401k Plan data: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN plan

SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN
Plan identification number	501

SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

SECURITY MUTUAL LIFE INSURANCE COMPANY has sponsored the creation of one or more 401k plans.

Company Name: SECURITY MUTUAL LIFE INSURANCE COMPANY

Employer identification number (EIN): 150442730

NAIC Classification: 524140

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-01-01
501 2021-01-01
501 2020-01-01
501 2019-01-01
501 2018-01-01
501 2017-01-01 RICHARD SHAW
501 2016-01-01 RICHARD SHAW
501 2015-01-01 RICHARD SHAW
501 2014-01-01 RICHARD SHAW RICHARD SHAW 2015-10-12
501 2013-01-01 RICHARD SHAW
501 2012-01-01 RICHARD SHAW RICHARD SHAW 2013-10-15
501 2011-01-01 RICHARD SHAW
501 2009-01-01 RICHARD SHAW

Plan Statistics for SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN

401k plan membership statisitcs for SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN

Measure Date Value
2022: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 405
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 305
Number of retired or separated participants receiving benefits 2022-01-01 101
Total of all active and inactive participants 2022-01-01 406
Total participants 2022-01-01 406
2021: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 401
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 305
Number of retired or separated participants receiving benefits 2021-01-01 100
Total of all active and inactive participants 2021-01-01 405
Total participants 2021-01-01 405
2020: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 417
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 310
Number of retired or separated participants receiving benefits 2020-01-01 91
Total of all active and inactive participants 2020-01-01 401
Total participants 2020-01-01 401
2019: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 422
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 318
Number of retired or separated participants receiving benefits 2019-01-01 99
Total of all active and inactive participants 2019-01-01 417
Total participants 2019-01-01 417
2018: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 413
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 322
Number of retired or separated participants receiving benefits 2018-01-01 100
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 422
2017: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 443
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 313
Number of retired or separated participants receiving benefits 2017-01-01 95
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 408
2016: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 434
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 346
Number of retired or separated participants receiving benefits 2016-01-01 88
Total of all active and inactive participants 2016-01-01 434
Total participants 2016-01-01 434
2015: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 432
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 347
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 88
Total of all active and inactive participants 2015-01-01 435
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 435
2014: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 427
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 345
Number of retired or separated participants receiving benefits 2014-01-01 88
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 433
Total participants 2014-01-01 433
2013: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 421
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 333
Number of retired or separated participants receiving benefits 2013-01-01 82
Total of all active and inactive participants 2013-01-01 415
2012: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 419
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 342
Number of retired or separated participants receiving benefits 2012-01-01 79
Total of all active and inactive participants 2012-01-01 421
2011: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 276
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 261
Number of retired or separated participants receiving benefits 2011-01-01 2
Total of all active and inactive participants 2011-01-01 263
2009: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 266
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 260
Number of retired or separated participants receiving benefits 2009-01-01 8
Total of all active and inactive participants 2009-01-01 268
Total participants 2009-01-01 0

Measure	Date	Value
2022: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	405
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	305
Number of retired or separated participants receiving benefits	2022-01-01	101
Total of all active and inactive participants	2022-01-01	406
Total participants	2022-01-01	406
2021: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	401
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	305
Number of retired or separated participants receiving benefits	2021-01-01	100
Total of all active and inactive participants	2021-01-01	405
Total participants	2021-01-01	405
2020: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	417
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	310
Number of retired or separated participants receiving benefits	2020-01-01	91
Total of all active and inactive participants	2020-01-01	401
Total participants	2020-01-01	401
2019: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	422
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	318
Number of retired or separated participants receiving benefits	2019-01-01	99
Total of all active and inactive participants	2019-01-01	417
Total participants	2019-01-01	417
2018: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	413
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	322
Number of retired or separated participants receiving benefits	2018-01-01	100
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	422
2017: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	443
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	313
Number of retired or separated participants receiving benefits	2017-01-01	95
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	408
2016: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	434
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	346
Number of retired or separated participants receiving benefits	2016-01-01	88
Total of all active and inactive participants	2016-01-01	434
Total participants	2016-01-01	434
2015: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	432
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	347
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	88
Total of all active and inactive participants	2015-01-01	435
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	435
2014: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	427
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	345
Number of retired or separated participants receiving benefits	2014-01-01	88
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	433
Total participants	2014-01-01	433
2013: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	421
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	333
Number of retired or separated participants receiving benefits	2013-01-01	82
Total of all active and inactive participants	2013-01-01	415
2012: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	419
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	342
Number of retired or separated participants receiving benefits	2012-01-01	79
Total of all active and inactive participants	2012-01-01	421
2011: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	276
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	261
Number of retired or separated participants receiving benefits	2011-01-01	2
Total of all active and inactive participants	2011-01-01	263
2009: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	266
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	260
Number of retired or separated participants receiving benefits	2009-01-01	8
Total of all active and inactive participants	2009-01-01	268
Total participants	2009-01-01	0

