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| Plan Name | VOLUNTARY ACCIDENT INSURANCE PLAN |
| Plan identification number | 542 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | MUTUAL OF OMAHA INSURANCE COMPANY |
| Employer identification number (EIN): | 470246511 |
| NAIC Classification: | 524140 |
Additional information about MUTUAL OF OMAHA INSURANCE COMPANY
| Jurisdiction of Incorporation: | California Department of State |
| Incorporation Date: | |
| Company Identification Number: | C0087163 |
More information about MUTUAL OF OMAHA INSURANCE COMPANY
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 542 | 2018-01-01 | ||||
| 542 | 2017-06-01 | ROBERT FOLEY | ROBERT FOLEY | 2018-07-23 |
| Measure | Date | Value |
|---|---|---|
| 2018: VOLUNTARY ACCIDENT INSURANCE PLAN 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-01-01 | 1,017 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 1,047 |
| Total of all active and inactive participants | 2018-01-01 | 1,047 |
| Total participants | 2018-01-01 | 1,047 |
| 2017: VOLUNTARY ACCIDENT INSURANCE PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-06-01 | 778 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-06-01 | 801 |
| Total of all active and inactive participants | 2017-06-01 | 801 |
| Total participants | 2017-06-01 | 801 |
| 2018: VOLUNTARY ACCIDENT INSURANCE PLAN 2018 form 5500 responses | ||
|---|---|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Submission has been amended | No |
| 2018-01-01 | This submission is the final filing | Yes |
| 2018-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-01-01 | Plan is a collectively bargained plan | No |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: VOLUNTARY ACCIDENT INSURANCE PLAN 2017 form 5500 responses | ||
| 2017-06-01 | Type of plan entity | Single employer plan |
| 2017-06-01 | First time form 5500 has been submitted | Yes |
| 2017-06-01 | Submission has been amended | No |
| 2017-06-01 | This submission is the final filing | No |
| 2017-06-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2017-06-01 | Plan is a collectively bargained plan | No |
| 2017-06-01 | Plan funding arrangement – Insurance | Yes |
| 2017-06-01 | Plan benefit arrangement – Insurance | Yes |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | G000EH10 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||
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| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | G000EH10 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||
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