PPG INDUSTRIES, INC. has sponsored the creation of one or more 401k plans.
Additional information about PPG INDUSTRIES, INC.
Submission information for form 5500 for 401k plan GROUP BENEFITS PLAN- SPRINGDALE, PA
Measure | Date | Value |
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2021: GROUP BENEFITS PLAN- SPRINGDALE, PA 2021 401k membership |
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Total participants, beginning-of-year | 2021-12-31 | 144 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-12-31 | 116 |
Number of retired or separated participants receiving benefits | 2021-12-31 | 9 |
Total of all active and inactive participants | 2021-12-31 | 125 |
Total participants | 2021-12-31 | 125 |
2020: GROUP BENEFITS PLAN- SPRINGDALE, PA 2020 401k membership |
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Total participants, beginning-of-year | 2020-12-31 | 124 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-12-31 | 135 |
Number of retired or separated participants receiving benefits | 2020-12-31 | 9 |
Total of all active and inactive participants | 2020-12-31 | 144 |
Total participants | 2020-12-31 | 144 |
2019: GROUP BENEFITS PLAN- SPRINGDALE, PA 2019 401k membership |
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Total participants, beginning-of-year | 2019-12-31 | 129 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-12-31 | 117 |
Number of retired or separated participants receiving benefits | 2019-12-31 | 7 |
Total of all active and inactive participants | 2019-12-31 | 124 |
Total participants | 2019-12-31 | 124 |
2018: GROUP BENEFITS PLAN- SPRINGDALE, PA 2018 401k membership |
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Total participants, beginning-of-year | 2018-12-31 | 151 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-12-31 | 119 |
Number of retired or separated participants receiving benefits | 2018-12-31 | 10 |
Total of all active and inactive participants | 2018-12-31 | 129 |
Total participants | 2018-12-31 | 129 |
2017: GROUP BENEFITS PLAN- SPRINGDALE, PA 2017 401k membership |
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Total participants, beginning-of-year | 2017-12-31 | 127 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-12-31 | 141 |
Number of retired or separated participants receiving benefits | 2017-12-31 | 10 |
Total of all active and inactive participants | 2017-12-31 | 151 |
Total participants | 2017-12-31 | 151 |
2016: GROUP BENEFITS PLAN- SPRINGDALE, PA 2016 401k membership |
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Total participants, beginning-of-year | 2016-12-31 | 111 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-12-31 | 116 |
Number of retired or separated participants receiving benefits | 2016-12-31 | 11 |
Total of all active and inactive participants | 2016-12-31 | 127 |
Total participants | 2016-12-31 | 127 |
2015: GROUP BENEFITS PLAN- SPRINGDALE, PA 2015 401k membership |
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Total participants, beginning-of-year | 2015-12-31 | 111 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-12-31 | 97 |
Number of retired or separated participants receiving benefits | 2015-12-31 | 14 |
Total of all active and inactive participants | 2015-12-31 | 111 |
Total participants | 2015-12-31 | 0 |
2014: GROUP BENEFITS PLAN- SPRINGDALE, PA 2014 401k membership |
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Total participants, beginning-of-year | 2014-12-31 | 130 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-12-31 | 96 |
Number of retired or separated participants receiving benefits | 2014-12-31 | 15 |
Total of all active and inactive participants | 2014-12-31 | 111 |
Total participants | 2014-12-31 | 0 |
2013: GROUP BENEFITS PLAN- SPRINGDALE, PA 2013 401k membership |
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Total participants, beginning-of-year | 2013-12-31 | 131 |
Total number of active participants reported on line 7a of the Form 5500 | 2013-12-31 | 82 |
Number of retired or separated participants receiving benefits | 2013-12-31 | 48 |
Total of all active and inactive participants | 2013-12-31 | 130 |
Total participants | 2013-12-31 | 0 |
2012: GROUP BENEFITS PLAN- SPRINGDALE, PA 2012 401k membership |
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Total participants, beginning-of-year | 2012-12-31 | 133 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-12-31 | 79 |
Number of retired or separated participants receiving benefits | 2012-12-31 | 52 |
Total of all active and inactive participants | 2012-12-31 | 131 |
Total participants | 2012-12-31 | 0 |
2011: GROUP BENEFITS PLAN- SPRINGDALE, PA 2011 401k membership |
