNo
2006-11-01This return/report is a short plan year return/report (less than 12 months)No
2006-11-01Plan is a collectively bargained planNo
2006-11-01Plan funding arrangement – InsuranceYes
2006-11-01Plan benefit arrangement – InsuranceYes
2005: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2005 form 5500 responses
2005-11-01Type of plan entitySingle employer plan
2005-11-01Submission has been amendedNo
2005-11-01This submission is the final filingNo
2005-11-01This return/report is a short plan year return/report (less than 12 months)No
2005-11-01Plan is a collectively bargained planNo
2005-11-01Plan funding arrangement – InsuranceYes
2005-11-01Plan benefit arrangement – InsuranceYes
2004: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2004 form 5500 responses
2004-11-01Type of plan entitySingle employer plan
2004-11-01Submission has been amendedNo
2004-11-01This submission is the final filingNo
2004-11-01This return/report is a short plan year return/report (less than 12 months)No
2004-11-01Plan is a collectively bargained planNo
2004-11-01Plan funding arrangement – InsuranceYes
2004-11-01Plan benefit arrangement – InsuranceYes
2003: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2003 form 5500 responses
2003-11-01Type of plan entitySingle employer plan
2003-11-01Submission has been amendedNo
2003-11-01This submission is the final filingNo
2003-11-01This return/report is a short plan year return/report (less than 12 months)No
2003-11-01Plan is a collectively bargained planNo
2003-11-01Plan funding arrangement – InsuranceYes
2003-11-01Plan benefit arrangement – InsuranceYes
2002: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2002 form 5500 responses
2002-11-01Type of plan entitySingle employer plan
2002-11-01Submission has been amendedNo
2002-11-01This submission is the final filingNo
2002-11-01This return/report is a short plan year return/report (less than 12 months)No
2002-11-01Plan is a collectively bargained planNo
2002-11-01Plan funding arrangement – InsuranceYes
2002-11-01Plan benefit arrangement – InsuranceYes
2001: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2001 form 5500 responses
2001-11-01Type of plan entitySingle employer plan
2001-11-01Submission has been amendedNo
2001-11-01This submission is the final filingNo
2001-11-01This return/report is a short plan year return/report (less than 12 months)No
2001-11-01Plan is a collectively bargained planNo
2001-11-01Plan funding arrangement – InsuranceYes
2001-11-01Plan benefit arrangement – InsuranceYes
2000: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 2000 form 5500 responses
2000-11-01Type of plan entityDFE (Diect Filing Entity)
2000-11-01Submission has been amendedNo
2000-11-01This submission is the final filingNo
2000-11-01This return/report is a short plan year return/report (less than 12 months)No
2000-11-01Plan is a collectively bargained planNo
2000-11-01Plan funding arrangement – InsuranceYes
2000-11-01Plan benefit arrangement – InsuranceYes
1999: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 1999 form 5500 responses
1999-11-01Type of plan entityDFE (Diect Filing Entity)
1999-11-01Submission has been amendedNo
1999-11-01This submission is the final filingNo
1999-11-01This return/report is a short plan year return/report (less than 12 months)No
1999-11-01Plan is a collectively bargained planNo
1999-11-01Plan funding arrangement – InsuranceYes
1999-11-01Plan benefit arrangement – InsuranceYes
1998: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 1998 form 5500 responses
1998-11-01Type of plan entitySingle employer plan
1998-11-01Submission has been amendedNo
1998-11-01This submission is the final filingNo
1998-11-01This return/report is a short plan year return/report (less than 12 months)No
1998-11-01Plan is a collectively bargained planNo
1998-11-01Plan funding arrangement – InsuranceYes
1998-11-01Plan benefit arrangement – InsuranceYes
1997: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 1997 form 5500 responses
1997-11-01Type of plan entitySingle employer plan
1997-11-01Submission has been amendedNo
1997-11-01This submission is the final filingNo
1997-11-01This return/report is a short plan year return/report (less than 12 months)No
1997-11-01Plan is a collectively bargained planNo
1997-11-01Plan funding arrangement – InsuranceYes
1997-11-01Plan benefit arrangement – InsuranceYes
1996: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 1996 form 5500 responses
1996-11-01Type of plan entitySingle employer plan
1996-11-01Submission has been amendedNo
1996-11-01This submission is the final filingNo
1996-11-01This return/report is a short plan year return/report (less than 12 months)No
1996-11-01Plan is a collectively bargained planNo
1996-11-01Plan funding arrangement – InsuranceYes
1996-11-01Plan benefit arrangement – InsuranceYes
1995: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 1995 form 5500 responses
1995-11-01Type of plan entitySingle employer plan
1995-11-01Submission has been amendedNo
1995-11-01This submission is the final filingNo
1995-11-01This return/report is a short plan year return/report (less than 12 months)No
1995-11-01Plan is a collectively bargained planNo
1995-11-01Plan funding arrangement – InsuranceYes
1995-11-01Plan benefit arrangement – InsuranceYes
1994: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 1994 form 5500 responses
