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NORTH CAROLINA PERFORMING ARTS CENTER AT CHARLOTTE FOUNDATION MEDICAL PLAN 401k Plan overview

Plan NameNORTH CAROLINA PERFORMING ARTS CENTER AT CHARLOTTE FOUNDATION MEDICAL PLAN
Plan identification number 501

NORTH CAROLINA PERFORMING ARTS CENTER AT CHARLOTTE FOUNDATION 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.

401k Sponsoring company profile

NORTH CAROLINA PERFORMING ARTS CENTER AT CHARLOTTE FOUNDATION has sponsored the creation of one or more 401k plans.

Company Name:NORTH CAROLINA PERFORMING ARTS CENTER AT CHARLOTTE FOUNDATION
Employer identification number (EIN):581791724
NAIC Classification:711100
NAIC Description: Performing Arts Companies

Additional information about NORTH CAROLINA PERFORMING ARTS CENTER AT CHARLOTTE FOUNDATION

Jurisdiction of Incorporation: North Carolina Secretary of State
Incorporation Date:
Company Identification Number: 0208214

More information about NORTH CAROLINA PERFORMING ARTS CENTER AT CHARLOTTE FOUNDATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH CAROLINA PERFORMING ARTS CENTER AT CHARLOTTE FOUNDATION MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-09-01
5012019-09-01STEVEN BRACE2021-05-05

Plan Statistics for NORTH CAROLINA PERFORMING ARTS CENTER AT CHARLOTTE FOUNDATION MEDICAL PLAN

401k plan membership statisitcs for NORTH CAROLINA PERFORMING ARTS CENTER AT CHARLOTTE FOUNDATION MEDICAL PLAN

Measure Date Value
2022: NORTH CAROLINA PERFORMING ARTS CENTER AT CHARLOTTE FOUNDATION MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-09-01104
Total number of active participants reported on line 7a of the Form 55002022-09-01108
Number of retired or separated participants receiving benefits2022-09-010
Number of other retired or separated participants entitled to future benefits2022-09-017
Total of all active and inactive participants2022-09-01115
2019: NORTH CAROLINA PERFORMING ARTS CENTER AT CHARLOTTE FOUNDATION MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-09-01100
Total number of active participants reported on line 7a of the Form 55002019-09-0195
Number of retired or separated participants receiving benefits2019-09-010
Number of other retired or separated participants entitled to future benefits2019-09-010
Total of all active and inactive participants2019-09-0195
Number of employers contributing to the scheme2019-09-010

Form 5500 Responses for NORTH CAROLINA PERFORMING ARTS CENTER AT CHARLOTTE FOUNDATION MEDICAL PLAN

2022: NORTH CAROLINA PERFORMING ARTS CENTER AT CHARLOTTE FOUNDATION MEDICAL PLAN 2022 form 5500 responses
2022-09-01Type of plan entitySingle employer plan
2022-09-01Submission has been amendedNo
2022-09-01This submission is the final filingYes
2022-09-01This return/report is a short plan year return/report (less than 12 months)No
2022-09-01Plan is a collectively bargained planNo
2022-09-01Plan funding arrangement – InsuranceYes
2022-09-01Plan benefit arrangement – InsuranceYes
2019: NORTH CAROLINA PERFORMING ARTS CENTER AT CHARLOTTE FOUNDATION MEDICAL PLAN 2019 form 5500 responses
2019-09-01Type of plan entitySingle employer plan
2019-09-01First time form 5500 has been submittedYes
2019-09-01Plan funding arrangement – InsuranceYes
2019-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number1080075
Policy instance 1
Insurance contract or identification number1080075
Number of Individuals Covered173
Insurance policy start date2022-09-01
Insurance policy end date2023-08-31
Total amount of commissions paid to insurance brokerUSD $7,823
Total amount of fees paid to insurance companyUSD $42,720
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 $722,949
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,823
Amount paid for insurance broker fees42720
Additional information about fees paid to insurance brokerSERVICE FEE AGREEMENT
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number69089
Policy instance 1
Insurance contract or identification number69089
Number of Individuals Covered134
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $34,930
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $712,165
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,930
Amount paid for insurance broker fees0
Insurance broker organization code?3

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