401k Plan data: FAMILY SECURITY CREDIT UNION HEALTH AND WELFARE BENEFIT PLAN plan

FAMILY SECURITY CREDIT UNION HEALTH AND WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	FAMILY SECURITY CREDIT UNION HEALTH AND WELFARE BENEFIT PLAN
Plan identification number	501

FAMILY SECURITY CREDIT UNION HEALTH AND WELFARE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

FAMILY SECURITY CREDIT UNION has sponsored the creation of one or more 401k plans.

Company Name: FAMILY SECURITY CREDIT UNION

Employer identification number (EIN): 630757453

NAIC Classification: 522130
NAIC Description: Credit Unions

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FAMILY SECURITY CREDIT UNION HEALTH AND WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-05-01 ZACHARY HOWELL 2024-10-03
501 2022-05-01 ZACHARY HOWELL 2023-10-10
501 2021-05-01 ZACHARY HOWELL 2022-10-06
501 2020-05-01 ZACHARY HOWELL 2021-10-05
501 2019-05-01 JENNIFER CHENAULT 2020-10-20
501 2018-05-01 JENNIFER CHENAULT 2020-10-20
501 2017-05-01 JENNIFER CHENAULT 2020-10-20
501 2016-05-01 JENNIFER CHENAULT 2020-10-20

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2023-05-01	ZACHARY HOWELL	2024-10-03
501	2022-05-01	ZACHARY HOWELL	2023-10-10
501	2021-05-01	ZACHARY HOWELL	2022-10-06
501	2020-05-01	ZACHARY HOWELL	2021-10-05
501	2019-05-01	JENNIFER CHENAULT	2020-10-20
501	2018-05-01	JENNIFER CHENAULT	2020-10-20
501	2017-05-01	JENNIFER CHENAULT	2020-10-20
501	2016-05-01	JENNIFER CHENAULT	2020-10-20

Form 5500 Responses for FAMILY SECURITY CREDIT UNION HEALTH AND WELFARE BENEFIT PLAN

2023: FAMILY SECURITY CREDIT UNION HEALTH AND WELFARE BENEFIT PLAN 2023 form 5500 responses
2023-05-01	Type of plan entity	Single employer plan
2023-05-01	Plan funding arrangement – Insurance	Yes
2023-05-01	Plan benefit arrangement – Insurance	Yes
2022: FAMILY SECURITY CREDIT UNION HEALTH AND WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-05-01	Type of plan entity	Single employer plan
2022-05-01	Plan funding arrangement – Insurance	Yes
2022-05-01	Plan benefit arrangement – Insurance	Yes
2021: FAMILY SECURITY CREDIT UNION HEALTH AND WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-05-01	Type of plan entity	Single employer plan
2021-05-01	Plan funding arrangement – Insurance	Yes
2021-05-01	Plan benefit arrangement – Insurance	Yes
2020: FAMILY SECURITY CREDIT UNION HEALTH AND WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-05-01	Type of plan entity	Single employer plan
2020-05-01	Plan funding arrangement – Insurance	Yes
2020-05-01	Plan benefit arrangement – Insurance	Yes
2019: FAMILY SECURITY CREDIT UNION HEALTH AND WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-05-01	Type of plan entity	Single employer plan
2019-05-01	Plan funding arrangement – Insurance	Yes
2019-05-01	Plan benefit arrangement – Insurance	Yes
2018: FAMILY SECURITY CREDIT UNION HEALTH AND WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-05-01	Type of plan entity	Single employer plan
2018-05-01	Submission has been amended	Yes
2018-05-01	Plan funding arrangement – Insurance	Yes
2018-05-01	Plan benefit arrangement – Insurance	Yes
2017: FAMILY SECURITY CREDIT UNION HEALTH AND WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-05-01	Type of plan entity	Single employer plan
2017-05-01	Submission has been amended	Yes
2017-05-01	Plan funding arrangement – Insurance	Yes
2017-05-01	Plan benefit arrangement – Insurance	Yes
2016: FAMILY SECURITY CREDIT UNION HEALTH AND WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-05-01	Type of plan entity	Single employer plan
2016-05-01	Submission has been amended	Yes
2016-05-01	Plan funding arrangement – Insurance	Yes
2016-05-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MDLIVE (National Association of Insurance Commissioners NAIC id number: 52421 )

