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CARLETON COLLEGE EAP PLAN 401k Plan overview

Plan NameCARLETON COLLEGE EAP PLAN
Plan identification number 511

CARLETON COLLEGE EAP PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Death benefits (include travel accident but not life insurance)
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

CARLETON COLLEGE has sponsored the creation of one or more 401k plans.

Company Name:CARLETON COLLEGE
Employer identification number (EIN):410694747
NAIC Classification:611000

Additional information about CARLETON COLLEGE

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: C0095509

More information about CARLETON COLLEGE

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CARLETON COLLEGE EAP PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5112017-01-01KIRSTEN BUDIN
5112017-01-01KIRSTEN BUDIN
5112017-01-01
5112013-10-01KERSTIN CARDENAS KERSTIN CARDENAS2014-06-30
5112012-10-01KERSTIN CARDENAS KERSTIN CARDENAS2014-04-30
5112011-10-01KERSTIN CARDENAS

Plan Statistics for CARLETON COLLEGE EAP PLAN

401k plan membership statisitcs for CARLETON COLLEGE EAP PLAN

Measure Date Value
2017: CARLETON COLLEGE EAP PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01730
Total number of active participants reported on line 7a of the Form 55002017-01-01730
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01730
2013: CARLETON COLLEGE EAP PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-01112
Total number of active participants reported on line 7a of the Form 55002013-10-01112
Number of retired or separated participants receiving benefits2013-10-010
Number of other retired or separated participants entitled to future benefits2013-10-010
Total of all active and inactive participants2013-10-01112
2012: CARLETON COLLEGE EAP PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-01113
Total number of active participants reported on line 7a of the Form 55002012-10-01112
Number of retired or separated participants receiving benefits2012-10-010
Number of other retired or separated participants entitled to future benefits2012-10-010
Total of all active and inactive participants2012-10-01112
2011: CARLETON COLLEGE EAP PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-01115
Total number of active participants reported on line 7a of the Form 55002011-10-01113
Number of retired or separated participants receiving benefits2011-10-010
Number of other retired or separated participants entitled to future benefits2011-10-010
Total of all active and inactive participants2011-10-01113

Form 5500 Responses for CARLETON COLLEGE EAP PLAN

2017: CARLETON COLLEGE EAP PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01First time form 5500 has been submittedYes
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2013: CARLETON COLLEGE EAP PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan benefit arrangement – InsuranceYes
2012: CARLETON COLLEGE EAP PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan benefit arrangement – InsuranceYes
2011: CARLETON COLLEGE EAP PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Submission has been amendedNo
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HEALTHPARTNERS (National Association of Insurance Commissioners NAIC id number: )
Policy contract number28110
Policy instance 1
Insurance contract or identification number28110
Number of Individuals Covered730
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedEAP
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $16,206
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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