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EXCHANGE BANK OF SOUTH CAROLINA EMP INS BENEFITS 401k Plan overview

Plan NameEXCHANGE BANK OF SOUTH CAROLINA EMP INS BENEFITS
Plan identification number 501

EXCHANGE BANK OF SOUTH CAROLINA EMP INS BENEFITS Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Long-term disability cover

401k Sponsoring company profile

THE EXCHANGE BANK OF SOUTH has sponsored the creation of one or more 401k plans.

Company Name:THE EXCHANGE BANK OF SOUTH
Employer identification number (EIN):571026343
NAIC Classification:522110
NAIC Description:Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EXCHANGE BANK OF SOUTH CAROLINA EMP INS BENEFITS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012011-01-01JOHN MARTIN2012-07-31
5012009-01-01JOHN MARTIN

Plan Statistics for EXCHANGE BANK OF SOUTH CAROLINA EMP INS BENEFITS

401k plan membership statisitcs for EXCHANGE BANK OF SOUTH CAROLINA EMP INS BENEFITS

Measure Date Value
2009: EXCHANGE BANK OF SOUTH CAROLINA EMP INS BENEFITS 2009 401k membership
Total participants, beginning-of-year2009-01-0148
Total number of active participants reported on line 7a of the Form 55002009-01-0137
Total of all active and inactive participants2009-01-0137
Total participants2009-01-0137

Financial Data on EXCHANGE BANK OF SOUTH CAROLINA EMP INS BENEFITS

Measure Date Value
2010 : EXCHANGE BANK OF SOUTH CAROLINA EMP INS BENEFITS 2010 401k financial data
Total plan liabilities at end of year2010-12-31$11,505
Total plan liabilities at beginning of year2010-12-31$19,043
Total income from all sources2010-12-31$266,371
Expenses. Total of all expenses incurred2010-12-31$241,865
Benefits paid (including direct rollovers)2010-12-31$215,864
Total plan assets at end of year2010-12-31$44,936
Total plan assets at beginning of year2010-12-31$27,968
Value of fidelity bond covering the plan2010-12-31$1,000,000
Other income received2010-12-31$606
Net income (gross income less expenses)2010-12-31$24,506
Net plan assets at end of year (total assets less liabilities)2010-12-31$33,431
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$8,925
Total contributions received or receivable from employer(s)2010-12-31$265,765
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$26,001

Form 5500 Responses for EXCHANGE BANK OF SOUTH CAROLINA EMP INS BENEFITS

2009: EXCHANGE BANK OF SOUTH CAROLINA EMP INS BENEFITS 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30016141-0025
Policy instance 1
Insurance contract or identification number30016141-0025
Number of Individuals Covered16
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $82
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,493
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTS05469906
Policy instance 2
Insurance contract or identification numberTS05469906
Number of Individuals Covered53
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $518
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,796
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number348118-0036
Policy instance 3
Insurance contract or identification number348118-0036
Number of Individuals Covered36
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $1,562
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,360
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number285958-0036
Policy instance 4
Insurance contract or identification number285958-0036
Number of Individuals Covered4
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $343
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,870
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number105531-0036
Policy instance 5
Insurance contract or identification number105531-0036
Number of Individuals Covered36
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $888
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,601
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 )
Policy contract number03-51236-13-4
Policy instance 6
Insurance contract or identification number03-51236-13-4
Number of Individuals Covered36
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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