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NEWARK ACADEMY MEDICAL PLAN 401k Plan overview

Plan NameNEWARK ACADEMY MEDICAL PLAN
Plan identification number 501

NEWARK ACADEMY MEDICAL PLAN Benefits

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

401k Sponsoring company profile

NEWARK ACADEMY TRUSTEES has sponsored the creation of one or more 401k plans.

Company Name:NEWARK ACADEMY TRUSTEES
Employer identification number (EIN):221487270
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NEWARK ACADEMY MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-05-01SAM GOLDFISCHER2024-10-15
5012022-05-01SAM GOLDFISCHER2023-09-13
5012021-05-01SAM GOLDFISCHER2022-11-17
5012020-05-01SAM GOLDFISCHER2021-10-04
5012019-05-01SAM GOLDFISCHER2020-12-28
5012018-05-01SAM GOLDFISCHER2020-09-11
5012017-05-01SAM GOLDFISCHER2020-09-11
5012016-05-01SAM GOLDFISCHER2020-09-11
5012015-05-01SAM GOLDFISCHER2020-09-11
5012014-05-01SAM GOLDFISCHER2020-09-11
5012013-05-01SAM GOLDFISCHER2020-09-11
5012012-05-01SAM GOLDFISCHER2020-09-11
5012011-05-01SAM GOLDFISCHER2020-09-11

Plan Statistics for NEWARK ACADEMY MEDICAL PLAN

401k plan membership statisitcs for NEWARK ACADEMY MEDICAL PLAN

Measure Date Value
2023: NEWARK ACADEMY MEDICAL PLAN 2023 401k membership
Total participants, beginning-of-year2023-05-01125
Total number of active participants reported on line 7a of the Form 55002023-05-01130
Number of retired or separated participants receiving benefits2023-05-010
Number of other retired or separated participants entitled to future benefits2023-05-010
Total of all active and inactive participants2023-05-01130
Number of employers contributing to the scheme2023-05-010
2022: NEWARK ACADEMY MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-05-01120
Total number of active participants reported on line 7a of the Form 55002022-05-01125
Number of retired or separated participants receiving benefits2022-05-010
Number of other retired or separated participants entitled to future benefits2022-05-010
Total of all active and inactive participants2022-05-01125
Number of employers contributing to the scheme2022-05-010
2021: NEWARK ACADEMY MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-05-01112
Total number of active participants reported on line 7a of the Form 55002021-05-01120
Number of retired or separated participants receiving benefits2021-05-010
Number of other retired or separated participants entitled to future benefits2021-05-010
Total of all active and inactive participants2021-05-01120
Number of employers contributing to the scheme2021-05-010
2020: NEWARK ACADEMY MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-05-01120
Total number of active participants reported on line 7a of the Form 55002020-05-01112
Number of retired or separated participants receiving benefits2020-05-010
Number of other retired or separated participants entitled to future benefits2020-05-010
Total of all active and inactive participants2020-05-01112
Number of employers contributing to the scheme2020-05-010
2019: NEWARK ACADEMY MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-05-01115
Total number of active participants reported on line 7a of the Form 55002019-05-01120
Number of retired or separated participants receiving benefits2019-05-010
Number of other retired or separated participants entitled to future benefits2019-05-010
Total of all active and inactive participants2019-05-01120
Number of employers contributing to the scheme2019-05-010
2018: NEWARK ACADEMY MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-05-01115
Total number of active participants reported on line 7a of the Form 55002018-05-01115
Number of retired or separated participants receiving benefits2018-05-010
Number of other retired or separated participants entitled to future benefits2018-05-010
Total of all active and inactive participants2018-05-01115
Number of employers contributing to the scheme2018-05-010
2017: NEWARK ACADEMY MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-05-01112
Total number of active participants reported on line 7a of the Form 55002017-05-01115
Number of retired or separated participants receiving benefits2017-05-010
Number of other retired or separated participants entitled to future benefits2017-05-010
Total of all active and inactive participants2017-05-01115
Number of employers contributing to the scheme2017-05-010
2016: NEWARK ACADEMY MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-05-01108
Total number of active participants reported on line 7a of the Form 55002016-05-01112
Number of retired or separated participants receiving benefits2016-05-010
Number of other retired or separated participants entitled to future benefits2016-05-010
Total of all active and inactive participants2016-05-01112
Number of employers contributing to the scheme2016-05-010
2015: NEWARK ACADEMY MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-01106
Total number of active participants reported on line 7a of the Form 55002015-05-01108
Number of retired or separated participants receiving benefits2015-05-010
Number of other retired or separated participants entitled to future benefits2015-05-010
Total of all active and inactive participants2015-05-01108
Number of employers contributing to the scheme2015-05-010
2014: NEWARK ACADEMY MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-05-01100
Total number of active participants reported on line 7a of the Form 55002014-05-01106
Number of retired or separated participants receiving benefits2014-05-010
Number of other retired or separated participants entitled to future benefits2014-05-010
Total of all active and inactive participants2014-05-01106
Number of employers contributing to the scheme2014-05-010
2013: NEWARK ACADEMY MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-05-01100
Total number of active participants reported on line 7a of the Form 55002013-05-01100
Number of retired or separated participants receiving benefits2013-05-010
Number of other retired or separated participants entitled to future benefits2013-05-010
Total of all active and inactive participants2013-05-01100
Number of employers contributing to the scheme2013-05-010
2012: NEWARK ACADEMY MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-05-01100
Total number of active participants reported on line 7a of the Form 55002012-05-01100
Number of retired or separated participants receiving benefits2012-05-010
Number of other retired or separated participants entitled to future benefits2012-05-010
Total of all active and inactive participants2012-05-01100
Number of employers contributing to the scheme2012-05-010
2011: NEWARK ACADEMY MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-05-01100
Total number of active participants reported on line 7a of the Form 55002011-05-01100
Number of retired or separated participants receiving benefits2011-05-010
Number of other retired or separated participants entitled to future benefits2011-05-010
Total of all active and inactive participants2011-05-01100
Number of employers contributing to the scheme2011-05-010

