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WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 401k Plan overview

Plan NameWESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN
Plan identification number 504

WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN Benefits

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

401k Sponsoring company profile

WESTMINSTER VILLAGE GREENWOOD, INC. has sponsored the creation of one or more 401k plans.

Company Name:WESTMINSTER VILLAGE GREENWOOD, INC.
Employer identification number (EIN):351516199
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042019-07-01
5042018-07-01
5042017-07-01
5042016-07-01JANICE MERRIS
5042015-07-01JANICE MERRIS
5042014-07-01JANICE MERRIS JANICE MERRIS2016-02-15
5042013-07-01JANICE MERRIS JANICE MERRIS2015-01-13
5042012-07-01JANICE MERRIS JANICE MERRIS2014-04-11
5042011-07-01JANICE MERRIS JANICE MERRIS2013-01-29
5042009-07-01JANICE MERRIS JANICE MERRIS2011-03-24
5042008-07-01JANICE MERRIS JANICE MERRIS2011-02-18
5042007-07-01JANICE MERRIS JANICE MERRIS2011-02-17
5042007-06-01JANICE MERRIS JANICE MERRIS2011-02-17
5042006-06-01JANICE MERRIS JANICE MERRIS2011-02-17
5042005-06-01JANICE MERRIS JANICE MERRIS2011-02-17
5042004-06-01JANICE MERRIS JANICE MERRIS2011-02-17
5042003-06-01JANICE MERRIS JANICE MERRIS2011-02-18
5042002-06-01JANICE MERRIS JANICE MERRIS2011-02-17
5042001-06-01JANICE MERRIS JANICE MERRIS2011-02-17
5042000-06-01JANICE MERRIS JANICE MERRIS2011-02-17

Plan Statistics for WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN

401k plan membership statisitcs for WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN

