KAMAN CORPORATION has sponsored the creation of one or more 401k plans.
| Measure | Date | Value |
|---|
| 2022: TRAVEL ACCIDENT INSURANCE 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-28 | 1,608 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-28 | 2,227 |
| Number of retired or separated participants receiving benefits | 2022-01-28 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-01-28 | 0 |
| Total of all active and inactive participants | 2022-01-28 | 2,227 |
| 2021: TRAVEL ACCIDENT INSURANCE 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-28 | 1,803 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-28 | 1,608 |
| Number of retired or separated participants receiving benefits | 2021-01-28 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-01-28 | 0 |
| Total of all active and inactive participants | 2021-01-28 | 1,608 |
| 2020: TRAVEL ACCIDENT INSURANCE 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-28 | 1,819 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-28 | 1,803 |
| Number of retired or separated participants receiving benefits | 2020-01-28 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-01-28 | 0 |
| Total of all active and inactive participants | 2020-01-28 | 1,803 |
| 2019: TRAVEL ACCIDENT INSURANCE 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-28 | 4,011 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-28 | 1,819 |
| Number of retired or separated participants receiving benefits | 2019-01-28 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-01-28 | 0 |
| Total of all active and inactive participants | 2019-01-28 | 1,819 |
| 2018: TRAVEL ACCIDENT INSURANCE 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-28 | 4,159 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-28 | 4,011 |
| Number of retired or separated participants receiving benefits | 2018-01-28 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-01-28 | 0 |
| Total of all active and inactive participants | 2018-01-28 | 4,011 |
| 2017: TRAVEL ACCIDENT INSURANCE 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-28 | 4,187 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-28 | 4,159 |
| Number of retired or separated participants receiving benefits | 2017-01-28 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-01-28 | 0 |
| Total of all active and inactive participants | 2017-01-28 | 4,159 |
| 2016: TRAVEL ACCIDENT INSURANCE 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-28 | 4,161 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-28 | 4,187 |
| Number of retired or separated participants receiving benefits | 2016-01-28 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-01-28 | 0 |
| Total of all active and inactive participants | 2016-01-28 | 4,187 |
| 2015: TRAVEL ACCIDENT INSURANCE 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-28 | 4,213 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-28 | 4,161 |
| Number of retired or separated participants receiving benefits | 2015-01-28 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-01-28 | 0 |
| Total of all active and inactive participants | 2015-01-28 | 4,161 |
| 2014: TRAVEL ACCIDENT INSURANCE 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-28 | 3,946 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-28 | 4,213 |
| Number of retired or separated participants receiving benefits | 2014-01-28 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-01-28 | 0 |
| Total of all active and inactive participants | 2014-01-28 | 4,213 |
| 2013: TRAVEL ACCIDENT INSURANCE 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-28 | 4,143 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-28 | 3,946 |
| Number of retired or separated participants receiving benefits | 2013-01-28 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2013-01-28 | 0 |
| Total of all active and inactive participants | 2013-01-28 | 3,946 |
| 2012: TRAVEL ACCIDENT INSURANCE 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-28 | 3,724 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-28 | 4,143 |
| Number of retired or separated participants receiving benefits | 2012-01-28 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-01-28 | 0 |
| Total of all active and inactive participants | 2012-01-28 | 4,143 |
| 2011: TRAVEL ACCIDENT INSURANCE 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-28 | 3,643 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-28 | 3,724 |
| Number of retired or separated participants receiving benefits | 2011-01-28 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-01-28 | 0 |
| Total of all active and inactive participants | 2011-01-28 | 3,724 |
| 2009: TRAVEL ACCIDENT INSURANCE 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-28 | 3,649 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-28 | 3,281 |
| Number of retired or separated participants receiving benefits | 2009-01-28 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2009-01-28 | 0 |
| Total of all active and inactive participants | 2009-01-28 | 3,281 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2009-01-28 | 0 |
| 2022: TRAVEL ACCIDENT INSURANCE 2022 form 5500 responses |
|---|
| 2022-01-28 | Type of plan entity | Single employer plan |
| 2022-01-28 | Submission has been amended | No |
| 2022-01-28 | This submission is the final filing | No |
| 2022-01-28 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-01-28 | Plan is a collectively bargained plan | No |
| 2022-01-28 | Plan funding arrangement – Insurance | Yes |
| 2022-01-28 | Plan benefit arrangement – Insurance | Yes |
| 2021: TRAVEL ACCIDENT INSURANCE 2021 form 5500 responses |
|---|
| 2021-01-28 | Type of plan entity | Single employer plan |
| 2021-01-28 | Submission has been amended | No |
| 2021-01-28 | This submission is the final filing | No |
