| Plan Name | WORLD INSURANCE COMPANY RETIREMENT PLAN |
| Plan identification number | 004 |
| 401k Plan Type | Defined Benefit Pension |
| Plan Features/Benefits |
|
| Company Name: | AMERICAN REPUBLIC INSURANCE COMPANY |
| Employer identification number (EIN): | 420113630 |
| NAIC Classification: | 524140 |
Additional information about AMERICAN REPUBLIC INSURANCE COMPANY
| Jurisdiction of Incorporation: | Iowa Secretary of State Business Entities |
| Incorporation Date: | 1929-04-04 |
| Company Identification Number: | 098178 |
| Legal Registered Office Address: |
601 6TH AVENUE DES MOINES United States of America (USA) 50309 |
More information about AMERICAN REPUBLIC INSURANCE COMPANY
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 004 | 2014-01-01 | MEDHA JOHNSON | MEDHA JOHNSON | 2014-11-21 | |
| 004 | 2013-01-01 | MEDHA JOHNSON | MEDHA JOHNSON | 2014-08-25 |
| Measure | Date | Value |
|---|---|---|
| 2014 : WORLD INSURANCE COMPANY RETIREMENT PLAN 2014 401k financial data | ||
| Unrealized appreciation/depreciation of real estate assets | 2014-04-21 | $0 |
| Unrealized appreciation/depreciation of other (non real estate) assets | 2014-04-21 | $0 |
| Total unrealized appreciation/depreciation of assets | 2014-04-21 | $0 |
| Total transfer of assets to this plan | 2014-04-21 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-04-21 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-04-21 | $0 |
| Total income from all sources (including contributions) | 2014-04-21 | $2,717,821 |
| Total loss/gain on sale of assets | 2014-04-21 | $0 |
| Total of all expenses incurred | 2014-04-21 | $12,512,719 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-04-21 | $12,512,712 |
| Value of total corrective distributions | 2014-04-21 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-04-21 | $2,243,751 |
| Value of total assets at end of year | 2014-04-21 | $0 |
| Value of total assets at beginning of year | 2014-04-21 | $9,794,898 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-04-21 | $7 |
| Total income from rents | 2014-04-21 | $0 |
| Total interest from all sources | 2014-04-21 | $3,642 |
| Total dividends received (eg from common stock, registered investment company shares) | 2014-04-21 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-04-21 | Yes |
| Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan | 2014-04-21 | $225 |
| Total dividends received from registered investment company shares (eg mutual funds) | 2014-04-21 | $0 |
| Administrative expenses professional fees incurred | 2014-04-21 | $0 |
| Was this plan covered by a fidelity bond | 2014-04-21 | Yes |
| Value of fidelity bond cover | 2014-04-21 | $5,000,000 |
| If this is an individual account plan, was there a blackout period | 2014-04-21 | No |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2014-04-21 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2014-04-21 | No |
| Amount of non-exempt transactions with any party-in-interest | 2014-04-21 | $0 |
| Contributions received from participants | 2014-04-21 | $0 |
| Participant contributions at end of year | 2014-04-21 | $0 |
| Participant contributions at beginning of year | 2014-04-21 | $0 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2014-04-21 | $0 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2014-04-21 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-04-21 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-04-21 | $0 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2014-04-21 | $0 |
| Other income not declared elsewhere | 2014-04-21 | $-225 |
| Administrative expenses (other) incurred | 2014-04-21 | $0 |
| Liabilities. Value of operating payables at beginning of year | 2014-04-21 | $0 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-04-21 | No |
| Value of net income/loss | 2014-04-21 | $-9,794,898 |
| Value of net assets at end of year (total assets less liabilities) | 2014-04-21 | $0 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-04-21 | $9,794,898 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-04-21 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-04-21 | No |
| Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year | 2014-04-21 | $0 |
| Were any leases to which the plan was party in default or uncollectible | 2014-04-21 | No |
| Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year | 2014-04-21 | $0 |
| Investment advisory and management fees | 2014-04-21 | $0 |
| Value of interest in pooled separate accounts at end of year | 2014-04-21 | $0 |
| Value of interest in pooled separate accounts at beginning of year | 2014-04-21 | $541,735 |
| Income. Interest from loans (other than to participants) | 2014-04-21 | $0 |
| Interest earned on other investments | 2014-04-21 | $3,642 |
| Income. Interest from US Government securities | 2014-04-21 | $0 |
| Income. Interest from corporate debt instruments | 2014-04-21 | $0 |
| Value of interest in master investment trust accounts at end of year | 2014-04-21 | $0 |
| Value of interest in master investment trust accounts at beginning of year | 2014-04-21 | $9,253,163 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-04-21 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-04-21 | $9,152,950 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2014-04-21 | $0 |
| Net investment gain/loss from pooled separate accounts | 2014-04-21 | $-1,022 |
| Net investment gain or loss from common/collective trusts | 2014-04-21 | $0 |
| Net gain/loss from 103.12 investment entities | 2014-04-21 | $0 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-04-21 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2014-04-21 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-04-21 | No |
| Contributions received in cash from employer | 2014-04-21 | $2,243,751 |
| Employer contributions (assets) at end of year | 2014-04-21 | $0 |
| Employer contributions (assets) at beginning of year | 2014-04-21 | $0 |
| Income. Dividends from preferred stock | 2014-04-21 | $0 |
| Income. Dividends from common stock | 2014-04-21 | $0 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-04-21 | $3,359,762 |
| Contract administrator fees | 2014-04-21 | $7 |
| Liabilities. Value of benefit claims payable at beginning of year | 2014-04-21 | $0 |
| Did the plan have assets held for investment | 2014-04-21 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-04-21 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-04-21 | Yes |
| Aggregate proceeds on sale of assets | 2014-04-21 | $0 |
| Aggregate carrying amount (costs) on sale of assets | 2014-04-21 | $0 |