Financial Data on SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN

Measure	Date	Value
2022 : SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2022-12-31	$-442,609
Total unrealized appreciation/depreciation of assets	2022-12-31	$-442,609
Total income from all sources (including contributions)	2022-12-31	$3,336,404
Total of all expenses incurred	2022-12-31	$3,844,296
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$3,844,296
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$3,739,825
Value of total assets at end of year	2022-12-31	$2,113,918
Value of total assets at beginning of year	2022-12-31	$2,621,810
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$39,188
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$39,188
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$1,005,197
Assets. Other investments not covered elsewhere at end of year	2022-12-31	$305
Assets. Other investments not covered elsewhere at beginning of year	2022-12-31	$329
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$56,660
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-507,892
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$2,113,918
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$2,621,810
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$2,008,273
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$2,450,881
Value of interest in pooled separate accounts at end of year	2022-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$105,340
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$170,600
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$170,600
Expenses. Payments to insurance carriers foe the provision of benefits	2022-12-31	$3,772,444
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$2,677,968
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$71,852
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2022-12-31	No
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	JOHNSON, LAUDER & SAVIDGE LLP
Accountancy firm EIN	2022-12-31	160919630
2021 : SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2021-12-31	$334,167
Total unrealized appreciation/depreciation of assets	2021-12-31	$334,167
Total income from all sources (including contributions)	2021-12-31	$4,271,007
Total loss/gain on sale of assets	2021-12-31	$15,404
Total of all expenses incurred	2021-12-31	$3,912,641
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$3,912,641
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$3,885,831
Value of total assets at end of year	2021-12-31	$2,621,810
Value of total assets at beginning of year	2021-12-31	$2,263,444
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$35,605
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$35,605
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$1,024,108
Assets. Other investments not covered elsewhere at end of year	2021-12-31	$329
Assets. Other investments not covered elsewhere at beginning of year	2021-12-31	$331
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$77,974
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$358,366
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$2,621,810
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$2,263,444
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$2,450,881
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$2,125,862
Value of interest in pooled separate accounts at end of year	2021-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$170,600
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$137,251
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$137,251
Expenses. Payments to insurance carriers foe the provision of benefits	2021-12-31	$3,845,456
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$2,783,749
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$67,185
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2021-12-31	No
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Aggregate proceeds on sale of assets	2021-12-31	$15,404
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	JOHNSON, LAUDER & SAVIDGE LLP
Accountancy firm EIN	2021-12-31	160919630
2020 : SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2020-12-31	$88,601
Total unrealized appreciation/depreciation of assets	2020-12-31	$88,601
Total income from all sources (including contributions)	2020-12-31	$4,369,370
Total loss/gain on sale of assets	2020-12-31	$142,234
Total of all expenses incurred	2020-12-31	$4,242,122
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$4,242,122
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$4,101,045
Value of total assets at end of year	2020-12-31	$2,263,444
Value of total assets at beginning of year	2020-12-31	$2,136,196
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$37,490
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$37,490
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$1,077,179
Assets. Other investments not covered elsewhere at end of year	2020-12-31	$331
Assets. Other investments not covered elsewhere at beginning of year	2020-12-31	$560
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$90,379
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$127,248
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$2,263,444
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$2,136,196
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$2,125,862
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$1,933,873
Value of interest in pooled separate accounts at end of year	2020-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$137,251
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$201,763
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$201,763
Expenses. Payments to insurance carriers foe the provision of benefits	2020-12-31	$4,084,670
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$2,933,487
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$157,452
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2020-12-31	No
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Aggregate proceeds on sale of assets	2020-12-31	$142,234
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	JOHNSON, LAUDER & SAVIDGE LLP
