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CENTRAL MAINE POWER COMPANY WELFARE BENEFITS PLAN 401k Plan overview

Plan NameCENTRAL MAINE POWER COMPANY WELFARE BENEFITS PLAN
Plan identification number 511

CENTRAL MAINE POWER COMPANY WELFARE BENEFITS PLAN Benefits

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

401k Sponsoring company profile

CENTRAL MAINE POWER COMPANY has sponsored the creation of one or more 401k plans.

Company Name:CENTRAL MAINE POWER COMPANY
Employer identification number (EIN):010042740
NAIC Classification:221100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CENTRAL MAINE POWER COMPANY WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5112017-01-01DIANE BYRON DIANE BYRON2018-10-08
5112016-01-01LISA R. SCHLAFMANN LISA R. SCHLAFMANN2017-10-09
5112015-01-01SHERI A. LAMOUREUX SHERI A. LAMOUREUX2016-10-17
5112014-01-01SHERI A. LAMOUREUX SHERI A. LAMOUREUX2015-10-15
5112013-01-01SHERI A. LAMOUREUX SHERI A. LAMOUREUX2014-10-15
5112012-01-01SHERI A. LAMOUREUX SHERI A. LAMOUREUX2013-10-14
5112011-01-01SHERI A. LAMOUREUX SHERI A. LAMOUREUX2012-10-15
5112009-01-01ERIC N. STINNEFORD ERIC N. STINNEFORD2010-10-14

Plan Statistics for CENTRAL MAINE POWER COMPANY WELFARE BENEFITS PLAN

401k plan membership statisitcs for CENTRAL MAINE POWER COMPANY WELFARE BENEFITS PLAN

Measure Date Value
2017
Total participants, beginning-of-year2017-01-01806
Total number of active participants reported on line 7a of the Form 55002017-01-01796
Total of all active and inactive participants2017-01-01796
2016
Total participants, beginning-of-year2016-01-01728
Total number of active participants reported on line 7a of the Form 55002016-01-01808
Total of all active and inactive participants2016-01-01808
2015
Total participants, beginning-of-year2015-01-01845
Number of retired or separated participants receiving benefits2015-01-01728
Total of all active and inactive participants2015-01-01728
2014
Total participants, beginning-of-year2014-01-01875
Number of retired or separated participants receiving benefits2014-01-01845
Total of all active and inactive participants2014-01-01845
2013
Total participants, beginning-of-year2013-01-01890
Number of retired or separated participants receiving benefits2013-01-01875
Total of all active and inactive participants2013-01-01875
2012
Total participants, beginning-of-year2012-01-01915
Number of retired or separated participants receiving benefits2012-01-01890
Total of all active and inactive participants2012-01-01890
2011
Total participants, beginning-of-year2011-01-01790
Number of retired or separated participants receiving benefits2011-01-01915
Total of all active and inactive participants2011-01-01915
Total participants2011-01-01915
2009
Total participants, beginning-of-year2009-01-01822
Total number of active participants reported on line 7a of the Form 55002009-01-010
Number of retired or separated participants receiving benefits2009-01-01890
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01890

