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LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 401k Plan overview

Plan NameLVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI
Plan identification number 501

LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI Benefits

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

401k Sponsoring company profile

LVMH MOET HENNESSY LOUIS VUITTON, INC. has sponsored the creation of one or more 401k plans.

Company Name:LVMH MOET HENNESSY LOUIS VUITTON, INC.
Employer identification number (EIN):133870253
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Additional information about LVMH MOET HENNESSY LOUIS VUITTON, INC.

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date: 1980-10-28
Company Identification Number: 0901833
Legal Registered Office Address: 874 Walker Rd Ste C

Dover
United States of America (USA)
19904

More information about LVMH MOET HENNESSY LOUIS VUITTON, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01ELODIE MASSE2023-10-03
5012021-01-01
5012020-01-01
5012019-01-01
5012019-01-01
5012018-01-01
5012017-01-01CLAIRE ACESTE
5012016-01-01CLAIRE ACESTE
5012015-01-01CLAIRE ACESTE
5012014-01-01PASCAL CARPENTIER
5012014-01-01
5012013-01-01PASCAL CARPENTIER
5012012-01-01CLAIRE ACESTE
5012011-01-01CLAIRE ACESTE
5012010-01-01CLAIRE ACESTE
5012009-01-01CLAIRE ACESTE

Plan Statistics for LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI

401k plan membership statisitcs for LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI

Measure Date Value
2022: LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 2022 401k membership
Total participants, beginning-of-year2022-01-016,756
Total number of active participants reported on line 7a of the Form 55002022-01-018,560
Total of all active and inactive participants2022-01-018,560
2021: LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 2021 401k membership
Total participants, beginning-of-year2021-01-016,756
Total number of active participants reported on line 7a of the Form 55002021-01-016,756
Total of all active and inactive participants2021-01-016,756
2020: LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 2020 401k membership
Total participants, beginning-of-year2020-01-016,756
Total number of active participants reported on line 7a of the Form 55002020-01-016,756
Total of all active and inactive participants2020-01-016,756
2019: LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 2019 401k membership
Total participants, beginning-of-year2019-01-017,047
Total number of active participants reported on line 7a of the Form 55002019-01-016,756
Total of all active and inactive participants2019-01-016,756
Total participants2019-01-016,756
2018: LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 2018 401k membership
Total participants, beginning-of-year2018-01-015,842
Total number of active participants reported on line 7a of the Form 55002018-01-017,047
Total of all active and inactive participants2018-01-017,047
Total participants2018-01-017,047
2017: LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 2017 401k membership
Total participants, beginning-of-year2017-01-0111,717
Total number of active participants reported on line 7a of the Form 55002017-01-015,842
Total of all active and inactive participants2017-01-015,842
Total participants2017-01-015,842
2016: LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 2016 401k membership
Total participants, beginning-of-year2016-01-015,842
Total number of active participants reported on line 7a of the Form 55002016-01-0111,717
Total of all active and inactive participants2016-01-0111,717
Total participants2016-01-0111,717
2015: LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 2015 401k membership
Total participants, beginning-of-year2015-01-0117,221
Total number of active participants reported on line 7a of the Form 55002015-01-015,842
Total of all active and inactive participants2015-01-015,842
Total participants2015-01-015,842
Number of employers contributing to the scheme2015-01-0135
2014: LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 2014 401k membership
Total participants, beginning-of-year2014-01-0117,221
Total number of active participants reported on line 7a of the Form 55002014-01-0117,221
Total of all active and inactive participants2014-01-0117,221
Total participants2014-01-0117,221
Number of employers contributing to the scheme2014-01-010
Number of retired or separated participants receiving benefits2014-01-01121
2013: LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 2013 401k membership
Total participants, beginning-of-year2013-01-0117,221
Total number of active participants reported on line 7a of the Form 55002013-01-0117,221
Total of all active and inactive participants2013-01-0117,221
Total participants2013-01-0117,221
Number of employers contributing to the scheme2013-01-010
2012: LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 2012 401k membership
Total participants, beginning-of-year2012-01-012,821
Total number of active participants reported on line 7a of the Form 55002012-01-0118,100
Total of all active and inactive participants2012-01-0118,100
Total participants2012-01-0118,100
Number of employers contributing to the scheme2012-01-010
2011: LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 2011 401k membership
Total participants, beginning-of-year2011-01-013,742
Total number of active participants reported on line 7a of the Form 55002011-01-012,821
Total of all active and inactive participants2011-01-012,821
Total participants2011-01-012,821
Number of employers contributing to the scheme2011-01-010
2010: LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 2010 401k membership
Total participants, beginning-of-year2010-01-014,144
Total number of active participants reported on line 7a of the Form 55002010-01-013,742
Total of all active and inactive participants2010-01-013,742
Total participants2010-01-013,742
2009: LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 2009 401k membership
Total participants, beginning-of-year2009-01-013,913
Total number of active participants reported on line 7a of the Form 55002009-01-014,144
Total of all active and inactive participants2009-01-014,144
Total participants2009-01-014,144

