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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)

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
5042017-01-01

Plan Statistics for CONSTANTIA BLYTHWOOD GROUP LIFE AND DISABILITIES PLAN

401k plan membership statisitcs for CONSTANTIA BLYTHWOOD GROUP LIFE AND DISABILITIES PLAN

Measure Date Value
2018: CONSTANTIA BLYTHWOOD GROUP LIFE AND DISABILITIES PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01148
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-010
Number of employers contributing to the scheme2018-01-010
2017: CONSTANTIA BLYTHWOOD GROUP LIFE AND DISABILITIES PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01152
Total number of active participants reported on line 7a of the Form 55002017-01-01155
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01155

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
2018-01-01This 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 providedACCIDENTAL 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
Commission paid to Insurance BrokerUSD $21,459
Amount paid for insurance broker fees7340
Additional information about fees paid to insurance brokerOVERRIDE
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1031654
Policy instance 1
Insurance contract or identification number1031654
Number of Individuals Covered309
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $20,752
Total amount of fees paid to insurance companyUSD $233
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $138,355
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,752
Amount paid for insurance broker fees233
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICES, INC.

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