Measure Date Value
2019: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01163
Total number of active participants reported on line 7a of the Form 55002019-07-010
Number of retired or separated participants receiving benefits2019-07-010
Number of other retired or separated participants entitled to future benefits2019-07-010
Total of all active and inactive participants2019-07-010
2018: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01167
Total number of active participants reported on line 7a of the Form 55002018-07-01163
Number of retired or separated participants receiving benefits2018-07-010
Number of other retired or separated participants entitled to future benefits2018-07-010
Total of all active and inactive participants2018-07-01163
2017: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01167
Total number of active participants reported on line 7a of the Form 55002017-07-01177
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-010
Total of all active and inactive participants2017-07-01177
2016: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01238
Total number of active participants reported on line 7a of the Form 55002016-07-01167
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-010
Total of all active and inactive participants2016-07-01167
2015: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01175
Total number of active participants reported on line 7a of the Form 55002015-07-01238
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-010
Total of all active and inactive participants2015-07-01238
2014: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01187
Total number of active participants reported on line 7a of the Form 55002014-07-01175
Total of all active and inactive participants2014-07-01175
2013: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01186
Total number of active participants reported on line 7a of the Form 55002013-07-01187
Total of all active and inactive participants2013-07-01187
2012: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01186
Total number of active participants reported on line 7a of the Form 55002012-07-01186
Total of all active and inactive participants2012-07-01186
2011: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01193
Total number of active participants reported on line 7a of the Form 55002011-07-01186
Total of all active and inactive participants2011-07-01186
2009: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01204
Total number of active participants reported on line 7a of the Form 55002009-07-01160
Number of retired or separated participants receiving benefits2009-07-010
Number of other retired or separated participants entitled to future benefits2009-07-010
Total of all active and inactive participants2009-07-01160
Total participants2009-07-010
2008: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2008 401k membership
Total participants, beginning-of-year2008-07-01201
Total number of active participants reported on line 7a of the Form 55002008-07-01204
Number of retired or separated participants receiving benefits2008-07-010
Number of other retired or separated participants entitled to future benefits2008-07-010
Total of all active and inactive participants2008-07-01204
Total participants2008-07-010
2007: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2007 401k membership
Total participants, beginning-of-year2007-07-01110
Total number of active participants reported on line 7a of the Form 55002007-07-01201
Number of retired or separated participants receiving benefits2007-07-010
Number of other retired or separated participants entitled to future benefits2007-07-010
Total of all active and inactive participants2007-07-01201
Total participants2007-07-010
Total participants, beginning-of-year2007-06-01201
Total number of active participants reported on line 7a of the Form 55002007-06-01110
Number of retired or separated participants receiving benefits2007-06-010
Number of other retired or separated participants entitled to future benefits2007-06-010
Total of all active and inactive participants2007-06-01110
Total participants2007-06-010
2006: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2006 401k membership
Total participants, beginning-of-year2006-06-01196
Total number of active participants reported on line 7a of the Form 55002006-06-01201
Number of retired or separated participants receiving benefits2006-06-010
Number of other retired or separated participants entitled to future benefits2006-06-010
Total of all active and inactive participants2006-06-01201
Total participants2006-06-010
2005: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2005 401k membership
Total participants, beginning-of-year2005-06-01196
Total number of active participants reported on line 7a of the Form 55002005-06-01196
Number of retired or separated participants receiving benefits2005-06-010
Number of other retired or separated participants entitled to future benefits2005-06-010
Total of all active and inactive participants2005-06-01196
Total participants2005-06-010
2004: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2004 401k membership
Total participants, beginning-of-year2004-06-01198
Total number of active participants reported on line 7a of the Form 55002004-06-01196
Number of retired or separated participants receiving benefits2004-06-010
Number of other retired or separated participants entitled to future benefits2004-06-010
Total of all active and inactive participants2004-06-01196
Total participants2004-06-010
2003: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2003 401k membership
Total participants, beginning-of-year2003-06-01198
Total number of active participants reported on line 7a of the Form 55002003-06-01198
Number of retired or separated participants receiving benefits2003-06-010
Number of other retired or separated participants entitled to future benefits2003-06-010
Total of all active and inactive participants2003-06-01198
Total participants2003-06-010
2002: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2002 401k membership
Total participants, beginning-of-year2002-06-01194
Total number of active participants reported on line 7a of the Form 55002002-06-01198
Number of retired or separated participants receiving benefits2002-06-010
Number of other retired or separated participants entitled to future benefits2002-06-010
Total of all active and inactive participants2002-06-01198
Total participants2002-06-010
2001: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2001 401k membership
Total participants, beginning-of-year2001-06-01156
Total number of active participants reported on line 7a of the Form 55002001-06-01194
Number of retired or separated participants receiving benefits2001-06-010
Number of other retired or separated participants entitled to future benefits2001-06-010
Total of all active and inactive participants2001-06-01194
Total participants2001-06-010
2000: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2000 401k membership
Total participants, beginning-of-year2000-06-01100
Total number of active participants reported on line 7a of the Form 55002000-06-01156
Number of retired or separated participants receiving benefits2000-06-010
Number of other retired or separated participants entitled to future benefits2000-06-010
Total of all active and inactive participants2000-06-01156
Total participants2000-06-010

