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TYCO INTERNATIONAL HEALTH AND WELFARE BENEFITS PLAN 401k Plan overview

Plan NameTYCO INTERNATIONAL HEALTH AND WELFARE BENEFITS PLAN
Plan identification number 516

TYCO INTERNATIONAL HEALTH AND WELFARE BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

TYCO INTERNATIONAL MANAGEMENT COMPANY LLC has sponsored the creation of one or more 401k plans.

Company Name:TYCO INTERNATIONAL MANAGEMENT COMPANY LLC
Employer identification number (EIN):205073412
NAIC Classification:339900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TYCO INTERNATIONAL HEALTH AND WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5162017-01-01KAARE A LEIN
5162016-01-01KAARE A. LEIN
5162015-01-01MELINDA D. GROSSKOPF
5162014-01-01MELINDA D. GROSSKOPF
5162013-01-01MELINDA D. GROSSKOPF
5162012-01-01MELINDA D. GROSSKOPF
5162011-01-01MELINDA D. GROSSKOPF
5162009-01-01MELINDA D. GROSSKOPF

Plan Statistics for TYCO INTERNATIONAL HEALTH AND WELFARE BENEFITS PLAN

401k plan membership statisitcs for TYCO INTERNATIONAL HEALTH AND WELFARE BENEFITS PLAN

Measure Date Value
2017: TYCO INTERNATIONAL HEALTH AND WELFARE BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0157,133
Total number of active participants reported on line 7a of the Form 55002017-01-0153,277
Number of retired or separated participants receiving benefits2017-01-01476
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-0153,753
2016: TYCO INTERNATIONAL HEALTH AND WELFARE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0155,882
Total number of active participants reported on line 7a of the Form 55002016-01-0157,000
Number of retired or separated participants receiving benefits2016-01-01279
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-0157,279
2015: TYCO INTERNATIONAL HEALTH AND WELFARE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0157,000
Total number of active participants reported on line 7a of the Form 55002015-01-0155,503
Number of retired or separated participants receiving benefits2015-01-01379
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-0155,882
2014: TYCO INTERNATIONAL HEALTH AND WELFARE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0166,075
Total number of active participants reported on line 7a of the Form 55002014-01-0156,720
Number of retired or separated participants receiving benefits2014-01-01280
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-0157,000
2013: TYCO INTERNATIONAL HEALTH AND WELFARE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0175,905
Total number of active participants reported on line 7a of the Form 55002013-01-0165,000
Number of retired or separated participants receiving benefits2013-01-011,075
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-0166,075
2012: TYCO INTERNATIONAL HEALTH AND WELFARE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01104,296
Total number of active participants reported on line 7a of the Form 55002012-01-0174,534
Number of retired or separated participants receiving benefits2012-01-011,371
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-0175,905
2011: TYCO INTERNATIONAL HEALTH AND WELFARE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01105,712
Total number of active participants reported on line 7a of the Form 55002011-01-01104,296
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01104,296
2009: TYCO INTERNATIONAL HEALTH AND WELFARE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01112,654
Total number of active participants reported on line 7a of the Form 55002009-01-01104,620
Number of retired or separated participants receiving benefits2009-01-011,116
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01105,736

Form 5500 Responses for TYCO INTERNATIONAL HEALTH AND WELFARE BENEFITS PLAN

2017: TYCO INTERNATIONAL HEALTH AND WELFARE BENEFITS PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: TYCO INTERNATIONAL HEALTH AND WELFARE BENEFITS PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: TYCO INTERNATIONAL HEALTH AND WELFARE BENEFITS PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: TYCO INTERNATIONAL HEALTH AND WELFARE BENEFITS PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: TYCO INTERNATIONAL HEALTH AND WELFARE BENEFITS PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: TYCO INTERNATIONAL HEALTH AND WELFARE BENEFITS PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
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 – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: TYCO INTERNATIONAL HEALTH AND WELFARE BENEFITS PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedYes
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: TYCO INTERNATIONAL HEALTH AND WELFARE BENEFITS PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0818907-LIFEACT
Policy instance 1
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number10279 1
Policy instance 9
ATLANTIC SPECIALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 27154 )
Policy contract number212-000-019
Policy instance 8
ATLANTIC SPECIALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 27154 )
Policy contract number214-000-018
Policy instance 7
ATLANTIC SPECIALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 27154 )
Policy contract number212-000-018
Policy instance 6
AETNA GLOBAL BENEFITS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number029944001000121
Policy instance 5
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number840085
Policy instance 4
HEALTH AND HUMAN RESOURCES CENTER, INC. (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number591144
Policy instance 3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0818907-DENTAL
Policy instance 2
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number46681
Policy instance 10

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