401k Plan data: LONG TERM DISABILITY plan

LONG TERM DISABILITY 401k Plan overview

Plan Name	LONG TERM DISABILITY
Plan identification number	512

LONG TERM DISABILITY Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Long-term disability cover

401k Sponsoring company profile

THE MOORE COMPANY has sponsored the creation of one or more 401k plans.

Company Name: THE MOORE COMPANY

Employer identification number (EIN): 050185270

NAIC Classification: 339900

Additional information about THE MOORE COMPANY

Jurisdiction of Incorporation: Georgia Department of States Corporations Division

Incorporation Date:

Company Identification Number: 451076

More information about THE MOORE COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LONG TERM DISABILITY

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
512 2023-01-01
512 2022-01-01
512 2021-01-01
512 2020-01-01
512 2019-01-01
512 2018-01-01
512 2017-01-01 JANET ROBIDOUX JANET ROBIDOUX 2018-09-26
512 2016-01-01 JANET ROBIDOUX JANET ROBIDOUX 2017-10-03
512 2015-01-01 JANET ROBIDOUX JANET ROBIDOUX 2016-10-11
512 2014-01-01 JANET ROBIDOUX JANET ROBIDOUX 2015-07-28
512 2013-01-01 JANET ROBIDOUX JANET ROBIDOUX 2014-09-29
512 2012-01-01 JANET WARD JANET WARD 2013-07-30
512 2011-01-01 JANET WARD JANET WARD 2012-10-03
512 2009-01-01 JANET WARD JANET WARD 2010-07-22

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
512	2023-01-01
512	2022-01-01
512	2021-01-01
512	2020-01-01
512	2019-01-01
512	2018-01-01
512	2017-01-01	JANET ROBIDOUX	JANET ROBIDOUX	2018-09-26
512	2016-01-01	JANET ROBIDOUX	JANET ROBIDOUX	2017-10-03
512	2015-01-01	JANET ROBIDOUX	JANET ROBIDOUX	2016-10-11
512	2014-01-01	JANET ROBIDOUX	JANET ROBIDOUX	2015-07-28
512	2013-01-01	JANET ROBIDOUX	JANET ROBIDOUX	2014-09-29
512	2012-01-01	JANET WARD	JANET WARD	2013-07-30
512	2011-01-01	JANET WARD	JANET WARD	2012-10-03
512	2009-01-01	JANET WARD	JANET WARD	2010-07-22

Plan Statistics for LONG TERM DISABILITY

401k plan membership statisitcs for LONG TERM DISABILITY

Measure Date Value
2023: LONG TERM DISABILITY 2023 401k membership
Total participants, beginning-of-year 2023-01-01 53
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 54
Total of all active and inactive participants 2023-01-01 54
Total participants 2023-01-01 0
2022: LONG TERM DISABILITY 2022 401k membership
Total participants, beginning-of-year 2022-01-01 54
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 53
Total of all active and inactive participants 2022-01-01 53
Total participants 2022-01-01 0
2021: LONG TERM DISABILITY 2021 401k membership
Total participants, beginning-of-year 2021-01-01 55
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 54
Total of all active and inactive participants 2021-01-01 54
Total participants 2021-01-01 0
2020: LONG TERM DISABILITY 2020 401k membership
Total participants, beginning-of-year 2020-01-01 60
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 55
Total of all active and inactive participants 2020-01-01 55
Total participants 2020-01-01 0
2019: LONG TERM DISABILITY 2019 401k membership
Total participants, beginning-of-year 2019-01-01 61
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 60
Total of all active and inactive participants 2019-01-01 60
Total participants 2019-01-01 0
2018: LONG TERM DISABILITY 2018 401k membership
Total participants, beginning-of-year 2018-01-01 83
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 61
Total of all active and inactive participants 2018-01-01 61
Total participants 2018-01-01 0
2017: LONG TERM DISABILITY 2017 401k membership
Total participants, beginning-of-year 2017-01-01 116
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 83
Total of all active and inactive participants 2017-01-01 83
Total participants 2017-01-01 0
2016: LONG TERM DISABILITY 2016 401k membership
Total participants, beginning-of-year 2016-01-01 109
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 116
Total of all active and inactive participants 2016-01-01 116
Total participants 2016-01-01 0
2015: LONG TERM DISABILITY 2015 401k membership
Total participants, beginning-of-year 2015-01-01 112
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 109
Total of all active and inactive participants 2015-01-01 109
Total participants 2015-01-01 0
2014: LONG TERM DISABILITY 2014 401k membership
Total participants, beginning-of-year 2014-01-01 110
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 112
Total of all active and inactive participants 2014-01-01 112
Total participants 2014-01-01 0
2013: LONG TERM DISABILITY 2013 401k membership
Total participants, beginning-of-year 2013-01-01 102
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 110
Total of all active and inactive participants 2013-01-01 110
Total participants 2013-01-01 0
2012: LONG TERM DISABILITY 2012 401k membership
Total participants, beginning-of-year 2012-01-01 101
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 102
Total of all active and inactive participants 2012-01-01 102
Total participants 2012-01-01 0
2011: LONG TERM DISABILITY 2011 401k membership
Total participants, beginning-of-year 2011-01-01 95
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 101
Total of all active and inactive participants 2011-01-01 101
Total participants 2011-01-01 0
2009: LONG TERM DISABILITY 2009 401k membership
Total participants, beginning-of-year 2009-01-01 121
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 104
Total of all active and inactive participants 2009-01-01 104
Total participants 2009-01-01 0

