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SHOPO GROUP CRITICAL ILLNESS NON-PARTICIPATING / POLICY VCI 800323 401k Plan overview

Plan NameSHOPO GROUP CRITICAL ILLNESS NON-PARTICIPATING / POLICY VCI 800323
Plan identification number 504

SHOPO GROUP CRITICAL ILLNESS NON-PARTICIPATING / POLICY VCI 800323 Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

STATE OF HAWAII ORGANIZATION OF POLICE OFFICERS has sponsored the creation of one or more 401k plans.

Company Name:STATE OF HAWAII ORGANIZATION OF POLICE OFFICERS
Employer identification number (EIN):990149626
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SHOPO GROUP CRITICAL ILLNESS NON-PARTICIPATING / POLICY VCI 800323

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042022-02-01
5042021-02-01
5042020-02-01
5042019-02-01
5042018-02-01
5042017-02-01JAMES SMITH
5042016-02-01JAMES SMITH JAMES SMITH2017-11-14
5042015-02-01RUSSELL AKANA JAMES SMITH2016-10-19

Plan Statistics for SHOPO GROUP CRITICAL ILLNESS NON-PARTICIPATING / POLICY VCI 800323

401k plan membership statisitcs for SHOPO GROUP CRITICAL ILLNESS NON-PARTICIPATING / POLICY VCI 800323

Measure Date Value
2022: SHOPO GROUP CRITICAL ILLNESS NON-PARTICIPATING / POLICY VCI 800323 2022 401k membership
Total participants, beginning-of-year2022-02-0192
Total number of active participants reported on line 7a of the Form 55002022-02-0192
Number of retired or separated participants receiving benefits2022-02-014
Number of other retired or separated participants entitled to future benefits2022-02-010
Total of all active and inactive participants2022-02-0196
2021: SHOPO GROUP CRITICAL ILLNESS NON-PARTICIPATING / POLICY VCI 800323 2021 401k membership
Total participants, beginning-of-year2021-02-0195
Total number of active participants reported on line 7a of the Form 55002021-02-0189
Number of retired or separated participants receiving benefits2021-02-013
Number of other retired or separated participants entitled to future benefits2021-02-010
Total of all active and inactive participants2021-02-0192
2020: SHOPO GROUP CRITICAL ILLNESS NON-PARTICIPATING / POLICY VCI 800323 2020 401k membership
Total participants, beginning-of-year2020-02-0195
Total number of active participants reported on line 7a of the Form 55002020-02-0192
Number of retired or separated participants receiving benefits2020-02-013
Number of other retired or separated participants entitled to future benefits2020-02-010
Total of all active and inactive participants2020-02-0195
2019: SHOPO GROUP CRITICAL ILLNESS NON-PARTICIPATING / POLICY VCI 800323 2019 401k membership
Total participants, beginning-of-year2019-02-0197
Total number of active participants reported on line 7a of the Form 55002019-02-0192
Number of retired or separated participants receiving benefits2019-02-013
Number of other retired or separated participants entitled to future benefits2019-02-010
Total of all active and inactive participants2019-02-0195
2018: SHOPO GROUP CRITICAL ILLNESS NON-PARTICIPATING / POLICY VCI 800323 2018 401k membership
Total participants, beginning-of-year2018-02-01101
Total number of active participants reported on line 7a of the Form 55002018-02-0194
Number of retired or separated participants receiving benefits2018-02-013
Number of other retired or separated participants entitled to future benefits2018-02-010
Total of all active and inactive participants2018-02-0197
2017: SHOPO GROUP CRITICAL ILLNESS NON-PARTICIPATING / POLICY VCI 800323 2017 401k membership
Total participants, beginning-of-year2017-02-01101
Total number of active participants reported on line 7a of the Form 55002017-02-0199
Number of retired or separated participants receiving benefits2017-02-012
Number of other retired or separated participants entitled to future benefits2017-02-010
Total of all active and inactive participants2017-02-01101
2016: SHOPO GROUP CRITICAL ILLNESS NON-PARTICIPATING / POLICY VCI 800323 2016 401k membership
Total participants, beginning-of-year2016-02-01102
Total number of active participants reported on line 7a of the Form 55002016-02-01101
Number of retired or separated participants receiving benefits2016-02-010
Number of other retired or separated participants entitled to future benefits2016-02-010
Total of all active and inactive participants2016-02-01101
2015: SHOPO GROUP CRITICAL ILLNESS NON-PARTICIPATING / POLICY VCI 800323 2015 401k membership
Total participants, beginning-of-year2015-02-010
Total number of active participants reported on line 7a of the Form 55002015-02-01102
Number of retired or separated participants receiving benefits2015-02-010
Number of other retired or separated participants entitled to future benefits2015-02-010
Total of all active and inactive participants2015-02-01102

