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ADRIAN COLLEGE GROUP LIFE INSURANCE WITH AD&D BENEFITS 401k Plan overview

Plan NameADRIAN COLLEGE GROUP LIFE INSURANCE WITH AD&D BENEFITS
Plan identification number 505

ADRIAN COLLEGE GROUP LIFE INSURANCE WITH AD&D BENEFITS Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Other welfare benefit cover

401k Sponsoring company profile

ADRIAN COLLEGE has sponsored the creation of one or more 401k plans.

Company Name:ADRIAN COLLEGE
Employer identification number (EIN):381357980
NAIC Classification:611000

Additional information about ADRIAN COLLEGE

Jurisdiction of Incorporation: Michigan Department of Licensing & Regulatory Affairs
Incorporation Date:
Company Identification Number: 715031

More information about ADRIAN COLLEGE

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ADRIAN COLLEGE GROUP LIFE INSURANCE WITH AD&D BENEFITS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052020-12-01
5052019-12-01
5052018-12-01
5052017-12-01
5052016-12-01DAVID DREWS DAVID DREWS2018-03-28
5052015-12-01DAVID DREWS
5052014-12-01DAVID DREWS
5052013-12-01DAVID DREWS
5052012-12-01DAVID DREWS
5052011-12-01DAVID DREWS
5052009-12-01DAVID DREWS
5052009-12-01DAVID DREWS
5052009-12-01DAVID DREWS
5052009-12-01 DAVID DREWS2011-01-31
5052009-12-01DAVID DREWS
5052009-12-01DAVID DREWS

Plan Statistics for ADRIAN COLLEGE GROUP LIFE INSURANCE WITH AD&D BENEFITS

401k plan membership statisitcs for ADRIAN COLLEGE GROUP LIFE INSURANCE WITH AD&D BENEFITS

Measure Date Value
2020: ADRIAN COLLEGE GROUP LIFE INSURANCE WITH AD&D BENEFITS 2020 401k membership
Total participants, beginning-of-year2020-12-010
Total number of active participants reported on line 7a of the Form 55002020-12-010
Total of all active and inactive participants2020-12-010
Total participants2020-12-010
2019: ADRIAN COLLEGE GROUP LIFE INSURANCE WITH AD&D BENEFITS 2019 401k membership
Total participants, beginning-of-year2019-12-01283
Total number of active participants reported on line 7a of the Form 55002019-12-01283
Total of all active and inactive participants2019-12-01283
Total participants2019-12-01283
2018: ADRIAN COLLEGE GROUP LIFE INSURANCE WITH AD&D BENEFITS 2018 401k membership
Total participants, beginning-of-year2018-12-01286
Total number of active participants reported on line 7a of the Form 55002018-12-01283
Total of all active and inactive participants2018-12-01283
Total participants2018-12-01283
2017: ADRIAN COLLEGE GROUP LIFE INSURANCE WITH AD&D BENEFITS 2017 401k membership
Total participants, beginning-of-year2017-12-01277
Total number of active participants reported on line 7a of the Form 55002017-12-01286
Total of all active and inactive participants2017-12-01286
Total participants2017-12-01286
2016: ADRIAN COLLEGE GROUP LIFE INSURANCE WITH AD&D BENEFITS 2016 401k membership
Total participants, beginning-of-year2016-12-01283
Total number of active participants reported on line 7a of the Form 55002016-12-01277
Total of all active and inactive participants2016-12-01277
Total participants2016-12-01277
2015: ADRIAN COLLEGE GROUP LIFE INSURANCE WITH AD&D BENEFITS 2015 401k membership
Total participants, beginning-of-year2015-12-01287
Total number of active participants reported on line 7a of the Form 55002015-12-01283
Total of all active and inactive participants2015-12-01283
Total participants2015-12-01283
2014: ADRIAN COLLEGE GROUP LIFE INSURANCE WITH AD&D BENEFITS 2014 401k membership
Total participants, beginning-of-year2014-12-01275
Total number of active participants reported on line 7a of the Form 55002014-12-01287
Total of all active and inactive participants2014-12-01287
Total participants2014-12-01287
2013: ADRIAN COLLEGE GROUP LIFE INSURANCE WITH AD&D BENEFITS 2013 401k membership
Total participants, beginning-of-year2013-12-01277
Total number of active participants reported on line 7a of the Form 55002013-12-01275
Total of all active and inactive participants2013-12-01275
Total participants2013-12-01275
2012: ADRIAN COLLEGE GROUP LIFE INSURANCE WITH AD&D BENEFITS 2012 401k membership
Total participants, beginning-of-year2012-12-01279
Total number of active participants reported on line 7a of the Form 55002012-12-01277
Total of all active and inactive participants2012-12-01277
Total participants2012-12-01277
2011: ADRIAN COLLEGE GROUP LIFE INSURANCE WITH AD&D BENEFITS 2011 401k membership
Total participants, beginning-of-year2011-12-01262
Total number of active participants reported on line 7a of the Form 55002011-12-01279
Total of all active and inactive participants2011-12-01279
Total participants2011-12-01279
2009: ADRIAN COLLEGE GROUP LIFE INSURANCE WITH AD&D BENEFITS 2009 401k membership
Total participants, beginning-of-year2009-12-01252
Total number of active participants reported on line 7a of the Form 55002009-12-01258
Total of all active and inactive participants2009-12-01258
Total participants2009-12-01258

