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HOSPITALS INSURANCE COMPANY GROUP LONG TERM DISABILITY 401k Plan overview

Plan NameHOSPITALS INSURANCE COMPANY GROUP LONG TERM DISABILITY
Plan identification number 512

HOSPITALS INSURANCE COMPANY GROUP LONG TERM DISABILITY Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Long-term disability cover

401k Sponsoring company profile

HOSPITALS INSURANCE COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name:HOSPITALS INSURANCE COMPANY, INC.
Employer identification number (EIN):133409466
NAIC Classification:524290

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOSPITALS INSURANCE COMPANY GROUP LONG TERM DISABILITY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5122019-01-01

Plan Statistics for HOSPITALS INSURANCE COMPANY GROUP LONG TERM DISABILITY

401k plan membership statisitcs for HOSPITALS INSURANCE COMPANY GROUP LONG TERM DISABILITY

Measure Date Value
2019: HOSPITALS INSURANCE COMPANY GROUP LONG TERM DISABILITY 2019 401k membership
Total participants, beginning-of-year2019-01-01158
Total number of active participants reported on line 7a of the Form 55002019-01-01155
Total of all active and inactive participants2019-01-01155

Form 5500 Responses for HOSPITALS INSURANCE COMPANY GROUP LONG TERM DISABILITY

2019: HOSPITALS INSURANCE COMPANY GROUP LONG TERM DISABILITY 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number000010249693
Policy instance 1
Insurance contract or identification number000010249693
Number of Individuals Covered154
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $6,951
Total amount of fees paid to insurance companyUSD $1,980
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 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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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 $69,514
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,951
Amount paid for insurance broker fees1980
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3

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