WESTERN STATES INSURANCE AGENCY INC. EMPLOYEE WELFARE BENEFITS PLAN 401k Plan overview

WESTERN STATES INSURANCE AGENCY INC. EMPLOYEE WELFARE BENEFITS PLAN Benefits

401k Sponsoring company profile

Company Name:	COMBINED BENEFITS MANAGEMENT, INC.
Employer identification number (EIN):	810488173

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2012-01-01	TERRY COSGROVE

Plan Statistics for WESTERN STATES INSURANCE AGENCY INC. EMPLOYEE WELFARE BENEFITS PLAN

Measure	Date	Value
2012: WESTERN STATES INSURANCE AGENCY INC. EMPLOYEE WELFARE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	386
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	387
Number of retired or separated participants receiving benefits	2012-01-01	8
Number of other retired or separated participants entitled to future benefits	2012-01-01	64
Total of all active and inactive participants	2012-01-01	459
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	459
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0

Form 5500 Responses for WESTERN STATES INSURANCE AGENCY INC. EMPLOYEE WELFARE BENEFITS PLAN

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