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YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN 401k Plan overview

Plan NameYADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN
Plan identification number 501

YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • 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.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT INC has sponsored the creation of one or more 401k plans.

Company Name:YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT INC
Employer identification number (EIN):560851147
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-12-01
5012020-12-01
5012019-12-01
5012018-12-01
5012017-12-01
5012016-12-01JANET PHILLIPS KATHY PAYNE2018-05-08
5012015-12-01JANET PHILLIPS KATHY PAYNE2017-06-29
5012014-12-01LISA SEXTON KATHY PAYNE2016-06-22
5012013-12-01LISA SEXTON KATHY PAYNE2015-05-29
5012012-12-01LISA SEXTON KATHY PAYNE2014-06-26
5012011-12-01LISA SEXTON KATHY PAYNE2013-06-28
5012010-12-01LISA SEXTON DANIEL M. HAIRE, JR.2012-06-27
5012009-12-01PLAN SPONSOR

Plan Statistics for YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN

401k plan membership statisitcs for YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN

Measure Date Value
2022: YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-12-01102
Total number of active participants reported on line 7a of the Form 55002022-12-01102
Number of retired or separated participants receiving benefits2022-12-010
Number of other retired or separated participants entitled to future benefits2022-12-010
Total of all active and inactive participants2022-12-01102
2020: YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-01108
Total number of active participants reported on line 7a of the Form 55002020-12-0196
Number of retired or separated participants receiving benefits2020-12-011
Number of other retired or separated participants entitled to future benefits2020-12-010
Total of all active and inactive participants2020-12-0197
2019: YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-12-01100
Total number of active participants reported on line 7a of the Form 55002019-12-01100
Number of retired or separated participants receiving benefits2019-12-012
Number of other retired or separated participants entitled to future benefits2019-12-010
Total of all active and inactive participants2019-12-01102
2018: YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-12-01102
Total number of active participants reported on line 7a of the Form 55002018-12-01100
Number of retired or separated participants receiving benefits2018-12-010
Number of other retired or separated participants entitled to future benefits2018-12-010
Total of all active and inactive participants2018-12-01100
2017: YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-12-01146
Total number of active participants reported on line 7a of the Form 55002017-12-01132
Number of retired or separated participants receiving benefits2017-12-010
Number of other retired or separated participants entitled to future benefits2017-12-010
Total of all active and inactive participants2017-12-01132
2016: YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-12-01123
Total number of active participants reported on line 7a of the Form 55002016-12-01114
Number of retired or separated participants receiving benefits2016-12-010
Number of other retired or separated participants entitled to future benefits2016-12-010
Total of all active and inactive participants2016-12-01114
2015: YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-12-01103
Total number of active participants reported on line 7a of the Form 55002015-12-01110
Number of retired or separated participants receiving benefits2015-12-010
Number of other retired or separated participants entitled to future benefits2015-12-010
Total of all active and inactive participants2015-12-01110
2014: YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-12-01102
Total number of active participants reported on line 7a of the Form 55002014-12-01104
Number of retired or separated participants receiving benefits2014-12-010
Number of other retired or separated participants entitled to future benefits2014-12-010
Total of all active and inactive participants2014-12-01104
2013: YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-12-01104
Total number of active participants reported on line 7a of the Form 55002013-12-01100
Number of retired or separated participants receiving benefits2013-12-011
Number of other retired or separated participants entitled to future benefits2013-12-011
Total of all active and inactive participants2013-12-01102
2012: YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-12-01116
Total number of active participants reported on line 7a of the Form 55002012-12-01114
Number of retired or separated participants receiving benefits2012-12-011
Number of other retired or separated participants entitled to future benefits2012-12-011
Total of all active and inactive participants2012-12-01116
2011: YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-12-01114
Total number of active participants reported on line 7a of the Form 55002011-12-01110
Number of retired or separated participants receiving benefits2011-12-013
Number of other retired or separated participants entitled to future benefits2011-12-010
Total of all active and inactive participants2011-12-01113
2010: YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-12-01121
Total number of active participants reported on line 7a of the Form 55002010-12-01108
Number of retired or separated participants receiving benefits2010-12-014
Number of other retired or separated participants entitled to future benefits2010-12-010
Total of all active and inactive participants2010-12-01112
2009: YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-12-01126
Total number of active participants reported on line 7a of the Form 55002009-12-01123
Number of retired or separated participants receiving benefits2009-12-013
Number of other retired or separated participants entitled to future benefits2009-12-010
Total of all active and inactive participants2009-12-01126