1994-11-01Type of plan entityMulitple employer plan
1994-11-01Submission has been amendedNo
1994-11-01This submission is the final filingNo
1994-11-01This return/report is a short plan year return/report (less than 12 months)No
1994-11-01Plan is a collectively bargained planNo
1994-11-01Plan funding arrangement – InsuranceYes
1994-11-01Plan benefit arrangement – InsuranceYes
1993: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 1993 form 5500 responses
1993-11-01Type of plan entityMulitple employer plan
1993-11-01Submission has been amendedNo
1993-11-01This submission is the final filingNo
1993-11-01This return/report is a short plan year return/report (less than 12 months)No
1993-11-01Plan is a collectively bargained planNo
1993-11-01Plan funding arrangement – InsuranceYes
1993-11-01Plan benefit arrangement – InsuranceYes
1992: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 1992 form 5500 responses
1992-11-01Type of plan entityMulitple employer plan
1992-11-01Submission has been amendedNo
1992-11-01This submission is the final filingNo
1992-11-01This return/report is a short plan year return/report (less than 12 months)No
1992-11-01Plan is a collectively bargained planNo
1992-11-01Plan funding arrangement – InsuranceYes
1992-11-01Plan benefit arrangement – InsuranceYes
1991: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 1991 form 5500 responses
1991-11-01Submission has been amendedNo
1991-11-01This submission is the final filingNo
1991-11-01This return/report is a short plan year return/report (less than 12 months)No
1991-11-01Plan is a collectively bargained planNo
1991-11-01Plan funding arrangement – InsuranceYes
1991-11-01Plan benefit arrangement – InsuranceYes
1990: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 1990 form 5500 responses
1990-11-01Submission has been amendedNo
1990-11-01This submission is the final filingNo
1990-11-01This return/report is a short plan year return/report (less than 12 months)No
1990-11-01Plan is a collectively bargained planNo
1990-11-01Plan funding arrangement – InsuranceYes
1990-11-01Plan benefit arrangement – InsuranceYes
1989: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 1989 form 5500 responses
1989-11-01Type of plan entityMulitple employer plan
1989-11-01Submission has been amendedNo
1989-11-01This submission is the final filingNo
1989-11-01This return/report is a short plan year return/report (less than 12 months)No
1989-11-01Plan is a collectively bargained planNo
1989-11-01Plan funding arrangement – InsuranceYes
1989-11-01Plan benefit arrangement – InsuranceYes
1988: CITIZENS FOR CITIZENS, INC HEALTH AND WELFARE BENEFIT PLAN 1988 form 5500 responses
1988-11-01Type of plan entityMulitple employer plan
1988-11-01Submission has been amendedNo
1988-11-01This submission is the final filingNo
1988-11-01This return/report is a short plan year return/report (less than 12 months)No
1988-11-01Plan is a collectively bargained planNo
1988-11-01Plan funding arrangement – InsuranceYes
1988-11-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0AIQA
Policy instance 2
Insurance contract or identification numberGLUG0AIQA
Number of Individuals Covered206
Insurance policy start date2023-11-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $1,045
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $15,329
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number925778
Policy instance 1
Insurance contract or identification number925778
Number of Individuals Covered93
Insurance policy start date2023-11-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $581
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,513
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: 69868 )
Policy contract numberGLUG0AIQA
Policy instance 4
Insurance contract or identification numberGLUG0AIQA
Number of Individuals Covered202
Insurance policy start date2023-04-01
Insurance policy end date2023-10-31
Total amount of commissions paid to insurance brokerUSD $5,563
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $52,215
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,563
Amount paid for insurance broker fees0
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0AIQA
Policy instance 3
Insurance contract or identification numberGLUG0AIQA
Number of Individuals Covered194
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $7,581
Total amount of fees paid to insurance companyUSD $4,789
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $84,298
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,581
Amount paid for insurance broker fees4789
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number925778
Policy instance 2
Insurance contract or identification number925778
Number of Individuals Covered94
Insurance policy start date2022-11-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $7,269
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $282,256
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,269
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number925778
Policy instance 1
Insurance contract or identification number925778
Number of Individuals Covered92
Insurance policy start date2022-11-01
Insurance policy end date2023-10-31
Total amount of commissions paid to insurance brokerUSD $3,569
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $79,028
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,569