Financial Data on LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI

Measure Date Value
2014 : LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$1,259,195
Total of all expenses incurred2014-12-31$1,259,195
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,259,195
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,259,195
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$431,750
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$1,259,195
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$827,445
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Did the plan have assets held for investment2014-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31BUCHBINDER TUNICK & CO. LLP
Accountancy firm EIN2014-12-31131578842
2013 : LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$94,089
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$86,392
Total income from all sources (including contributions)2013-12-31$1,213,474
Total of all expenses incurred2013-12-31$1,221,171
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,213,701
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,213,474
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$7,470
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$424,303
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$92,695
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$76,980
Administrative expenses (other) incurred2013-12-31$7,470
Liabilities. Value of operating payables at end of year2013-12-31$1,394
Liabilities. Value of operating payables at beginning of year2013-12-31$9,412
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-7,697
Value of net assets at end of year (total assets less liabilities)2013-12-31$-94,089
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$-86,392
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$1,213,701
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$789,171
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31BUCHBINDER TUNICK & CO. LLP
Accountancy firm EIN2013-12-31131578842
2012 : LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$86,392
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$85,281
Total income from all sources (including contributions)2012-12-31$1,095,644
Total of all expenses incurred2012-12-31$1,096,755
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,095,434
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,095,644
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,321
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$381,578
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$76,980
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$85,281
Administrative expenses (other) incurred2012-12-31$1,321
Liabilities. Value of operating payables at end of year2012-12-31$9,412
Liabilities. Value of operating payables at beginning of year2012-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-1,111
Value of net assets at end of year (total assets less liabilities)2012-12-31$-86,392
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$-85,281
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$1,095,434
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$714,066
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31BUCHBINDER TUNICK & CO. LLP
Accountancy firm EIN2012-12-31131578842

Form 5500 Responses for LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI

2022: LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Submission has been amendedYes
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
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: LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
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: LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Submission has been amendedYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 2010 form 5500 responses
2010-01-01Type of plan entityMulti-employer plan
2010-01-01Submission has been amendedYes
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: LVMH MOET HENNESSY LOUIS VUITTON, INC. BUSINESS TRAVEL & ACCI 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number6409-15-10
Policy instance 1
Insurance contract or identification number6409-15-10
Number of Individuals Covered8560
Insurance policy start date2021-07-01
Insurance policy end date2022-07-01
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $120,819
Other welfare benefits providedDEATH BENEFITS TRAVEL & ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $120,819
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerN/A
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number6409-15-10
Policy instance 1
Insurance contract or identification number6409-15-10
Number of Individuals Covered6756
Insurance policy start date2020-07-01
Insurance policy end date2021-07-01
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $99,623
Other welfare benefits providedDEATH BENEFITS TRAVEL & ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $99,623
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerN/A
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number6409-15-10
Policy instance 1
Insurance contract or identification number6409-15-10
Number of Individuals Covered6756
Insurance policy start date2019-07-01
Insurance policy end date2020-07-01
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $99,623
Other welfare benefits providedDEATH BENEFITS TRAVEL & ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $99,623
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerN/A
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number6409-15-10
Policy instance 1
Insurance contract or identification number6409-15-10
Number of Individuals Covered6494
Insurance policy start date2018-07-01
Insurance policy end date2019-07-01
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $95,522
Other welfare benefits providedDEATH BENEFITS TRAVEL & ACCIDENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerN/A
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number6409-15-10
Policy instance 1
Insurance contract or identification number6409-15-10
Number of Individuals Covered5842
Insurance policy start date2017-07-01
Insurance policy end date2018-07-01
Total amount of commissions paid to insurance brokerUSD $0
Other welfare benefits providedDEATH BENEFITS (TRAVEL & ACCIDENT)
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Additional information about fees paid to insurance brokerN/A
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number6409-15-10
Policy instance 1
Insurance contract or identification number6409-15-10
Number of Individuals Covered17221
Insurance policy start date2016-07-01
Insurance policy end date2017-07-01
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedDEATH BENEFITS (TRAVEL & ACCIDENT)
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerN/A
Insurance broker nameMERCER HEALTH AND BENEFIT LLC
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number6409-15-10
Policy instance 1
Insurance contract or identification number6409-15-10
Number of Individuals Covered17221
Insurance policy start date2014-07-01
Insurance policy end date2015-07-01
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedDEATH BENEFITS (TRAVEL & ACCIDENT)
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerN/A
Insurance broker nameMERCER HEALTH AND BENEFIT LLC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number089493
Policy instance 1
Insurance contract or identification number089493
Number of Individuals Covered5917
Insurance policy start date2014-01-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedDEATH, DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $416,563
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number089493
Policy instance 2
Insurance contract or identification number089493
Number of Individuals Covered5917
Insurance policy start date2014-05-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedDEATH, DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $842,633
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number6409-15-10
Policy instance 1
Insurance contract or identification number6409-15-10
Number of Individuals Covered17221
Insurance policy start date2014-07-01
Insurance policy end date2015-07-01
Other welfare benefits providedDEATH BENEFITS (TRAVEL & ACCIDENT)
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameMERCER HEALTH AND BENEFIT LLC
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number6409-15-10
Policy instance 1
Insurance contract or identification number6409-15-10
Number of Individuals Covered17221
Insurance policy start date2013-07-01
Insurance policy end date2014-07-01
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedDEATH BENEFITS (TRAVEL & ACCIDENT)
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker nameMERCER HEALTH AND BENEFIT LLC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number089493
Policy instance 1
Insurance contract or identification number089493
Number of Individuals Covered5945
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedDEATH, DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,213,701
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number089493
Policy instance 1
Insurance contract or identification number089493
Number of Individuals Covered5652
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedDEATH, DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,095,573
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number6409-15-10
Policy instance 1
Insurance contract or identification number6409-15-10
Number of Individuals Covered18100
Insurance policy start date2012-07-01
Insurance policy end date2013-07-01
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedDEATH BENEFITS (TRAVEL & ACCIDENT)
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker nameMERCER HEALTH AND BENEFIT LLC
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number6409-15-10
Policy instance 1
Insurance contract or identification number6409-15-10
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedDEATH BENEFITS (TRAVEL & ACCIDENT)
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number6409-15-10
Policy instance 1
Insurance contract or identification number6409-15-10
Number of Individuals Covered3742
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedDEATH BENEFITS (TRAVEL & ACCIDENT)
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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