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CANTON REGIONAL CHAMBER HEALTH FUND 401k Plan overview

Plan NameCANTON REGIONAL CHAMBER HEALTH FUND
Plan identification number 501

CANTON REGIONAL CHAMBER HEALTH FUND Benefits

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

401k Sponsoring company profile

ARCIS TECHNOLOGY GROUP has sponsored the creation of one or more 401k plans.

Company Name:ARCIS TECHNOLOGY GROUP
Employer identification number (EIN):421563907
NAIC Classification:541512
NAIC Description:Computer Systems Design Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CANTON REGIONAL CHAMBER HEALTH FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-01-01JEFFREY A. RAPP2021-07-13
5012019-01-01JEFFREY A. RAPP2020-07-23

Plan Statistics for CANTON REGIONAL CHAMBER HEALTH FUND

401k plan membership statisitcs for CANTON REGIONAL CHAMBER HEALTH FUND

Measure Date Value
2020: CANTON REGIONAL CHAMBER HEALTH FUND 2020 401k membership
Total participants, beginning-of-year2020-01-0113
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-010
2019: CANTON REGIONAL CHAMBER HEALTH FUND 2019 401k membership
Total participants, beginning-of-year2019-01-0113
Total number of active participants reported on line 7a of the Form 55002019-01-0113
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-0113

Financial Data on CANTON REGIONAL CHAMBER HEALTH FUND

Measure Date Value
2020 : CANTON REGIONAL CHAMBER HEALTH FUND 2020 401k financial data
Total plan liabilities at end of year2020-12-31$0
Total plan liabilities at beginning of year2020-12-31$4,559
Total income from all sources2020-12-31$61,643
Expenses. Total of all expenses incurred2020-12-31$59,260
Benefits paid (including direct rollovers)2020-12-31$6,626
Total plan assets at end of year2020-12-31$0
Total plan assets at beginning of year2020-12-31$2,176
Value of fidelity bond covering the plan2020-12-31$500,000
Net income (gross income less expenses)2020-12-31$2,383
Net plan assets at end of year (total assets less liabilities)2020-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$-2,383
Total contributions received or receivable from employer(s)2020-12-31$61,643
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$52,634
2019 : CANTON REGIONAL CHAMBER HEALTH FUND 2019 401k financial data
Total plan liabilities at end of year2019-12-31$4,559
Total plan liabilities at beginning of year2019-12-31$0
Total income from all sources2019-12-31$48,597
Expenses. Total of all expenses incurred2019-12-31$50,980
Benefits paid (including direct rollovers)2019-12-31$17,502
Total plan assets at end of year2019-12-31$2,176
Total plan assets at beginning of year2019-12-31$0
Value of fidelity bond covering the plan2019-12-31$1,000,000
Expenses. Other expenses not covered elsewhere2019-12-31$55
Net income (gross income less expenses)2019-12-31$-2,383
Net plan assets at end of year (total assets less liabilities)2019-12-31$-2,383
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$0
Total contributions received or receivable from employer(s)2019-12-31$48,597
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$33,423

Form 5500 Responses for CANTON REGIONAL CHAMBER HEALTH FUND

2020: CANTON REGIONAL CHAMBER HEALTH FUND 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingYes
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: CANTON REGIONAL CHAMBER HEALTH FUND 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01First time form 5500 has been submittedYes
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MCKINLEY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77216 )
Policy contract numberHF900
Policy instance 1
Insurance contract or identification numberHF900
Number of Individuals Covered0
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,943
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 BenefitYes
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
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 $61,643
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,943
Insurance broker organization code?3
MCKINLEY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77216 )
Policy contract numberHF900
Policy instance 1
Insurance contract or identification numberHF900
Number of Individuals Covered13
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,553
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 BenefitYes
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
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 $48,597
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,553
Insurance broker organization code?3

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