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GROUP LIFE ACCIDENTAL DEATH AND DISMEMBERMENT AND DEPENDENT LIFE INSURANCE PLAN 401k Plan overview

Plan NameGROUP LIFE ACCIDENTAL DEATH AND DISMEMBERMENT AND DEPENDENT LIFE INSURANCE PLAN
Plan identification number 501

GROUP LIFE ACCIDENTAL DEATH AND DISMEMBERMENT AND DEPENDENT LIFE INSURANCE PLAN Benefits

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

401k Sponsoring company profile

DEAD RIVER COMPANY has sponsored the creation of one or more 401k plans.

Company Name:DEAD RIVER COMPANY
Employer identification number (EIN):010385895
NAIC Classification:424700

Additional information about DEAD RIVER COMPANY

Jurisdiction of Incorporation: Vermont Secretary of State Corporations Division
Incorporation Date: 1993-07-19
Company Identification Number: 64198
Legal Registered Office Address: 1154 Route 30

Townshend
United States of America (USA)
05353

More information about DEAD RIVER COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP LIFE ACCIDENTAL DEATH AND DISMEMBERMENT AND DEPENDENT LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-01-01GRANT DELAWARE
5012014-01-01GRANT E DELAWARE
5012013-01-01CRAIG BOYD CHRISTOPHER HERSEY2014-07-29
5012012-01-01CRAIG BOYD CHRISTOPHER HERSEY2013-10-08
5012011-01-01CRAIG BOYD CHRISTOPHER HERSEY2012-10-12
5012010-01-01CRAIG BOYD CHRISTOPHER HERSEY2011-10-14
5012009-01-01CRAIG BOYD CHRISTOPHER HERSEY2010-10-14

Plan Statistics for GROUP LIFE ACCIDENTAL DEATH AND DISMEMBERMENT AND DEPENDENT LIFE INSURANCE PLAN

401k plan membership statisitcs for GROUP LIFE ACCIDENTAL DEATH AND DISMEMBERMENT AND DEPENDENT LIFE INSURANCE PLAN

Measure Date Value
2015: GROUP LIFE ACCIDENTAL DEATH AND DISMEMBERMENT AND DEPENDENT LIFE INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,244
Total number of active participants reported on line 7a of the Form 55002015-01-010
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-010
2014: GROUP LIFE ACCIDENTAL DEATH AND DISMEMBERMENT AND DEPENDENT LIFE INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,140
Total number of active participants reported on line 7a of the Form 55002014-01-01986
Number of retired or separated participants receiving benefits2014-01-01258
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-011,244
2013: GROUP LIFE ACCIDENTAL DEATH AND DISMEMBERMENT AND DEPENDENT LIFE INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-011,140
Total number of active participants reported on line 7a of the Form 55002013-01-011,304
Number of retired or separated participants receiving benefits2013-01-01238
Total of all active and inactive participants2013-01-011,542
Total participants2013-01-011,542
2012: GROUP LIFE ACCIDENTAL DEATH AND DISMEMBERMENT AND DEPENDENT LIFE INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,040
Total number of active participants reported on line 7a of the Form 55002012-01-01910
Number of retired or separated participants receiving benefits2012-01-01230
Total of all active and inactive participants2012-01-011,140
Total participants2012-01-011,140
2011: GROUP LIFE ACCIDENTAL DEATH AND DISMEMBERMENT AND DEPENDENT LIFE INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011,058
Total number of active participants reported on line 7a of the Form 55002011-01-01817
Number of retired or separated participants receiving benefits2011-01-01223
Total of all active and inactive participants2011-01-011,040
Total participants2011-01-011,040
2010: GROUP LIFE ACCIDENTAL DEATH AND DISMEMBERMENT AND DEPENDENT LIFE INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-011,084
Total number of active participants reported on line 7a of the Form 55002010-01-01842
Number of retired or separated participants receiving benefits2010-01-01216
Total of all active and inactive participants2010-01-011,058
Total participants2010-01-011,058
2009: GROUP LIFE ACCIDENTAL DEATH AND DISMEMBERMENT AND DEPENDENT LIFE INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,341
Total number of active participants reported on line 7a of the Form 55002009-01-01874
Number of retired or separated participants receiving benefits2009-01-01210
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-011,084
Total participants2009-01-011,084

Form 5500 Responses for GROUP LIFE ACCIDENTAL DEATH AND DISMEMBERMENT AND DEPENDENT LIFE INSURANCE PLAN

2015: GROUP LIFE ACCIDENTAL DEATH AND DISMEMBERMENT AND DEPENDENT LIFE INSURANCE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingYes
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: GROUP LIFE ACCIDENTAL DEATH AND DISMEMBERMENT AND DEPENDENT LIFE INSURANCE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: GROUP LIFE ACCIDENTAL DEATH AND DISMEMBERMENT AND DEPENDENT LIFE INSURANCE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: GROUP LIFE ACCIDENTAL DEATH AND DISMEMBERMENT AND DEPENDENT LIFE INSURANCE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: GROUP LIFE ACCIDENTAL DEATH AND DISMEMBERMENT AND DEPENDENT LIFE INSURANCE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: GROUP LIFE ACCIDENTAL DEATH AND DISMEMBERMENT AND DEPENDENT LIFE INSURANCE PLAN 2010 form 5500 responses
2010-01-01Type of plan entityMulitple employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: GROUP LIFE ACCIDENTAL DEATH AND DISMEMBERMENT AND DEPENDENT LIFE INSURANCE PLAN 2009 form 5500 responses
2009-01-01Type of plan entityMulitple 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 benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number677301G
Policy instance 1
Insurance contract or identification number677301G
Number of Individuals Covered1239
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $7,615
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 AND 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 $374,502
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,615
Insurance broker organization code?3
Insurance broker nameUSI INSURANCE SERVICES, LLC
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number677301G
Policy instance 1
Insurance contract or identification number677301G
Number of Individuals Covered1235
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $7,472
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 AND 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 $316,522
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,472
Insurance broker organization code?5
Insurance broker nameUSI INSURANCE SERVICES, LLC
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number677301G
Policy instance 1
Insurance contract or identification number677301G
Number of Individuals Covered1542
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $7,295
Total amount of fees paid to insurance companyUSD $9,602
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
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 $260,175
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,295
Insurance broker organization code?3
Amount paid for insurance broker fees9602
Additional information about fees paid to insurance brokerBONUS
Insurance broker nameUSI INS SVCS LLC
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number677301G
Policy instance 1
Insurance contract or identification number677301G
Number of Individuals Covered1143
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $7,160
Total amount of fees paid to insurance companyUSD $6,990
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $256,756
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,160
Amount paid for insurance broker fees6990
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker nameUSI INS SERVICES LLC
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number677301G
Policy instance 1
Insurance contract or identification number677301G
Number of Individuals Covered1013
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $6,985
Total amount of fees paid to insurance companyUSD $4,740
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $221,698
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number677301G
Policy instance 1
Insurance contract or identification number677301G
Number of Individuals Covered1018
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $6,961
Total amount of fees paid to insurance companyUSD $4,304
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $216,963
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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