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RENBROOK SCHOOL, INC. GROUP LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT INS. PLAN 401k Plan overview

Plan NameRENBROOK SCHOOL, INC. GROUP LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT INS. PLAN
Plan identification number 501

RENBROOK SCHOOL, INC. GROUP LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT INS. PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Other welfare benefit cover

401k Sponsoring company profile

RENBROOK SCHOOL, INC. has sponsored the creation of one or more 401k plans.

Company Name:RENBROOK SCHOOL, INC.
Employer identification number (EIN):060646702
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RENBROOK SCHOOL, INC. GROUP LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT INS. PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-08-01
5012019-08-01KERRY DOHERTY2021-04-30
5012018-08-01KERRY DOHERTY2020-02-25
5012017-08-01
5012016-08-01
5012015-08-01
5012014-08-01
5012013-08-01
5012012-08-01LINDA P. KAPELNER
5012011-08-01LINDA P. KAPELNER
5012009-08-01MARK E. LOETHER

Plan Statistics for RENBROOK SCHOOL, INC. GROUP LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT INS. PLAN

401k plan membership statisitcs for RENBROOK SCHOOL, INC. GROUP LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT INS. PLAN

Measure Date Value
2020: RENBROOK SCHOOL, INC. GROUP LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT INS. PLAN 2020 401k membership
Total participants, beginning-of-year2020-08-01123
Total number of active participants reported on line 7a of the Form 55002020-08-01125
Number of retired or separated participants receiving benefits2020-08-010
Number of other retired or separated participants entitled to future benefits2020-08-010
Total of all active and inactive participants2020-08-01125
2019: RENBROOK SCHOOL, INC. GROUP LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT INS. PLAN 2019 401k membership
Total participants, beginning-of-year2019-08-01126
Total number of active participants reported on line 7a of the Form 55002019-08-01123
Total of all active and inactive participants2019-08-01123
2018: RENBROOK SCHOOL, INC. GROUP LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT INS. PLAN 2018 401k membership
Total participants, beginning-of-year2018-08-01124
Total number of active participants reported on line 7a of the Form 55002018-08-01126
Total of all active and inactive participants2018-08-01126
2017: RENBROOK SCHOOL, INC. GROUP LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT INS. PLAN 2017 401k membership
Total participants, beginning-of-year2017-08-01126
Total number of active participants reported on line 7a of the Form 55002017-08-01124
Total of all active and inactive participants2017-08-01124
2016: RENBROOK SCHOOL, INC. GROUP LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT INS. PLAN 2016 401k membership
Total participants, beginning-of-year2016-08-01132
Total number of active participants reported on line 7a of the Form 55002016-08-01126
Total of all active and inactive participants2016-08-01126
2015: RENBROOK SCHOOL, INC. GROUP LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT INS. PLAN 2015 401k membership
Total participants, beginning-of-year2015-08-01133
Total number of active participants reported on line 7a of the Form 55002015-08-01132
Total of all active and inactive participants2015-08-01132
2014: RENBROOK SCHOOL, INC. GROUP LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT INS. PLAN 2014 401k membership
Total participants, beginning-of-year2014-08-01131
Total number of active participants reported on line 7a of the Form 55002014-08-01133
Total of all active and inactive participants2014-08-01133
2013: RENBROOK SCHOOL, INC. GROUP LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT INS. PLAN 2013 401k membership
Total participants, beginning-of-year2013-08-01127
Total number of active participants reported on line 7a of the Form 55002013-08-01131
Total of all active and inactive participants2013-08-01131
2012: RENBROOK SCHOOL, INC. GROUP LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT INS. PLAN 2012 401k membership
Total participants, beginning-of-year2012-08-01121
Total number of active participants reported on line 7a of the Form 55002012-08-01109
Number of retired or separated participants receiving benefits2012-08-0118
Total of all active and inactive participants2012-08-01127
2011: RENBROOK SCHOOL, INC. GROUP LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT INS. PLAN 2011 401k membership
Total participants, beginning-of-year2011-08-01123
Total number of active participants reported on line 7a of the Form 55002011-08-01103
Number of retired or separated participants receiving benefits2011-08-0118
Total of all active and inactive participants2011-08-01121
2009: RENBROOK SCHOOL, INC. GROUP LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT INS. PLAN 2009 401k membership
Total participants, beginning-of-year2009-08-01133
Total number of active participants reported on line 7a of the Form 55002009-08-01108
Number of retired or separated participants receiving benefits2009-08-0115
Total of all active and inactive participants2009-08-01123

Form 5500 Responses for RENBROOK SCHOOL, INC. GROUP LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT INS. PLAN