| 2021-01-28 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-01-28 | Plan is a collectively bargained plan | No |
| 2021-01-28 | Plan funding arrangement – Insurance | Yes |
| 2021-01-28 | Plan benefit arrangement – Insurance | Yes |
| 2020: TRAVEL ACCIDENT INSURANCE 2020 form 5500 responses |
|---|
| 2020-01-28 | Type of plan entity | Single employer plan |
| 2020-01-28 | Submission has been amended | No |
| 2020-01-28 | This submission is the final filing | No |
| 2020-01-28 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-01-28 | Plan is a collectively bargained plan | No |
| 2020-01-28 | Plan funding arrangement – Insurance | Yes |
| 2020-01-28 | Plan benefit arrangement – Insurance | Yes |
| 2019: TRAVEL ACCIDENT INSURANCE 2019 form 5500 responses |
|---|
| 2019-01-28 | Type of plan entity | Single employer plan |
| 2019-01-28 | Submission has been amended | No |
| 2019-01-28 | This submission is the final filing | No |
| 2019-01-28 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-01-28 | Plan is a collectively bargained plan | No |
| 2019-01-28 | Plan funding arrangement – Insurance | Yes |
| 2019-01-28 | Plan benefit arrangement – Insurance | Yes |
| 2018: TRAVEL ACCIDENT INSURANCE 2018 form 5500 responses |
|---|
| 2018-01-28 | Type of plan entity | Single employer plan |
| 2018-01-28 | Submission has been amended | No |
| 2018-01-28 | This submission is the final filing | No |
| 2018-01-28 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-01-28 | Plan is a collectively bargained plan | No |
| 2018-01-28 | Plan funding arrangement – Insurance | Yes |
| 2018-01-28 | Plan benefit arrangement – Insurance | Yes |
| 2017: TRAVEL ACCIDENT INSURANCE 2017 form 5500 responses |
|---|
| 2017-01-28 | Type of plan entity | Single employer plan |
| 2017-01-28 | Submission has been amended | No |
| 2017-01-28 | This submission is the final filing | No |
| 2017-01-28 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-01-28 | Plan is a collectively bargained plan | No |
| 2017-01-28 | Plan funding arrangement – Insurance | Yes |
| 2017-01-28 | Plan benefit arrangement – Insurance | Yes |
| 2016: TRAVEL ACCIDENT INSURANCE 2016 form 5500 responses |
|---|
| 2016-01-28 | Type of plan entity | Single employer plan |
| 2016-01-28 | Submission has been amended | No |
| 2016-01-28 | This submission is the final filing | No |
| 2016-01-28 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-01-28 | Plan is a collectively bargained plan | No |
| 2016-01-28 | Plan funding arrangement – Insurance | Yes |
| 2016-01-28 | Plan benefit arrangement – Insurance | Yes |
| 2015: TRAVEL ACCIDENT INSURANCE 2015 form 5500 responses |
|---|
| 2015-01-28 | Type of plan entity | Single employer plan |
| 2015-01-28 | Submission has been amended | No |
| 2015-01-28 | This submission is the final filing | No |
| 2015-01-28 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-28 | Plan is a collectively bargained plan | No |
| 2015-01-28 | Plan funding arrangement – Insurance | Yes |
| 2015-01-28 | Plan benefit arrangement – Insurance | Yes |
| 2014: TRAVEL ACCIDENT INSURANCE 2014 form 5500 responses |
|---|
| 2014-01-28 | Type of plan entity | Single employer plan |
| 2014-01-28 | Submission has been amended | No |
| 2014-01-28 | This submission is the final filing | No |
| 2014-01-28 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-01-28 | Plan is a collectively bargained plan | No |
| 2014-01-28 | Plan funding arrangement – Insurance | Yes |
| 2014-01-28 | Plan benefit arrangement – Insurance | Yes |
| 2013: TRAVEL ACCIDENT INSURANCE 2013 form 5500 responses |
|---|
| 2013-01-28 | Type of plan entity | Single employer plan |
| 2013-01-28 | Submission has been amended | No |
| 2013-01-28 | This submission is the final filing | No |
| 2013-01-28 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-01-28 | Plan is a collectively bargained plan | No |
| 2013-01-28 | Plan funding arrangement – Insurance | Yes |
| 2013-01-28 | Plan benefit arrangement – Insurance | Yes |
| 2012: TRAVEL ACCIDENT INSURANCE 2012 form 5500 responses |
|---|
| 2012-01-28 | Type of plan entity | Single employer plan |
| 2012-01-28 | Submission has been amended | No |
| 2012-01-28 | This submission is the final filing | No |
| 2012-01-28 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-01-28 | Plan is a collectively bargained plan | No |
| 2012-01-28 | Plan funding arrangement – Insurance | Yes |
| 2012-01-28 | Plan benefit arrangement – Insurance | Yes |
| 2011: TRAVEL ACCIDENT INSURANCE 2011 form 5500 responses |
|---|
| 2011-01-28 | Type of plan entity | Single employer plan |
| 2011-01-28 | Submission has been amended | No |
| 2011-01-28 | This submission is the final filing | No |
| 2011-01-28 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-01-28 | Plan is a collectively bargained plan | No |
| 2011-01-28 | Plan funding arrangement – Insurance | Yes |
| 2011-01-28 | Plan benefit arrangement – Insurance | Yes |
| 2009: TRAVEL ACCIDENT INSURANCE 2009 form 5500 responses |
|---|
| 2009-01-28 | Type of plan entity | Single employer plan |
| 2009-01-28 | Submission has been amended | No |
| 2009-01-28 | This submission is the final filing | No |
| 2009-01-28 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-01-28 | Plan is a collectively bargained plan | No |
| 2009-01-28 | Plan funding arrangement – Insurance | Yes |
| 2009-01-28 | Plan benefit arrangement – Insurance | Yes |
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 000099061054 |
| Policy instance | 1 |
