401k Plan data: GSCU GROUP LONG TERM DISABILITY INSURANCE PLAN plan

GSCU GROUP LONG TERM DISABILITY INSURANCE PLAN 401k Plan overview

Plan Name	GSCU GROUP LONG TERM DISABILITY INSURANCE PLAN
Plan identification number	508

GSCU GROUP LONG TERM DISABILITY INSURANCE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Long-term disability cover

401k Sponsoring company profile

GRANITE STATE CREDIT UNION has sponsored the creation of one or more 401k plans.

Company Name: GRANITE STATE CREDIT UNION

Employer identification number (EIN): 020227484

NAIC Classification: 522130
NAIC Description: Credit Unions

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GSCU GROUP LONG TERM DISABILITY INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
508 2014-11-01
508 2014-11-01 KAREN LAPLUMME 2022-09-22
508 2013-11-01
508 2012-11-01 DOTTIE O'GORMAN
508 2011-11-01 DOTTIE O'GORMAN
508 2009-11-01 DOTTIE O'GORMAN
508 2009-11-01 DOTTIE O'GORMAN
508 2008-11-01

Plan Statistics for GSCU GROUP LONG TERM DISABILITY INSURANCE PLAN

401k plan membership statisitcs for GSCU GROUP LONG TERM DISABILITY INSURANCE PLAN

Measure Date Value
2014: GSCU GROUP LONG TERM DISABILITY INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-11-01 114
Total number of active participants reported on line 7a of the Form 5500 2014-11-01 114
Total of all active and inactive participants 2014-11-01 114
Number of retired or separated participants receiving benefits 2014-11-01 0
Number of other retired or separated participants entitled to future benefits 2014-11-01 0
Number of employers contributing to the scheme 2014-11-01 0
2013: GSCU GROUP LONG TERM DISABILITY INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-11-01 114
Total number of active participants reported on line 7a of the Form 5500 2013-11-01 114
Total of all active and inactive participants 2013-11-01 114
2012: GSCU GROUP LONG TERM DISABILITY INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-11-01 110
Total number of active participants reported on line 7a of the Form 5500 2012-11-01 114
Total of all active and inactive participants 2012-11-01 114
2011: GSCU GROUP LONG TERM DISABILITY INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-11-01 105
Total number of active participants reported on line 7a of the Form 5500 2011-11-01 110
Total of all active and inactive participants 2011-11-01 110
2009: GSCU GROUP LONG TERM DISABILITY INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-11-01 103
Total number of active participants reported on line 7a of the Form 5500 2009-11-01 101
Total of all active and inactive participants 2009-11-01 101

Measure	Date	Value
2014: GSCU GROUP LONG TERM DISABILITY INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-11-01	114
Total number of active participants reported on line 7a of the Form 5500	2014-11-01	114
Total of all active and inactive participants	2014-11-01	114
Number of retired or separated participants receiving benefits	2014-11-01	0
Number of other retired or separated participants entitled to future benefits	2014-11-01	0
Number of employers contributing to the scheme	2014-11-01	0
2013: GSCU GROUP LONG TERM DISABILITY INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-11-01	114
Total number of active participants reported on line 7a of the Form 5500	2013-11-01	114
Total of all active and inactive participants	2013-11-01	114
2012: GSCU GROUP LONG TERM DISABILITY INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-11-01	110
Total number of active participants reported on line 7a of the Form 5500	2012-11-01	114
Total of all active and inactive participants	2012-11-01	114
2011: GSCU GROUP LONG TERM DISABILITY INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-11-01	105
Total number of active participants reported on line 7a of the Form 5500	2011-11-01	110
Total of all active and inactive participants	2011-11-01	110
2009: GSCU GROUP LONG TERM DISABILITY INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-11-01	103
Total number of active participants reported on line 7a of the Form 5500	2009-11-01	101
Total of all active and inactive participants	2009-11-01	101

Form 5500 Responses for GSCU GROUP LONG TERM DISABILITY INSURANCE PLAN

2014: GSCU GROUP LONG TERM DISABILITY INSURANCE PLAN 2014 form 5500 responses
2014-11-01	Type of plan entity	Single employer plan
2014-11-01	Submission has been amended	Yes
2014-11-01	This submission is the final filing	Yes
2014-11-01	Plan funding arrangement – Insurance	Yes
2014-11-01	Plan benefit arrangement – Insurance	Yes
2013: GSCU GROUP LONG TERM DISABILITY INSURANCE PLAN 2013 form 5500 responses
2013-11-01	Type of plan entity	Single employer plan
2013-11-01	Plan funding arrangement – Insurance	Yes
2013-11-01	Plan benefit arrangement – Insurance	Yes
2012: GSCU GROUP LONG TERM DISABILITY INSURANCE PLAN 2012 form 5500 responses
2012-11-01	Type of plan entity	Single employer plan
2012-11-01	Plan funding arrangement – Insurance	Yes
2012-11-01	Plan benefit arrangement – Insurance	Yes
2011: GSCU GROUP LONG TERM DISABILITY INSURANCE PLAN 2011 form 5500 responses
2011-11-01	Type of plan entity	Single employer plan
2011-11-01	Plan funding arrangement – Insurance	Yes
2011-11-01	Plan benefit arrangement – Insurance	Yes
2009: GSCU GROUP LONG TERM DISABILITY INSURANCE PLAN 2009 form 5500 responses
2009-11-01	Type of plan entity	Single employer plan
2009-11-01	This submission is the final filing	No
2009-11-01	Plan funding arrangement – Insurance	Yes
2009-11-01	Plan benefit arrangement – Insurance	Yes
2008: GSCU GROUP LONG TERM DISABILITY INSURANCE PLAN 2008 form 5500 responses
2008-11-01	Type of plan entity	Single employer plan
2008-11-01	Submission has been amended	No
2008-11-01	This submission is the final filing	No
2008-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-11-01	Plan is a collectively bargained plan	No

Insurance Providers Used on plan

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

LTD121908

Policy instance

Insurance contract or identification number	LTD121908
Number of Individuals Covered	114
Insurance policy start date	2014-11-01
Insurance policy end date	2015-10-31
Total amount of commissions paid to insurance broker	USD $840
Total amount of fees paid to insurance company	USD $0
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $8,397
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $840
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

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Company Name:	GRANITE STATE CREDIT UNION
Employer identification number (EIN):	020227484
NAIC Classification:	522130
NAIC Description:	Credit Unions

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
508	2014-11-01
508	2014-11-01	KAREN LAPLUMME	2022-09-22
508	2013-11-01
508	2012-11-01	DOTTIE O'GORMAN
508	2011-11-01	DOTTIE O'GORMAN
508	2009-11-01	DOTTIE O'GORMAN
508	2009-11-01	DOTTIE O'GORMAN
508	2008-11-01