Measure	Date	Value
2023: LONG TERM DISABILITY 2023 401k membership
Total participants, beginning-of-year	2023-01-01	53
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	54
Total of all active and inactive participants	2023-01-01	54
Total participants	2023-01-01	0
2022: LONG TERM DISABILITY 2022 401k membership
Total participants, beginning-of-year	2022-01-01	54
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	53
Total of all active and inactive participants	2022-01-01	53
Total participants	2022-01-01	0
2021: LONG TERM DISABILITY 2021 401k membership
Total participants, beginning-of-year	2021-01-01	55
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	54
Total of all active and inactive participants	2021-01-01	54
Total participants	2021-01-01	0
2020: LONG TERM DISABILITY 2020 401k membership
Total participants, beginning-of-year	2020-01-01	60
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	55
Total of all active and inactive participants	2020-01-01	55
Total participants	2020-01-01	0
2019: LONG TERM DISABILITY 2019 401k membership
Total participants, beginning-of-year	2019-01-01	61
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	60
Total of all active and inactive participants	2019-01-01	60
Total participants	2019-01-01	0
2018: LONG TERM DISABILITY 2018 401k membership
Total participants, beginning-of-year	2018-01-01	83
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	61
Total of all active and inactive participants	2018-01-01	61
Total participants	2018-01-01	0
2017: LONG TERM DISABILITY 2017 401k membership
Total participants, beginning-of-year	2017-01-01	116
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	83
Total of all active and inactive participants	2017-01-01	83
Total participants	2017-01-01	0
2016: LONG TERM DISABILITY 2016 401k membership
Total participants, beginning-of-year	2016-01-01	109
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	116
Total of all active and inactive participants	2016-01-01	116
Total participants	2016-01-01	0
2015: LONG TERM DISABILITY 2015 401k membership
Total participants, beginning-of-year	2015-01-01	112
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	109
Total of all active and inactive participants	2015-01-01	109
Total participants	2015-01-01	0
2014: LONG TERM DISABILITY 2014 401k membership
Total participants, beginning-of-year	2014-01-01	110
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	112
Total of all active and inactive participants	2014-01-01	112
Total participants	2014-01-01	0
2013: LONG TERM DISABILITY 2013 401k membership
Total participants, beginning-of-year	2013-01-01	102
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	110
Total of all active and inactive participants	2013-01-01	110
Total participants	2013-01-01	0
2012: LONG TERM DISABILITY 2012 401k membership
Total participants, beginning-of-year	2012-01-01	101
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	102
Total of all active and inactive participants	2012-01-01	102
Total participants	2012-01-01	0
2011: LONG TERM DISABILITY 2011 401k membership
Total participants, beginning-of-year	2011-01-01	95
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	101
Total of all active and inactive participants	2011-01-01	101
Total participants	2011-01-01	0
2009: LONG TERM DISABILITY 2009 401k membership
Total participants, beginning-of-year	2009-01-01	121
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	104
Total of all active and inactive participants	2009-01-01	104
Total participants	2009-01-01	0

