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| Plan Name | FARMERS AUTOMOBILE INSURANCE ASSOCIATION GROUP HEALTH INSURANCE PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | FARMERS AUTOMOBILE INSURANCE ASSOCIATION |
| Employer identification number (EIN): | 370268670 |
| NAIC Classification: | 524150 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2016-01-01 | KIMBERLY S. REMMERT | DANIEL V CONNELL | 2017-07-18 | |
| 503 | 2015-01-01 | DANIEL V CONNELL | DANIEL V CONNELL | 2016-07-21 | |
| 503 | 2014-01-01 | DANIEL V CONNELL | DANIEL V CONNELL | 2015-07-09 | |
| 503 | 2013-01-01 | DANIEL V CONNELL | DANIEL V CONNELL | 2014-06-26 | |
| 503 | 2012-01-01 | DANIEL V CONNELL | DANIEL V CONNELL | 2013-07-25 | |
| 503 | 2011-01-01 | DANIEL V CONNELL | DANIEL V CONNELL | 2012-07-19 | |
| 503 | 2009-01-01 | DANIEL V CONNELL | DANIEL V CONNELL | 2010-07-12 |
| 2016: FARMERS AUTOMOBILE INSURANCE ASSOCIATION GROUP HEALTH INSURANCE PLAN 2016 form 5500 responses | ||
|---|---|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | This submission is the final filing | Yes |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: FARMERS AUTOMOBILE INSURANCE ASSOCIATION GROUP HEALTH INSURANCE PLAN 2015 form 5500 responses | ||
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: FARMERS AUTOMOBILE INSURANCE ASSOCIATION GROUP HEALTH INSURANCE PLAN 2014 form 5500 responses | ||
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: FARMERS AUTOMOBILE INSURANCE ASSOCIATION GROUP HEALTH INSURANCE PLAN 2013 form 5500 responses | ||
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: FARMERS AUTOMOBILE INSURANCE ASSOCIATION GROUP HEALTH INSURANCE PLAN 2012 form 5500 responses | ||
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: FARMERS AUTOMOBILE INSURANCE ASSOCIATION GROUP HEALTH INSURANCE PLAN 2011 form 5500 responses | ||
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: FARMERS AUTOMOBILE INSURANCE ASSOCIATION GROUP HEALTH INSURANCE PLAN 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| PEKIN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67628 ) | |
| Policy contract number | |
| Policy instance | 1 |
| PEKIN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67628 ) | |
| Policy contract number | |
| Policy instance | 1 |
| PEKIN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67628 ) | |
| Policy contract number | |
| Policy instance | 1 |
| PEKIN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67628 ) | |
| Policy contract number | |
| Policy instance | 1 |
| PEKIN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67628 ) | |
| Policy contract number | |
| Policy instance | 1 |
| PEKIN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67628 ) | |
| Policy contract number | |
| Policy instance | 1 |
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