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SENTRY EMPLOYEE MEDICAL PLAN 401k Plan overview

Plan NameSENTRY EMPLOYEE MEDICAL PLAN
Plan identification number 501

SENTRY EMPLOYEE MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Vision

401k Sponsoring company profile

SENTRY INSURANCE COMPANY has sponsored the creation of one or more 401k plans.

Company Name:SENTRY INSURANCE COMPANY
Employer identification number (EIN):390333950
NAIC Classification:524150

Additional information about SENTRY INSURANCE COMPANY

Jurisdiction of Incorporation: Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number: 573678

More information about SENTRY INSURANCE COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SENTRY EMPLOYEE MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01MICHAEL CLOUD CHIEF HR OFFICER2023-08-23 MICHAEL CLOUD CHIEF HR OFFICER2023-08-23
5012021-01-01MICHAEL CLOUD CHIEF HR OFFICER2022-07-20 MICHAEL CLOUD CHIEF HR OFFICER2022-07-20
5012020-01-01AMY RISLOV CHIEF HR OFFICER2021-07-21 AMY RISLOV CHIEF HR OFFICER2021-07-21
5012019-01-01AMY RISLOV CHIEF HR OFFICER2020-08-16 AMY RISLOV CHIEF HR OFFICER2020-08-16
5012018-01-01JAYNE PETRUSKA CHIEF HR OFFICER2019-06-27 JAYNE PETRUSKA CHIEF HR OFFICER2019-06-27
5012017-01-01
5012016-01-01PAM PETERS
5012015-01-01ROSE RAJKOWSKI
5012014-01-01KRISTIE GAGAS
5012013-01-01KRISTIE GAGAS
5012012-01-01KRISTIE GAGAS
5012011-01-01KRISTIE GAGAS
5012010-01-01KRISTIE GAGAS
5012009-01-01KRISTIE GAGAS

Plan Statistics for SENTRY EMPLOYEE MEDICAL PLAN

401k plan membership statisitcs for SENTRY EMPLOYEE MEDICAL PLAN

Measure Date Value
2022: SENTRY EMPLOYEE MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-013,327
Total number of active participants reported on line 7a of the Form 55002022-01-013,226
Number of retired or separated participants receiving benefits2022-01-0146
Total of all active and inactive participants2022-01-013,272
2021: SENTRY EMPLOYEE MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-013,278
Total number of active participants reported on line 7a of the Form 55002021-01-013,236
Number of retired or separated participants receiving benefits2021-01-0129
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-013,265
2020: SENTRY EMPLOYEE MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-013,365
Total number of active participants reported on line 7a of the Form 55002020-01-013,224
Number of retired or separated participants receiving benefits2020-01-0143
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-013,267
2019: SENTRY EMPLOYEE MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-013,195
Total number of active participants reported on line 7a of the Form 55002019-01-013,222
Number of retired or separated participants receiving benefits2019-01-0150
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-013,272
2018: SENTRY EMPLOYEE MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-013,090
Total number of active participants reported on line 7a of the Form 55002018-01-013,112
Number of retired or separated participants receiving benefits2018-01-0160
Total of all active and inactive participants2018-01-013,172
2017: SENTRY EMPLOYEE MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-012,910
Total number of active participants reported on line 7a of the Form 55002017-01-013,102
Number of retired or separated participants receiving benefits2017-01-0125
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-013,127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
2016: SENTRY EMPLOYEE MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-012,871
Total number of active participants reported on line 7a of the Form 55002016-01-012,889
Number of retired or separated participants receiving benefits2016-01-0121
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-012,910
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
2015: SENTRY EMPLOYEE MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-012,848
Total number of active participants reported on line 7a of the Form 55002015-01-012,871
Total of all active and inactive participants2015-01-012,871
2014: SENTRY EMPLOYEE MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-012,843
Total number of active participants reported on line 7a of the Form 55002014-01-012,848
Total of all active and inactive participants2014-01-012,848
2013: SENTRY EMPLOYEE MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-012,935
Total number of active participants reported on line 7a of the Form 55002013-01-012,843
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-012,843
2012: SENTRY EMPLOYEE MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-013,126
Total number of active participants reported on line 7a of the Form 55002012-01-012,935
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-012,935
2011: SENTRY EMPLOYEE MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-013,209
Total number of active participants reported on line 7a of the Form 55002011-01-013,126
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-013,126
2010: SENTRY EMPLOYEE MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-014,923
Total number of active participants reported on line 7a of the Form 55002010-01-013,188
Number of retired or separated participants receiving benefits2010-01-011,628
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-014,816
2009: SENTRY EMPLOYEE MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-015,137
Total number of active participants reported on line 7a of the Form 55002009-01-013,319
Number of retired or separated participants receiving benefits2009-01-011,604
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-014,923

Financial Data on SENTRY EMPLOYEE MEDICAL PLAN

Measure Date Value
2011 : SENTRY EMPLOYEE MEDICAL PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$3,351,297
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$4,749,672
Total income from all sources (including contributions)2011-12-31$20,906,696
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$24,407,031
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$24,407,031
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$20,906,529
Value of total assets at end of year2011-12-31$751,297
Value of total assets at beginning of year2011-12-31$5,650,007
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$0
Total interest from all sources2011-12-31$167
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$10,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$9,623,305
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$15
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-3,500,335
Value of net assets at end of year (total assets less liabilities)2011-12-31$-2,600,000
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$900,335
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$5,649,992
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$5,649,992
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$167
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$11,283,224
Employer contributions (assets) at end of year2011-12-31$751,297
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$24,407,031
Liabilities. Value of benefit claims payable at end of year2011-12-31$3,351,297
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$4,749,672
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2011-12-31410746749
2010 : SENTRY EMPLOYEE MEDICAL PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$4,749,672
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$5,875,415
Total income from all sources (including contributions)2010-12-31$37,019,578
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$35,843,810
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$35,843,810
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$37,019,454
Value of total assets at end of year2010-12-31$5,650,007
Value of total assets at beginning of year2010-12-31$5,599,982
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$0
Total interest from all sources2010-12-31$124
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$10,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$10,522,095
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$15
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$15
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$1,175,768
Value of net assets at end of year (total assets less liabilities)2010-12-31$900,335
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$-275,433
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$5,649,992
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$5,599,967
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$5,599,967
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$124
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$26,497,359
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$35,843,810
Liabilities. Value of benefit claims payable at end of year2010-12-31$4,749,672
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$5,875,415
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31LARSONALLEN LLP
Accountancy firm EIN2010-12-31410746749

Form 5500 Responses for SENTRY EMPLOYEE MEDICAL PLAN

2022: SENTRY EMPLOYEE MEDICAL PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: SENTRY EMPLOYEE MEDICAL PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: SENTRY EMPLOYEE MEDICAL PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: SENTRY EMPLOYEE MEDICAL PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: SENTRY EMPLOYEE MEDICAL PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: SENTRY EMPLOYEE MEDICAL PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: SENTRY EMPLOYEE MEDICAL PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: SENTRY EMPLOYEE MEDICAL PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: SENTRY EMPLOYEE MEDICAL PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: SENTRY EMPLOYEE MEDICAL PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: SENTRY EMPLOYEE MEDICAL PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: SENTRY EMPLOYEE MEDICAL PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement - TrustYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: SENTRY EMPLOYEE MEDICAL PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: SENTRY EMPLOYEE MEDICAL PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

DEAN HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 96156 )
Policy contract number15695-15698
Policy instance 1
Insurance contract or identification number15695-15698
Number of Individuals Covered0
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
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 BenefitYes
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
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 $2,228
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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