Form 5500 Responses for WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN

2019: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingYes
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planNo
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – InsuranceYes
2018: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planNo
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes
2017: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2016: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2009: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes
2008: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2008 form 5500 responses
2008-07-01Type of plan entitySingle employer plan
2008-07-01Submission has been amendedNo
2008-07-01This submission is the final filingNo
2008-07-01This return/report is a short plan year return/report (less than 12 months)No
2008-07-01Plan is a collectively bargained planNo
2008-07-01Plan funding arrangement – InsuranceYes
2008-07-01Plan benefit arrangement – InsuranceYes
2007: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2007 form 5500 responses
2007-07-01Type of plan entitySingle employer plan
2007-07-01Submission has been amendedNo
2007-07-01This submission is the final filingNo
2007-07-01This return/report is a short plan year return/report (less than 12 months)No
2007-07-01Plan is a collectively bargained planNo
2007-07-01Plan funding arrangement – InsuranceYes
2007-07-01Plan benefit arrangement – InsuranceYes
2007-06-01Type of plan entitySingle employer plan
2007-06-01Submission has been amendedNo
2007-06-01This submission is the final filingNo
2007-06-01This return/report is a short plan year return/report (less than 12 months)Yes
2007-06-01Plan is a collectively bargained planNo
2007-06-01Plan funding arrangement – InsuranceYes
2007-06-01Plan benefit arrangement – InsuranceYes
2006: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2006 form 5500 responses
2006-06-01Type of plan entitySingle employer plan
2006-06-01Submission has been amendedNo
2006-06-01This submission is the final filingNo
2006-06-01This return/report is a short plan year return/report (less than 12 months)No
2006-06-01Plan is a collectively bargained planNo
2006-06-01Plan funding arrangement – InsuranceYes
2006-06-01Plan benefit arrangement – InsuranceYes
2005: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2005 form 5500 responses
2005-06-01Type of plan entitySingle employer plan
2005-06-01Submission has been amendedNo
2005-06-01This submission is the final filingNo
2005-06-01This return/report is a short plan year return/report (less than 12 months)No
2005-06-01Plan is a collectively bargained planNo
2005-06-01Plan funding arrangement – InsuranceYes
2005-06-01Plan benefit arrangement – InsuranceYes
2004: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2004 form 5500 responses
2004-06-01Type of plan entitySingle employer plan
2004-06-01Submission has been amendedNo
2004-06-01This submission is the final filingNo
2004-06-01This return/report is a short plan year return/report (less than 12 months)No
2004-06-01Plan is a collectively bargained planNo
2004-06-01Plan funding arrangement – InsuranceYes
2004-06-01Plan benefit arrangement – InsuranceYes
2003: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2003 form 5500 responses
2003-06-01Type of plan entitySingle employer plan
2003-06-01Submission has been amendedNo
2003-06-01This submission is the final filingNo
2003-06-01This return/report is a short plan year return/report (less than 12 months)No
2003-06-01Plan is a collectively bargained planNo
2003-06-01Plan funding arrangement – InsuranceYes
2003-06-01Plan benefit arrangement – InsuranceYes
2002: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2002 form 5500 responses
2002-06-01Type of plan entitySingle employer plan
2002-06-01Submission has been amendedNo
2002-06-01This submission is the final filingNo
2002-06-01This return/report is a short plan year return/report (less than 12 months)No
2002-06-01Plan is a collectively bargained planNo
2002-06-01Plan funding arrangement – InsuranceYes
2002-06-01Plan benefit arrangement – InsuranceYes
2001: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2001 form 5500 responses
2001-06-01Type of plan entitySingle employer plan
2001-06-01Submission has been amendedNo
2001-06-01This submission is the final filingNo
2001-06-01This return/report is a short plan year return/report (less than 12 months)No
2001-06-01Plan is a collectively bargained planNo
2001-06-01Plan funding arrangement – InsuranceYes
2001-06-01Plan benefit arrangement – InsuranceYes
2000: WESTMINSTER VILLAGE GREENWOOD, INC. SHORT-TERM DISABILITY PLAN 2000 form 5500 responses
2000-06-01Type of plan entitySingle employer plan
2000-06-01First time form 5500 has been submittedYes
2000-06-01Submission has been amendedNo
2000-06-01This submission is the final filingNo
2000-06-01This return/report is a short plan year return/report (less than 12 months)No
2000-06-01Plan is a collectively bargained planNo
2000-06-01Plan funding arrangement – InsuranceYes
2000-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number302659
Policy instance 1
Insurance contract or identification number302659
Number of Individuals Covered104
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $3,949
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $30,448
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,522
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number302659
Policy instance 1
Insurance contract or identification number302659
Number of Individuals Covered163
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $3,143
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $31,093
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,143
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number302659
Policy instance 1
Insurance contract or identification number302659
Number of Individuals Covered177
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $3,584
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $33,562
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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