Accountancy firm EIN	2020-12-31	160919630
2019 : SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2019-12-31	$309,148
Unrealized appreciation/depreciation of other (non real estate) assets	2019-12-31	$309,148
Total unrealized appreciation/depreciation of assets	2019-12-31	$309,148
Total unrealized appreciation/depreciation of assets	2019-12-31	$309,148
Total income from all sources (including contributions)	2019-12-31	$3,949,078
Total income from all sources (including contributions)	2019-12-31	$3,949,078
Total loss/gain on sale of assets	2019-12-31	$27,234
Total loss/gain on sale of assets	2019-12-31	$27,234
Total of all expenses incurred	2019-12-31	$3,725,969
Total of all expenses incurred	2019-12-31	$3,725,969
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$3,725,969
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$3,725,969
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$3,568,013
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$3,568,013
Value of total assets at end of year	2019-12-31	$2,136,196
Value of total assets at end of year	2019-12-31	$2,136,196
Value of total assets at beginning of year	2019-12-31	$1,913,087
Value of total assets at beginning of year	2019-12-31	$1,913,087
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$44,683
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$44,683
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$44,683
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$44,683
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$10,000,000
Value of fidelity bond cover	2019-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$1,000,745
Contributions received from participants	2019-12-31	$1,000,745
Assets. Other investments not covered elsewhere at end of year	2019-12-31	$560
Assets. Other investments not covered elsewhere at end of year	2019-12-31	$560
Assets. Other investments not covered elsewhere at beginning of year	2019-12-31	$791
Assets. Other investments not covered elsewhere at beginning of year	2019-12-31	$791
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$94,216
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$94,216
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$223,109
Value of net income/loss	2019-12-31	$223,109
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$2,136,196
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$2,136,196
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,913,087
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,913,087
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$1,933,873
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,647,374
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,647,374
Value of interest in pooled separate accounts at end of year	2019-12-31	$0
Value of interest in pooled separate accounts at end of year	2019-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$201,763
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$201,763
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$264,922
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$264,922
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$264,922
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$264,922
Expenses. Payments to insurance carriers foe the provision of benefits	2019-12-31	$3,557,553
Expenses. Payments to insurance carriers foe the provision of benefits	2019-12-31	$3,557,553
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$2,473,052
Contributions received in cash from employer	2019-12-31	$2,473,052
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$168,416
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$168,416
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2019-12-31	No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2019-12-31	No
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Aggregate proceeds on sale of assets	2019-12-31	$27,234
Aggregate proceeds on sale of assets	2019-12-31	$27,234
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	No
Opinion of an independent qualified public accountant for this plan	2019-12-31	Unqualified
Opinion of an independent qualified public accountant for this plan	2019-12-31	Unqualified
Accountancy firm name	2019-12-31	JOHNSON, LAUDER & SAVIDGE LLP
Accountancy firm name	2019-12-31	JOHNSON, LAUDER & SAVIDGE LLP
Accountancy firm EIN	2019-12-31	160919630
Accountancy firm EIN	2019-12-31	160919630
2018 : SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2018-12-31	$-111,302
Total unrealized appreciation/depreciation of assets	2018-12-31	$-111,302
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$3,629,869
Total of all expenses incurred	2018-12-31	$3,791,587
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$3,791,587
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$3,699,580
Value of total assets at end of year	2018-12-31	$1,913,087
Value of total assets at beginning of year	2018-12-31	$2,074,805
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$41,591
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$41,591
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$1,084,314
Assets. Other investments not covered elsewhere at end of year	2018-12-31	$791
Assets. Other investments not covered elsewhere at beginning of year	2018-12-31	$479
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-161,718
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$1,913,087
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$2,074,805
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$1,647,374
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$1,758,676
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$264,922
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$315,650
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$315,650
Expenses. Payments to insurance carriers foe the provision of benefits	2018-12-31	$3,685,608
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$2,615,266
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$105,979
Liabilities. Value of benefit claims payable at beginning of year	2018-12-31	$0
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	No