2020: RENBROOK SCHOOL, INC. GROUP LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT INS. PLAN 2020 form 5500 responses
2020-08-01Type of plan entitySingle employer plan
2020-08-01Submission has been amendedNo
2020-08-01This submission is the final filingNo
2020-08-01This return/report is a short plan year return/report (less than 12 months)No
2020-08-01Plan is a collectively bargained planNo
2020-08-01Plan funding arrangement – InsuranceYes
2020-08-01Plan benefit arrangement – InsuranceYes
2019: RENBROOK SCHOOL, INC. GROUP LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT INS. PLAN 2019 form 5500 responses
2019-08-01Type of plan entitySingle employer plan
2019-08-01Plan funding arrangement – InsuranceYes
2019-08-01Plan benefit arrangement – InsuranceYes
2018: RENBROOK SCHOOL, INC. GROUP LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT INS. PLAN 2018 form 5500 responses
2018-08-01Type of plan entitySingle employer plan
2018-08-01Plan funding arrangement – InsuranceYes
2018-08-01Plan benefit arrangement – InsuranceYes
2017: RENBROOK SCHOOL, INC. GROUP LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT INS. PLAN 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – InsuranceYes
2016: RENBROOK SCHOOL, INC. GROUP LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT INS. PLAN 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – InsuranceYes
2015: RENBROOK SCHOOL, INC. GROUP LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT INS. PLAN 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – InsuranceYes
2014: RENBROOK SCHOOL, INC. GROUP LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT INS. PLAN 2014 form 5500 responses
2014-08-01Type of plan entitySingle employer plan
2014-08-01Plan funding arrangement – InsuranceYes
2014-08-01Plan benefit arrangement – InsuranceYes
2013: RENBROOK SCHOOL, INC. GROUP LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT INS. PLAN 2013 form 5500 responses
2013-08-01Type of plan entitySingle employer plan
2013-08-01Plan funding arrangement – InsuranceYes
2013-08-01Plan benefit arrangement – InsuranceYes
2012: RENBROOK SCHOOL, INC. GROUP LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT INS. PLAN 2012 form 5500 responses
2012-08-01Type of plan entitySingle employer plan
2012-08-01Plan funding arrangement – InsuranceYes
2012-08-01Plan benefit arrangement – InsuranceYes
2011: RENBROOK SCHOOL, INC. GROUP LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT INS. PLAN 2011 form 5500 responses
2011-08-01Type of plan entitySingle employer plan
2011-08-01Plan funding arrangement – InsuranceYes
2011-08-01Plan benefit arrangement – InsuranceYes
2009: RENBROOK SCHOOL, INC. GROUP LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT INS. PLAN 2009 form 5500 responses
2009-08-01Type of plan entitySingle employer plan
2009-08-01This submission is the final filingNo
2009-08-01Plan funding arrangement – InsuranceYes
2009-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number223146
Policy instance 1
Insurance contract or identification number223146
Number of Individuals Covered125
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $930
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
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 BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $8,666
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $930
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number223146
Policy instance 1
Insurance contract or identification number223146
Number of Individuals Covered123
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $925
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $8,608
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $463
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number223146
Policy instance 1
Insurance contract or identification number223146
Number of Individuals Covered126
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $921
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $8,565
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $921
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number223146
Policy instance 1
Insurance contract or identification number223146
Number of Individuals Covered124
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $933
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $8,703
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $933
Insurance broker organization code?3
Insurance broker nameWILLIS OF CONNECTICUT, LLC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number223146
Policy instance 1
Insurance contract or identification number223146
Number of Individuals Covered132
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $1,024
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $9,715
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,024
Insurance broker organization code?3
Insurance broker nameWILLIS OF CONNECTICUT, LLC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number223146
Policy instance 1
Insurance contract or identification number223146
Number of Individuals Covered133
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $989
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
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $9,318
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $989
Insurance broker organization code?3
Insurance broker nameWILLIS OF CONNECTICUT, LLC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number223146
Policy instance 1
Insurance contract or identification number223146
Number of Individuals Covered131
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $1,046
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
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $9,804
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,046
Insurance broker organization code?3
Insurance broker nameWILLIS OF CONNECTICUT LLC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number223146
Policy instance 1
Insurance contract or identification number223146
Number of Individuals Covered127
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $1,061
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
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $10,185
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,061
Insurance broker organization code?3
Insurance broker nameWILLIS OF CONNECTICUT LLC
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number857611G
Policy instance 1
Insurance contract or identification number857611G
Number of Individuals Covered121
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $142
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
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $12,584
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number857611G
Policy instance 1
Insurance contract or identification number857611G
Number of Individuals Covered123
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $32
Total amount of fees paid to insurance companyUSD $47
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $12,586
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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