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Total participants, beginning-of-year | 2011-12-31 | 117 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-12-31 | 92 |
Number of retired or separated participants receiving benefits | 2011-12-31 | 41 |
Total of all active and inactive participants | 2011-12-31 | 133 |
Total participants | 2011-12-31 | 133 |
2009: GROUP BENEFITS PLAN- SPRINGDALE, PA 2009 401k membership |
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Total participants, beginning-of-year | 2009-12-31 | 142 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-12-31 | 99 |
Number of retired or separated participants receiving benefits | 2009-12-31 | 37 |
Total of all active and inactive participants | 2009-12-31 | 136 |
Total participants | 2009-12-31 | 136 |
2021: GROUP BENEFITS PLAN- SPRINGDALE, PA 2021 form 5500 responses |
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2021-12-31 | Type of plan entity | Single employer plan |
2021-12-31 | Plan is a collectively bargained plan | Yes |
2021-12-31 | Plan funding arrangement – Insurance | Yes |
2021-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
2021-12-31 | Plan benefit arrangement – Insurance | Yes |
2021-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
2020: GROUP BENEFITS PLAN- SPRINGDALE, PA 2020 form 5500 responses |
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2020-12-31 | Type of plan entity | Single employer plan |
2020-12-31 | Plan is a collectively bargained plan | Yes |
2020-12-31 | Plan funding arrangement – Insurance | Yes |
2020-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
2020-12-31 | Plan benefit arrangement – Insurance | Yes |
2020-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
2019: GROUP BENEFITS PLAN- SPRINGDALE, PA 2019 form 5500 responses |
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2019-12-31 | Type of plan entity | Single employer plan |
2019-12-31 | Plan is a collectively bargained plan | Yes |
2019-12-31 | Plan funding arrangement – Insurance | Yes |
2019-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
2019-12-31 | Plan benefit arrangement – Insurance | Yes |
2019-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
2018: GROUP BENEFITS PLAN- SPRINGDALE, PA 2018 form 5500 responses |
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2018-12-31 | Type of plan entity | Single employer plan |
2018-12-31 | Plan is a collectively bargained plan | Yes |
2018-12-31 | Plan funding arrangement – Insurance | Yes |
2018-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
2018-12-31 | Plan benefit arrangement – Insurance | Yes |
2018-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
2017: GROUP BENEFITS PLAN- SPRINGDALE, PA 2017 form 5500 responses |
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2017-12-31 | Type of plan entity | Single employer plan |
2017-12-31 | Plan is a collectively bargained plan | Yes |
2017-12-31 | Plan funding arrangement – Insurance | Yes |
2017-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
2017-12-31 | Plan benefit arrangement – Insurance | Yes |
2017-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
2016: GROUP BENEFITS PLAN- SPRINGDALE, PA 2016 form 5500 responses |
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2016-12-31 | Type of plan entity | Single employer plan |
2016-12-31 | Plan is a collectively bargained plan | Yes |
2016-12-31 | Plan funding arrangement – Insurance | Yes |
2016-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
2016-12-31 | Plan benefit arrangement – Insurance | Yes |
2016-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
2015: GROUP BENEFITS PLAN- SPRINGDALE, PA 2015 form 5500 responses |
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2015-12-31 | Type of plan entity | Single employer plan |
2015-12-31 | Plan is a collectively bargained plan | Yes |
2015-12-31 | Plan funding arrangement – Insurance | Yes |
2015-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
2015-12-31 | Plan benefit arrangement – Insurance | Yes |
2015-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
2014: GROUP BENEFITS PLAN- SPRINGDALE, PA 2014 form 5500 responses |
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2014-12-31 | Type of plan entity | Single employer plan |
2014-12-31 | Plan is a collectively bargained plan | Yes |
2014-12-31 | Plan funding arrangement – Insurance | Yes |
2014-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
2014-12-31 | Plan benefit arrangement – Insurance | Yes |
2014-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
2013: GROUP BENEFITS PLAN- SPRINGDALE, PA 2013 form 5500 responses |
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2013-12-31 | Type of plan entity | Single employer plan |
2013-12-31 | Plan is a collectively bargained plan | Yes |