Form 5500 Responses for ADRIAN COLLEGE GROUP LIFE INSURANCE WITH AD&D BENEFITS

2020: ADRIAN COLLEGE GROUP LIFE INSURANCE WITH AD&D BENEFITS 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01Submission has been amendedNo
2020-12-01This submission is the final filingYes
2020-12-01This return/report is a short plan year return/report (less than 12 months)No
2020-12-01Plan is a collectively bargained planYes
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – InsuranceYes
2019: ADRIAN COLLEGE GROUP LIFE INSURANCE WITH AD&D BENEFITS 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Submission has been amendedNo
2019-12-01This submission is the final filingNo
2019-12-01This return/report is a short plan year return/report (less than 12 months)No
2019-12-01Plan is a collectively bargained planYes
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan benefit arrangement – InsuranceYes
2018: ADRIAN COLLEGE GROUP LIFE INSURANCE WITH AD&D BENEFITS 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01Submission has been amendedNo
2018-12-01This submission is the final filingNo
2018-12-01This return/report is a short plan year return/report (less than 12 months)No
2018-12-01Plan is a collectively bargained planYes
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan benefit arrangement – InsuranceYes
2017: ADRIAN COLLEGE GROUP LIFE INSURANCE WITH AD&D BENEFITS 2017 form 5500 responses
2017-12-01Type of plan entitySingle employer plan
2017-12-01Submission has been amendedNo
2017-12-01This submission is the final filingNo
2017-12-01This return/report is a short plan year return/report (less than 12 months)No
2017-12-01Plan is a collectively bargained planYes
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan benefit arrangement – InsuranceYes
2016: ADRIAN COLLEGE GROUP LIFE INSURANCE WITH AD&D BENEFITS 2016 form 5500 responses
2016-12-01Type of plan entitySingle employer plan
2016-12-01Submission has been amendedNo
2016-12-01This submission is the final filingNo
2016-12-01This return/report is a short plan year return/report (less than 12 months)No
2016-12-01Plan is a collectively bargained planYes
2016-12-01Plan funding arrangement – InsuranceYes
2016-12-01Plan benefit arrangement – InsuranceYes
2015: ADRIAN COLLEGE GROUP LIFE INSURANCE WITH AD&D BENEFITS 2015 form 5500 responses
2015-12-01Type of plan entitySingle employer plan
2015-12-01Submission has been amendedNo
2015-12-01This submission is the final filingNo
2015-12-01This return/report is a short plan year return/report (less than 12 months)No
2015-12-01Plan is a collectively bargained planYes
2015-12-01Plan funding arrangement – InsuranceYes
2015-12-01Plan benefit arrangement – InsuranceYes
2014: ADRIAN COLLEGE GROUP LIFE INSURANCE WITH AD&D BENEFITS 2014 form 5500 responses
2014-12-01Type of plan entitySingle employer plan
2014-12-01Submission has been amendedNo
2014-12-01This submission is the final filingNo
2014-12-01This return/report is a short plan year return/report (less than 12 months)No
2014-12-01Plan is a collectively bargained planYes
2014-12-01Plan funding arrangement – InsuranceYes
2014-12-01Plan benefit arrangement – InsuranceYes
2013: ADRIAN COLLEGE GROUP LIFE INSURANCE WITH AD&D BENEFITS 2013 form 5500 responses
2013-12-01Type of plan entitySingle employer plan
2013-12-01Submission has been amendedNo
2013-12-01This submission is the final filingNo
2013-12-01This return/report is a short plan year return/report (less than 12 months)No
2013-12-01Plan is a collectively bargained planYes
2013-12-01Plan funding arrangement – InsuranceYes
2013-12-01Plan benefit arrangement – InsuranceYes
2012: ADRIAN COLLEGE GROUP LIFE INSURANCE WITH AD&D BENEFITS 2012 form 5500 responses
2012-12-01Type of plan entitySingle employer plan
2012-12-01Submission has been amendedNo
2012-12-01This submission is the final filingNo
2012-12-01This return/report is a short plan year return/report (less than 12 months)No
2012-12-01Plan is a collectively bargained planYes
2012-12-01Plan funding arrangement – InsuranceYes
2012-12-01Plan benefit arrangement – InsuranceYes
2011: ADRIAN COLLEGE GROUP LIFE INSURANCE WITH AD&D BENEFITS 2011 form 5500 responses
2011-12-01Type of plan entitySingle employer plan
2011-12-01Submission has been amendedNo
2011-12-01This submission is the final filingNo
2011-12-01This return/report is a short plan year return/report (less than 12 months)No
2011-12-01Plan is a collectively bargained planYes
2011-12-01Plan funding arrangement – InsuranceYes
2011-12-01Plan benefit arrangement – InsuranceYes
2009: ADRIAN COLLEGE GROUP LIFE INSURANCE WITH AD&D BENEFITS 2009 form 5500 responses
2009-12-01Type of plan entitySingle employer plan
2009-12-01Submission has been amendedYes
2009-12-01This submission is the final filingNo
2009-12-01This return/report is a short plan year return/report (less than 12 months)No
2009-12-01Plan is a collectively bargained planYes
2009-12-01Plan funding arrangement – InsuranceYes