Financial Data on CENTRAL MAINE POWER COMPANY WELFARE BENEFITS PLAN

Measure Date Value
2014
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$145,057
Total income from all sources (including contributions)2014-12-31$270,417
Total of all expenses incurred2014-12-31$405,632
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$405,632
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$265,946
Value of total assets at beginning of year2014-12-31$280,272
Total interest from all sources2014-12-31$1,071
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$-678
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$-678
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$15,000,000
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$1,336
Other income not declared elsewhere2014-12-31$581
Liabilities. Value of operating payables at end of year2014-12-31$0
Liabilities. Value of operating payables at beginning of year2014-12-31$145,057
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-135,215
Value of net assets at end of year (total assets less liabilities)2014-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$135,215
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$274,691
Interest earned on other investments2014-12-31$1,071
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$4,245
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$4,245
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$405,632
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$3,497
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$265,946
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31BAKER NEWMAN & NOYES LLC
Accountancy firm EIN2014-12-31010494526
2013
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$145,057
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$54,706
Total income from all sources (including contributions)2013-12-31$82,579
Total of all expenses incurred2013-12-31$590,351
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$590,351
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$11,401
Value of total assets at end of year2013-12-31$280,272
Value of total assets at beginning of year2013-12-31$697,693
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$15,000,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$1,336
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$2,466
Other income not declared elsewhere2013-12-31$9,353
Liabilities. Value of operating payables at end of year2013-12-31$145,057
Liabilities. Value of operating payables at beginning of year2013-12-31$54,706
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Income. Non cash contributions2013-12-31$11,401
Value of net income/loss2013-12-31$-507,772
Value of net assets at end of year (total assets less liabilities)2013-12-31$135,215
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$642,987
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$274,691
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$675,159
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$4,245
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$20,068
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$20,068
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$590,351
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$61,825
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31BAKER NEWMAN & NOYES LLC
Accountancy firm EIN2013-12-31010494526
2012
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$54,706
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$52,991
Total income from all sources (including contributions)2012-12-31$144,768
Total of all expenses incurred2012-12-31$570,715
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$570,715
Value of total assets at end of year2012-12-31$697,693
Value of total assets at beginning of year2012-12-31$1,121,925
Total interest from all sources2012-12-31$25,977
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$15,000,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$2,466
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$1,491
Other income not declared elsewhere2012-12-31$15,485
Liabilities. Value of operating payables at end of year2012-12-31$54,706
Liabilities. Value of operating payables at beginning of year2012-12-31$52,991
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-425,947
Value of net assets at end of year (total assets less liabilities)2012-12-31$642,987
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,068,934
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$675,159
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$1,086,284
Interest earned on other investments2012-12-31$25,977
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$20,068
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$34,150
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$34,150
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$570,715
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$103,306
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31BAKER NEWMAN & NOYES LLC
Accountancy firm EIN2012-12-31010494526
2011
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$52,991
Total income from all sources (including contributions)2011-12-31$-46,360
Total of all expenses incurred2011-12-31$604,334
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$604,334
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$8,083
Value of total assets at end of year2011-12-31$1,121,925
Value of total assets at beginning of year2011-12-31$1,719,628
Total interest from all sources2011-12-31$41,663
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$15,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$8,083
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$1,491
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$1,602
Liabilities. Value of operating payables at end of year2011-12-31$52,991
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-650,694
Value of net assets at end of year (total assets less liabilities)2011-12-31$1,068,934
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$1,719,628
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$1,086,284
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$1,664,952
Interest earned on other investments2011-12-31$41,663
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$34,150
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$53,074
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$53,074
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$604,334
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-96,106
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31BAKER NEWMAN & NOYES LLC
Accountancy firm EIN2011-12-31010494526
2010
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$770,150
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$561,208
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$561,208
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$561,627
Value of total assets at end of year2010-12-31$1,719,628
Value of total assets at beginning of year2010-12-31$1,510,686
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$0
Total interest from all sources2010-12-31$11
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$34,095
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$34,095
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$15,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$419
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$1,602
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$1,680
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$208,942
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,719,628
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$1,510,686
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$1,664,952
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$1,491,475
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$53,074
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$17,531
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$17,531
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$11
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$561,208
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$174,417
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$561,208
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31BAKER NEWMAN & NOYES LLC
Accountancy firm EIN2010-12-31010494526

Form 5500 Responses

2017
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number646874
Policy instance 1
Insurance contract or identification number646874
Number of Individuals Covered796
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number646874
Policy instance 1
Insurance contract or identification number646874
Number of Individuals Covered728
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $844,620
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number646874
Policy instance 1
Insurance contract or identification number646874
Number of Individuals Covered845
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $405,239
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number646874
Policy instance 1
Insurance contract or identification number646874
Number of Individuals Covered875
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $590,351
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number646874
Policy instance 1
Insurance contract or identification number646874
Number of Individuals Covered890
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $569,113
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number646874
Policy instance 1
Insurance contract or identification number646874
Number of Individuals Covered915
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $551,343
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNICARE HEALTH AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80314 )
Policy contract number130739
Policy instance 1
Insurance contract or identification number130739
Number of Individuals Covered790
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 $696,125
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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