Form 5500 Responses for YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN

2022: YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN 2022 form 5500 responses
2022-12-01Type of plan entitySingle employer plan
2022-12-01Submission has been amendedNo
2022-12-01This submission is the final filingNo
2022-12-01This return/report is a short plan year return/report (less than 12 months)No
2022-12-01Plan is a collectively bargained planNo
2022-12-01Plan funding arrangement – InsuranceYes
2022-12-01Plan benefit arrangement – InsuranceYes
2020: YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01Submission has been amendedNo
2020-12-01This submission is the final filingNo
2020-12-01This return/report is a short plan year return/report (less than 12 months)No
2020-12-01Plan is a collectively bargained planNo
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – InsuranceYes
2019: YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Submission has been amendedNo
2019-12-01This submission is the final filingNo
2019-12-01This return/report is a short plan year return/report (less than 12 months)No
2019-12-01Plan is a collectively bargained planNo
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan benefit arrangement – InsuranceYes
2018: YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01Submission has been amendedNo
2018-12-01This submission is the final filingNo
2018-12-01This return/report is a short plan year return/report (less than 12 months)No
2018-12-01Plan is a collectively bargained planNo
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan benefit arrangement – InsuranceYes
2017: YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN 2017 form 5500 responses
2017-12-01Type of plan entitySingle employer plan
2017-12-01Submission has been amendedNo
2017-12-01This submission is the final filingNo
2017-12-01This return/report is a short plan year return/report (less than 12 months)No
2017-12-01Plan is a collectively bargained planNo
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan benefit arrangement – InsuranceYes
2016: YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN 2016 form 5500 responses
2016-12-01Type of plan entitySingle employer plan
2016-12-01Submission has been amendedNo
2016-12-01This submission is the final filingNo
2016-12-01This return/report is a short plan year return/report (less than 12 months)No
2016-12-01Plan is a collectively bargained planNo
2016-12-01Plan funding arrangement – InsuranceYes
2016-12-01Plan benefit arrangement – InsuranceYes
2015: YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN 2015 form 5500 responses
2015-12-01Type of plan entitySingle employer plan
2015-12-01Submission has been amendedNo
2015-12-01This submission is the final filingNo
2015-12-01This return/report is a short plan year return/report (less than 12 months)No
2015-12-01Plan is a collectively bargained planNo
2015-12-01Plan funding arrangement – InsuranceYes
2015-12-01Plan benefit arrangement – InsuranceYes
2014: YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN 2014 form 5500 responses
2014-12-01Type of plan entitySingle employer plan
2014-12-01Submission has been amendedNo
2014-12-01This submission is the final filingNo
2014-12-01This return/report is a short plan year return/report (less than 12 months)No
2014-12-01Plan is a collectively bargained planNo
2014-12-01Plan funding arrangement – InsuranceYes
2014-12-01Plan benefit arrangement – InsuranceYes
2013: YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN 2013 form 5500 responses
2013-12-01Type of plan entitySingle employer plan
2013-12-01Submission has been amendedNo
2013-12-01This submission is the final filingNo
2013-12-01This return/report is a short plan year return/report (less than 12 months)No
2013-12-01Plan is a collectively bargained planNo
2013-12-01Plan funding arrangement – InsuranceYes
2013-12-01Plan benefit arrangement – InsuranceYes
2012: YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN 2012 form 5500 responses
2012-12-01Type of plan entitySingle employer plan
2012-12-01Submission has been amendedNo
2012-12-01This submission is the final filingNo
2012-12-01This return/report is a short plan year return/report (less than 12 months)No
2012-12-01Plan is a collectively bargained planNo
2012-12-01Plan funding arrangement – InsuranceYes
2012-12-01Plan benefit arrangement – InsuranceYes
2011: YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN 2011 form 5500 responses
2011-12-01Type of plan entitySingle employer plan
2011-12-01Submission has been amendedNo
2011-12-01This submission is the final filingNo
2011-12-01This return/report is a short plan year return/report (less than 12 months)No
2011-12-01Plan is a collectively bargained planNo
2011-12-01Plan funding arrangement – InsuranceYes
2011-12-01Plan benefit arrangement – InsuranceYes
2010: YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN 2010 form 5500 responses
2010-12-01Type of plan entitySingle employer plan
2010-12-01Submission has been amendedNo
2010-12-01This submission is the final filingNo
2010-12-01This return/report is a short plan year return/report (less than 12 months)No
2010-12-01Plan is a collectively bargained planNo
2010-12-01Plan funding arrangement – InsuranceYes
2010-12-01Plan benefit arrangement – InsuranceYes
2009: YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT MEDICAL PLAN 2009 form 5500 responses
2009-12-01Type of plan entitySingle employer plan
2009-12-01Submission has been amendedNo
2009-12-01This submission is the final filingNo
2009-12-01This return/report is a short plan year return/report (less than 12 months)No
2009-12-01Plan is a collectively bargained planNo
2009-12-01Plan funding arrangement – InsuranceYes
2009-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number14164948-1001
Policy instance 1
Insurance contract or identification number14164948-1001
Number of Individuals Covered91
Insurance policy start date2022-12-01
Insurance policy end date2023-11-30
Total amount of commissions paid to insurance brokerUSD $19,372
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 $1,170,425
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,372
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number14164948-1001
Policy instance 1
Insurance contract or identification number14164948-1001
Number of Individuals Covered97
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $26,347
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 $959,758
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,347
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number008162
Policy instance 1
Insurance contract or identification number008162
Number of Individuals Covered102
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $30,633
Total amount of fees paid to insurance companyUSD $180
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $30,633
Amount paid for insurance broker fees180
Additional information about fees paid to insurance brokerADDITIONAL BROKER COMPENSATION
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number008162
Policy instance 1
Insurance contract or identification number008162
Number of Individuals Covered105
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $30,955
Total amount of fees paid to insurance companyUSD $198
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $30,955
Amount paid for insurance broker fees198
Additional information about fees paid to insurance brokerADDITIONAL BROKER COMPENSATION
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number008162
Policy instance 1
Insurance contract or identification number008162
Number of Individuals Covered116
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $33,518
Total amount of fees paid to insurance companyUSD $1,500
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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