Form 5500 Responses for LONG TERM DISABILITY

2023: LONG TERM DISABILITY 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2022: LONG TERM DISABILITY 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2021: LONG TERM DISABILITY 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2020: LONG TERM DISABILITY 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: LONG TERM DISABILITY 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: LONG TERM DISABILITY 2018 form 5500 responses
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: LONG TERM DISABILITY 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: LONG TERM DISABILITY 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: LONG TERM DISABILITY 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: LONG TERM DISABILITY 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: LONG TERM DISABILITY 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: LONG TERM DISABILITY 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: LONG TERM DISABILITY 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: LONG TERM DISABILITY 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

LTD 133529

Policy instance

Insurance contract or identification number	LTD 133529
Number of Individuals Covered	50
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $1,705
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $10,569
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

LTD 133529

Policy instance

Insurance contract or identification number	LTD 133529
Number of Individuals Covered	54
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $1,786
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $11,907
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $893
Insurance broker organization code?	3

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

675270G

Policy instance

Insurance contract or identification number	675270G
Number of Individuals Covered	53
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $1,388
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $12,842
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $694
Insurance broker organization code?	3

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

675270G

Policy instance

Insurance contract or identification number	675270G
Number of Individuals Covered	55
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $1,243
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $13,548
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $622
Insurance broker organization code?	3

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

675270G

Policy instance

Insurance contract or identification number	675270G
Number of Individuals Covered	58
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $1,358
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $13,647
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $679
Insurance broker organization code?	3

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

675270G

Policy instance

Insurance contract or identification number	675270G
Number of Individuals Covered	62
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $1,684
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $15,677
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $842
Insurance broker organization code?	3

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

675270G

Policy instance

Insurance contract or identification number	675270G
Number of Individuals Covered	84
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $2,424
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $24,245
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,212
Insurance broker organization code?	3
Insurance broker name	CBIZ BENEFITS & INS SERVICES

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

675270G

Policy instance

Insurance contract or identification number	675270G
Number of Individuals Covered	109
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $2,448
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $22,588
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,224
Insurance broker organization code?	3
Insurance broker name	CBIZ BENEFITS & INS SERVICES

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

675270G

Policy instance

Insurance contract or identification number	675270G
Number of Individuals Covered	112
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $2,023
Total amount of fees paid to insurance company	USD $154
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $20,243
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,011
Insurance broker organization code?	3
Amount paid for insurance broker fees	154
Additional information about fees paid to insurance broker	BONUS
Insurance broker name	CBIZ BENEFITS & INS SERVICES

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

675270G

Policy instance

Insurance contract or identification number	675270G
Number of Individuals Covered	110
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $2,078
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $20,789
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,039
Insurance broker organization code?	3
Insurance broker name	CBIZ BENEFITS & INS SERVICES

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

675270G

Policy instance

Insurance contract or identification number	675270G
Number of Individuals Covered	102
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $1,988
Total amount of fees paid to insurance company	USD $188
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $19,878
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $994
Amount paid for insurance broker fees	94
Additional information about fees paid to insurance broker	ADMINISTRATIVE
Insurance broker organization code?	3
Insurance broker name	PRIMARILY CARE INC

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

675270G

Policy instance

Insurance contract or identification number	675270G
Number of Individuals Covered	101
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $2,106
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $21,062
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

675270G

Policy instance

Insurance contract or identification number	675270G
Number of Individuals Covered	95
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $3,538
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $35,373
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	THE MOORE COMPANY
Employer identification number (EIN):	050185270
NAIC Classification:	339900

Jurisdiction of Incorporation:	Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number:	451076