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AMERICAN SCHOOL FOR THE DEAF WRAP BENEFIT PLAN 401k Plan overview

Plan NameAMERICAN SCHOOL FOR THE DEAF WRAP BENEFIT PLAN
Plan identification number 503

AMERICAN SCHOOL FOR THE DEAF WRAP BENEFIT PLAN Benefits

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

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

Company Name:AMERICAN SCHOOL FOR THE DEAF
Employer identification number (EIN):060667600
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICAN SCHOOL FOR THE DEAF WRAP BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032022-07-01JENNIFER PIZZOFERRATO2023-12-19
5032021-07-01JENNIFER PIZZOFERRATO2023-01-10
5032020-07-01JENNIFER PIZZOFERRATO2022-01-13

Plan Statistics for AMERICAN SCHOOL FOR THE DEAF WRAP BENEFIT PLAN

401k plan membership statisitcs for AMERICAN SCHOOL FOR THE DEAF WRAP BENEFIT PLAN

Measure Date Value
2022: AMERICAN SCHOOL FOR THE DEAF WRAP BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-01250
Total number of active participants reported on line 7a of the Form 55002022-07-01264
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 participants2022-07-01264
Number of employers contributing to the scheme2022-07-010
2021: AMERICAN SCHOOL FOR THE DEAF WRAP BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01250
Total number of active participants reported on line 7a of the Form 55002021-07-01250
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 participants2021-07-01250
Number of employers contributing to the scheme2021-07-010
2020: AMERICAN SCHOOL FOR THE DEAF WRAP BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01239
Total number of active participants reported on line 7a of the Form 55002020-07-01252
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 participants2020-07-01252
Number of employers contributing to the scheme2020-07-010

Form 5500 Responses for AMERICAN SCHOOL FOR THE DEAF WRAP BENEFIT PLAN

2022: AMERICAN SCHOOL FOR THE DEAF WRAP BENEFIT 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: AMERICAN SCHOOL FOR THE DEAF WRAP BENEFIT 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: AMERICAN SCHOOL FOR THE DEAF WRAP BENEFIT PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01First time form 5500 has been submittedYes
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberAL00006182
Policy instance 1
Insurance contract or identification numberAL00006182
Number of Individuals Covered264
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $21,152
Total amount of fees paid to insurance companyUSD $1,752
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $158,462
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,152
Amount paid for insurance broker fees1752
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number000038
Policy instance 2
Insurance contract or identification number000038
Number of Individuals Covered397
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $6,947
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,216,355
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,947
Amount paid for insurance broker fees0
Insurance broker organization code?3
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberAL00006182
Policy instance 1
Insurance contract or identification numberAL00006182
Number of Individuals Covered248
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $26,057
Total amount of fees paid to insurance companyUSD $6,098
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $170,939
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,057
Amount paid for insurance broker fees6098
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number38
Policy instance 2
Insurance contract or identification number38
Number of Individuals Covered395
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $7,017
Total amount of fees paid to insurance companyUSD $2,558
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,467,175
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,017
Amount paid for insurance broker fees2558
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberAL00006182
Policy instance 1
Insurance contract or identification numberAL00006182
Number of Individuals Covered249
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $21,432
Total amount of fees paid to insurance companyUSD $1,594
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $174,664
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,432
Amount paid for insurance broker fees1594
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number38
Policy instance 2
Insurance contract or identification number38
Number of Individuals Covered410
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $6,704
Total amount of fees paid to insurance companyUSD $119
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,032,002
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,704
Amount paid for insurance broker fees119
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3

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