Form 5500 Responses for SHOPO GROUP CRITICAL ILLNESS NON-PARTICIPATING / POLICY VCI 800323

2022: SHOPO GROUP CRITICAL ILLNESS NON-PARTICIPATING / POLICY VCI 800323 2022 form 5500 responses
2022-02-01Type of plan entitySingle employer plan
2022-02-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-02-01Plan funding arrangement – InsuranceYes
2022-02-01Plan benefit arrangement – InsuranceYes
2021: SHOPO GROUP CRITICAL ILLNESS NON-PARTICIPATING / POLICY VCI 800323 2021 form 5500 responses
2021-02-01Type of plan entitySingle employer plan
2021-02-01Plan funding arrangement – InsuranceYes
2021-02-01Plan benefit arrangement – InsuranceYes
2020: SHOPO GROUP CRITICAL ILLNESS NON-PARTICIPATING / POLICY VCI 800323 2020 form 5500 responses
2020-02-01Type of plan entitySingle employer plan
2020-02-01Plan funding arrangement – InsuranceYes
2020-02-01Plan benefit arrangement – InsuranceYes
2019: SHOPO GROUP CRITICAL ILLNESS NON-PARTICIPATING / POLICY VCI 800323 2019 form 5500 responses
2019-02-01Type of plan entitySingle employer plan
2019-02-01Plan funding arrangement – InsuranceYes
2019-02-01Plan benefit arrangement – InsuranceYes
2018: SHOPO GROUP CRITICAL ILLNESS NON-PARTICIPATING / POLICY VCI 800323 2018 form 5500 responses
2018-02-01Type of plan entitySingle employer plan
2018-02-01Plan funding arrangement – InsuranceYes
2018-02-01Plan benefit arrangement – InsuranceYes
2017: SHOPO GROUP CRITICAL ILLNESS NON-PARTICIPATING / POLICY VCI 800323 2017 form 5500 responses
2017-02-01Type of plan entitySingle employer plan
2017-02-01Plan funding arrangement – InsuranceYes
2017-02-01Plan benefit arrangement – InsuranceYes
2016: SHOPO GROUP CRITICAL ILLNESS NON-PARTICIPATING / POLICY VCI 800323 2016 form 5500 responses
2016-02-01Type of plan entitySingle employer plan
2016-02-01Plan funding arrangement – InsuranceYes
2016-02-01Plan benefit arrangement – InsuranceYes
2015: SHOPO GROUP CRITICAL ILLNESS NON-PARTICIPATING / POLICY VCI 800323 2015 form 5500 responses
2015-02-01Type of plan entitySingle employer plan
2015-02-01First time form 5500 has been submittedYes
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number628880
Policy instance 1
Insurance contract or identification number628880
Number of Individuals Covered97
Insurance policy start date2022-02-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $13,647
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $69,448
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,647
Additional information about fees paid to insurance brokerADMINISTRATIVE OTHER
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number628880
Policy instance 1
Insurance contract or identification number628880
Number of Individuals Covered97
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $70,559
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerADMINISTRATIVE OTHER
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVCI 800323
Policy instance 1
Insurance contract or identification numberVCI 800323
Number of Individuals Covered178
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $264
Total amount of fees paid to insurance companyUSD $408
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,759
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $264
Amount paid for insurance broker fees408
Additional information about fees paid to insurance brokerADMINISTRATIVE OTHER
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number628880
Policy instance 2
Insurance contract or identification number628880
Number of Individuals Covered97
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $13,184
Welfare Benefit Premiums Paid to CarrierUSD $64,170
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,184
Additional information about fees paid to insurance brokerADMINISTRATIVE OTHER
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVCI 800323
Policy instance 1
Insurance contract or identification numberVCI 800323
Number of Individuals Covered176
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $12,236
Total amount of fees paid to insurance companyUSD $375
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $81,570
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,236
Amount paid for insurance broker fees375
Additional information about fees paid to insurance brokerADMINISTRATIVE OTHER
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVCI 800323
Policy instance 1
Insurance contract or identification numberVCI 800323
Number of Individuals Covered168
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $11,338
Total amount of fees paid to insurance companyUSD $355
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $75,589
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,338
Amount paid for insurance broker fees355
Additional information about fees paid to insurance brokerADMINISTRATIVE OTHER
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVCI 800323
Policy instance 1
Insurance contract or identification numberVCI 800323
Number of Individuals Covered175
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $10,603
Total amount of fees paid to insurance companyUSD $1,008
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $70,688
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,603
Amount paid for insurance broker fees1008
Additional information about fees paid to insurance brokerADMINISTRATIVE OTHER
Insurance broker organization code?3
Insurance broker nameMERCER HEALTH & BENEFITS LLC

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