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ACCIDENTAL DEATH AND DISMEMBERMENT FOR EMPLOYEES OF POLARIS INDUSTRIES INC. 401k Plan overview

Plan NameACCIDENTAL DEATH AND DISMEMBERMENT FOR EMPLOYEES OF POLARIS INDUSTRIES INC.
Plan identification number 503

ACCIDENTAL DEATH AND DISMEMBERMENT FOR EMPLOYEES OF POLARIS INDUSTRIES INC. Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

POLARIS INDUSTRIES INC. has sponsored the creation of one or more 401k plans.

Company Name:POLARIS INDUSTRIES INC.
Employer identification number (EIN):411857431
NAIC Classification:336990

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ACCIDENTAL DEATH AND DISMEMBERMENT FOR EMPLOYEES OF POLARIS INDUSTRIES INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032017-08-05JOHN SPRINGER JOHN SPRINGER2019-02-28
5032017-08-05
5032016-08-05
5032016-08-05JOHN SPRINGER2018-07-02
5032015-08-05JOHN SPRINGER
5032014-08-05JOHN SPRINGER
5032014-08-05JOHN SPRINGER
5032014-08-05JOHN SPRINGER

Plan Statistics for ACCIDENTAL DEATH AND DISMEMBERMENT FOR EMPLOYEES OF POLARIS INDUSTRIES INC.

401k plan membership statisitcs for ACCIDENTAL DEATH AND DISMEMBERMENT FOR EMPLOYEES OF POLARIS INDUSTRIES INC.

Measure Date Value
2017: ACCIDENTAL DEATH AND DISMEMBERMENT FOR EMPLOYEES OF POLARIS INDUSTRIES INC. 2017 401k membership
Total participants, beginning-of-year2017-08-056,113
Total number of active participants reported on line 7a of the Form 55002017-08-056,451
Total of all active and inactive participants2017-08-056,451
Total participants2017-08-056,451
Number of retired or separated participants receiving benefits2017-08-050
Number of other retired or separated participants entitled to future benefits2017-08-050
2016: ACCIDENTAL DEATH AND DISMEMBERMENT FOR EMPLOYEES OF POLARIS INDUSTRIES INC. 2016 401k membership
Total participants, beginning-of-year2016-08-055,682
Total number of active participants reported on line 7a of the Form 55002016-08-056,113
Total of all active and inactive participants2016-08-056,113
2015: ACCIDENTAL DEATH AND DISMEMBERMENT FOR EMPLOYEES OF POLARIS INDUSTRIES INC. 2015 401k membership
Total participants, beginning-of-year2015-08-052,884
Total number of active participants reported on line 7a of the Form 55002015-08-055,682
Total of all active and inactive participants2015-08-055,682
2014: ACCIDENTAL DEATH AND DISMEMBERMENT FOR EMPLOYEES OF POLARIS INDUSTRIES INC. 2014 401k membership
Total participants, beginning-of-year2014-08-051,963
Total number of active participants reported on line 7a of the Form 55002014-08-052,884
Total of all active and inactive participants2014-08-052,884

Form 5500 Responses for ACCIDENTAL DEATH AND DISMEMBERMENT FOR EMPLOYEES OF POLARIS INDUSTRIES INC.

2017: ACCIDENTAL DEATH AND DISMEMBERMENT FOR EMPLOYEES OF POLARIS INDUSTRIES INC. 2017 form 5500 responses
2017-08-05Type of plan entitySingle employer plan
2017-08-05Submission has been amendedNo
2017-08-05This submission is the final filingNo
2017-08-05This return/report is a short plan year return/report (less than 12 months)No
2017-08-05Plan is a collectively bargained planNo
2017-08-05Plan funding arrangement – InsuranceYes
2017-08-05Plan benefit arrangement – InsuranceYes
2016: ACCIDENTAL DEATH AND DISMEMBERMENT FOR EMPLOYEES OF POLARIS INDUSTRIES INC. 2016 form 5500 responses
2016-08-05Type of plan entitySingle employer plan
2016-08-05Submission has been amendedNo
2016-08-05This submission is the final filingNo
2016-08-05This return/report is a short plan year return/report (less than 12 months)No
2016-08-05Plan is a collectively bargained planNo
2016-08-05Plan funding arrangement – InsuranceYes
2016-08-05Plan benefit arrangement – InsuranceYes
2015: ACCIDENTAL DEATH AND DISMEMBERMENT FOR EMPLOYEES OF POLARIS INDUSTRIES INC. 2015 form 5500 responses
2015-08-05Type of plan entitySingle employer plan
2015-08-05Submission has been amendedNo
2015-08-05This submission is the final filingNo
2015-08-05This return/report is a short plan year return/report (less than 12 months)No
2015-08-05Plan is a collectively bargained planNo
2015-08-05Plan funding arrangement – InsuranceYes
2015-08-05Plan benefit arrangement – InsuranceYes
2014: ACCIDENTAL DEATH AND DISMEMBERMENT FOR EMPLOYEES OF POLARIS INDUSTRIES INC. 2014 form 5500 responses
2014-08-05Type of plan entitySingle employer plan
2014-08-05Submission has been amendedNo
2014-08-05This submission is the final filingNo
2014-08-05This return/report is a short plan year return/report (less than 12 months)No
2014-08-05Plan is a collectively bargained planNo
2014-08-05Plan funding arrangement – InsuranceYes
2014-08-05Plan 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 numberABL970004
Policy instance 1
Insurance contract or identification numberABL970004
Number of Individuals Covered6451
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $1,870
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 BenefitNo
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
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Welfare Benefit Premiums Paid to CarrierUSD $0

Potentially related plans

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