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PEROT MUSEUM OF NATURE AND SCIENCE EMPLOYEE WELFARE PLAN 401k Plan overview

Plan NamePEROT MUSEUM OF NATURE AND SCIENCE EMPLOYEE WELFARE PLAN
Plan identification number 501

PEROT MUSEUM OF NATURE AND SCIENCE EMPLOYEE WELFARE 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
  • Death benefits (include travel accident but not life insurance)
  • 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

PEROT MUSEUM OF NATURE AND SCIENCE has sponsored the creation of one or more 401k plans.

Company Name:PEROT MUSEUM OF NATURE AND SCIENCE
Employer identification number (EIN):756067569
NAIC Classification:712100
NAIC Description: Museums, Historical Sites, and Similar Institutions

Additional information about PEROT MUSEUM OF NATURE AND SCIENCE

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1968-02-23
Company Identification Number: 0024398601
Legal Registered Office Address: 2201 N FIELD ST

DALLAS
United States of America (USA)
75201

More information about PEROT MUSEUM OF NATURE AND SCIENCE

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PEROT MUSEUM OF NATURE AND SCIENCE EMPLOYEE WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-10-01ARTHUR D. FERRELL2021-06-04
5012018-10-01BRAD SMITH2020-02-24
5012017-10-01BRAD SMITH2019-04-09
5012016-10-01
5012015-10-01

Plan Statistics for PEROT MUSEUM OF NATURE AND SCIENCE EMPLOYEE WELFARE PLAN

401k plan membership statisitcs for PEROT MUSEUM OF NATURE AND SCIENCE EMPLOYEE WELFARE PLAN

Measure Date Value
2019: PEROT MUSEUM OF NATURE AND SCIENCE EMPLOYEE WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01129
Total number of active participants reported on line 7a of the Form 55002019-10-0173
Number of retired or separated participants receiving benefits2019-10-010
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-0173
Number of employers contributing to the scheme2019-10-010
2018: PEROT MUSEUM OF NATURE AND SCIENCE EMPLOYEE WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01118
Total number of active participants reported on line 7a of the Form 55002018-10-01112
Number of retired or separated participants receiving benefits2018-10-010
Number of other retired or separated participants entitled to future benefits2018-10-010
Total of all active and inactive participants2018-10-01112
Number of employers contributing to the scheme2018-10-010
2017: PEROT MUSEUM OF NATURE AND SCIENCE EMPLOYEE WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01122
Total number of active participants reported on line 7a of the Form 55002017-10-01110
Number of retired or separated participants receiving benefits2017-10-010
Number of other retired or separated participants entitled to future benefits2017-10-010
Total of all active and inactive participants2017-10-01110
Number of employers contributing to the scheme2017-10-010
2016: PEROT MUSEUM OF NATURE AND SCIENCE EMPLOYEE WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-01122
Total number of active participants reported on line 7a of the Form 55002016-10-01118
Number of retired or separated participants receiving benefits2016-10-010
Number of other retired or separated participants entitled to future benefits2016-10-010
Total of all active and inactive participants2016-10-01118
2015: PEROT MUSEUM OF NATURE AND SCIENCE EMPLOYEE WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-01108
Total number of active participants reported on line 7a of the Form 55002015-10-01122
Number of retired or separated participants receiving benefits2015-10-010
Number of other retired or separated participants entitled to future benefits2015-10-010
Total of all active and inactive participants2015-10-01122

Form 5500 Responses for PEROT MUSEUM OF NATURE AND SCIENCE EMPLOYEE WELFARE PLAN

2019: PEROT MUSEUM OF NATURE AND SCIENCE EMPLOYEE WELFARE PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – InsuranceYes
2018: PEROT MUSEUM OF NATURE AND SCIENCE EMPLOYEE WELFARE PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – InsuranceYes
2017: PEROT MUSEUM OF NATURE AND SCIENCE EMPLOYEE WELFARE PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – InsuranceYes
2016: PEROT MUSEUM OF NATURE AND SCIENCE EMPLOYEE WELFARE PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – InsuranceYes
2015: PEROT MUSEUM OF NATURE AND SCIENCE EMPLOYEE WELFARE PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01First time form 5500 has been submittedYes
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10135351001
Policy instance 4
Insurance contract or identification number10135351001
Number of Individuals Covered85
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,831
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF021670
Policy instance 3
Insurance contract or identification numberF021670
Number of Individuals Covered25
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,296
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $62,844
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees2296
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3341234
Policy instance 2
Insurance contract or identification number3341234
Number of Individuals Covered70
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $49,107
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number218248
Policy instance 1
Insurance contract or identification number218248
Number of Individuals Covered112
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,740
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $774,322
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees1740
Additional information about fees paid to insurance brokerOTHER COMMISSIONS
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number218248
Policy instance 1
Insurance contract or identification number218248
Number of Individuals Covered148
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $803,960
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10135351001
Policy instance 4
Insurance contract or identification number10135351001
Number of Individuals Covered125
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,888
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF021670
Policy instance 3
Insurance contract or identification numberF021670
Number of Individuals Covered132
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $63,645
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3341234
Policy instance 2
Insurance contract or identification number3341234
Number of Individuals Covered111
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $429
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $58,216
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees429
Additional information about fees paid to insurance brokerGENERAL AGENT PAYMENTS
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3341234
Policy instance 2
Insurance contract or identification number3341234
Number of Individuals Covered110
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $54,451
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number218248
Policy instance 1
Insurance contract or identification number218248
Number of Individuals Covered151
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $753,598
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10135351001
Policy instance 4
Insurance contract or identification number10135351001
Number of Individuals Covered131
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,468
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF021670
Policy instance 3
Insurance contract or identification numberF021670
Number of Individuals Covered129
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $3,214
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $55,860
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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