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EMPLOYEE BUSINESS TRAVEL INSURANCE PLAN 401k Plan overview

Plan NameEMPLOYEE BUSINESS TRAVEL INSURANCE PLAN
Plan identification number 502

EMPLOYEE BUSINESS TRAVEL INSURANCE PLAN Benefits

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

401k Sponsoring company profile

VERTELLUS HOLDINGS, LLC has sponsored the creation of one or more 401k plans.

Company Name:VERTELLUS HOLDINGS, LLC
Employer identification number (EIN):350607240
NAIC Classification:238300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE BUSINESS TRAVEL INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022015-10-24SHELLY ALBERT
5022014-10-24SHELLY ALBERT
5022013-10-24SHELLY ALBERT
5022012-10-24SHELLY ALBERT
5022011-10-24SHELLY ALBERT
5022009-10-24SCOTT SMITH
5022009-10-24SCOTT SMITH
5022008-10-24
5022007-10-24SCOTT SMITH

Plan Statistics for EMPLOYEE BUSINESS TRAVEL INSURANCE PLAN

401k plan membership statisitcs for EMPLOYEE BUSINESS TRAVEL INSURANCE PLAN

Measure Date Value
2015: EMPLOYEE BUSINESS TRAVEL INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-24585
Total number of active participants reported on line 7a of the Form 55002015-10-240
Number of retired or separated participants receiving benefits2015-10-240
Number of other retired or separated participants entitled to future benefits2015-10-240
Total of all active and inactive participants2015-10-240
2014: EMPLOYEE BUSINESS TRAVEL INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-24518
Total number of active participants reported on line 7a of the Form 55002014-10-24585
Number of retired or separated participants receiving benefits2014-10-240
Number of other retired or separated participants entitled to future benefits2014-10-240
Total of all active and inactive participants2014-10-24585
2013: EMPLOYEE BUSINESS TRAVEL INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-24505
Total number of active participants reported on line 7a of the Form 55002013-10-24518
Number of retired or separated participants receiving benefits2013-10-240
Number of other retired or separated participants entitled to future benefits2013-10-240
Total of all active and inactive participants2013-10-24518
2012: EMPLOYEE BUSINESS TRAVEL INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-24499
Total number of active participants reported on line 7a of the Form 55002012-10-24500
Number of retired or separated participants receiving benefits2012-10-245
Number of other retired or separated participants entitled to future benefits2012-10-240
Total of all active and inactive participants2012-10-24505
2011: EMPLOYEE BUSINESS TRAVEL INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-24525
Total number of active participants reported on line 7a of the Form 55002011-10-24499
Number of retired or separated participants receiving benefits2011-10-240
Number of other retired or separated participants entitled to future benefits2011-10-240
Total of all active and inactive participants2011-10-24499
2009: EMPLOYEE BUSINESS TRAVEL INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-24508
Total number of active participants reported on line 7a of the Form 55002009-10-24527
Number of retired or separated participants receiving benefits2009-10-240
Number of other retired or separated participants entitled to future benefits2009-10-240
Total of all active and inactive participants2009-10-24527
2007: EMPLOYEE BUSINESS TRAVEL INSURANCE PLAN 2007 401k membership
Total participants, beginning-of-year2007-10-24510
Total number of active participants reported on line 7a of the Form 55002007-10-24727
Number of retired or separated participants receiving benefits2007-10-240
Number of other retired or separated participants entitled to future benefits2007-10-240
Total of all active and inactive participants2007-10-24727