Opinion of an independent qualified public accountant for this plan	2018-12-31	Unqualified
Accountancy firm name	2018-12-31	JOHSON LAUDER & SAVIDGE LLP
Accountancy firm EIN	2018-12-31	160919630
2017 : SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2017-12-31	$203,979
Total unrealized appreciation/depreciation of assets	2017-12-31	$203,979
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$3,868,064
Total of all expenses incurred	2017-12-31	$3,700,986
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$3,700,986
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$3,628,158
Value of total assets at end of year	2017-12-31	$2,074,805
Value of total assets at beginning of year	2017-12-31	$1,907,727
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$35,927
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$35,927
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$1,237,239
Assets. Other investments not covered elsewhere at end of year	2017-12-31	$479
Assets. Other investments not covered elsewhere at beginning of year	2017-12-31	$364
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$167,078
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$2,074,805
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$1,907,727
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$1,758,676
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$1,554,698
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$315,650
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$352,665
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$352,665
Expenses. Payments to insurance carriers foe the provision of benefits	2017-12-31	$3,606,918
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$2,390,919
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$94,068
Liabilities. Value of benefit claims payable at end of year	2017-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2017-12-31	$0
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	No
Opinion of an independent qualified public accountant for this plan	2017-12-31	Unqualified
Accountancy firm name	2017-12-31	JOHSON LAUDER & SAVIDGE LLP
Accountancy firm EIN	2017-12-31	160919630
2016 : SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2016-12-31	$93,628
Total unrealized appreciation/depreciation of assets	2016-12-31	$93,628
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$3,934,241
Total of all expenses incurred	2016-12-31	$3,929,547
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$3,929,547
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$3,807,210
Value of total assets at end of year	2016-12-31	$1,907,727
Value of total assets at beginning of year	2016-12-31	$1,903,033
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$33,403
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$33,403
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$1,278,113
Assets. Other investments not covered elsewhere at end of year	2016-12-31	$364
Assets. Other investments not covered elsewhere at beginning of year	2016-12-31	$335
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$4,694
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$1,907,727
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$1,903,033
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$1,554,698
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$1,461,070
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$352,665
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$441,628
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$441,628
Expenses. Payments to insurance carriers foe the provision of benefits	2016-12-31	$3,809,811
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$2,529,097
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$119,736
Liabilities. Value of benefit claims payable at end of year	2016-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2016-12-31	$0
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	No
Opinion of an independent qualified public accountant for this plan	2016-12-31	Unqualified
Accountancy firm name	2016-12-31	JOHSON LAUDER & SAVIDGE LLP
Accountancy firm EIN	2016-12-31	160919630
2015 : SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2015-12-31	$-28,352
Total unrealized appreciation/depreciation of assets	2015-12-31	$-28,352
Total transfer of assets to this plan	2015-12-31	$0
Total transfer of assets from this plan	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$2,877
Total income from all sources (including contributions)	2015-12-31	$3,671,556
Total of all expenses incurred	2015-12-31	$3,696,648
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$3,692,650
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$3,667,742
Value of total assets at end of year	2015-12-31	$1,903,033
Value of total assets at beginning of year	2015-12-31	$1,931,002
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$3,998
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$31,386
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$31,386
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$1,213,558
Assets. Other investments not covered elsewhere at end of year	2015-12-31	$335
Assets. Other investments not covered elsewhere at beginning of year	2015-12-31	$335
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-25,092
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$1,903,033
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$1,928,125
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$1,461,070
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$1,489,421
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$441,628
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$441,246
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$441,246
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$3,648,679
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$780
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$2,454,184
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$43,971
Contract administrator fees	2015-12-31	$3,998
Liabilities. Value of benefit claims payable at end of year	2015-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2015-12-31	$2,877
