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CONSTANTIA BLYTHWOOD GROUP LIFE AND DISABILITIES PLAN 401k Plan overview

Plan NameCONSTANTIA BLYTHWOOD GROUP LIFE AND DISABILITIES PLAN
Plan identification number 504

CONSTANTIA BLYTHWOOD GROUP LIFE AND DISABILITIES PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

CONSTANTIA BLYTHEWOOD has sponsored the creation of one or more 401k plans.

Company Name:CONSTANTIA BLYTHEWOOD
Employer identification number (EIN):383263467
NAIC Classification:312200
NAIC Description: Tobacco Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CONSTANTIA BLYTHWOOD GROUP LIFE AND DISABILITIES PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042018-01-01
5042018-01-01CHERYL TURNER2024-10-31
5042017-01-01

Form 5500 Responses for CONSTANTIA BLYTHWOOD GROUP LIFE AND DISABILITIES PLAN

2018: CONSTANTIA BLYTHWOOD GROUP LIFE AND DISABILITIES PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedYes
2018-01-01This submission is the final filingYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: CONSTANTIA BLYTHWOOD GROUP LIFE AND DISABILITIES 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

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGM608474
Policy instance 1
Insurance contract or identification numberSGM608474
Number of Individuals Covered148
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $21,459
Total amount of fees paid to insurance companyUSD $7,340
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM,ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $143,804
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1031654
Policy instance 1

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