RURAL ALASKA COMMUNITY ACTION PROGRAM, INC MEDICAL PLAN 401k Plan overview
Plan Name | RURAL ALASKA COMMUNITY ACTION PROGRAM, INC MEDICAL PLAN |
Plan identification number | 503 |
RURAL ALASKA COMMUNITY ACTION PROGRAM, INC MEDICAL PLAN Benefits
401k Plan Type | Welfare Benefit |
Plan Features/Benefits | - Health (other than dental or vision)
- Dental
- Vision
- Other welfare benefit cover
- 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.
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401k Sponsoring company profile
RURAL ALASKA COMMUNITY ACTION PROGRAM, INC. has sponsored the creation of one or more 401k plans.
Additional information about RURAL ALASKA COMMUNITY ACTION PROGRAM, INC.
Jurisdiction of Incorporation: | Alaska Department Commerce, Community & Economic Development |
Incorporation Date: | 1965-07-30 |
Company Identification Number: | 6814D |
Legal Registered Office Address: |
731 E 8TH AVENUE
ANCHORAGE
United States of America (USA)
99501
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More information about RURAL ALASKA COMMUNITY ACTION PROGRAM, INC.
Form 5500 Filing Information
Submission information for form 5500 for 401k plan RURAL ALASKA COMMUNITY ACTION PROGRAM, INC MEDICAL PLAN
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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503 | 2018-01-01 | | | | |
503 | 2017-04-01 | CYNTHIA TISHER | | | |
503 | 2016-04-01 | CYNTHIA TISHER | | | |
503 | 2016-04-01 | | | | |
Plan Statistics for RURAL ALASKA COMMUNITY ACTION PROGRAM, INC MEDICAL PLAN
401k plan membership statisitcs for RURAL ALASKA COMMUNITY ACTION PROGRAM, INC MEDICAL PLAN
Measure | Date | Value |
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2018: RURAL ALASKA COMMUNITY ACTION PROGRAM, INC MEDICAL PLAN 2018 401k membership |
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Total participants, beginning-of-year | 2018-01-01 | 245 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 233 |
Number of retired or separated participants receiving benefits | 2018-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2018-01-01 | 0 |
Total of all active and inactive participants | 2018-01-01 | 233 |
2017: RURAL ALASKA COMMUNITY ACTION PROGRAM, INC MEDICAL PLAN 2017 401k membership |
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Total participants, beginning-of-year | 2017-04-01 | 156 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-04-01 | 149 |
Number of retired or separated participants receiving benefits | 2017-04-01 | 2 |
Total of all active and inactive participants | 2017-04-01 | 151 |
Total participants | 2017-04-01 | 151 |
2016: RURAL ALASKA COMMUNITY ACTION PROGRAM, INC MEDICAL PLAN 2016 401k membership |
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Total participants, beginning-of-year | 2016-04-01 | 173 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-04-01 | 236 |
Number of retired or separated participants receiving benefits | 2016-04-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2016-04-01 | 0 |
Total of all active and inactive participants | 2016-04-01 | 236 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2016-04-01 | 0 |
Total participants | 2016-04-01 | 236 |
Form 5500 Responses for RURAL ALASKA COMMUNITY ACTION PROGRAM, INC MEDICAL PLAN
2018: RURAL ALASKA COMMUNITY ACTION PROGRAM, INC MEDICAL PLAN 2018 form 5500 responses |
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2018-01-01 | Type of plan entity | Single employer plan |
2018-01-01 | Plan funding arrangement – Insurance | Yes |
2018-01-01 | Plan benefit arrangement – Insurance | Yes |
2017: RURAL ALASKA COMMUNITY ACTION PROGRAM, INC MEDICAL PLAN 2017 form 5500 responses |
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2017-04-01 | Type of plan entity | Single employer plan |
2017-04-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2017-04-01 | Plan funding arrangement – Insurance | Yes |
2017-04-01 | Plan benefit arrangement – Insurance | Yes |
2016: RURAL ALASKA COMMUNITY ACTION PROGRAM, INC MEDICAL PLAN 2016 form 5500 responses |
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2016-04-01 | Type of plan entity | Single employer plan |
2016-04-01 | First time form 5500 has been submitted | Yes |
2016-04-01 | Submission has been amended | Yes |
2016-04-01 | Plan funding arrangement – Insurance | Yes |
2016-04-01 | Plan benefit arrangement – Insurance | Yes |
Insurance Providers Used on plan
PREMERA BLUE CROSS BLUE SHIELD OF ALASKA, INC. (National Association of Insurance Commissioners NAIC id number: 11677 ) |
Policy contract number | 4009896 |
Policy instance | 1 |
Insurance contract or identification number | 4009896 | Number of Individuals Covered | 189 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of fees paid to insurance company | USD $9,395 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $2,055,248 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 4855 | Additional information about fees paid to insurance broker | PREFERRED PRODUCER PROGRAM | Insurance broker organization code? | 3 |
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PREMERA BLUE CROSS BLUE SHIELD OF ALASKA, INC. (National Association of Insurance Commissioners NAIC id number: 11677 ) |
Policy contract number | 4009896 |
Policy instance | 1 |
Insurance contract or identification number | 4009896 | Number of Individuals Covered | 154 | Insurance policy start date | 2017-04-01 | Insurance policy end date | 2017-12-31 | Total amount of fees paid to insurance company | USD $6,935 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,580,586 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 6935 | Additional information about fees paid to insurance broker | PRFERRED PRODUCER PROGRAM | Insurance broker organization code? | 3 | Insurance broker name | KIBBLE & PRENTICE HOLDING CO. |
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