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ACTION HOUSING HEALTH AND WELFARE LIFE AND DISABILITY 401k Plan overview

Plan NameACTION HOUSING HEALTH AND WELFARE LIFE AND DISABILITY
Plan identification number 501

ACTION HOUSING HEALTH AND WELFARE LIFE AND DISABILITY Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • 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

ACTION HOUSING, INC. has sponsored the creation of one or more 401k plans.

Company Name:ACTION HOUSING, INC.
Employer identification number (EIN):250965469
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Additional information about ACTION HOUSING, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 2013-07-17
Company Identification Number: P13000060096
Legal Registered Office Address: 1201 HAYS STREET

TALLAHASSEE

32301

More information about ACTION HOUSING, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ACTION HOUSING HEALTH AND WELFARE LIFE AND DISABILITY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01KYLE C. WEBSTER2023-06-16

Plan Statistics for ACTION HOUSING HEALTH AND WELFARE LIFE AND DISABILITY

401k plan membership statisitcs for ACTION HOUSING HEALTH AND WELFARE LIFE AND DISABILITY

Measure Date Value
2022: ACTION HOUSING HEALTH AND WELFARE LIFE AND DISABILITY 2022 401k membership
Total participants, beginning-of-year2022-01-01100
Total number of active participants reported on line 7a of the Form 55002022-01-010
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-010
Number of employers contributing to the scheme2022-01-010

Form 5500 Responses for ACTION HOUSING HEALTH AND WELFARE LIFE AND DISABILITY

2022: ACTION HOUSING HEALTH AND WELFARE LIFE AND DISABILITY 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01First time form 5500 has been submittedYes
2022-01-01This submission is the final filingYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSOK601425
Policy instance 1
Insurance contract or identification numberSOK601425
Number of Individuals Covered109
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,045
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,EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $61,550
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees2045
Additional information about fees paid to insurance brokerGENERAL AGENCY FEES
Insurance broker organization code?3

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