2009-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number000010064530
Policy instance 1
Insurance contract or identification number000010064530
Number of Individuals Covered283
Insurance policy start date2019-12-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $76
Total amount of fees paid to insurance companyUSD $15
Are there contracts with allocated funds for individual policies?0
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & 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 $509
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $76
Amount paid for insurance broker fees15
Additional information about fees paid to insurance brokerCONSULTING FEES
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number000010064530
Policy instance 1
Insurance contract or identification number000010064530
Number of Individuals Covered283
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $1,422
Total amount of fees paid to insurance companyUSD $380
Are there contracts with allocated funds for individual policies?0
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & 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 $12,652
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,422
Amount paid for insurance broker fees380
Additional information about fees paid to insurance brokerCONSULTING FEES
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number000010064530
Policy instance 1
Insurance contract or identification number000010064530
Number of Individuals Covered286
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $1,345
Total amount of fees paid to insurance companyUSD $351
Are there contracts with allocated funds for individual policies?0
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $11,684
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number000010064530
Policy instance 1
Insurance contract or identification number000010064530
Number of Individuals Covered283
Insurance policy start date2015-12-01
Insurance policy end date2016-11-30
Total amount of commissions paid to insurance brokerUSD $1,412
Total amount of fees paid to insurance companyUSD $600
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $12,523
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,412
Amount paid for insurance broker fees600
Additional information about fees paid to insurance brokerCONSULTING
Insurance broker organization code?3
Insurance broker nameGURDJIAN & ASSOCIATES
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number000010064530
Policy instance 1
Insurance contract or identification number000010064530
Number of Individuals Covered287
Insurance policy start date2014-12-01
Insurance policy end date2015-11-30
Total amount of commissions paid to insurance brokerUSD $1,306
Total amount of fees paid to insurance companyUSD $336
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $11,197
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,306
Amount paid for insurance broker fees336
Insurance broker organization code?3
Insurance broker nameGURDJIAN & ASSOCIATES
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number000010064530
Policy instance 1
Insurance contract or identification number000010064530
Insurance policy start date2013-12-01
Insurance policy end date2014-11-30
Total amount of commissions paid to insurance brokerUSD $1,312
Total amount of fees paid to insurance companyUSD $338
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $11,271
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,312
Amount paid for insurance broker fees338
Insurance broker organization code?3
Insurance broker nameGURDJIAN & ASSOCIATES
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number000010064530
Policy instance 1
Insurance contract or identification number000010064530
Insurance policy start date2012-12-01
Insurance policy end date2013-11-30
Total amount of commissions paid to insurance brokerUSD $1,157
Total amount of fees paid to insurance companyUSD $302
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $10,067
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,157
Amount paid for insurance broker fees302
Insurance broker organization code?3
Insurance broker nameGURDJIAN & ASSOCIATES
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number000010064530
Policy instance 1
Insurance contract or identification number000010064530
Insurance policy start date2011-12-01
Insurance policy end date2012-11-30
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,357
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number000010064530
Policy instance 1
Insurance contract or identification number000010064530
Number of Individuals Covered262
Insurance policy start date2010-12-01
Insurance policy end date2011-11-30
Total amount of commissions paid to insurance brokerUSD $1,227
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,217
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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