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UNITED STATES PLAYING CARD COMPANY LIFE & ACCID DEATH & DISMEMB INS PLAN 401k Plan overview

Plan NameUNITED STATES PLAYING CARD COMPANY LIFE & ACCID DEATH & DISMEMB INS PLAN
Plan identification number 510

UNITED STATES PLAYING CARD COMPANY LIFE & ACCID DEATH & DISMEMB INS PLAN Benefits

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

401k Sponsoring company profile

UNITED STATES PLAYING CARD COMPANY has sponsored the creation of one or more 401k plans.

Company Name:UNITED STATES PLAYING CARD COMPANY
Employer identification number (EIN):311421130
NAIC Classification:339900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UNITED STATES PLAYING CARD COMPANY LIFE & ACCID DEATH & DISMEMB INS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5102004-01-01DAVID RUSSELL2021-10-13

Plan Statistics for UNITED STATES PLAYING CARD COMPANY LIFE & ACCID DEATH & DISMEMB INS PLAN

401k plan membership statisitcs for UNITED STATES PLAYING CARD COMPANY LIFE & ACCID DEATH & DISMEMB INS PLAN

Measure Date Value
2004: UNITED STATES PLAYING CARD COMPANY LIFE & ACCID DEATH & DISMEMB INS PLAN 2004 401k membership
Total participants, beginning-of-year2004-01-01728
Total number of active participants reported on line 7a of the Form 55002004-01-010
Number of retired or separated participants receiving benefits2004-01-010
Number of other retired or separated participants entitled to future benefits2004-01-010
Total of all active and inactive participants2004-01-010
Number of employers contributing to the scheme2004-01-010

Form 5500 Responses for UNITED STATES PLAYING CARD COMPANY LIFE & ACCID DEATH & DISMEMB INS PLAN

2004: UNITED STATES PLAYING CARD COMPANY LIFE & ACCID DEATH & DISMEMB INS PLAN 2004 form 5500 responses
2004-01-01Type of plan entitySingle employer plan
2004-01-01Submission has been amendedYes
2004-01-01This submission is the final filingYes
2004-01-01Plan funding arrangement – InsuranceYes
2004-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG57R2
Policy instance 1
Insurance contract or identification numberGLUG57R2
Number of Individuals Covered657
Insurance policy start date2004-01-01
Insurance policy end date2004-12-31
Total amount of commissions paid to insurance brokerUSD $13,218
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $138,720
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,622
Amount paid for insurance broker fees0
Insurance broker organization code?3

Potentially related plans

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