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	No
Opinion of an independent qualified public accountant for this plan	2015-12-31	Unqualified
Accountancy firm name	2015-12-31	JOHSON LAUDE & SAVIDGE LLP
Accountancy firm EIN	2015-12-31	160919630
2014 : SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2014-12-31	$91,923
Total unrealized appreciation/depreciation of assets	2014-12-31	$91,923
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$2,877
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$3,236
Total income from all sources (including contributions)	2014-12-31	$3,617,758
Total of all expenses incurred	2014-12-31	$3,518,886
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$3,509,347
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$3,493,811
Value of total assets at end of year	2014-12-31	$1,931,002
Value of total assets at beginning of year	2014-12-31	$1,832,489
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$9,539
Total interest from all sources	2014-12-31	$53
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$31,526
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$31,526
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$1,199,229
Assets. Other investments not covered elsewhere at end of year	2014-12-31	$335
Assets. Other investments not covered elsewhere at beginning of year	2014-12-31	$335
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$98,872
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$1,928,125
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$1,829,253
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$1,489,421
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$1,397,498
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$441,246
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$434,656
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$434,656
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$53
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$3,439,942
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$445
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$2,294,582
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$69,405
Contract administrator fees	2014-12-31	$9,539
Liabilities. Value of benefit claims payable at end of year	2014-12-31	$2,877
Liabilities. Value of benefit claims payable at beginning of year	2014-12-31	$3,236
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	No
Opinion of an independent qualified public accountant for this plan	2014-12-31	Unqualified
Accountancy firm name	2014-12-31	JOHSON LAUDE & SAVIDGE LLP
Accountancy firm EIN	2014-12-31	160919630
2013 : SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2013-12-31	$166,279
Total unrealized appreciation/depreciation of assets	2013-12-31	$166,279
Total transfer of assets to this plan	2013-12-31	$429,675
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$3,236
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$3,556
Total income from all sources (including contributions)	2013-12-31	$3,501,605
Total of all expenses incurred	2013-12-31	$3,372,185
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$3,361,495
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$3,306,847
Value of total assets at end of year	2013-12-31	$1,832,489
Value of total assets at beginning of year	2013-12-31	$1,273,714
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$10,690
Total interest from all sources	2013-12-31	$78
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$28,347
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$28,347
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$1,184,224
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$335
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$3
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$129,420
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$1,829,253
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$1,270,158
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$1,397,498
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$1,142,365
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$434,656
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$131,346
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$131,346
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$78
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$3,317,524
Asset value of US Government securities at beginning of year	2013-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$54
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$2,122,623
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$43,971
Contract administrator fees	2013-12-31	$10,690
Liabilities. Value of benefit claims payable at end of year	2013-12-31	$3,236
Liabilities. Value of benefit claims payable at beginning of year	2013-12-31	$3,556
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Unqualified
Accountancy firm name	2013-12-31	JOHNSON, LAUDER & SAVIDGE, LLP
Accountancy firm EIN	2013-12-31	160919630
2012 : SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2012-12-31	$26,131
Total unrealized appreciation/depreciation of assets	2012-12-31	$26,131
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$3,556
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$6,305
Total income from all sources (including contributions)	2012-12-31	$2,967,012
Total loss/gain on sale of assets	2012-12-31	$94,784
Total of all expenses incurred	2012-12-31	$2,841,426
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$2,831,757
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$2,818,405
Value of total assets at end of year	2012-12-31	$1,273,714
Value of total assets at beginning of year	2012-12-31	$1,150,877
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$9,669
Total interest from all sources	2012-12-31	$93
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$27,599
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$27,599
Administrative expenses professional fees incurred	2012-12-31	$0
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$1,037,210
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$3
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$36