| Liabilities. Value of acquisition indebtedness at beginning of year | 2014-04-21 | $0 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-04-21 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2014-04-21 | Disclaimer |
| Accountancy firm name | 2014-04-21 | LWBJ, LLP |
| Accountancy firm EIN | 2014-04-21 | 421462849 |
| 2013 : WORLD INSURANCE COMPANY RETIREMENT PLAN 2013 401k financial data | ||
| Unrealized appreciation/depreciation of real estate assets | 2013-12-31 | $0 |
| Unrealized appreciation/depreciation of other (non real estate) assets | 2013-12-31 | $0 |
| Total unrealized appreciation/depreciation of assets | 2013-12-31 | $0 |
| Total transfer of assets to this plan | 2013-12-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $0 |
| Total income from all sources (including contributions) | 2013-12-31 | $-651,359 |
| Total loss/gain on sale of assets | 2013-12-31 | $0 |
| Total of all expenses incurred | 2013-12-31 | $633,340 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-12-31 | $621,622 |
| Value of total corrective distributions | 2013-12-31 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-12-31 | $600,000 |
| Value of total assets at end of year | 2013-12-31 | $9,794,898 |
| Value of total assets at beginning of year | 2013-12-31 | $11,079,597 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-12-31 | $11,718 |
| Total income from rents | 2013-12-31 | $0 |
| Total interest from all sources | 2013-12-31 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2013-12-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-12-31 | Yes |
| Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan | 2013-12-31 | $0 |
| Total dividends received from registered investment company shares (eg mutual funds) | 2013-12-31 | $0 |
| Administrative expenses professional fees incurred | 2013-12-31 | $0 |
| Was this plan covered by a fidelity bond | 2013-12-31 | Yes |
| Value of fidelity bond cover | 2013-12-31 | $5,000,000 |
| If this is an individual account plan, was there a blackout period | 2013-12-31 | No |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2013-12-31 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2013-12-31 | No |
| Amount of non-exempt transactions with any party-in-interest | 2013-12-31 | $0 |
| Contributions received from participants | 2013-12-31 | $0 |
| Participant contributions at end of year | 2013-12-31 | $0 |
| Participant contributions at beginning of year | 2013-12-31 | $0 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2013-12-31 | $0 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2013-12-31 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-12-31 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-12-31 | $0 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2013-12-31 | $0 |
| Other income not declared elsewhere | 2013-12-31 | $0 |
| Administrative expenses (other) incurred | 2013-12-31 | $11,718 |
| Liabilities. Value of operating payables at beginning of year | 2013-12-31 | $0 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
| Value of net income/loss | 2013-12-31 | $-1,284,699 |
| Value of net assets at end of year (total assets less liabilities) | 2013-12-31 | $9,794,898 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-12-31 | $11,079,597 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-12-31 | No |
| Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year | 2013-12-31 | $0 |
| Were any leases to which the plan was party in default or uncollectible | 2013-12-31 | No |
| Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year | 2013-12-31 | $0 |
| Investment advisory and management fees | 2013-12-31 | $0 |
| Value of interest in pooled separate accounts at end of year | 2013-12-31 | $541,735 |
| Value of interest in pooled separate accounts at beginning of year | 2013-12-31 | $576,532 |
| Income. Interest from loans (other than to participants) | 2013-12-31 | $0 |
| Interest earned on other investments | 2013-12-31 | $0 |
| Income. Interest from US Government securities | 2013-12-31 | $0 |
| Income. Interest from corporate debt instruments | 2013-12-31 | $0 |
| Value of interest in master investment trust accounts at end of year | 2013-12-31 | $9,253,163 |
| Value of interest in master investment trust accounts at beginning of year | 2013-12-31 | $10,503,065 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-12-31 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-12-31 | $0 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2013-12-31 | $0 |
| Net investment gain/loss from pooled separate accounts | 2013-12-31 | $-1,457 |
| Net investment gain or loss from common/collective trusts | 2013-12-31 | $0 |
| Net gain/loss from 103.12 investment entities | 2013-12-31 | $0 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2013-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-12-31 | No |
| Contributions received in cash from employer | 2013-12-31 | $600,000 |
| Employer contributions (assets) at end of year | 2013-12-31 | $0 |
| Employer contributions (assets) at beginning of year | 2013-12-31 | $0 |
| Income. Dividends from preferred stock | 2013-12-31 | $0 |
| Income. Dividends from common stock | 2013-12-31 | $0 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-12-31 | $621,622 |
| Contract administrator fees | 2013-12-31 | $0 |
| Liabilities. Value of benefit claims payable at beginning of year | 2013-12-31 | $0 |
| Did the plan have assets held for investment | 2013-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-12-31 | No |
| Aggregate proceeds on sale of assets | 2013-12-31 | $0 |
| Aggregate carrying amount (costs) on sale of assets | 2013-12-31 | $0 |
| Liabilities. Value of acquisition indebtedness at beginning of year | 2013-12-31 | $0 |
| 2014: WORLD INSURANCE COMPANY RETIREMENT PLAN 2014 form 5500 responses | ||
|---|---|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | This submission is the final filing | Yes |
| 2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2014-01-01 | Plan is a collectively bargained plan | No |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan funding arrangement – Trust | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement - Trust | Yes |
| 2013: WORLD INSURANCE COMPANY RETIREMENT PLAN 2013 form 5500 responses | ||
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | This submission is the final filing | No |
| 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 funding arrangement – Trust | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement - Trust | Yes |