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| Plan Name | WPS LONG TERM DISABILITY - NONBARGAINING EXEMPT AND NONEXEMPT EMPLOYEES |
| Plan identification number | 507 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION |
| Employer identification number (EIN): | 391268299 |
| NAIC Classification: | 524140 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 507 | 2013-01-01 | CRAIG CAMPBELL | |||
| 507 | 2012-01-01 | CRAIG R. CAMPBELL | |||
| 507 | 2011-01-01 | WILLIAM C. BEISENSTEIN | |||
| 507 | 2009-01-01 | WILLIAM C. BEISENSTEIN |
| Measure | Date | Value |
|---|---|---|
| 2013: WPS LONG TERM DISABILITY - NONBARGAINING EXEMPT AND NONEXEMPT EMPLOYEES 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-01-01 | 2,139 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2013-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2013-01-01 | 0 |
| Total of all active and inactive participants | 2013-01-01 | 0 |
| 2012: WPS LONG TERM DISABILITY - NONBARGAINING EXEMPT AND NONEXEMPT EMPLOYEES 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-01-01 | 2,255 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 2,139 |
| Total of all active and inactive participants | 2012-01-01 | 2,139 |
| 2011: WPS LONG TERM DISABILITY - NONBARGAINING EXEMPT AND NONEXEMPT EMPLOYEES 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-01-01 | 2,366 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 2,255 |
| Total of all active and inactive participants | 2011-01-01 | 2,255 |
| 2009: WPS LONG TERM DISABILITY - NONBARGAINING EXEMPT AND NONEXEMPT EMPLOYEES 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 2,606 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 2,420 |
| Total of all active and inactive participants | 2009-01-01 | 2,420 |
| 2013: WPS LONG TERM DISABILITY - NONBARGAINING EXEMPT AND NONEXEMPT EMPLOYEES 2013 form 5500 responses | ||
|---|---|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Submission has been amended | No |
| 2013-01-01 | This submission is the final filing | Yes |
| 2013-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-01-01 | Plan is a collectively bargained plan | No |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: WPS LONG TERM DISABILITY - NONBARGAINING EXEMPT AND NONEXEMPT EMPLOYEES 2012 form 5500 responses | ||
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: WPS LONG TERM DISABILITY - NONBARGAINING EXEMPT AND NONEXEMPT EMPLOYEES 2011 form 5500 responses | ||
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: WPS LONG TERM DISABILITY - NONBARGAINING EXEMPT AND NONEXEMPT EMPLOYEES 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| THE EPIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64149 ) | |||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 046041 | ||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||
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| THE EPIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64149 ) | |||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 046041 | ||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||
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| THE EPIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64149 ) | |||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 046041 | ||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||
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| THE EPIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64149 ) | |||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 046041 | ||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||
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