401k Plan data: QUINCY UNIVERSITY HEALTH AND WELFARE PLAN plan

QUINCY UNIVERSITY HEALTH AND WELFARE PLAN 401k Plan overview

Plan Name	QUINCY UNIVERSITY HEALTH AND WELFARE PLAN
Plan identification number	501

QUINCY UNIVERSITY HEALTH AND WELFARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

QUINCY UNIVERSITY has sponsored the creation of one or more 401k plans.

Company Name: QUINCY UNIVERSITY

Employer identification number (EIN): 370661231

NAIC Classification: 611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan QUINCY UNIVERSITY HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2021-06-01
501 2021-06-01 DIANE KEMNER
501 2020-06-01
501 2019-06-01
501 2018-06-01
501 2017-06-01 TANYA MOORE
501 2016-06-01 TANYA MOORE
501 2015-06-01 TANYA MOORE
501 2014-06-01 TANYA HARVEY

Plan Statistics for QUINCY UNIVERSITY HEALTH AND WELFARE PLAN

401k plan membership statisitcs for QUINCY UNIVERSITY HEALTH AND WELFARE PLAN

Measure Date Value
2021: QUINCY UNIVERSITY HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year 2021-06-01 141
Total number of active participants reported on line 7a of the Form 5500 2021-06-01 141
Total of all active and inactive participants 2021-06-01 141
Total participants 2021-06-01 141
2020: QUINCY UNIVERSITY HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year 2020-06-01 142
Total number of active participants reported on line 7a of the Form 5500 2020-06-01 141
Total of all active and inactive participants 2020-06-01 141
Total participants 2020-06-01 141
2019: QUINCY UNIVERSITY HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year 2019-06-01 150
Total number of active participants reported on line 7a of the Form 5500 2019-06-01 142
Total of all active and inactive participants 2019-06-01 142
Total participants 2019-06-01 142
2018: QUINCY UNIVERSITY HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year 2018-06-01 123
Total number of active participants reported on line 7a of the Form 5500 2018-06-01 150
Total of all active and inactive participants 2018-06-01 150
Total participants 2018-06-01 150
2017: QUINCY UNIVERSITY HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-06-01 132
Total number of active participants reported on line 7a of the Form 5500 2017-06-01 123
Total of all active and inactive participants 2017-06-01 123
Total participants 2017-06-01 123
2016: QUINCY UNIVERSITY HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year 2016-06-01 132
Total number of active participants reported on line 7a of the Form 5500 2016-06-01 132
Total of all active and inactive participants 2016-06-01 132
Total participants 2016-06-01 132
2015: QUINCY UNIVERSITY HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-06-01 156
Total number of active participants reported on line 7a of the Form 5500 2015-06-01 132
Total of all active and inactive participants 2015-06-01 132
Total participants 2015-06-01 132
2014: QUINCY UNIVERSITY HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-06-01 152
Total number of active participants reported on line 7a of the Form 5500 2014-06-01 147
Number of retired or separated participants receiving benefits 2014-06-01 1
Number of other retired or separated participants entitled to future benefits 2014-06-01 0
Total of all active and inactive participants 2014-06-01 148

Measure	Date	Value
2021: QUINCY UNIVERSITY HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year	2021-06-01	141
Total number of active participants reported on line 7a of the Form 5500	2021-06-01	141
Total of all active and inactive participants	2021-06-01	141
Total participants	2021-06-01	141
2020: QUINCY UNIVERSITY HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year	2020-06-01	142
Total number of active participants reported on line 7a of the Form 5500	2020-06-01	141
Total of all active and inactive participants	2020-06-01	141
Total participants	2020-06-01	141
2019: QUINCY UNIVERSITY HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year	2019-06-01	150
Total number of active participants reported on line 7a of the Form 5500	2019-06-01	142
Total of all active and inactive participants	2019-06-01	142
Total participants	2019-06-01	142
2018: QUINCY UNIVERSITY HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year	2018-06-01	123
Total number of active participants reported on line 7a of the Form 5500	2018-06-01	150
Total of all active and inactive participants	2018-06-01	150
Total participants	2018-06-01	150
2017: QUINCY UNIVERSITY HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-06-01	132
Total number of active participants reported on line 7a of the Form 5500	2017-06-01	123
Total of all active and inactive participants	2017-06-01	123
Total participants	2017-06-01	123
2016: QUINCY UNIVERSITY HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-06-01	132
Total number of active participants reported on line 7a of the Form 5500	2016-06-01	132
Total of all active and inactive participants	2016-06-01	132
Total participants	2016-06-01	132
2015: QUINCY UNIVERSITY HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-06-01	156
Total number of active participants reported on line 7a of the Form 5500	2015-06-01	132
Total of all active and inactive participants	2015-06-01	132
Total participants	2015-06-01	132
2014: QUINCY UNIVERSITY HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-06-01	152
Total number of active participants reported on line 7a of the Form 5500	2014-06-01	147
Number of retired or separated participants receiving benefits	2014-06-01	1
Number of other retired or separated participants entitled to future benefits	2014-06-01	0
Total of all active and inactive participants	2014-06-01	148