Policy contract number

8764059

Policy instance

Insurance contract or identification number	8764059
Number of Individuals Covered	170
Insurance policy start date	2023-05-01
Insurance policy end date	2024-04-30
Total amount of commissions paid to insurance broker	USD $2,112
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	TELEHEALTH
Welfare Benefit Premiums Paid to Carrier	USD $9,781
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30061305

Policy instance

Insurance contract or identification number	30061305
Number of Individuals Covered	150
Insurance policy start date	2023-05-01
Insurance policy end date	2024-04-30
Total amount of commissions paid to insurance broker	USD $1,775
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $17,763
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )

Policy contract number

34214

Policy instance

Insurance contract or identification number	34214
Number of Individuals Covered	249
Insurance policy start date	2023-05-01
Insurance policy end date	2024-04-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

487699

Policy instance

Insurance contract or identification number	487699
Number of Individuals Covered	211
Insurance policy start date	2023-05-01
Insurance policy end date	2024-04-30
Total amount of commissions paid to insurance broker	USD $15,015
Total amount of fees paid to insurance company	USD $875
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $120,784
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

487699

Policy instance

Insurance contract or identification number	487699
Number of Individuals Covered	207
Insurance policy start date	2022-05-01
Insurance policy end date	2023-04-30
Total amount of commissions paid to insurance broker	USD $16,211
Total amount of fees paid to insurance company	USD $3,654
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $130,538
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )

Policy contract number

34214

Policy instance

Insurance contract or identification number	34214
Number of Individuals Covered	220
Insurance policy start date	2022-05-01
Insurance policy end date	2023-04-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30061305

Policy instance

Insurance contract or identification number	30061305
Number of Individuals Covered	143
Insurance policy start date	2022-05-01
Insurance policy end date	2023-04-30
Total amount of commissions paid to insurance broker	USD $1,797
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $17,919
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

K5601

Policy instance

Insurance contract or identification number	K5601
Number of Individuals Covered	34
Insurance policy start date	2022-05-01
Insurance policy end date	2023-04-30
Total amount of commissions paid to insurance broker	USD $4,453
Total amount of fees paid to insurance company	USD $122
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENT, HOSPITAL, CANCER, PERSONAL RECOVERY
Welfare Benefit Premiums Paid to Carrier	USD $33,821
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MDLIVE (National Association of Insurance Commissioners NAIC id number: 52421 )

Policy contract number

8764059

Policy instance

Insurance contract or identification number	8764059
Number of Individuals Covered	159
Insurance policy start date	2022-05-01
Insurance policy end date	2023-04-30
Total amount of commissions paid to insurance broker	USD $1,538
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	TELEHEALTH
Welfare Benefit Premiums Paid to Carrier	USD $6,377
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

487699

Policy instance

BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )

Policy contract number

34214

Policy instance

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30061305

Policy instance

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

K5601

Policy instance

MDLIVE (National Association of Insurance Commissioners NAIC id number: 62199 )

Policy contract number

8764059

Policy instance

MDLIVE (National Association of Insurance Commissioners NAIC id number: 62199 )

Policy contract number

8764059

Policy instance

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

K5601

Policy instance

TELADOC, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

156019

Policy instance

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30061305

Policy instance

BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )

Policy contract number

34214

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

487699

Policy instance

BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )

Policy contract number

34214

Policy instance

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30061305

Policy instance

TELADOC, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

156019

Policy instance

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

K5601

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

487699

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

487699

Policy instance

BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )

Policy contract number

34214

Policy instance

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

K5601

Policy instance

TELADOC, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

156019

Policy instance

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30061305

Policy instance

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

K5601

Policy instance

BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )

Policy contract number

34214

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

487699

Policy instance

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30061305

Policy instance

TELADOC, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

156019

Policy instance

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Company Name:	FAMILY SECURITY CREDIT UNION
Employer identification number (EIN):	630757453
NAIC Classification:	522130
NAIC Description:	Credit Unions