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| Plan Name | LIBERTY MUTUAL GROUP CRITICAL ILLNESS SPENDING PLAN |
| Plan identification number | 522 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | LIBERTY MUTUAL GROUP INC. |
| Employer identification number (EIN): | 043583679 |
| NAIC Classification: | 524290 |
Additional information about LIBERTY MUTUAL GROUP INC.
| Jurisdiction of Incorporation: | State of Delaware Division of Corporations |
| Incorporation Date: | |
| Company Identification Number: | 4702243 |
More information about LIBERTY MUTUAL GROUP INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 522 | 2023-01-01 | ||||
| 522 | 2022-01-01 |
| Measure | Date | Value |
|---|---|---|
| 2023: LIBERTY MUTUAL GROUP CRITICAL ILLNESS SPENDING PLAN 2023 401k membership | ||
| Total participants, beginning-of-year | 2023-01-01 | 2,427 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-01-01 | 2,197 |
| Number of retired or separated participants receiving benefits | 2023-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2023-01-01 | 0 |
| Total of all active and inactive participants | 2023-01-01 | 2,197 |
| 2022: LIBERTY MUTUAL GROUP CRITICAL ILLNESS SPENDING PLAN 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-01-01 | 2,042 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 1,999 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 54 |
| Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 0 |
| Total of all active and inactive participants | 2022-01-01 | 2,053 |
| 2023: LIBERTY MUTUAL GROUP CRITICAL ILLNESS SPENDING PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Submission has been amended | No |
| 2023-01-01 | This submission is the final filing | No |
| 2023-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2023-01-01 | Plan is a collectively bargained plan | No |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: LIBERTY MUTUAL GROUP CRITICAL ILLNESS SPENDING PLAN 2022 form 5500 responses | ||
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | First time form 5500 has been submitted | Yes |
| 2022-01-01 | Submission has been amended | No |
| 2022-01-01 | This submission is the final filing | No |
| 2022-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-01-01 | Plan is a collectively bargained plan | No |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| LIBERTY INSURANCE UNDERWRITERS, INC. (National Association of Insurance Commissioners NAIC id number: ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | GCI62119924 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 390129 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| LIBERTY INSURANCE UNDERWRITERS, INC. (National Association of Insurance Commissioners NAIC id number: ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | GCI62119924 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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