Form 5500 Responses for QUINCY UNIVERSITY HEALTH AND WELFARE PLAN

2021: QUINCY UNIVERSITY HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-06-01	Type of plan entity	Single employer plan
2021-06-01	Submission has been amended	No
2021-06-01	This submission is the final filing	No
2021-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-06-01	Plan is a collectively bargained plan	No
2021-06-01	Plan funding arrangement – Insurance	Yes
2021-06-01	Plan benefit arrangement – Insurance	Yes
2020: QUINCY UNIVERSITY HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-06-01	Type of plan entity	Single employer plan
2020-06-01	Submission has been amended	No
2020-06-01	This submission is the final filing	No
2020-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-06-01	Plan is a collectively bargained plan	No
2020-06-01	Plan funding arrangement – Insurance	Yes
2020-06-01	Plan benefit arrangement – Insurance	Yes
2019: QUINCY UNIVERSITY HEALTH AND WELFARE PLAN 2019 form 5500 responses
2019-06-01	Type of plan entity	Single employer plan
2019-06-01	Submission has been amended	No
2019-06-01	This submission is the final filing	No
2019-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-06-01	Plan is a collectively bargained plan	No
2019-06-01	Plan funding arrangement – Insurance	Yes
2019-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-06-01	Plan benefit arrangement – Insurance	Yes
2019-06-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: QUINCY UNIVERSITY HEALTH AND WELFARE PLAN 2018 form 5500 responses
2018-06-01	Type of plan entity	Single employer plan
2018-06-01	Submission has been amended	No
2018-06-01	This submission is the final filing	No
2018-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-06-01	Plan is a collectively bargained plan	No
2018-06-01	Plan funding arrangement – Insurance	Yes
2018-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-06-01	Plan benefit arrangement – Insurance	Yes
2018-06-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: QUINCY UNIVERSITY HEALTH AND WELFARE PLAN 2017 form 5500 responses
2017-06-01	Type of plan entity	Single employer plan
2017-06-01	Submission has been amended	No
2017-06-01	This submission is the final filing	No
2017-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-06-01	Plan is a collectively bargained plan	No
2017-06-01	Plan funding arrangement – Insurance	Yes
2017-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-06-01	Plan benefit arrangement – Insurance	Yes
2017-06-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: QUINCY UNIVERSITY HEALTH AND WELFARE PLAN 2016 form 5500 responses
2016-06-01	Type of plan entity	Single employer plan
2016-06-01	Submission has been amended	No
2016-06-01	This submission is the final filing	No
2016-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-06-01	Plan is a collectively bargained plan	No
2016-06-01	Plan funding arrangement – Insurance	Yes
2016-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-06-01	Plan benefit arrangement – Insurance	Yes
2016-06-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: QUINCY UNIVERSITY HEALTH AND WELFARE PLAN 2015 form 5500 responses
2015-06-01	Type of plan entity	Single employer plan
2015-06-01	Submission has been amended	No
2015-06-01	This submission is the final filing	No
2015-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-06-01	Plan is a collectively bargained plan	No
2015-06-01	Plan funding arrangement – Insurance	Yes
2015-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-06-01	Plan benefit arrangement – Insurance	Yes
2015-06-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: QUINCY UNIVERSITY HEALTH AND WELFARE PLAN 2014 form 5500 responses
2014-06-01	Type of plan entity	Single employer plan
2014-06-01	First time form 5500 has been submitted	Yes
2014-06-01	Submission has been amended	No
2014-06-01	This submission is the final filing	No
2014-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-06-01	Plan is a collectively bargained plan	No
2014-06-01	Plan funding arrangement – Insurance	Yes
2014-06-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000AXWV
Policy instance	3
DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )
Policy contract number	37412
Policy instance	2
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number	266663
Policy instance	1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000AXWV
Policy instance	2
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number	017265
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number	30041644
Policy instance	2
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000AXWV
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number	30041644
Policy instance	2
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000AXWV
Policy instance	1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	ETB006357
Policy instance	2
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000AXWV
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number	30041644
Policy instance	3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	ETB006357
Policy instance	3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number	30041644
Policy instance	2
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000AXWV
Policy instance	1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	ETB006357
Policy instance	3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	000010165188
Policy instance	2
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	000010165187
Policy instance	1

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Company Name:	QUINCY UNIVERSITY
Employer identification number (EIN):	370661231
NAIC Classification:	611000

Plan id#	Filing Submission Date	Name of Administrator
501	2021-06-01
501	2021-06-01	DIANE KEMNER
501	2020-06-01
501	2019-06-01
501	2018-06-01
501	2017-06-01	TANYA MOORE
501	2016-06-01	TANYA MOORE
501	2015-06-01	TANYA MOORE
501	2014-06-01	TANYA HARVEY