Form 5500 Responses for NEWARK ACADEMY MEDICAL PLAN

2023: NEWARK ACADEMY MEDICAL PLAN 2023 form 5500 responses
2023-05-01Type of plan entitySingle employer plan
2023-05-01Plan funding arrangement – InsuranceYes
2023-05-01Plan benefit arrangement – InsuranceYes
2022: NEWARK ACADEMY MEDICAL PLAN 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan benefit arrangement – InsuranceYes
2021: NEWARK ACADEMY MEDICAL PLAN 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan benefit arrangement – InsuranceYes
2020: NEWARK ACADEMY MEDICAL PLAN 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan benefit arrangement – InsuranceYes
2019: NEWARK ACADEMY MEDICAL PLAN 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan benefit arrangement – InsuranceYes
2018: NEWARK ACADEMY MEDICAL PLAN 2018 form 5500 responses
2018-05-01Type of plan entitySingle employer plan
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan benefit arrangement – InsuranceYes
2017: NEWARK ACADEMY MEDICAL PLAN 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan benefit arrangement – InsuranceYes
2016: NEWARK ACADEMY MEDICAL PLAN 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan benefit arrangement – InsuranceYes
2015: NEWARK ACADEMY MEDICAL PLAN 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan benefit arrangement – InsuranceYes
2014: NEWARK ACADEMY MEDICAL PLAN 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan benefit arrangement – InsuranceYes
2013: NEWARK ACADEMY MEDICAL PLAN 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan benefit arrangement – InsuranceYes
2012: NEWARK ACADEMY MEDICAL PLAN 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan benefit arrangement – InsuranceYes
2011: NEWARK ACADEMY MEDICAL PLAN 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01First time form 5500 has been submittedYes
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number611111
Policy instance 1
Insurance contract or identification number611111
Number of Individuals Covered209
Insurance policy start date2023-05-01
Insurance policy end date2024-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $150,000
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,480,778
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number611111
Policy instance 1
Insurance contract or identification number611111
Number of Individuals Covered199
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $124,791
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,143,196
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees124791
Additional information about fees paid to insurance brokerBENEFIT ADVISOR FEES
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number611111
Policy instance 1
Insurance contract or identification number611111
Number of Individuals Covered187
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $117,747
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,920,286
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees117747
Additional information about fees paid to insurance brokerBENEFIT ADVISOR FEES, INCENTIVE COMPENSATION
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number611111
Policy instance 1
Insurance contract or identification number611111
Number of Individuals Covered178
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $114,373
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,947,646
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees114373
Additional information about fees paid to insurance brokerBENEFIT ADVISOR FEES
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number611111
Policy instance 1
Insurance contract or identification number611111
Number of Individuals Covered192
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $107,858
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,816,978
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees107858
Additional information about fees paid to insurance brokerBENEFIT ADVISOR FEES
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number611111
Policy instance 1
Insurance contract or identification number611111
Number of Individuals Covered181
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $102,299
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,562,017
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees102299
Additional information about fees paid to insurance brokerBENEFIT ADVISOR FEES
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number611111
Policy instance 1
Insurance contract or identification number611111
Number of Individuals Covered179
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $106,448
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,497,517
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number611111
Policy instance 1
Insurance contract or identification number611111
Number of Individuals Covered168
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $71,303
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,025,155
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees58306
Additional information about fees paid to insurance brokerBENEFIT ADVISOR FEES
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number611111
Policy instance 1
Insurance contract or identification number611111
Number of Individuals Covered166
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $88,415
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,863,612
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees88415
Additional information about fees paid to insurance brokerBENEFIT ADVISOR FEE
Insurance broker organization code?3
UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number80445
Policy instance 1
Insurance contract or identification number80445
Number of Individuals Covered100
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number80445
Policy instance 1
Insurance contract or identification number80445
Number of Individuals Covered100
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number333346
Policy instance 1
Insurance contract or identification number333346
Number of Individuals Covered100
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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