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GROUP SHORT-TERM DISABILITY PLAN OF UTICA MUTUAL INSURANCE COMPANY 401k Plan overview

Plan NameGROUP SHORT-TERM DISABILITY PLAN OF UTICA MUTUAL INSURANCE COMPANY
Plan identification number 515

GROUP SHORT-TERM DISABILITY PLAN OF UTICA MUTUAL INSURANCE COMPANY Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

UTICA MUTUAL INSURANCE COMPANY has sponsored the creation of one or more 401k plans.

Company Name:UTICA MUTUAL INSURANCE COMPANY
Employer identification number (EIN):150476880
NAIC Classification:524290

Additional information about UTICA MUTUAL INSURANCE COMPANY

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 2016-10-20
Company Identification Number: 604050180
Legal Registered Office Address: 7322 58TH STREET CT W APT 15-103

UNIVERSITY PLACE
United States of America (USA)
984674613

More information about UTICA MUTUAL INSURANCE COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP SHORT-TERM DISABILITY PLAN OF UTICA MUTUAL INSURANCE COMPANY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5152017-01-01GAIL STEDMAN
5152017-01-01
5152016-01-01GAIL STEDMAN
5152015-01-01GAIL STEDMAN
5152014-01-01GAIL STEDMAN
5152013-01-01GAIL STEDMAN
5152012-01-01GAIL STEDMAN
5152011-01-01GAIL STEDMAN
5152009-01-01GAIL STEDMAN

Plan Statistics for GROUP SHORT-TERM DISABILITY PLAN OF UTICA MUTUAL INSURANCE COMPANY

401k plan membership statisitcs for GROUP SHORT-TERM DISABILITY PLAN OF UTICA MUTUAL INSURANCE COMPANY

Measure Date Value
2017: GROUP SHORT-TERM DISABILITY PLAN OF UTICA MUTUAL INSURANCE COMPANY 2017 401k membership
Total participants, beginning-of-year2017-01-011,071
Total number of active participants reported on line 7a of the Form 55002017-01-011,082
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-011,082
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-011,082
2016: GROUP SHORT-TERM DISABILITY PLAN OF UTICA MUTUAL INSURANCE COMPANY 2016 401k membership
Total participants, beginning-of-year2016-01-011,058
Total number of active participants reported on line 7a of the Form 55002016-01-011,071
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-011,071
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-011,071
2015: GROUP SHORT-TERM DISABILITY PLAN OF UTICA MUTUAL INSURANCE COMPANY 2015 401k membership
Total participants, beginning-of-year2015-01-011,083
Total number of active participants reported on line 7a of the Form 55002015-01-011,058
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-011,058
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-011,058
2014: GROUP SHORT-TERM DISABILITY PLAN OF UTICA MUTUAL INSURANCE COMPANY 2014 401k membership
Total participants, beginning-of-year2014-01-011,164
Total number of active participants reported on line 7a of the Form 55002014-01-011,083
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-011,083
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-011,083
2013: GROUP SHORT-TERM DISABILITY PLAN OF UTICA MUTUAL INSURANCE COMPANY 2013 401k membership
Total participants, beginning-of-year2013-01-011,216
Total number of active participants reported on line 7a of the Form 55002013-01-011,164
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-011,164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-011,164
2012: GROUP SHORT-TERM DISABILITY PLAN OF UTICA MUTUAL INSURANCE COMPANY 2012 401k membership
Total participants, beginning-of-year2012-01-011,251
Total number of active participants reported on line 7a of the Form 55002012-01-011,216
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-011,216
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-011,216
2011: GROUP SHORT-TERM DISABILITY PLAN OF UTICA MUTUAL INSURANCE COMPANY 2011 401k membership
Total participants, beginning-of-year2011-01-011,269
Total number of active participants reported on line 7a of the Form 55002011-01-011,251
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-011,251
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-011,251
2009: GROUP SHORT-TERM DISABILITY PLAN OF UTICA MUTUAL INSURANCE COMPANY 2009 401k membership
Total participants, beginning-of-year2009-01-011,352
Total number of active participants reported on line 7a of the Form 55002009-01-011,269
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-011,269
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-011,269

Form 5500 Responses for GROUP SHORT-TERM DISABILITY PLAN OF UTICA MUTUAL INSURANCE COMPANY

2017: GROUP SHORT-TERM DISABILITY PLAN OF UTICA MUTUAL INSURANCE COMPANY 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: GROUP SHORT-TERM DISABILITY PLAN OF UTICA MUTUAL INSURANCE COMPANY 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: GROUP SHORT-TERM DISABILITY PLAN OF UTICA MUTUAL INSURANCE COMPANY 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: GROUP SHORT-TERM DISABILITY PLAN OF UTICA MUTUAL INSURANCE COMPANY 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: GROUP SHORT-TERM DISABILITY PLAN OF UTICA MUTUAL INSURANCE COMPANY 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: GROUP SHORT-TERM DISABILITY PLAN OF UTICA MUTUAL INSURANCE COMPANY 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: GROUP SHORT-TERM DISABILITY PLAN OF UTICA MUTUAL INSURANCE COMPANY 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: GROUP SHORT-TERM DISABILITY PLAN OF UTICA MUTUAL INSURANCE COMPANY 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number906957
Policy instance 1
Insurance contract or identification number906957
Number of Individuals Covered1216
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $30,216
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number906957
Policy instance 1
Insurance contract or identification number906957
Number of Individuals Covered1251
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $30,579
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number906958
Policy instance 2
Insurance contract or identification number906958
Number of Individuals Covered1269
Insurance policy start date2010-05-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,567
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number78499
Policy instance 1
Insurance contract or identification number78499
Number of Individuals Covered1274
Insurance policy start date2010-01-01
Insurance policy end date2010-04-30
Total amount of commissions paid to insurance brokerUSD $1,788
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,857
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,788
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerSALES AND SERVICE COMPENSATION
Insurance broker organization code?3
Insurance broker nameLAWLEY BENEFITS GROUP LLC

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