Form 5500 Responses for EMPLOYEE BUSINESS TRAVEL INSURANCE PLAN

2015: EMPLOYEE BUSINESS TRAVEL INSURANCE PLAN 2015 form 5500 responses
2015-10-24Type of plan entitySingle employer plan
2015-10-24This submission is the final filingYes
2015-10-24This return/report is a short plan year return/report (less than 12 months)Yes
2015-10-24Plan funding arrangement – InsuranceYes
2015-10-24Plan benefit arrangement – InsuranceYes
2014: EMPLOYEE BUSINESS TRAVEL INSURANCE PLAN 2014 form 5500 responses
2014-10-24Type of plan entitySingle employer plan
2014-10-24Plan funding arrangement – InsuranceYes
2014-10-24Plan benefit arrangement – InsuranceYes
2013: EMPLOYEE BUSINESS TRAVEL INSURANCE PLAN 2013 form 5500 responses
2013-10-24Type of plan entitySingle employer plan
2013-10-24Submission has been amendedNo
2013-10-24This submission is the final filingNo
2013-10-24This return/report is a short plan year return/report (less than 12 months)No
2013-10-24Plan is a collectively bargained planNo
2013-10-24Plan funding arrangement – InsuranceYes
2013-10-24Plan benefit arrangement – InsuranceYes
2012: EMPLOYEE BUSINESS TRAVEL INSURANCE PLAN 2012 form 5500 responses
2012-10-24Type of plan entitySingle employer plan
2012-10-24Submission has been amendedNo
2012-10-24This submission is the final filingNo
2012-10-24This return/report is a short plan year return/report (less than 12 months)No
2012-10-24Plan is a collectively bargained planNo
2012-10-24Plan funding arrangement – InsuranceYes
2012-10-24Plan benefit arrangement – InsuranceYes
2011: EMPLOYEE BUSINESS TRAVEL INSURANCE PLAN 2011 form 5500 responses
2011-10-24Type of plan entitySingle employer plan
2011-10-24Submission has been amendedNo
2011-10-24This submission is the final filingNo
2011-10-24This return/report is a short plan year return/report (less than 12 months)No
2011-10-24Plan is a collectively bargained planNo
2011-10-24Plan funding arrangement – InsuranceYes
2011-10-24Plan benefit arrangement – InsuranceYes
2009: EMPLOYEE BUSINESS TRAVEL INSURANCE PLAN 2009 form 5500 responses
2009-10-24Type of plan entitySingle employer plan
2009-10-24Submission has been amendedYes
2009-10-24This submission is the final filingNo
2009-10-24This return/report is a short plan year return/report (less than 12 months)No
2009-10-24Plan is a collectively bargained planNo
2009-10-24Plan funding arrangement – InsuranceYes
2009-10-24Plan benefit arrangement – InsuranceYes
2008: EMPLOYEE BUSINESS TRAVEL INSURANCE PLAN 2008 form 5500 responses
2008-10-24Type of plan entitySingle employer plan
2008-10-24Submission has been amendedNo
2008-10-24This submission is the final filingNo
2008-10-24This return/report is a short plan year return/report (less than 12 months)No
2008-10-24Plan is a collectively bargained planNo
2007: EMPLOYEE BUSINESS TRAVEL INSURANCE PLAN 2007 form 5500 responses
2007-10-24Type of plan entitySingle employer plan
2007-10-24Submission has been amendedYes
2007-10-24This submission is the final filingNo
2007-10-24This return/report is a short plan year return/report (less than 12 months)No
2007-10-24Plan is a collectively bargained planNo
2007-10-24Plan funding arrangement – InsuranceYes
2007-10-24Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number9905-02-89
Policy instance 1
Insurance contract or identification number9905-02-89
Number of Individuals Covered583
Insurance policy start date2015-10-23
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,936
Other welfare benefits providedBTA
Welfare Benefit Premiums Paid to CarrierUSD $6,455
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $968
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number99050289
Policy instance 1
Insurance contract or identification number99050289
Number of Individuals Covered585
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,936
Total amount of fees paid to insurance companyUSD $107
Other welfare benefits providedBTA
Welfare Benefit Premiums Paid to CarrierUSD $6,455
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $968
Amount paid for insurance broker fees107
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number99050289
Policy instance 1
Insurance contract or identification number99050289
Number of Individuals Covered507
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $1,936
Total amount of fees paid to insurance companyUSD $26
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedBTA
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $6,455
Commission paid to Insurance BrokerUSD $968
Amount paid for insurance broker fees26
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES LLC
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number99050289
Policy instance 1
Insurance contract or identification number99050289
Number of Individuals Covered500
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,936
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedBTA
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $6,455
Commission paid to Insurance BrokerUSD $968
Insurance broker organization code?3
Insurance broker nameMMG AGENCY
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number99050289
Policy instance 1
Insurance contract or identification number99050289
Number of Individuals Covered499
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $916
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedBTA
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,965
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number000099050289
Policy instance 1
Insurance contract or identification number000099050289
Number of Individuals Covered527
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $426
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedBTA
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,840
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number000099050289
Policy instance 1
Insurance contract or identification number000099050289
Number of Individuals Covered525
Insurance policy start date2008-11-18
Insurance policy end date2009-11-17
Total amount of commissions paid to insurance brokerUSD $597
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedBTA
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $3,980
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number000099050289
Policy instance 2
Insurance contract or identification number000099050289
Number of Individuals Covered547
Insurance policy start date2009-11-18
Insurance policy end date2009-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedBTA
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $0

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