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$125,586
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$1,270,158
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$1,144,572
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$1,142,365
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$1,029,166
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$131,346
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$121,675
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$121,675
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$93
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$111,504
Asset value of US Government securities at end of year	2012-12-31	$0
Asset value of US Government securities at beginning of year	2012-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$1,781,195
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$2,720,253
Contract administrator fees	2012-12-31	$9,669
Liabilities. Value of benefit claims payable at end of year	2012-12-31	$3,556
Liabilities. Value of benefit claims payable at beginning of year	2012-12-31	$6,305
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Aggregate proceeds on sale of assets	2012-12-31	$968,387
Aggregate carrying amount (costs) on sale of assets	2012-12-31	$873,603
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	No
Opinion of an independent qualified public accountant for this plan	2012-12-31	Unqualified
Accountancy firm name	2012-12-31	JOHNSON, LAUDER & SAVIDGE, LLP
Accountancy firm EIN	2012-12-31	160919630
2011 : SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$-52,301
Total unrealized appreciation/depreciation of assets	2011-12-31	$-52,301
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$6,305
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$6,290
Total income from all sources (including contributions)	2011-12-31	$2,748,513
Total loss/gain on sale of assets	2011-12-31	$92
Total of all expenses incurred	2011-12-31	$2,776,096
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$2,767,230
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$2,776,081
Value of total assets at end of year	2011-12-31	$1,150,877
Value of total assets at beginning of year	2011-12-31	$1,178,445
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$8,866
Total interest from all sources	2011-12-31	$34
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$24,607
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$24,607
Administrative expenses professional fees incurred	2011-12-31	$8,866
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$915,636
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$36
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$421
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2011-12-31	$122,471
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-27,583
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$1,144,572
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$1,172,155
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$1,029,166
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$1,081,468
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$34
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$2,644,759
Asset value of US Government securities at end of year	2011-12-31	$121,675
Asset value of US Government securities at beginning of year	2011-12-31	$96,556
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$1,860,445
Liabilities. Value of benefit claims payable at end of year	2011-12-31	$6,305
Liabilities. Value of benefit claims payable at beginning of year	2011-12-31	$6,290
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Aggregate proceeds on sale of assets	2011-12-31	$440
Aggregate carrying amount (costs) on sale of assets	2011-12-31	$348
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Unqualified
Accountancy firm name	2011-12-31	JOHNSON, LAUDER & SAVIDGE, LLP
Accountancy firm EIN	2011-12-31	160919630
2010 : SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$125,646
Total unrealized appreciation/depreciation of assets	2010-12-31	$125,646
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$6,290
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$7,727
Total income from all sources (including contributions)	2010-12-31	$2,993,985
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$2,844,444
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$2,834,108
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$2,845,880
Value of total assets at end of year	2010-12-31	$1,178,445
Value of total assets at beginning of year	2010-12-31	$1,030,341
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$10,336
Total interest from all sources	2010-12-31	$52
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$22,407
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$22,407
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$916,894
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$421
Assets. Other investments not covered elsewhere at beginning of year	2010-12-31	$354
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2010-12-31	$155,911
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$149,541
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$1,172,155
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,022,614
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$1,081,468
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$955,822
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$52
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$2,678,197
Asset value of US Government securities at end of year	2010-12-31	$96,556
Asset value of US Government securities at beginning of year	2010-12-31	$74,165
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$1,928,986
Contract administrator fees	2010-12-31	$10,336
Liabilities. Value of benefit claims payable at end of year	2010-12-31	$6,290
Liabilities. Value of benefit claims payable at beginning of year	2010-12-31	$7,727
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Unqualified
Accountancy firm name	2010-12-31	JOHNSON, LAUDER & SAVIDGE, LLP
Accountancy firm EIN	2010-12-31	160919630

