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MOUNTAIN VIEW FIRE RESCUE DISTRICT LIFE AND DISABILITY PLAN 401k Plan overview

Plan NameMOUNTAIN VIEW FIRE RESCUE DISTRICT LIFE AND DISABILITY PLAN
Plan identification number 501

MOUNTAIN VIEW FIRE RESCUE DISTRICT LIFE AND DISABILITY 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)

401k Sponsoring company profile

MOUNTAIN VIEW FIRE RESCUE DISTRICT has sponsored the creation of one or more 401k plans.

Company Name:MOUNTAIN VIEW FIRE RESCUE DISTRICT
Employer identification number (EIN):840690684
NAIC Classification:921000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MOUNTAIN VIEW FIRE RESCUE DISTRICT LIFE AND DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-01-01MELISSA MEEHAN2020-06-02
5012018-01-01

Plan Statistics for MOUNTAIN VIEW FIRE RESCUE DISTRICT LIFE AND DISABILITY PLAN

401k plan membership statisitcs for MOUNTAIN VIEW FIRE RESCUE DISTRICT LIFE AND DISABILITY PLAN

Measure Date Value
2019: MOUNTAIN VIEW FIRE RESCUE DISTRICT LIFE AND DISABILITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01108
Total number of active participants reported on line 7a of the Form 55002019-01-01108
Number of retired or separated participants receiving benefits2019-01-012
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01110
Number of employers contributing to the scheme2019-01-010
2018: MOUNTAIN VIEW FIRE RESCUE DISTRICT LIFE AND DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01101
Total number of active participants reported on line 7a of the Form 55002018-01-01104
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01104
Number of employers contributing to the scheme2018-01-010

Form 5500 Responses for MOUNTAIN VIEW FIRE RESCUE DISTRICT LIFE AND DISABILITY PLAN

2019: MOUNTAIN VIEW FIRE RESCUE DISTRICT LIFE AND DISABILITY PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: MOUNTAIN VIEW FIRE RESCUE DISTRICT LIFE AND DISABILITY PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01First time form 5500 has been submittedYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number754546
Policy instance 1
Insurance contract or identification number754546
Number of Individuals Covered106
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $19,024
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,214
Amount paid for insurance broker fees0
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number754546
Policy instance 1
Insurance contract or identification number754546
Number of Individuals Covered104
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $21,772
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,772
Amount paid for insurance broker fees0
Insurance broker organization code?3

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