2013-12-31 | Plan funding arrangement – Insurance | Yes |
2013-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
2013-12-31 | Plan benefit arrangement – Insurance | Yes |
2013-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
2012: GROUP BENEFITS PLAN- SPRINGDALE, PA 2012 form 5500 responses |
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2012-12-31 | Type of plan entity | Single employer plan |
2012-12-31 | Plan is a collectively bargained plan | Yes |
2012-12-31 | Plan funding arrangement – Insurance | Yes |
2012-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
2012-12-31 | Plan benefit arrangement – Insurance | Yes |
2012-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
2011: GROUP BENEFITS PLAN- SPRINGDALE, PA 2011 form 5500 responses |
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2011-12-31 | Type of plan entity | Single employer plan |
2011-12-31 | Plan is a collectively bargained plan | Yes |
2011-12-31 | Plan funding arrangement – Insurance | Yes |
2011-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
2011-12-31 | Plan benefit arrangement – Insurance | Yes |
2011-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
2009: GROUP BENEFITS PLAN- SPRINGDALE, PA 2009 form 5500 responses |
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2009-12-31 | Type of plan entity | Single employer plan |
2009-12-31 | This submission is the final filing | No |
2009-12-31 | Plan is a collectively bargained plan | Yes |
2009-12-31 | Plan funding arrangement – Insurance | Yes |
2009-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
2009-12-31 | Plan benefit arrangement – Insurance | Yes |
2009-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
2008: GROUP BENEFITS PLAN- SPRINGDALE, PA 2008 form 5500 responses |
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2008-12-31 | Type of plan entity | Single employer plan |
2008-12-31 | Submission has been amended | No |
2008-12-31 | This submission is the final filing | No |
2008-12-31 | This return/report is a short plan year return/report (less than 12 months) | No |
2008-12-31 | Plan is a collectively bargained plan | No |
MAGELLAN HEALTH SERVICES (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | N/A |
Policy instance | 8 |
Insurance contract or identification number | N/A | Number of Individuals Covered | 116 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Other welfare benefits provided | EMPLOYEE ASSISTANCE PROGRAM | Welfare Benefit Premiums Paid to Carrier | USD $3,619 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | VARIOUS |
Policy instance | 1 |
Insurance contract or identification number | VARIOUS | Number of Individuals Covered | 81 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $50,135 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | GTA101506 |
Policy instance | 2 |
Insurance contract or identification number | GTA101506 | Number of Individuals Covered | 116 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | EMERGENCY SQUAD AD&D | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | 681077 |
Policy instance | 3 |
Insurance contract or identification number | 681077 | Number of Individuals Covered | 95 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Other welfare benefits provided | HOURLY BASIC LTD | Welfare Benefit Premiums Paid to Carrier | USD $5,254 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
Policy contract number | VARIOUS |
Policy instance | 4 |
Insurance contract or identification number | VARIOUS | Number of Individuals Covered | 80 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Were dividends or retroactive rate refunds paid as a credit? | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
Policy contract number | 6036796 |
Policy instance | 5 |
Insurance contract or identification number | 6036796 | Number of Individuals Covered | 149 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $4,149 | 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 | 0229100 |
Policy instance | 6 |
Insurance contract or identification number | 0229100 | Number of Individuals Covered | 18 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Other welfare benefits provided | BASIC CRITICAL ILLNESS | Welfare Benefit Premiums Paid to Carrier | USD $1,209 | 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 | 0214387 |
Policy instance | 7 |
Insurance contract or identification number | 0214387 | Number of Individuals Covered | 116 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Other welfare benefits provided | SEAT BELT AD&D | Welfare Benefit Premiums Paid to Carrier | USD $834 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | VARIOUS |
Policy instance | 1 |
