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GROUP TRAVEL AND ACCIDENT 401k Plan overview

Plan NameGROUP TRAVEL AND ACCIDENT
Plan identification number 502

GROUP TRAVEL AND ACCIDENT Benefits

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

401k Sponsoring company profile

WOLVERINE WORLD WIDE INC has sponsored the creation of one or more 401k plans.

Company Name:WOLVERINE WORLD WIDE INC
Employer identification number (EIN):381185150
NAIC Classification:316210
NAIC Description:Footwear Manufacturing

Additional information about WOLVERINE WORLD WIDE INC

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 704609

More information about WOLVERINE WORLD WIDE INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP TRAVEL AND ACCIDENT

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022015-04-02LISA SPENCER
5022014-04-02LISA SPENCER
5022014-04-02LISA SPENCER
5022013-04-02LISA SPENCER THOMAS WOLF2014-10-29
5022012-04-02JOANE VANLUVEN THOMAS WOLF2014-02-12
5022011-04-02JOANE VANLUVEN THOMAS WOLF2013-02-15
5022009-04-02JOANE VANLUVEN THOMAS WOLF2010-10-28

Plan Statistics for GROUP TRAVEL AND ACCIDENT

401k plan membership statisitcs for GROUP TRAVEL AND ACCIDENT

Measure Date Value
2015: GROUP TRAVEL AND ACCIDENT 2015 401k membership
Total participants, beginning-of-year2015-04-024,620
Total number of active participants reported on line 7a of the Form 55002015-04-020
Number of retired or separated participants receiving benefits2015-04-020
Number of other retired or separated participants entitled to future benefits2015-04-020
Total of all active and inactive participants2015-04-020
2014: GROUP TRAVEL AND ACCIDENT 2014 401k membership
Total participants, beginning-of-year2014-04-024,548
Total number of active participants reported on line 7a of the Form 55002014-04-020
Number of retired or separated participants receiving benefits2014-04-020
Number of other retired or separated participants entitled to future benefits2014-04-020
Total of all active and inactive participants2014-04-020
2013: GROUP TRAVEL AND ACCIDENT 2013 401k membership
Total participants, beginning-of-year2013-04-023,587
Total number of active participants reported on line 7a of the Form 55002013-04-024,548
Total of all active and inactive participants2013-04-024,548
Total participants2013-04-024,548
2012: GROUP TRAVEL AND ACCIDENT 2012 401k membership
Total participants, beginning-of-year2012-04-022,043
Total number of active participants reported on line 7a of the Form 55002012-04-023,587
Total of all active and inactive participants2012-04-023,587
Total participants2012-04-023,587
2011: GROUP TRAVEL AND ACCIDENT 2011 401k membership
Total participants, beginning-of-year2011-04-022,083
Total number of active participants reported on line 7a of the Form 55002011-04-022,043
Total of all active and inactive participants2011-04-022,043
Total participants2011-04-022,043
2009: GROUP TRAVEL AND ACCIDENT 2009 401k membership
Total participants, beginning-of-year2009-04-022,488
Total number of active participants reported on line 7a of the Form 55002009-04-022,061
Total of all active and inactive participants2009-04-022,061
Total participants2009-04-022,061

