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ELMINGTON HEALTH, DENTAL AND VISION BENEFITS PLAN 401k Plan overview

Plan NameELMINGTON HEALTH, DENTAL AND VISION BENEFITS PLAN
Plan identification number 502

ELMINGTON HEALTH, DENTAL AND VISION 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

ELMINGTON PROPERTY MANAGEMENT has sponsored the creation of one or more 401k plans.

Company Name:ELMINGTON PROPERTY MANAGEMENT
Employer identification number (EIN):461721587
NAIC Classification:531310

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ELMINGTON HEALTH, DENTAL AND VISION BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022019-01-01KATE DENNIS2020-09-04
5022018-01-01
5022017-01-01BRIENN KLAHN
5022016-01-02BRIENN KLAHN
5022015-06-01BRIENN KLAHN

Plan Statistics for ELMINGTON HEALTH, DENTAL AND VISION BENEFITS PLAN

401k plan membership statisitcs for ELMINGTON HEALTH, DENTAL AND VISION BENEFITS PLAN

Measure Date Value
2019: ELMINGTON HEALTH, DENTAL AND VISION BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01622
Total number of active participants reported on line 7a of the Form 55002019-01-010
Total of all active and inactive participants2019-01-010
2018: ELMINGTON HEALTH, DENTAL AND VISION BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01398
Total number of active participants reported on line 7a of the Form 55002018-01-01416
Number of retired or separated participants receiving benefits2018-01-011
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01417
2017: ELMINGTON HEALTH, DENTAL AND VISION BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01401
Total number of active participants reported on line 7a of the Form 55002017-01-01350
Number of retired or separated participants receiving benefits2017-01-014
Total of all active and inactive participants2017-01-01354
2016: ELMINGTON HEALTH, DENTAL AND VISION BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-02258
Total number of active participants reported on line 7a of the Form 55002016-01-02299
Total of all active and inactive participants2016-01-02299
2015: ELMINGTON HEALTH, DENTAL AND VISION BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-06-01215
Total number of active participants reported on line 7a of the Form 55002015-06-01258
Number of retired or separated participants receiving benefits2015-06-010
Number of other retired or separated participants entitled to future benefits2015-06-010
Total of all active and inactive participants2015-06-01258

Form 5500 Responses for ELMINGTON HEALTH, DENTAL AND VISION BENEFITS PLAN

2019: ELMINGTON HEALTH, DENTAL AND VISION BENEFITS PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01This submission is the final filingYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: ELMINGTON HEALTH, DENTAL AND VISION BENEFITS PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: ELMINGTON HEALTH, DENTAL AND VISION BENEFITS PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
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
2016: ELMINGTON HEALTH, DENTAL AND VISION BENEFITS PLAN 2016 form 5500 responses
2016-01-02Type of plan entitySingle employer plan
2016-01-02Submission has been amendedNo
2016-01-02This submission is the final filingNo
2016-01-02This return/report is a short plan year return/report (less than 12 months)Yes
2016-01-02Plan is a collectively bargained planNo
2016-01-02Plan funding arrangement – InsuranceYes
2016-01-02Plan funding arrangement – General assets of the sponsorYes
2016-01-02Plan benefit arrangement – InsuranceYes
2016-01-02Plan benefit arrangement – General assets of the sponsorYes
2015: ELMINGTON HEALTH, DENTAL AND VISION BENEFITS PLAN 2015 form 5500 responses
2015-06-01Type of plan entitySingle employer plan
2015-06-01First time form 5500 has been submittedYes
2015-06-01Submission has been amendedNo
2015-06-01This submission is the final filingNo
2015-06-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-06-01Plan is a collectively bargained planNo
2015-06-01Plan funding arrangement – InsuranceYes
2015-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1083183
Policy instance 2
Insurance contract or identification number1083183
Number of Individuals Covered913
Total amount of commissions paid to insurance brokerUSD $46,145
Total amount of fees paid to insurance companyUSD $5,952
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $420,774
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,342
Amount paid for insurance broker fees5952
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number913217
Policy instance 1
Insurance contract or identification number913217
Number of Individuals Covered584
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of fees paid to insurance companyUSD $89,387
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,462,807
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees65031
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1083183
Policy instance 2
Insurance contract or identification number1083183
Number of Individuals Covered774
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $42,166
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $378,778
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $42,166
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number913217
Policy instance 1
Insurance contract or identification number913217
Number of Individuals Covered528
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $83,844
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,113,840
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees83844
Additional information about fees paid to insurance brokerSERVICE FEE AGREEMENT
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberVDT962053
Policy instance 6
Insurance contract or identification numberVDT962053
Number of Individuals Covered116
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $9,845
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $65,634
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,845
Insurance broker organization code?3
Insurance broker nameFULL SERVICE INSURANCE, INC
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberVDT962052
Policy instance 5
Insurance contract or identification numberVDT962052
Number of Individuals Covered135
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $8,946
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $59,640
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,946
Insurance broker organization code?3
Insurance broker nameFULL SERVICE INSURANCE, INC
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK968678
Policy instance 4
Insurance contract or identification numberOK968678
Number of Individuals Covered546
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,679
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedBASIC AND VOLUNTARY AD&D; VOLUNTARY SPOUSE AND CHILD AD&D
Welfare Benefit Premiums Paid to CarrierUSD $11,191
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,679
Insurance broker organization code?3
Insurance broker nameFULL SERVICE INSURANCE, INC
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number0614482
Policy instance 3
Insurance contract or identification number0614482
Number of Individuals Covered303
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $7,699
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $133,987
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,699
Insurance broker organization code?3
Insurance broker nameFULL SERVICE INSURANCE, INC
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00614482
Policy instance 2
Insurance contract or identification number00614482
Number of Individuals Covered336
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $45,083
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $423,246
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $45,083
Insurance broker organization code?3
Insurance broker nameFULL SERVICE INSURANCE, INC
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX967171
Policy instance 1
Insurance contract or identification numberFLX967171
Number of Individuals Covered568
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $8,734
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedVOLUNTARY SUPPLEMENTAL AND DEPENDENT LIFE
Welfare Benefit Premiums Paid to CarrierUSD $58,229
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,734
Insurance broker organization code?3
Insurance broker nameFULL SERVICE INSURANCE, INC
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number129974
Policy instance 1
Insurance contract or identification number129974
Number of Individuals Covered390
Insurance policy start date2015-06-01
Insurance policy end date2016-01-01
Total amount of commissions paid to insurance brokerUSD $36,337
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $704,585
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,337
Insurance broker organization code?3
Insurance broker nameDAVID KARDOKUS

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