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VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 401k Plan overview

Plan NameVOLUNTARY GROUP ACCIDENT INSURANCE PLAN
Plan identification number 501

VOLUNTARY GROUP ACCIDENT INSURANCE PLAN Benefits

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

401k Sponsoring company profile

FEDERAL SCREW WORKS has sponsored the creation of one or more 401k plans.

Company Name:FEDERAL SCREW WORKS
Employer identification number (EIN):380533740
NAIC Classification:332700

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VOLUNTARY GROUP ACCIDENT INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012024-01-01MATTHEW MISIAK
5012023-01-01
5012023-01-01MATTHEW MISIAK
5012022-01-01
5012022-01-01MATTHEW MISIAK
5012021-01-01
5012021-01-01MATTHEW MISIAK
5012020-01-01
5012019-01-01
5012018-01-01J. BUCKLER J. BUCKLER2019-04-16
5012017-01-01J. BUCKLER J. BUCKLER2018-04-19
5012016-01-01J. BUCKLER J. BUCKLER2017-06-12
5012015-01-01J. BUCKLER J. BUCKLER2016-03-08
5012014-01-01J. BUCKLER J. BUCKLER2015-04-23
5012013-01-01JAN BUCKLER JAN BUCKLER2014-04-09
5012012-01-01JAN BUCKLER JAN BUCKLER2013-02-19
5012011-01-01JAN BUCKLER JAN BUCKLER2012-06-28
5012010-01-01DAVID C. SWERC DAVID C. SWERC2011-07-20
5012009-01-01DAVID C. SWERC DAVID C. SWERC2010-07-22

Plan Statistics for VOLUNTARY GROUP ACCIDENT INSURANCE PLAN

401k plan membership statisitcs for VOLUNTARY GROUP ACCIDENT INSURANCE PLAN

Measure Date Value
2023: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-0144
Total number of active participants reported on line 7a of the Form 55002023-01-0149
Total of all active and inactive participants2023-01-0149
Total participants2023-01-0149
2022: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0150
Total number of active participants reported on line 7a of the Form 55002022-01-0144
Total of all active and inactive participants2022-01-0144
Total participants2022-01-0144
2021: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0152
Total number of active participants reported on line 7a of the Form 55002021-01-0150
Total of all active and inactive participants2021-01-0150
Total participants2021-01-0150
2020: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0157
Total number of active participants reported on line 7a of the Form 55002020-01-0152
Total of all active and inactive participants2020-01-0152
Total participants2020-01-0152
2019: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0159
Total number of active participants reported on line 7a of the Form 55002019-01-0157
Total of all active and inactive participants2019-01-0157
Total participants2019-01-0157
2018: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0167
Total number of active participants reported on line 7a of the Form 55002018-01-0159
Total of all active and inactive participants2018-01-0159
Total participants2018-01-0159
2017: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0169
Total number of active participants reported on line 7a of the Form 55002017-01-0167
Total of all active and inactive participants2017-01-0167
Total participants2017-01-0167
2016: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0165
Total number of active participants reported on line 7a of the Form 55002016-01-0169
Total of all active and inactive participants2016-01-0169
Total participants2016-01-0169
2015: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0157
Total number of active participants reported on line 7a of the Form 55002015-01-0165
Total of all active and inactive participants2015-01-0165
Total participants2015-01-0165
2014: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0147
Total number of active participants reported on line 7a of the Form 55002014-01-0157
Total of all active and inactive participants2014-01-0157
Total participants2014-01-0157
2013: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0147
Total number of active participants reported on line 7a of the Form 55002013-01-0147
Total of all active and inactive participants2013-01-0147
Total participants2013-01-0147
2012: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0147
Total number of active participants reported on line 7a of the Form 55002012-01-0147
Total of all active and inactive participants2012-01-0147
Total participants2012-01-0147
2011: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0148
Total number of active participants reported on line 7a of the Form 55002011-01-0147
Total of all active and inactive participants2011-01-0147
Total participants2011-01-0147
2010: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0149
Total number of active participants reported on line 7a of the Form 55002010-01-0148
Total of all active and inactive participants2010-01-0148
Total participants2010-01-0148
2009: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0168
Total number of active participants reported on line 7a of the Form 55002009-01-0149
Total of all active and inactive participants2009-01-0149
Total participants2009-01-0149

Form 5500 Responses for VOLUNTARY GROUP ACCIDENT INSURANCE PLAN

2023: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 0810026
Policy instance 1
Insurance contract or identification numberOK 0810026
Number of Individuals Covered49
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $874
Total amount of fees paid to insurance companyUSD $22
Other welfare benefits providedGROUP ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $7,430
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 810026
Policy instance 1
Insurance contract or identification numberOK 810026
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $824
Total amount of fees paid to insurance companyUSD $123
Other welfare benefits providedGROUP ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $5,489
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 810026
Policy instance 1
CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 810026
Policy instance 1
CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 810026
Policy instance 1
CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 810026
Policy instance 1
CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 810026
Policy instance 1
CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 810026
Policy instance 1
CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 810026
Policy instance 1
CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 810026
Policy instance 1
CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 810026
Policy instance 1
CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 810026
Policy instance 1
CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 810026
Policy instance 1

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