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GROUP TRAVEL ACCIDENT PLAN 401k Plan overview

Plan NameGROUP TRAVEL ACCIDENT PLAN
Plan identification number 509

GROUP TRAVEL ACCIDENT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

CARTER-WATERS LLC has sponsored the creation of one or more 401k plans.

Company Name:CARTER-WATERS LLC
Employer identification number (EIN):263789544
NAIC Classification:423300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP TRAVEL ACCIDENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5092015-03-16WILLIAM L YAGER
5092014-03-16WILLIAM L. YAGER
5092013-03-16WILLIAM L YAGER
5092012-03-16WILIAM L YAGER
5092011-03-16MICHAEL E LANG
5092010-03-16MICHAEL E LANG
5092009-03-16MICHAEL E LANG MICHAEL E LANG2010-09-23

Plan Statistics for GROUP TRAVEL ACCIDENT PLAN

401k plan membership statisitcs for GROUP TRAVEL ACCIDENT PLAN

Measure Date Value
2015: GROUP TRAVEL ACCIDENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-03-16155
Total number of active participants reported on line 7a of the Form 55002015-03-16198
Number of retired or separated participants receiving benefits2015-03-160
Number of other retired or separated participants entitled to future benefits2015-03-160
Total of all active and inactive participants2015-03-16198
2014: GROUP TRAVEL ACCIDENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-03-16155
Total number of active participants reported on line 7a of the Form 55002014-03-16155
Number of retired or separated participants receiving benefits2014-03-160
Number of other retired or separated participants entitled to future benefits2014-03-160
Total of all active and inactive participants2014-03-16155
2013: GROUP TRAVEL ACCIDENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-03-16155
Total number of active participants reported on line 7a of the Form 55002013-03-16155
Number of retired or separated participants receiving benefits2013-03-160
Number of other retired or separated participants entitled to future benefits2013-03-160
Total of all active and inactive participants2013-03-16155
2012: GROUP TRAVEL ACCIDENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-03-16155
Total number of active participants reported on line 7a of the Form 55002012-03-16152
Number of retired or separated participants receiving benefits2012-03-160
Number of other retired or separated participants entitled to future benefits2012-03-160
Total of all active and inactive participants2012-03-16152
2011: GROUP TRAVEL ACCIDENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-03-16166
Total number of active participants reported on line 7a of the Form 55002011-03-16155
Number of retired or separated participants receiving benefits2011-03-160
Number of other retired or separated participants entitled to future benefits2011-03-160
Total of all active and inactive participants2011-03-16155
2010: GROUP TRAVEL ACCIDENT PLAN 2010 401k membership
Total participants, beginning-of-year2010-03-16194
Total number of active participants reported on line 7a of the Form 55002010-03-16166
Number of retired or separated participants receiving benefits2010-03-160
Number of other retired or separated participants entitled to future benefits2010-03-160
Total of all active and inactive participants2010-03-16166
2009: GROUP TRAVEL ACCIDENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-03-16198
Total number of active participants reported on line 7a of the Form 55002009-03-16194
Number of retired or separated participants receiving benefits2009-03-160
Number of other retired or separated participants entitled to future benefits2009-03-160
Total of all active and inactive participants2009-03-16194

