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ARBELLA MUTUAL INSURANCE COMPANY 401k Plan overview

Plan NameARBELLA MUTUAL INSURANCE COMPANY
Plan identification number 501

ARBELLA MUTUAL INSURANCE COMPANY Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

ARBELLA MUTUAL INSURANCE GROUP has sponsored the creation of one or more 401k plans.

Company Name:ARBELLA MUTUAL INSURANCE GROUP
Employer identification number (EIN):043022050
NAIC Classification:524150

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ARBELLA MUTUAL INSURANCE COMPANY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012013-01-01GAYLE OCONNELL GAYLE OCONNELL2014-10-10
5012012-01-01GAYLE O'CONNELL GAYLE O'CONNELL2013-09-06
5012011-01-01GAYLE O CONNELL GAYLE O CONNELL2012-09-26
5012010-01-01GAYLE O'CONNELL GAYLE O'CONNELL2011-09-23
5012009-01-01GAYLE O'CONNELL GAYLE O'CONNELL2010-10-05
5012009-01-01GAYLE O'CONNELL GAYLE O'CONNELL2010-10-05

Plan Statistics for ARBELLA MUTUAL INSURANCE COMPANY

401k plan membership statisitcs for ARBELLA MUTUAL INSURANCE COMPANY

Measure Date Value
2013: ARBELLA MUTUAL INSURANCE COMPANY 2013 401k membership
Total participants, beginning-of-year2013-01-01925
Total number of active participants reported on line 7a of the Form 55002013-01-01841
Number of retired or separated participants receiving benefits2013-01-01134
Total of all active and inactive participants2013-01-01975
2012: ARBELLA MUTUAL INSURANCE COMPANY 2012 401k membership
Total participants, beginning-of-year2012-01-01884
Total number of active participants reported on line 7a of the Form 55002012-01-01808
Number of retired or separated participants receiving benefits2012-01-01117
Total of all active and inactive participants2012-01-01925
2011: ARBELLA MUTUAL INSURANCE COMPANY 2011 401k membership
Total participants, beginning-of-year2011-01-01853
Total number of active participants reported on line 7a of the Form 55002011-01-01775
Number of retired or separated participants receiving benefits2011-01-01109
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01884
2010: ARBELLA MUTUAL INSURANCE COMPANY 2010 401k membership
Total participants, beginning-of-year2010-01-01830
Total number of active participants reported on line 7a of the Form 55002010-01-01841
Number of retired or separated participants receiving benefits2010-01-0112
Total of all active and inactive participants2010-01-01853
2009: ARBELLA MUTUAL INSURANCE COMPANY 2009 401k membership
Total participants, beginning-of-year2009-01-01877
Total number of active participants reported on line 7a of the Form 55002009-01-01818
Number of retired or separated participants receiving benefits2009-01-0112
Total of all active and inactive participants2009-01-01830
Total participants2009-01-010

Form 5500 Responses for ARBELLA MUTUAL INSURANCE COMPANY

2013: ARBELLA MUTUAL INSURANCE COMPANY 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 filingYes
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: ARBELLA MUTUAL INSURANCE COMPANY 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: ARBELLA MUTUAL INSURANCE COMPANY 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: ARBELLA MUTUAL INSURANCE COMPANY 2010 form 5500 responses
2010-01-01Type of plan entitySingle 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: ARBELLA MUTUAL INSURANCE COMPANY 2009 form 5500 responses
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 benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF MASS. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4396525
Policy instance 1
Insurance contract or identification number4396525
Number of Individuals Covered975
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $135,480
Total amount of fees paid to insurance companyUSD $65,936
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,442,791
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $135,480
Amount paid for insurance broker fees65936
Additional information about fees paid to insurance brokerCARRIER BONUS
Insurance broker organization code?3
Insurance broker nameEASTERN INSURANCE GROUP
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4936525
Policy instance 1
Insurance contract or identification number4936525
Number of Individuals Covered925
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $130,016
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,579,904
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $130,016
Insurance broker organization code?3
Insurance broker nameEASTERN INSURANCE GROUP LLC
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4936525
Policy instance 1
Insurance contract or identification number4936525
Number of Individuals Covered884
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $123,146
Total amount of fees paid to insurance companyUSD $56,846
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,676,011
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4936525
Policy instance 1
Insurance contract or identification number4936525
Number of Individuals Covered1784
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $109,825
Total amount of fees paid to insurance companyUSD $49,123
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,456,160
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $109,825
Amount paid for insurance broker fees49123
Additional information about fees paid to insurance brokerBONUS AND PERSISTENCY COMMISSIONS
Insurance broker organization code?3
Insurance broker nameEASTERN INSURANCE GROUP LLC

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