Insurance contract or identification number | VARIOUS | Number of Individuals Covered | 67 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $27,446 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
Policy contract number | ETB 200939 |
Policy instance | 2 |
Insurance contract or identification number | ETB 200939 | Number of Individuals Covered | 135 | Insurance policy start date | 2020-06-01 | Insurance policy end date | 2021-05-31 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D FIRE SQUAD-CNR | Welfare Benefit Premiums Paid to Carrier | USD $171 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | 378050 |
Policy instance | 3 |
Insurance contract or identification number | 378050 | Number of Individuals Covered | 111 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Other welfare benefits provided | HOURLY BASIC LTD | Welfare Benefit Premiums Paid to Carrier | USD $8,628 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
Policy contract number | VARIOUS |
Policy instance | 4 |
Insurance contract or identification number | VARIOUS | Number of Individuals Covered | 41 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Were dividends or retroactive rate refunds paid as a credit? | Yes | 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 | 6036796 |
Policy instance | 5 |
Insurance contract or identification number | 6036796 | Number of Individuals Covered | 96 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $3,250 | 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 | 0229100 |
Policy instance | 6 |
Insurance contract or identification number | 0229100 | Number of Individuals Covered | 13 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Other welfare benefits provided | BASIC CRITICAL ILLNESS | Welfare Benefit Premiums Paid to Carrier | USD $603 | 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 | 0214387 |
Policy instance | 7 |
Insurance contract or identification number | 0214387 | Number of Individuals Covered | 135 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Other welfare benefits provided | SEAT BELT AD&D | Welfare Benefit Premiums Paid to Carrier | USD $750 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | 697331 |
Policy instance | 8 |
Insurance contract or identification number | 697331 | Number of Individuals Covered | 135 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Other welfare benefits provided | LEAVE MANAGEMENT | Welfare Benefit Premiums Paid to Carrier | USD $3,374 | 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 | 6036796 |
Policy instance | 7 |
Insurance contract or identification number | 6036796 | Number of Individuals Covered | 105 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $3,479 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
Policy contract number | VARIOUS |
Policy instance | 6 |
Insurance contract or identification number | VARIOUS | Number of Individuals Covered | 8 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Were dividends or retroactive rate refunds paid as a credit? | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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HEALTHAMERICA OF PENNSYLVANIA, INC. HMO (National Association of Insurance Commissioners NAIC id number: 95060 ) |
Policy contract number | 2181830000 |
Policy instance | 5 |
Insurance contract or identification number | 2181830000 | Number of Individuals Covered | 46 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Welfare Benefit Premiums Paid to Carrier | USD $22,416 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | 378050 |
Policy instance | 4 |
Insurance contract or identification number | 378050 | Number of Individuals Covered | 88 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Other welfare benefits provided | HOURLY BASIC LTD | Welfare Benefit Premiums Paid to Carrier | USD $8,832 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
Policy contract number | ETB 200939 |
Policy instance | 3 |
Insurance contract or identification number | ETB 200939 | Number of Individuals Covered | 117 | Insurance policy start date | 2019-06-01 | Insurance policy end date | 2020-05-31 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D FIRE SQUAD-CNR | Welfare Benefit Premiums Paid to Carrier | USD $151 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
Policy contract number | 00-ADD-S06751 |
Policy instance | 2 |
Insurance contract or identification number | 00-ADD-S06751 | Number of Individuals Covered | 117 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | SEAT BELT AD&D | Welfare Benefit Premiums Paid to Carrier | USD $88 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | VARIOUS |
Policy instance | 1 |
Insurance contract or identification number | VARIOUS | Number of Individuals Covered | 4 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $2,457 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
