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SEMINOLE NATION OF OKLAHOMA EMPLOYEE BENEFITS PLAN 401k Plan overview

Plan NameSEMINOLE NATION OF OKLAHOMA EMPLOYEE BENEFITS PLAN
Plan identification number 501

SEMINOLE NATION OF OKLAHOMA EMPLOYEE BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

SEMINOLE NATION OF OKLAHOMA has sponsored the creation of one or more 401k plans.

Company Name:SEMINOLE NATION OF OKLAHOMA
Employer identification number (EIN):730801256
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SEMINOLE NATION OF OKLAHOMA EMPLOYEE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-03-01

Plan Statistics for SEMINOLE NATION OF OKLAHOMA EMPLOYEE BENEFITS PLAN

401k plan membership statisitcs for SEMINOLE NATION OF OKLAHOMA EMPLOYEE BENEFITS PLAN

Measure Date Value
2017: SEMINOLE NATION OF OKLAHOMA EMPLOYEE BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year2017-03-01227
Total number of active participants reported on line 7a of the Form 55002017-03-01213
Number of retired or separated participants receiving benefits2017-03-011
Total of all active and inactive participants2017-03-01214
Total participants2017-03-01214

Form 5500 Responses for SEMINOLE NATION OF OKLAHOMA EMPLOYEE BENEFITS PLAN

2017: SEMINOLE NATION OF OKLAHOMA EMPLOYEE BENEFITS PLAN 2017 form 5500 responses
2017-03-01Type of plan entitySingle employer plan
2017-03-01Plan funding arrangement – InsuranceYes
2017-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number161292
Policy instance 1
Insurance contract or identification number161292
Number of Individuals Covered213
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $92,178
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,782,480
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $77,216
Insurance broker organization code?3
Insurance broker nameSUMMIT FINANCIAL GROUP
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number14853
Policy instance 2
Insurance contract or identification number14853
Number of Individuals Covered52
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $3,051
Other welfare benefits providedACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $19,359
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,051
Insurance broker organization code?3
Insurance broker nameNFP CORPORATE SVC OK LLC
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number14583
Policy instance 3
Insurance contract or identification number14583
Number of Individuals Covered29
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $1,542
Other welfare benefits providedCANCER
Welfare Benefit Premiums Paid to CarrierUSD $10,148
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,542
Insurance broker organization code?3
Insurance broker nameNFP CORPORATE SVCS OK LLC
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF020377
Policy instance 4
Insurance contract or identification numberF020377
Number of Individuals Covered215
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $11,700
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $77,382
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,014
Insurance broker organization code?3
Insurance broker nameNFP CORPORATE SERVICES (OK) LLC
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05935727
Policy instance 5
Insurance contract or identification numberKM05935727
Number of Individuals Covered419
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $4,632
Total amount of fees paid to insurance companyUSD $1,754
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $36,349
Commission paid to Insurance BrokerUSD $3,700
Amount paid for insurance broker fees1749
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameSUMMIT FINANCIAL GROUP INC

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