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LIFE, AD&D AND DEPENDENTS LIFE INSURANCE PLAN 401k Plan overview

Plan NameLIFE, AD&D AND DEPENDENTS LIFE INSURANCE PLAN
Plan identification number 502

LIFE, AD&D AND DEPENDENTS LIFE INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

SOLVAY BANK has sponsored the creation of one or more 401k plans.

Company Name:SOLVAY BANK
Employer identification number (EIN):150454140
NAIC Classification:522110
NAIC Description:Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIFE, AD&D AND DEPENDENTS LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-09-01
5022020-09-01
5022020-07-01
5022019-07-01
5022018-07-01
5022017-07-01VALERIE YOUNG VALERIE YOUNG2019-01-25
5022016-07-01VALERIE YOUNG VALERIE YOUNG2018-02-01
5022015-07-01VALERIE YOUNG VALERIE YOUNG2017-01-27
5022012-01-01VALERIE BARTRAN VALERIE BARTRAN2013-07-15

Plan Statistics for LIFE, AD&D AND DEPENDENTS LIFE INSURANCE PLAN

401k plan membership statisitcs for LIFE, AD&D AND DEPENDENTS LIFE INSURANCE PLAN

Measure Date Value
2021: LIFE, AD&D AND DEPENDENTS LIFE INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-09-01194
Total number of active participants reported on line 7a of the Form 55002021-09-01199
Total of all active and inactive participants2021-09-01199
2020: LIFE, AD&D AND DEPENDENTS LIFE INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-09-01194
Total number of active participants reported on line 7a of the Form 55002020-09-01194
Total of all active and inactive participants2020-09-01194
Total participants, beginning-of-year2020-07-01201
Total number of active participants reported on line 7a of the Form 55002020-07-01201
Total of all active and inactive participants2020-07-01201
2019: LIFE, AD&D AND DEPENDENTS LIFE INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01198
Total number of active participants reported on line 7a of the Form 55002019-07-01201
Total of all active and inactive participants2019-07-01201
2018: LIFE, AD&D AND DEPENDENTS LIFE INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01198
Total number of active participants reported on line 7a of the Form 55002018-07-01197
Total of all active and inactive participants2018-07-01197
2017: LIFE, AD&D AND DEPENDENTS LIFE INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01185
Total number of active participants reported on line 7a of the Form 55002017-07-01198
Total of all active and inactive participants2017-07-01198
2016: LIFE, AD&D AND DEPENDENTS LIFE INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01186
Total number of active participants reported on line 7a of the Form 55002016-07-01185
Total of all active and inactive participants2016-07-01185
2015: LIFE, AD&D AND DEPENDENTS LIFE INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-010
Total number of active participants reported on line 7a of the Form 55002015-07-01186
Total of all active and inactive participants2015-07-01186
2012: LIFE, AD&D AND DEPENDENTS LIFE INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01111
Total number of active participants reported on line 7a of the Form 55002012-01-01115
Total of all active and inactive participants2012-01-01115
Total participants2012-01-01115

Form 5500 Responses for LIFE, AD&D AND DEPENDENTS LIFE INSURANCE PLAN

2021: LIFE, AD&D AND DEPENDENTS LIFE INSURANCE PLAN 2021 form 5500 responses
2021-09-01Type of plan entitySingle employer plan
2021-09-01Plan funding arrangement – InsuranceYes
2021-09-01Plan benefit arrangement – InsuranceYes
2020: LIFE, AD&D AND DEPENDENTS LIFE INSURANCE PLAN 2020 form 5500 responses
2020-09-01Type of plan entitySingle employer plan
2020-09-01Plan funding arrangement – InsuranceYes
2020-09-01Plan benefit arrangement – InsuranceYes
2020-07-01Type of plan entitySingle employer plan
2020-07-01This return/report is a short plan year return/report (less than 12 months)Yes
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes
2019: LIFE, AD&D AND DEPENDENTS LIFE INSURANCE PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – InsuranceYes
2018: LIFE, AD&D AND DEPENDENTS LIFE INSURANCE PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes
2017: LIFE, AD&D AND DEPENDENTS LIFE INSURANCE PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2016: LIFE, AD&D AND DEPENDENTS LIFE INSURANCE PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: LIFE, AD&D AND DEPENDENTS LIFE INSURANCE PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01First time form 5500 has been submittedYes
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2012: LIFE, AD&D AND DEPENDENTS LIFE INSURANCE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01First time form 5500 has been submittedYes
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number889007G
Policy instance 1
Insurance contract or identification number889007G
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Total amount of commissions paid to insurance brokerUSD $3,506
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $61,278
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,506
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number889007G
Policy instance 1
Insurance contract or identification number889007G
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $3,494
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $58,714
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,494
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number889007G
Policy instance 1
Insurance contract or identification number889007G
Insurance policy start date2020-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $582
Total amount of fees paid to insurance companyUSD $336
Life Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $9,764
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $582
Amount paid for insurance broker fees336
THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 89009 )
Policy contract number445376
Policy instance 1
Insurance contract or identification number445376
Number of Individuals Covered191
Insurance policy start date2019-07-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $1,105
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,105
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number889007G
Policy instance 2
Insurance contract or identification number889007G
Number of Individuals Covered201
Insurance policy start date2019-09-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $2,910
Total amount of fees paid to insurance companyUSD $1,681
Life Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $48,822
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,910
Amount paid for insurance broker fees1681
THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 89009 )
Policy contract number445376
Policy instance 1
Insurance contract or identification number445376
Number of Individuals Covered197
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $3,232
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,232
THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 89009 )
Policy contract number445376
Policy instance 1
Insurance contract or identification number445376
Number of Individuals Covered198
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $3,191
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 89009 )
Policy contract number445376
Policy instance 1
Insurance contract or identification number445376
Number of Individuals Covered186
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $3,040
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,040
Insurance broker organization code?3
Insurance broker nameFALCONE ASSOCIATES, INC.

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