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AURORA CO-OP ELEVATOR COMPANY SELF-FUNDED HEALTH INSURANCE PLAN 401k Plan overview

Plan NameAURORA CO-OP ELEVATOR COMPANY SELF-FUNDED HEALTH INSURANCE PLAN
Plan identification number 506

AURORA CO-OP ELEVATOR COMPANY SELF-FUNDED HEALTH INSURANCE PLAN Benefits

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

401k Sponsoring company profile

AURORA COOPERATIVE ELEVATOR CO has sponsored the creation of one or more 401k plans.

Company Name:AURORA COOPERATIVE ELEVATOR CO
Employer identification number (EIN):470095730
NAIC Classification:115110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AURORA CO-OP ELEVATOR COMPANY SELF-FUNDED HEALTH INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062019-01-01
5062019-01-01
5062018-01-01JEFF BART
5062017-01-01JEFF BART
5062016-01-01JEFF BART
5062015-01-01JEFF BART
5062014-01-01JEFF BART
5062013-01-01JEFF BART
5062012-01-01JEFF BART
5062011-01-01JEFF BART
5062010-01-01JEFF BART
5062009-01-01JEFF BART

Plan Statistics for AURORA CO-OP ELEVATOR COMPANY SELF-FUNDED HEALTH INSURANCE PLAN

401k plan membership statisitcs for AURORA CO-OP ELEVATOR COMPANY SELF-FUNDED HEALTH INSURANCE PLAN

Measure Date Value
2019: AURORA CO-OP ELEVATOR COMPANY SELF-FUNDED HEALTH INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01579
Total number of active participants reported on line 7a of the Form 55002019-01-01570
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 participants2019-01-01570
2018: AURORA CO-OP ELEVATOR COMPANY SELF-FUNDED HEALTH INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01594
Total number of active participants reported on line 7a of the Form 55002018-01-01579
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01579
2017: AURORA CO-OP ELEVATOR COMPANY SELF-FUNDED HEALTH INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01573
Total number of active participants reported on line 7a of the Form 55002017-01-01594
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 participants2017-01-01594
2016: AURORA CO-OP ELEVATOR COMPANY SELF-FUNDED HEALTH INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01542
Total number of active participants reported on line 7a of the Form 55002016-01-01573
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01573
2015: AURORA CO-OP ELEVATOR COMPANY SELF-FUNDED HEALTH INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01541
Total number of active participants reported on line 7a of the Form 55002015-01-01542
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01542
2014: AURORA CO-OP ELEVATOR COMPANY SELF-FUNDED HEALTH INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01489
Total number of active participants reported on line 7a of the Form 55002014-01-01541
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01541
2013: AURORA CO-OP ELEVATOR COMPANY SELF-FUNDED HEALTH INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01459
Total number of active participants reported on line 7a of the Form 55002013-01-01489
Total of all active and inactive participants2013-01-01489
2012: AURORA CO-OP ELEVATOR COMPANY SELF-FUNDED HEALTH INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01387
Total number of active participants reported on line 7a of the Form 55002012-01-01459
Total of all active and inactive participants2012-01-01459
2011: AURORA CO-OP ELEVATOR COMPANY SELF-FUNDED HEALTH INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01385
Total number of active participants reported on line 7a of the Form 55002011-01-01387
Total of all active and inactive participants2011-01-01387
2010: AURORA CO-OP ELEVATOR COMPANY SELF-FUNDED HEALTH INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01350
Total number of active participants reported on line 7a of the Form 55002010-01-01385
Total of all active and inactive participants2010-01-01385
2009: AURORA CO-OP ELEVATOR COMPANY SELF-FUNDED HEALTH INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01347
Total number of active participants reported on line 7a of the Form 55002009-01-01350
Total of all active and inactive participants2009-01-01350

Form 5500 Responses for AURORA CO-OP ELEVATOR COMPANY SELF-FUNDED HEALTH INSURANCE PLAN

2019: AURORA CO-OP ELEVATOR COMPANY SELF-FUNDED HEALTH INSURANCE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedYes
2019-01-01This submission is the final filingYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: AURORA CO-OP ELEVATOR COMPANY SELF-FUNDED HEALTH INSURANCE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: AURORA CO-OP ELEVATOR COMPANY SELF-FUNDED HEALTH INSURANCE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: AURORA CO-OP ELEVATOR COMPANY SELF-FUNDED HEALTH INSURANCE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: AURORA CO-OP ELEVATOR COMPANY SELF-FUNDED HEALTH INSURANCE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: AURORA CO-OP ELEVATOR COMPANY SELF-FUNDED HEALTH INSURANCE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: AURORA CO-OP ELEVATOR COMPANY SELF-FUNDED HEALTH INSURANCE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: AURORA CO-OP ELEVATOR COMPANY SELF-FUNDED HEALTH INSURANCE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: AURORA CO-OP ELEVATOR COMPANY SELF-FUNDED HEALTH INSURANCE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: AURORA CO-OP ELEVATOR COMPANY SELF-FUNDED HEALTH INSURANCE PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: AURORA CO-OP ELEVATOR COMPANY SELF-FUNDED HEALTH INSURANCE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberEXRK
Policy instance 2
Insurance contract or identification numberEXRK
Number of Individuals Covered566
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $12,000
Total amount of fees paid to insurance companyUSD $69,214
Welfare Benefit Premiums Paid to CarrierUSD $1,384,287
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,000
Amount paid for insurance broker fees69214
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF NEBRASKA (National Association of Insurance Commissioners NAIC id number: 77780 )
Policy contract number102115
Policy instance 1
Insurance contract or identification number102115
Number of Individuals Covered570
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF NEBRASKA (National Association of Insurance Commissioners NAIC id number: 77780 )
Policy contract number305122
Policy instance 1
Insurance contract or identification number305122
Number of Individuals Covered579
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF NEBRASKA (National Association of Insurance Commissioners NAIC id number: 77780 )
Policy contract number305122
Policy instance 1
Insurance contract or identification number305122
Number of Individuals Covered594
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF NEBRASKA (National Association of Insurance Commissioners NAIC id number: 77780 )
Policy contract number305122
Policy instance 1
Insurance contract or identification number305122
Number of Individuals Covered541
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,514,802
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF NEBRASKA (National Association of Insurance Commissioners NAIC id number: 77780 )
Policy contract number305122
Policy instance 1
Insurance contract or identification number305122
Number of Individuals Covered541
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,023,723
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract number0656262
Policy instance 1
Insurance contract or identification number0656262
Number of Individuals Covered489
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $729,885
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract number
Policy instance 1
Number of Individuals Covered459
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $560,478
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract number
Policy instance 1
Number of Individuals Covered387
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $451,705
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberEXRK
Policy instance 1
Insurance contract or identification numberEXRK
Number of Individuals Covered385
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of fees paid to insurance companyUSD $13,823
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $460,752
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees13823
Additional information about fees paid to insurance brokerSERVICE FEE
Insurance broker organization code?3
Insurance broker namePRINCIPAL LIFE INSURANCE COMPANY

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