Form 5500 Responses for GROUP TRAVEL ACCIDENT PLAN

2015: GROUP TRAVEL ACCIDENT PLAN 2015 form 5500 responses
2015-03-16Type of plan entitySingle employer plan
2015-03-16Submission has been amendedNo
2015-03-16This submission is the final filingNo
2015-03-16This return/report is a short plan year return/report (less than 12 months)No
2015-03-16Plan is a collectively bargained planNo
2015-03-16Plan funding arrangement – InsuranceYes
2015-03-16Plan benefit arrangement – InsuranceYes
2014: GROUP TRAVEL ACCIDENT PLAN 2014 form 5500 responses
2014-03-16Type of plan entitySingle employer plan
2014-03-16Submission has been amendedNo
2014-03-16This submission is the final filingNo
2014-03-16This return/report is a short plan year return/report (less than 12 months)No
2014-03-16Plan is a collectively bargained planNo
2014-03-16Plan funding arrangement – InsuranceYes
2014-03-16Plan benefit arrangement – InsuranceYes
2013: GROUP TRAVEL ACCIDENT PLAN 2013 form 5500 responses
2013-03-16Type of plan entitySingle employer plan
2013-03-16Submission has been amendedNo
2013-03-16This submission is the final filingNo
2013-03-16This return/report is a short plan year return/report (less than 12 months)No
2013-03-16Plan is a collectively bargained planNo
2013-03-16Plan funding arrangement – InsuranceYes
2013-03-16Plan benefit arrangement – InsuranceYes
2012: GROUP TRAVEL ACCIDENT PLAN 2012 form 5500 responses
2012-03-16Type of plan entitySingle employer plan
2012-03-16Submission has been amendedNo
2012-03-16This submission is the final filingNo
2012-03-16This return/report is a short plan year return/report (less than 12 months)No
2012-03-16Plan is a collectively bargained planNo
2012-03-16Plan funding arrangement – InsuranceYes
2012-03-16Plan benefit arrangement – InsuranceYes
2011: GROUP TRAVEL ACCIDENT PLAN 2011 form 5500 responses
2011-03-16Type of plan entitySingle employer plan
2011-03-16Submission has been amendedNo
2011-03-16This submission is the final filingNo
2011-03-16This return/report is a short plan year return/report (less than 12 months)No
2011-03-16Plan is a collectively bargained planNo
2011-03-16Plan funding arrangement – InsuranceYes
2011-03-16Plan benefit arrangement – InsuranceYes
2010: GROUP TRAVEL ACCIDENT PLAN 2010 form 5500 responses
2010-03-16Type of plan entitySingle employer plan
2010-03-16Submission has been amendedNo
2010-03-16This submission is the final filingNo
2010-03-16This return/report is a short plan year return/report (less than 12 months)No
2010-03-16Plan is a collectively bargained planNo
2010-03-16Plan funding arrangement – InsuranceYes
2010-03-16Plan benefit arrangement – InsuranceYes
2009: GROUP TRAVEL ACCIDENT PLAN 2009 form 5500 responses
2009-03-16Type of plan entitySingle employer plan
2009-03-16Submission has been amendedNo
2009-03-16This submission is the final filingNo
2009-03-16This return/report is a short plan year return/report (less than 12 months)No
2009-03-16Plan is a collectively bargained planNo
2009-03-16Plan funding arrangement – InsuranceYes
2009-03-16Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberETB200681
Policy instance 1
Insurance contract or identification numberETB200681
Number of Individuals Covered198
Insurance policy start date2015-03-16
Insurance policy end date2016-03-15
Total amount of commissions paid to insurance brokerUSD $113
Total amount of fees paid to insurance companyUSD $128
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedBUSINESS TRAVEL ACCIDENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $750
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $113
Insurance broker organization code?3
Amount paid for insurance broker fees128
Additional information about fees paid to insurance brokerFEES
Insurance broker nameREUBEN WARNER ASSOCIATES, INC.
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberETB200681
Policy instance 1
Insurance contract or identification numberETB200681
Number of Individuals Covered155
Insurance policy start date2014-03-16
Insurance policy end date2015-03-15
Total amount of commissions paid to insurance brokerUSD $113
Total amount of fees paid to insurance companyUSD $128
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedBUSINESS TRAVEL ACCIDENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $750
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Amount paid for insurance broker fees128
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $113
Insurance broker nameGALLAGHER BENEFIT SERVICES, INC.
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberETB200681
Policy instance 1
Insurance contract or identification numberETB200681
Number of Individuals Covered155
Insurance policy start date2013-03-16
Insurance policy end date2014-03-15
Total amount of commissions paid to insurance brokerUSD $113
Total amount of fees paid to insurance companyUSD $128
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedBUSINESS TRAVEL ACCIDENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $750
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Amount paid for insurance broker fees128
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $113
Insurance broker nameGALLAGHER BENEFIT SERVICES, INC.
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberETB200681
Policy instance 1
Insurance contract or identification numberETB200681
Number of Individuals Covered152
Insurance policy start date2012-03-16
Insurance policy end date2013-03-15
Total amount of commissions paid to insurance brokerUSD $113
Total amount of fees paid to insurance companyUSD $128
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedBUSINESS TRAVEL ACCIDENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $750
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Amount paid for insurance broker fees128
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $113
Insurance broker nameGALLAGHER BENEFIT SERVICES, INC.
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberETB200681
Policy instance 1
Insurance contract or identification numberETB200681
Number of Individuals Covered155
Insurance policy start date2011-03-16
Insurance policy end date2012-03-15
Total amount of commissions paid to insurance brokerUSD $113
Total amount of fees paid to insurance companyUSD $128
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedBUSINESS TRAVEL ACCIDENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $750
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberETB-200681
Policy instance 1
Insurance contract or identification numberETB-200681
Number of Individuals Covered166
Insurance policy start date2010-03-16
Insurance policy end date2011-03-15
Total amount of commissions paid to insurance brokerUSD $113
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedBUSINESS TRAVEL ACCIDENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $750
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $113
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICES, INC.

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