CEREAL FOOD PROCESSORS, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan CEREAL FOOD PROCESSORS, INC. EMPLOYEE GROUP INSURANCE PLAN
401k plan membership statisitcs for CEREAL FOOD PROCESSORS, INC. EMPLOYEE GROUP INSURANCE PLAN
| Measure | Date | Value |
|---|
| 2015: CEREAL FOOD PROCESSORS, INC. EMPLOYEE GROUP INSURANCE PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-08-01 | 104 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-08-01 | 107 |
| Number of retired or separated participants receiving benefits | 2015-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-08-01 | 0 |
| Total of all active and inactive participants | 2015-08-01 | 107 |
| 2014: CEREAL FOOD PROCESSORS, INC. EMPLOYEE GROUP INSURANCE PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-08-01 | 249 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-08-01 | 104 |
| Number of retired or separated participants receiving benefits | 2014-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-08-01 | 0 |
| Total of all active and inactive participants | 2014-08-01 | 104 |
| 2013: CEREAL FOOD PROCESSORS, INC. EMPLOYEE GROUP INSURANCE PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-08-01 | 252 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-08-01 | 249 |
| Total of all active and inactive participants | 2013-08-01 | 249 |
| 2012: CEREAL FOOD PROCESSORS, INC. EMPLOYEE GROUP INSURANCE PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-08-01 | 246 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-08-01 | 252 |
| Total of all active and inactive participants | 2012-08-01 | 252 |
| 2011: CEREAL FOOD PROCESSORS, INC. EMPLOYEE GROUP INSURANCE PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-08-01 | 249 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-08-01 | 246 |
| Total of all active and inactive participants | 2011-08-01 | 246 |
| 2010: CEREAL FOOD PROCESSORS, INC. EMPLOYEE GROUP INSURANCE PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-08-01 | 276 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-08-01 | 249 |
| Total of all active and inactive participants | 2010-08-01 | 249 |
| 2009: CEREAL FOOD PROCESSORS, INC. EMPLOYEE GROUP INSURANCE PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-08-01 | 255 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-08-01 | 276 |
| Total of all active and inactive participants | 2009-08-01 | 276 |
| 2015: CEREAL FOOD PROCESSORS, INC. EMPLOYEE GROUP INSURANCE PLAN 2015 form 5500 responses |
|---|
| 2015-08-01 | Type of plan entity | Single employer plan |
| 2015-08-01 | Plan funding arrangement – Insurance | Yes |
| 2015-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-08-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: CEREAL FOOD PROCESSORS, INC. EMPLOYEE GROUP INSURANCE PLAN 2014 form 5500 responses |
|---|
| 2014-08-01 | Type of plan entity | Single employer plan |
| 2014-08-01 | Plan funding arrangement – Insurance | Yes |
| 2014-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-08-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2013: CEREAL FOOD PROCESSORS, INC. EMPLOYEE GROUP INSURANCE PLAN 2013 form 5500 responses |
|---|
| 2013-08-01 | Type of plan entity | Single employer plan |
| 2013-08-01 | Plan funding arrangement – Insurance | Yes |
| 2013-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-08-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2012: CEREAL FOOD PROCESSORS, INC. EMPLOYEE GROUP INSURANCE PLAN 2012 form 5500 responses |
|---|
| 2012-08-01 | Type of plan entity | Single employer plan |
| 2012-08-01 | Submission has been amended | Yes |
| 2012-08-01 | Plan funding arrangement – Insurance | Yes |
| 2012-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-08-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2011: CEREAL FOOD PROCESSORS, INC. EMPLOYEE GROUP INSURANCE PLAN 2011 form 5500 responses |
|---|
| 2011-08-01 | Type of plan entity | Single employer plan |
| 2011-08-01 | Plan funding arrangement – Insurance | Yes |
| 2011-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-08-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2010: CEREAL FOOD PROCESSORS, INC. EMPLOYEE GROUP INSURANCE PLAN 2010 form 5500 responses |
|---|
| 2010-08-01 | Type of plan entity | Single employer plan |
| 2010-08-01 | Plan funding arrangement – Insurance | Yes |
| 2010-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2010-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2010-08-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2009: CEREAL FOOD PROCESSORS, INC. EMPLOYEE GROUP INSURANCE PLAN 2009 form 5500 responses |
|---|
| 2009-08-01 | Type of plan entity | Single employer plan |
| 2009-08-01 | Plan funding arrangement – Insurance | Yes |
| 2009-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-08-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 131268 |
| Policy instance | 2 |
| Insurance contract or identification number | GL 131268 | | Number of Individuals Covered | 292 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $12,571 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 211862 |
| Policy instance | 1 |
| Insurance contract or identification number | 211862 | | Number of Individuals Covered | 107 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $1,504 | | Welfare Benefit Premiums Paid to Carrier | USD $153,165 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,504 | | Insurance broker organization code? | 5 | | Insurance broker name | UMR, INC. |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 131268 |
| Policy instance | 3 |