Form 5500 Responses for SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN

2022: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: SECURITY MUTUAL LIFE INS CO OF NY HEALTH & WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00568117

Policy instance

Insurance contract or identification number	00568117
Number of Individuals Covered	294
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $1,421
Total amount of fees paid to insurance company	USD $10,586
Dental Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $339,336
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,421
Amount paid for insurance broker fees	10586
Insurance broker organization code?	3

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

00032103

Policy instance

Insurance contract or identification number	00032103
Number of Individuals Covered	220
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $93,858
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $93,858
Insurance broker organization code?	3

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

ETB108192

Policy instance

Insurance contract or identification number	ETB108192
Insurance policy start date	2022-04-23
Insurance policy end date	2023-04-22
Total amount of commissions paid to insurance broker	USD $137
Other welfare benefits provided	BUSINESS TRAVEL ACCIDENT
Welfare Benefit Premiums Paid to Carrier	USD $915
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $137
Insurance broker organization code?	3

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00568117

Policy instance

Insurance contract or identification number	00568117
Number of Individuals Covered	302
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Dental Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $276,257
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

00032103

Policy instance

Insurance contract or identification number	00032103
Number of Individuals Covered	228
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $95,085
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $95,085
Insurance broker organization code?	3

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

ETB108192

Policy instance

Insurance contract or identification number	ETB108192
Insurance policy start date	2021-04-23
Insurance policy end date	2022-04-22
Total amount of commissions paid to insurance broker	USD $275
Other welfare benefits provided	BUSINESS TRAVEL ACCIDENT
Welfare Benefit Premiums Paid to Carrier	USD $1,830
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $275
Insurance broker organization code?	3

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

ETB108192

Policy instance

Insurance contract or identification number	ETB108192
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $148
Other welfare benefits provided	BUSINESS TRAVEL ACCIDENT
Welfare Benefit Premiums Paid to Carrier	USD $987
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $148
Insurance broker organization code?	3

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

00032103

Policy instance

Insurance contract or identification number	00032103
Number of Individuals Covered	233
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $102,580
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $102,580
Insurance broker organization code?	3

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00568117

Policy instance

Insurance contract or identification number	00568117
Number of Individuals Covered	305
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Dental Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $294,843
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

ETB108192

Policy instance

Insurance contract or identification number	ETB108192
Insurance policy start date	2019-04-23
Insurance policy end date	2020-04-22
Total amount of commissions paid to insurance broker	USD $148
Other welfare benefits provided	BUSINESS TRAVEL ACCIDENT
Welfare Benefit Premiums Paid to Carrier	USD $987
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $148
Insurance broker organization code?	3

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

00032103

Policy instance

Insurance contract or identification number	00032103
Number of Individuals Covered	239
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $92,869
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $92,869
Insurance broker organization code?	3

RENAISSANCE LIFE & HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 52414 )

Policy contract number

LINY45098

Policy instance

Insurance contract or identification number	LINY45098
Number of Individuals Covered	305
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $125,535
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RENAISSANCE LIFE & HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 52414 )

Policy contract number

0000100

Policy instance

Insurance contract or identification number	0000100
Number of Individuals Covered	246
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SECURITY MUTUAL LIFE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 68772 )

Policy contract number

002791;051523

Policy instance

Insurance contract or identification number	002791;051523
Number of Individuals Covered	303
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE
Welfare Benefit Premiums Paid to Carrier	USD $119,635

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

ETB108192

Policy instance

Insurance contract or identification number	ETB108192
Insurance policy start date	2018-04-23
Insurance policy end date	2019-04-23
Total amount of commissions paid to insurance broker	USD $148
Total amount of fees paid to insurance company	USD $3
Other welfare benefits provided	BUSINESS TRAVEL & ACCIDENT
Welfare Benefit Premiums Paid to Carrier	USD $987
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $148
Amount paid for insurance broker fees	3
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

00032103

Policy instance

Insurance contract or identification number	00032103
Number of Individuals Covered	231
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $91,840
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $91,840
Insurance broker organization code?	3

RENAISSANCE LIFE & HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 52414 )

Policy contract number

0000100

Policy instance

Insurance contract or identification number	0000100
Number of Individuals Covered	474
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RENAISSANCE LIFE & HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 52414 )

Policy contract number

0000100

Policy instance

Insurance contract or identification number	0000100
Number of Individuals Covered	540
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

ETB108192

Policy instance

Insurance contract or identification number	ETB108192
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $148
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	BUSINESS TRAVEL & ACCIDENT
Welfare Benefit Premiums Paid to Carrier	USD $987
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $148
Insurance broker organization code?	3
Insurance broker name	NBT INS AGENCY LLC

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

5102177001

Policy instance

Insurance contract or identification number	5102177001
Number of Individuals Covered	266
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $90,273
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $90,273
Insurance broker organization code?	3
Insurance broker name	BROWN & BROWN EMPIRE STATE

