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ACTION-HOUSING, INC. HEALTH AND WELFARE BENEFITS PLAN 401k Plan overview

Plan NameACTION-HOUSING, INC. HEALTH AND WELFARE BENEFITS PLAN
Plan identification number 502

ACTION-HOUSING, INC. HEALTH AND WELFARE BENEFITS 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

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, INC. HEALTH AND WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022023-03-01KYLE CAVALLINE WEBSTER2024-06-11

Form 5500 Responses for ACTION-HOUSING, INC. HEALTH AND WELFARE BENEFITS PLAN

2023: ACTION-HOUSING, INC. HEALTH AND WELFARE BENEFITS PLAN 2023 form 5500 responses
2023-03-01Type of plan entitySingle employer plan
2023-03-01First time form 5500 has been submittedYes
2023-03-01Plan funding arrangement – InsuranceYes
2023-03-01Plan funding arrangement – General assets of the sponsorYes
2023-03-01Plan benefit arrangement – InsuranceYes
2023-03-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number927429
Policy instance 1
Insurance contract or identification number927429
Number of Individuals Covered140
Insurance policy start date2023-03-01
Insurance policy end date2024-02-29
Total amount of commissions paid to insurance brokerUSD $16,951
Total amount of fees paid to insurance companyUSD $37,384
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,087,299
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 numberGLUG0C975
Policy instance 2
Insurance contract or identification numberGLUG0C975
Number of Individuals Covered107
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $4,508
Total amount of fees paid to insurance companyUSD $582
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 providedEMPLOYEE ASSISTANCE PROGRAM,ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $37,576
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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