Policy contract number | 00-ADD-S06751 |
Policy instance | 2 |
Insurance contract or identification number | 00-ADD-S06751 | Number of Individuals Covered | 119 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | SEAT BELT AD&D | Welfare Benefit Premiums Paid to Carrier | USD $93 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | VARIOUS |
Policy instance | 1 |
Insurance contract or identification number | VARIOUS | Number of Individuals Covered | 26 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $12,699 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
Policy contract number | ETB 200939 |
Policy instance | 3 |
Insurance contract or identification number | ETB 200939 | Number of Individuals Covered | 119 | Insurance policy start date | 2018-06-01 | Insurance policy end date | 2019-05-31 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D FIRE SQUAD-CNR | Welfare Benefit Premiums Paid to Carrier | USD $144 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | 378050 |
Policy instance | 4 |
Insurance contract or identification number | 378050 | Number of Individuals Covered | 87 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Other welfare benefits provided | HOURLY BASIC LTD | Welfare Benefit Premiums Paid to Carrier | USD $8,896 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HEALTHAMERICA OF PENNSYLVANIA, INC. HMO (National Association of Insurance Commissioners NAIC id number: 95060 ) |
Policy contract number | 2181830000 |
Policy instance | 5 |
Insurance contract or identification number | 2181830000 | Number of Individuals Covered | 68 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Welfare Benefit Premiums Paid to Carrier | USD $31,015 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
Policy contract number | VARIOUS |
Policy instance | 6 |
Insurance contract or identification number | VARIOUS | Number of Individuals Covered | 10 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Were dividends or retroactive rate refunds paid as a credit? | Yes | 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 | 6036796 |
Policy instance | 7 |
Insurance contract or identification number | 6036796 | Number of Individuals Covered | 101 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $2,933 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | VARIOUS |
Policy instance | 1 |
Insurance contract or identification number | VARIOUS | Number of Individuals Covered | 27 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $8,480 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
Policy contract number | ETB 200939 |
Policy instance | 3 |
Insurance contract or identification number | ETB 200939 | Number of Individuals Covered | 141 | Insurance policy start date | 2017-06-01 | Insurance policy end date | 2018-05-31 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D FIRE SQUAD-CNR | Welfare Benefit Premiums Paid to Carrier | USD $169 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | 378050 |
Policy instance | 4 |
Insurance contract or identification number | 378050 | Number of Individuals Covered | 91 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Other welfare benefits provided | HOURLY BASIC LTD | Welfare Benefit Premiums Paid to Carrier | USD $10,265 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HEALTHAMERICA OF PENNSYLVANIA, INC. HMO (National Association of Insurance Commissioners NAIC id number: 95060 ) |
Policy contract number | 2181830000 |
Policy instance | 5 |
Insurance contract or identification number | 2181830000 | Number of Individuals Covered | 67 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Welfare Benefit Premiums Paid to Carrier | USD $36,238 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
Policy contract number | VARIOUS |
Policy instance | 6 |
Insurance contract or identification number | VARIOUS | Number of Individuals Covered | 39 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Were dividends or retroactive rate refunds paid as a credit? | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
Policy contract number | 6036796 |
Policy instance | 7 |
Insurance contract or identification number | 6036796 | Number of Individuals Covered | 100 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $3,285 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
Policy contract number | 00-ADD-S06751 |
Policy instance | 2 |
Insurance contract or identification number | 00-ADD-S06751 | Number of Individuals Covered | 141 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | SEAT BELT AD&D | Welfare Benefit Premiums Paid to Carrier | USD $106 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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