SECURITY MUTUAL LIFE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 68772 )

Policy contract number

G00010376900001

Policy instance

Insurance contract or identification number	G00010376900001
Number of Individuals Covered	326
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE
Welfare Benefit Premiums Paid to Carrier	USD $134,993
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SECURITY MUTUAL LIFE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 68772 )

Policy contract number

GRP002791

Policy instance

Insurance contract or identification number	GRP002791
Number of Individuals Covered	324
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE
Welfare Benefit Premiums Paid to Carrier	USD $96,635
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

ETB108192

Policy instance

Insurance contract or identification number	ETB108192
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $148
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	BUSINESS TRAVEL & ACCIDENT
Welfare Benefit Premiums Paid to Carrier	USD $987
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $148
Insurance broker organization code?	3
Insurance broker name	NBT INS AGENCY LLC

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

5102177001

Policy instance

Insurance contract or identification number	5102177001
Number of Individuals Covered	266
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $109,541
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $109,541
Insurance broker organization code?	3
Insurance broker name	BROWN & BROWN EMPIRE STATE

SECURITY MUTUAL LIFE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 68772 )

Policy contract number

LTD051523

Policy instance

Insurance contract or identification number	LTD051523
Number of Individuals Covered	321
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $47,496
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

5102177001

Policy instance

Insurance contract or identification number	5102177001
Number of Individuals Covered	269
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $91,931
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $91,931
Insurance broker organization code?	3
Insurance broker name	BROWN & BROWN EMPIRE STATE

SECURITY MUTUAL LIFE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 68772 )

Policy contract number

GRP002791

Policy instance

Insurance contract or identification number	GRP002791
Number of Individuals Covered	321
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	BASIC LIFE SPOUSE
Welfare Benefit Premiums Paid to Carrier	USD $62,255
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

ERB108192

Policy instance

Insurance contract or identification number	ERB108192
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $148
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	BUSINESS TRAVEL & ACCIDENT
Welfare Benefit Premiums Paid to Carrier	USD $987
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $148
Insurance broker organization code?	3
Insurance broker name	MANG INSURANCE AGENCY LLC

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

TM05573241

Policy instance

Insurance contract or identification number	TM05573241
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $1,516
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Commission paid to Insurance Broker	USD $1,516
Insurance broker organization code?	3
Insurance broker name	SML AGENCY SERVICES INC

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

ETB108192

Policy instance

Insurance contract or identification number	ETB108192
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	TRAVEL & ACCIDENT
Insurance broker organization code?	3
Insurance broker name	MANG INSURANCE AGENCY LLC

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

510217001

Policy instance

Insurance contract or identification number	510217001
Number of Individuals Covered	415
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Insurance broker organization code?	3
Insurance broker name	BROWN AND BROWN EMPIRE STATE

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

ETB108192

Policy instance

Insurance contract or identification number	ETB108192
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	TRAVEL & ACCIDENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

TM05573241

Policy instance

Insurance contract or identification number	TM05573241
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $4,032
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Commission paid to Insurance Broker	USD $4,032
Insurance broker organization code?	3
Insurance broker name	SML AGENCY SERVICES INC

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

510217001

Policy instance

Insurance contract or identification number	510217001
Number of Individuals Covered	421
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Insurance broker organization code?	3
Insurance broker name	BROWN AND BROWN EMPIRE STATE

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

TM05573241

Policy instance

Insurance contract or identification number	TM05573241
Number of Individuals Covered	263
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $4,166
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

510217001

Policy instance

Insurance contract or identification number	510217001
Number of Individuals Covered	263
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $71,783
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

510217001

Policy instance

Insurance contract or identification number	510217001
Number of Individuals Covered	276
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $64,023
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $111,953

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

TM05573241

Policy instance

Insurance contract or identification number	TM05573241
Number of Individuals Covered	276
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $4,319
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $111,953

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Company Name:	SECURITY MUTUAL LIFE INSURANCE COMPANY
Employer identification number (EIN):	150442730
NAIC Classification:	524140