Amount paid for insurance broker fees0
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0AIQA
Policy instance 2
Insurance contract or identification numberGLUG0AIQA
Number of Individuals Covered169
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $6,725
Total amount of fees paid to insurance companyUSD $4,108
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $69,227
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,725
Amount paid for insurance broker fees4108
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number925778
Policy instance 1
Insurance contract or identification number925778
Number of Individuals Covered170
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $43,773
Total amount of fees paid to insurance companyUSD $2,985
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,618,937
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $43,773
Amount paid for insurance broker fees2985
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLTD0AIQA
Policy instance 3
Insurance contract or identification numberGLTD0AIQA
Number of Individuals Covered162
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $6,901
Total amount of fees paid to insurance companyUSD $4,440
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $72,721
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,901
Amount paid for insurance broker fees4440
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number15041
Policy instance 2
Insurance contract or identification number15041
Number of Individuals Covered175
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $2,546
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $97,145
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,546
Amount paid for insurance broker fees0
Insurance broker organization code?3
TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
Policy contract number61452000
Policy instance 1
Insurance contract or identification number61452000
Number of Individuals Covered161
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $35,705
Total amount of fees paid to insurance companyUSD $18,458
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,442,459
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,705
Amount paid for insurance broker fees18458
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: 69868 )
Policy contract numberGLTD0AIQA
Policy instance 3
Insurance contract or identification numberGLTD0AIQA
Number of Individuals Covered164
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $6,779
Total amount of fees paid to insurance companyUSD $1,965
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $71,046
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,779
Amount paid for insurance broker fees1965
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number15041
Policy instance 2
Insurance contract or identification number15041
Number of Individuals Covered160
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $2,755
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $90,753
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,755
Amount paid for insurance broker fees0
Insurance broker organization code?3
TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
Policy contract number61452000
Policy instance 1
Insurance contract or identification number61452000
Number of Individuals Covered159
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $40,869
Total amount of fees paid to insurance companyUSD $4,211
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,518,166
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $40,869
Amount paid for insurance broker fees4211
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: 69868 )
Policy contract numberGLTD0AIQA
Policy instance 2
Insurance contract or identification numberGLTD0AIQA
Number of Individuals Covered166
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $6,858
Total amount of fees paid to insurance companyUSD $3,466
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $72,010
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,858
Amount paid for insurance broker fees3466
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4010350
Policy instance 1
Insurance contract or identification number4010350
Number of Individuals Covered158
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $36,535
Total amount of fees paid to insurance companyUSD $7,520
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,592,906
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $36,535
Amount paid for insurance broker fees7520
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: 69868 )
Policy contract numberGLUG0AIQA
Policy instance 2
Insurance contract or identification numberGLUG0AIQA
Number of Individuals Covered165
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $6,621
Total amount of fees paid to insurance companyUSD $2,800
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $68,593
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4010350
Policy instance 1
Insurance contract or identification number4010350
Number of Individuals Covered179
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $36,842
Total amount of fees paid to insurance companyUSD $7,105
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,641,329
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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