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SAFEWAY INSURANCE LONG TERM CARE PLAN 401k Plan overview

Plan NameSAFEWAY INSURANCE LONG TERM CARE PLAN
Plan identification number 502

SAFEWAY INSURANCE LONG TERM CARE PLAN Benefits

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

401k Sponsoring company profile

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

Company Name:SAFEWAY INSURANCE COMPANY
Employer identification number (EIN):392497730
NAIC Classification:524290

Additional information about SAFEWAY INSURANCE COMPANY

Jurisdiction of Incorporation: Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number: 675107

More information about SAFEWAY INSURANCE COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SAFEWAY INSURANCE LONG TERM CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022015-06-01
5022014-06-01
5022013-06-01
5022012-06-01DAWN MOSTACCI
5022011-06-01DAWN MOSTACCI

Plan Statistics for SAFEWAY INSURANCE LONG TERM CARE PLAN

401k plan membership statisitcs for SAFEWAY INSURANCE LONG TERM CARE PLAN

Measure Date Value
2015: SAFEWAY INSURANCE LONG TERM CARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-06-01496
Total number of active participants reported on line 7a of the Form 55002015-06-01497
Total of all active and inactive participants2015-06-01497
2014: SAFEWAY INSURANCE LONG TERM CARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-06-01462
Total number of active participants reported on line 7a of the Form 55002014-06-01496
Total of all active and inactive participants2014-06-01496
2013: SAFEWAY INSURANCE LONG TERM CARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-06-01456
Total number of active participants reported on line 7a of the Form 55002013-06-01462
Total of all active and inactive participants2013-06-01462
2012: SAFEWAY INSURANCE LONG TERM CARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-06-01426
Total number of active participants reported on line 7a of the Form 55002012-06-01456
Total of all active and inactive participants2012-06-01456
2011: SAFEWAY INSURANCE LONG TERM CARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-06-01416
Total number of active participants reported on line 7a of the Form 55002011-06-01426
Total of all active and inactive participants2011-06-01426

Form 5500 Responses for SAFEWAY INSURANCE LONG TERM CARE PLAN

2015: SAFEWAY INSURANCE LONG TERM CARE PLAN 2015 form 5500 responses
2015-06-01Type of plan entitySingle employer plan
2015-06-01Plan funding arrangement – InsuranceYes
2015-06-01Plan benefit arrangement – InsuranceYes
2014: SAFEWAY INSURANCE LONG TERM CARE PLAN 2014 form 5500 responses
2014-06-01Type of plan entitySingle employer plan
2014-06-01Plan funding arrangement – InsuranceYes
2014-06-01Plan benefit arrangement – InsuranceYes
2013: SAFEWAY INSURANCE LONG TERM CARE PLAN 2013 form 5500 responses
2013-06-01Type of plan entitySingle employer plan
2013-06-01Plan funding arrangement – InsuranceYes
2013-06-01Plan benefit arrangement – InsuranceYes
2012: SAFEWAY INSURANCE LONG TERM CARE PLAN 2012 form 5500 responses
2012-06-01Type of plan entitySingle employer plan
2012-06-01Plan funding arrangement – InsuranceYes
2012-06-01Plan benefit arrangement – InsuranceYes
2011: SAFEWAY INSURANCE LONG TERM CARE PLAN 2011 form 5500 responses
2011-06-01Type of plan entitySingle employer plan
2011-06-01First time form 5500 has been submittedYes
2011-06-01Plan funding arrangement – InsuranceYes
2011-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number141333
Policy instance 1
Insurance contract or identification number141333
Number of Individuals Covered497
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
Total amount of commissions paid to insurance brokerUSD $17,876
Total amount of fees paid to insurance companyUSD $496
Other welfare benefits providedLONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $97,492
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,938
Amount paid for insurance broker fees496
Insurance broker organization code?3
Insurance broker nameBRIAN ASHE & ASSOCIATES LTD
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number141333
Policy instance 1
Insurance contract or identification number141333
Number of Individuals Covered496
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Total amount of commissions paid to insurance brokerUSD $21,030
Total amount of fees paid to insurance companyUSD $920
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedLONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $105,147
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,515
Amount paid for insurance broker fees920
Insurance broker organization code?3
Insurance broker nameBRIAN ASHE & ASSOCIATES LTD
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number141333
Policy instance 1
Insurance contract or identification number141333
Number of Individuals Covered462
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
Total amount of commissions paid to insurance brokerUSD $21,090
Total amount of fees paid to insurance companyUSD $923
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedLONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $105,448
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,545
Amount paid for insurance broker fees923
Insurance broker organization code?3
Insurance broker nameBRIAN ASHE & ASSOCIATES LTD
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number141333
Policy instance 1
Insurance contract or identification number141333
Number of Individuals Covered456
Insurance policy start date2012-06-01
Insurance policy end date2013-05-31
Total amount of commissions paid to insurance brokerUSD $20,972
Total amount of fees paid to insurance companyUSD $767
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedLONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $104,860
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,486
Amount paid for insurance broker fees767
Insurance broker organization code?3
Insurance broker nameBRIAN ASHE & ASSOCIATES LTD
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number141333
Policy instance 1
Insurance contract or identification number141333
Number of Individuals Covered426
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $22,698
Total amount of fees paid to insurance companyUSD $666
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedLONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $104,489
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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