Form 5500 Responses for GROUP TRAVEL AND ACCIDENT

2015: GROUP TRAVEL AND ACCIDENT 2015 form 5500 responses
2015-04-02Type of plan entitySingle employer plan
2015-04-02Submission has been amendedNo
2015-04-02This submission is the final filingYes
2015-04-02This return/report is a short plan year return/report (less than 12 months)Yes
2015-04-02Plan is a collectively bargained planNo
2015-04-02Plan funding arrangement – InsuranceYes
2015-04-02Plan benefit arrangement – InsuranceYes
2014: GROUP TRAVEL AND ACCIDENT 2014 form 5500 responses
2014-04-02Type of plan entitySingle employer plan
2014-04-02Submission has been amendedYes
2014-04-02This submission is the final filingNo
2014-04-02This return/report is a short plan year return/report (less than 12 months)No
2014-04-02Plan is a collectively bargained planNo
2014-04-02Plan funding arrangement – InsuranceYes
2014-04-02Plan benefit arrangement – InsuranceYes
2013: GROUP TRAVEL AND ACCIDENT 2013 form 5500 responses
2013-04-02Type of plan entitySingle employer plan
2013-04-02Submission has been amendedNo
2013-04-02This submission is the final filingNo
2013-04-02This return/report is a short plan year return/report (less than 12 months)No
2013-04-02Plan is a collectively bargained planNo
2013-04-02Plan funding arrangement – InsuranceYes
2013-04-02Plan benefit arrangement – InsuranceYes
2012: GROUP TRAVEL AND ACCIDENT 2012 form 5500 responses
2012-04-02Type of plan entitySingle employer plan
2012-04-02Submission has been amendedNo
2012-04-02This submission is the final filingNo
2012-04-02This return/report is a short plan year return/report (less than 12 months)No
2012-04-02Plan is a collectively bargained planNo
2012-04-02Plan funding arrangement – InsuranceYes
2012-04-02Plan benefit arrangement – InsuranceYes
2011: GROUP TRAVEL AND ACCIDENT 2011 form 5500 responses
2011-04-02Type of plan entitySingle employer plan
2011-04-02Submission has been amendedNo
2011-04-02This submission is the final filingNo
2011-04-02This return/report is a short plan year return/report (less than 12 months)No
2011-04-02Plan is a collectively bargained planNo
2011-04-02Plan funding arrangement – InsuranceYes
2011-04-02Plan benefit arrangement – InsuranceYes
2009: GROUP TRAVEL AND ACCIDENT 2009 form 5500 responses
2009-04-02Type of plan entitySingle employer plan
2009-04-02Submission has been amendedNo
2009-04-02This submission is the final filingNo
2009-04-02This return/report is a short plan year return/report (less than 12 months)No
2009-04-02Plan is a collectively bargained planNo
2009-04-02Plan funding arrangement – InsuranceYes
2009-04-02Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number000099068871
Policy instance 1
Insurance contract or identification number000099068871
Number of Individuals Covered4620
Insurance policy start date2014-08-01
Insurance policy end date2015-07-31
Total amount of commissions paid to insurance brokerUSD $8,685
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 providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $57,901
Commission paid to Insurance BrokerUSD $8,685
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameAON CONSULTING
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number000099068871
Policy instance 1
Insurance contract or identification number000099068871
Number of Individuals Covered0
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
Total amount of commissions paid to insurance brokerUSD $9,226
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 providedACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE
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 $61,507
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,226
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameAON CONSULTING
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number000099068871
Policy instance 1
Insurance contract or identification number000099068871
Number of Individuals Covered4548
Insurance policy start date2013-08-01
Insurance policy end date2014-08-01
Total amount of commissions paid to insurance brokerUSD $9,226
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 providedACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,226
Insurance broker organization code?3
Insurance broker nameAON CONSULTING
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number000099068871
Policy instance 1
Insurance contract or identification number000099068871
Number of Individuals Covered3587
Insurance policy start date2012-08-01
Insurance policy end date2013-08-01
Total amount of commissions paid to insurance brokerUSD $9,533
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 providedACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,533
Insurance broker organization code?3
Insurance broker nameAON CONSULTING
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number000099068871
Policy instance 1
Insurance contract or identification number000099068871
Number of Individuals Covered2043
Insurance policy start date2011-08-01
Insurance policy end date2012-08-01
Total amount of commissions paid to insurance brokerUSD $9,707
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedAD&D PARALYSIS, PREMANENT AND TOTAL DISABLITY
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number000099068870
Policy instance 2
Insurance contract or identification number000099068870
Number of Individuals Covered2083
Insurance policy start date2010-08-01
Insurance policy end date2011-08-01
Total amount of commissions paid to insurance brokerUSD $3,167
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedAD&D PARALYSIS, PREM TOTAL DISABILITY
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract numberGTP 8046532
Policy instance 1
Insurance contract or identification numberGTP 8046532
Number of Individuals Covered0
Insurance policy start date2010-04-01
Insurance policy end date2010-08-01
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedAD&D PARALYSIS, PERM TOTAL DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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