
Get the free SCHEDULE A (Form 5500) Department of the Treasury Internal Revenue Service Departmen...
Show details
SCHEDULE A (Form 5500) Department of the Treasury Internal Revenue Service Department of Labor Employee Benefits Security Administration Insurance Information 2005 File as an attachment to Form 5500.
We are not affiliated with any brand or entity on this form
Get, Create, Make and Sign schedule a form 5500

Edit your schedule a form 5500 form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.

Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.

Share your form instantly
Email, fax, or share your schedule a form 5500 form via URL. You can also download, print, or export forms to your preferred cloud storage service.
Editing schedule a form 5500 online
In order to make advantage of the professional PDF editor, follow these steps:
1
Log into your account. In case you're new, it's time to start your free trial.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit schedule a form 5500. Replace text, adding objects, rearranging pages, and more. Then select the Documents tab to combine, divide, lock or unlock the file.
4
Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.
It's easier to work with documents with pdfFiller than you can have believed. You may try it out for yourself by signing up for an account.
Uncompromising security for your PDF editing and eSignature needs
Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
How to fill out schedule a form 5500

How to fill out schedule a form 5500:
01
Start by gathering all the necessary information and documents needed to complete the form, including the employer's identification number (EIN), plan name and number, and plan sponsor's name and address.
02
Begin filling out the general information section of the form, providing details about the plan year, plan type, and plan identifier.
03
Move on to Part I of schedule a, which requires information about the insurance contracts or policies held by the plan. Provide the name of the insurance company, policy number, and type of insurance coverage for each policy.
04
In Part II, list any self-insured arrangements for your plan. Include details such as the type of benefits provided, the assets held to fund the benefits, and the plan's method for determining liabilities.
05
If there are any fringe benefit arrangements or employer security arrangements related to the plan, fill out Part III accordingly. Provide details about the nature of these arrangements, including any transactions with parties-in-interest.
06
In Part IV, disclose any funded welfare benefit arrangements that are part of the plan. This could include a voluntary employees' beneficiary association (VEBA). Provide the necessary details about these arrangements, including contribution and expense information.
07
If there are any other funded welfare benefit arrangements not included in Part IV, such as severance pay plans, fill out Part V with the relevant information.
08
Review the completed schedule a form 5500 for accuracy and ensure all sections have been filled out correctly. Make any necessary corrections or additions before submitting the form.
Who needs schedule a form 5500?
01
Employers who have pension plans, welfare benefit plans, or fringe benefit arrangements are typically required to file a schedule a form 5500.
02
Plan administrators, plan sponsors, and employers who meet certain criteria, such as having 100 or more participants, are generally obligated to file this form.
03
It is important to consult the Department of Labor's Employee Benefits Security Administration (EBSA) or a qualified professional to determine the specific filing requirements for your plan and whether schedule a form 5500 needs to be submitted.
Fill
form
: Try Risk Free
For pdfFiller’s FAQs
Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.
What is schedule a form 5500?
Schedule A Form 5500 is a form used to report insurance information of employee benefit plans.
Who is required to file schedule a form 5500?
Employers who offer employee benefit plans subject to the Employee Retirement Income Security Act (ERISA) are required to file Schedule A Form 5500.
How to fill out schedule a form 5500?
Schedule A Form 5500 can be filled out electronically using the Department of Labor's EFAST2 system or by using approved software providers.
What is the purpose of schedule a form 5500?
The purpose of Schedule A Form 5500 is to provide the Department of Labor and the IRS with information about the insurance contracts covering employee benefit plans.
What information must be reported on schedule a form 5500?
Information that must be reported on Schedule A Form 5500 includes details about the insurance contracts, premiums paid, and any commissions or fees.
How can I send schedule a form 5500 to be eSigned by others?
Once your schedule a form 5500 is ready, you can securely share it with recipients and collect eSignatures in a few clicks with pdfFiller. You can send a PDF by email, text message, fax, USPS mail, or notarize it online - right from your account. Create an account now and try it yourself.
How do I fill out the schedule a form 5500 form on my smartphone?
Use the pdfFiller mobile app to fill out and sign schedule a form 5500 on your phone or tablet. Visit our website to learn more about our mobile apps, how they work, and how to get started.
How do I complete schedule a form 5500 on an Android device?
On an Android device, use the pdfFiller mobile app to finish your schedule a form 5500. The program allows you to execute all necessary document management operations, such as adding, editing, and removing text, signing, annotating, and more. You only need a smartphone and an internet connection.
Fill out your schedule a form 5500 online with pdfFiller!
pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Schedule A Form 5500 is not the form you're looking for?Search for another form here.
Relevant keywords
Related Forms
If you believe that this page should be taken down, please follow our DMCA take down process
here
.
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.