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| Plan Name | LIFE INSURANCE PLAN |
| Plan identification number | 508 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | O.C. TANNER COMPANY |
| Employer identification number (EIN): | 870182665 |
| NAIC Classification: | 339900 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 508 | 2013-02-01 | PAULA HARDING | |||
| 508 | 2012-02-01 | MICHAEL W. TANNER | MICHAEL W. TANNER | 2013-05-28 | |
| 508 | 2011-02-01 | MICHAEL W. TANNER | MICHAEL W. TANNER | 2012-06-04 | |
| 508 | 2010-02-01 | MICHAEL W. TANNER | 2011-05-23 | MICHAEL W. TANNER | 2011-05-23 |
| 508 | 2009-02-01 | MICHAEL TANNER | 2010-08-04 | MICHAEL TANNER | 2010-08-04 |
| Measure | Date | Value |
|---|---|---|
| 2013: LIFE INSURANCE PLAN 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-02-01 | 1,329 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-02-01 | 0 |
| Number of retired or separated participants receiving benefits | 2013-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2013-02-01 | 0 |
| Total of all active and inactive participants | 2013-02-01 | 0 |
| 2012: LIFE INSURANCE PLAN 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-02-01 | 1,380 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-02-01 | 1,329 |
| Total of all active and inactive participants | 2012-02-01 | 1,329 |
| Total participants | 2012-02-01 | 1,329 |
| 2011: LIFE INSURANCE PLAN 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-02-01 | 1,444 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-02-01 | 1,380 |
| Number of retired or separated participants receiving benefits | 2011-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-02-01 | 0 |
| Total of all active and inactive participants | 2011-02-01 | 1,380 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2011-02-01 | 0 |
| Total participants | 2011-02-01 | 1,380 |
| 2010: LIFE INSURANCE PLAN 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-02-01 | 1,490 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-02-01 | 1,444 |
| Total of all active and inactive participants | 2010-02-01 | 1,444 |
| Total participants | 2010-02-01 | 1,444 |
| 2009: LIFE INSURANCE PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-02-01 | 1,599 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-02-01 | 1,490 |
| Number of retired or separated participants receiving benefits | 2009-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2009-02-01 | 0 |
| Total of all active and inactive participants | 2009-02-01 | 1,490 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2009-02-01 | 0 |
| Total participants | 2009-02-01 | 1,490 |
| 2013: LIFE INSURANCE PLAN 2013 form 5500 responses | ||
|---|---|---|
| 2013-02-01 | Type of plan entity | Single employer plan |
| 2013-02-01 | Submission has been amended | Yes |
| 2013-02-01 | This submission is the final filing | Yes |
| 2013-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-02-01 | Plan is a collectively bargained plan | No |
| 2013-02-01 | Plan funding arrangement – Insurance | Yes |
| 2013-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: LIFE INSURANCE PLAN 2012 form 5500 responses | ||
| 2012-02-01 | Type of plan entity | Single employer plan |
| 2012-02-01 | Plan funding arrangement – Insurance | Yes |
| 2012-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: LIFE INSURANCE PLAN 2011 form 5500 responses | ||
| 2011-02-01 | Type of plan entity | Single employer plan |
| 2011-02-01 | Plan funding arrangement – Insurance | Yes |
| 2011-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: LIFE INSURANCE PLAN 2010 form 5500 responses | ||
| 2010-02-01 | Type of plan entity | Single employer plan |
| 2010-02-01 | Plan funding arrangement – Insurance | Yes |
| 2010-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: LIFE INSURANCE PLAN 2009 form 5500 responses | ||
| 2009-02-01 | Type of plan entity | Single employer plan |
| 2009-02-01 | Plan funding arrangement – Insurance | Yes |
| 2009-02-01 | Plan benefit arrangement – Insurance | Yes |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 220001G | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 220001G | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 220001G | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 220001G | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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