| Insurance contract or identification number | 000099061054 | | Number of Individuals Covered | 2227 | | Insurance policy start date | 2021-04-01 | | Insurance policy end date | 2022-03-31 | | Total amount of commissions paid to insurance broker | USD $9,610 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL 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 Carrier | USD $38,441 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,610 | | Insurance broker organization code? | 9 |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 000099061054 |
| Policy instance | 1 |
| Insurance contract or identification number | 000099061054 | | Number of Individuals Covered | 1608 | | Insurance policy start date | 2020-04-01 | | Insurance policy end date | 2021-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL 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 Carrier | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Insurance broker organization code? | 9 |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 000099061054 |
| Policy instance | 1 |
| Insurance contract or identification number | 000099061054 | | Number of Individuals Covered | 1803 | | Insurance policy start date | 2019-04-01 | | Insurance policy end date | 2020-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL 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 Carrier | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Insurance broker organization code? | 9 |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 000099061054 |
| Policy instance | 1 |
| Insurance contract or identification number | 000099061054 | | Number of Individuals Covered | 1819 | | Insurance policy start date | 2018-04-01 | | Insurance policy end date | 2019-03-31 | | Total amount of commissions paid to insurance broker | USD $6,428 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL 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 Carrier | USD $25,712 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,428 | | Insurance broker organization code? | 9 |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 000099061054 |
| Policy instance | 1 |
| Insurance contract or identification number | 000099061054 | | Number of Individuals Covered | 4011 | | Insurance policy start date | 2017-04-01 | | Insurance policy end date | 2018-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL 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 Carrier | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 9 |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 000099061054 |
| Policy instance | 1 |
| Insurance contract or identification number | 000099061054 | | Number of Individuals Covered | 4159 | | Insurance policy start date | 2016-04-01 | | Insurance policy end date | 2017-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL 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 Carrier | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Insurance broker organization code? | 9 | | Insurance broker name | MERCER HEALTH AND BENEFIT LLC |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 000099061054 |
| Policy instance | 1 |
| Insurance contract or identification number | 000099061054 | | Number of Individuals Covered | 4161 | | Insurance policy start date | 2014-04-01 | | Insurance policy end date | 2015-03-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL 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 Carrier | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 9 | | Insurance broker name | MERCER HEALTH AND BENEFIT LLC |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 000099061054 |
| Policy instance | 1 |
| Insurance contract or identification number | 000099061054 | | Number of Individuals Covered | 4213 | | Insurance policy start date | 2013-04-01 | | Insurance policy end date | 2014-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL 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 Carrier | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Insurance broker organization code? | 9 | | Insurance broker name | MERCER HEALTH AND BENEFIT LLC |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 000099061054 |
| Policy instance | 1 |
| Insurance contract or identification number | 000099061054 | | Number of Individuals Covered | 3946 | | Insurance policy start date | 2012-04-01 | | Insurance policy end date | 2013-03-31 | | Total amount of commissions paid to insurance broker | USD $5,033 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL 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 Carrier | USD $33,550 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,033 | | Insurance broker organization code? | 9 | | Insurance broker name | MERCER HEALTH AND BENEFIT LLC |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 000099061054 |
| Policy instance | 1 |
| Insurance contract or identification number | 000099061054 | | Number of Individuals Covered | 4143 | | Insurance policy start date | 2012-01-28 | | Insurance policy end date | 2012-04-01 | | Total amount of commissions paid to insurance broker | USD $333 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL 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 Carrier | USD $2,222 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $333 | | Insurance broker organization code? | 9 | | Insurance broker name | MERCER HEALTH AND BENEFIT LLC |
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| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 000099061054 |
| Policy instance | 1 |
| Insurance contract or identification number | 000099061054 | | Number of Individuals Covered | 3724 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2012-01-01 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 000099061054 |
| Policy instance | 1 |
| Insurance contract or identification number | 000099061054 | | Number of Individuals Covered | 3643 | | Insurance policy start date | 2010-01-28 | | Insurance policy end date | 2011-01-27 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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