| Insurance contract or identification number | GL 131268 | | Number of Individuals Covered | 146 | | Insurance policy start date | 2014-08-01 | | Insurance policy end date | 2015-07-31 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $26,141 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | BGGR099695 |
| Policy instance | 1 |
| Insurance contract or identification number | BGGR099695 | | Number of Individuals Covered | 39 | | Insurance policy start date | 2014-08-01 | | Insurance policy end date | 2015-01-31 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $25,880 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 211862 |
| Policy instance | 2 |
| Insurance contract or identification number | 211862 | | Number of Individuals Covered | 104 | | Insurance policy start date | 2014-08-01 | | Insurance policy end date | 2015-07-31 | | Welfare Benefit Premiums Paid to Carrier | USD $210,852 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | LTD 105846 |
| Policy instance | 4 |
| Insurance contract or identification number | LTD 105846 | | Insurance policy start date | 2014-08-01 | | Insurance policy end date | 2015-01-31 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $12,979 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 131268 |
| Policy instance | 1 |
| Insurance contract or identification number | GL 131268 | | Number of Individuals Covered | 309 | | Insurance policy start date | 2013-08-01 | | Insurance policy end date | 2014-07-31 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $49,529 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | BGGR099695 |
| Policy instance | 2 |
| Insurance contract or identification number | BGGR099695 | | Number of Individuals Covered | 80 | | Insurance policy start date | 2013-02-01 | | Insurance policy end date | 2014-01-31 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $28,111 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | ETB-200733 |
| Policy instance | 3 |
| Insurance contract or identification number | ETB-200733 | | Number of Individuals Covered | 110 | | Insurance policy start date | 2013-03-01 | | Insurance policy end date | 2014-02-28 | | Total amount of commissions paid to insurance broker | USD $414 | | Other welfare benefits provided | BUSINESS TRAVEL ACCIDENT | | Welfare Benefit Premiums Paid to Carrier | USD $2,757 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $414 | | Insurance broker organization code? | 3 | | Insurance broker name | LOCKTON COMPANIES, LLC |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | OK 807273 |
| Policy instance | 4 |
| Insurance contract or identification number | OK 807273 | | Number of Individuals Covered | 32 | | Insurance policy start date | 2013-04-01 | | Insurance policy end date | 2014-03-31 | | Total amount of fees paid to insurance company | USD $56 | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $2,725 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 56 | | Additional information about fees paid to insurance broker | OVERRIDE | | Insurance broker organization code? | 3 | | Insurance broker name | LOCKTON COMPANIES, LLC |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | LTD 105846 |
| Policy instance | 5 |
| Insurance contract or identification number | LTD 105846 | | Number of Individuals Covered | 139 | | Insurance policy start date | 2013-08-01 | | Insurance policy end date | 2014-07-31 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $29,486 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 211862 |
| Policy instance | 6 |
| Insurance contract or identification number | 211862 | | Number of Individuals Covered | 246 | | Insurance policy start date | 2013-08-01 | | Insurance policy end date | 2014-07-31 | | Welfare Benefit Premiums Paid to Carrier | USD $272,705 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | BGGR099695 |
| Policy instance | 2 |
| Insurance contract or identification number | BGGR099695 | | Number of Individuals Covered | 80 | | Insurance policy start date | 2012-02-01 | | Insurance policy end date | 2013-01-31 | | Total amount of fees paid to insurance company | USD $19 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $25,863 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 19 | | Additional information about fees paid to insurance broker | NON-MONETARY COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | MCINNES GROUP INC. |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 537008530050 |
| Policy instance | 6 |
| Insurance contract or identification number | 537008530050 | | Number of Individuals Covered | 249 | | Insurance policy start date | 2012-08-01 | | Insurance policy end date | 2013-07-31 | | Welfare Benefit Premiums Paid to Carrier | USD $260,835 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 131268 |
| Policy instance | 1 |
| Insurance contract or identification number | GL 131268 | | Number of Individuals Covered | 306 | | Insurance policy start date | 2012-08-01 | | Insurance policy end date | 2013-07-31 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $41,222 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | ETB200733 |
| Policy instance | 3 |
| Insurance contract or identification number | ETB200733 | | Number of Individuals Covered | 115 | | Insurance policy start date | 2012-03-01 | | Insurance policy end date | 2013-02-28 | | Total amount of commissions paid to insurance broker | USD $414 | | Other welfare benefits provided | BUSINESS TRAVEL ACCIDENT | | Welfare Benefit Premiums Paid to Carrier | USD $2,757 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $414 | | Insurance broker organization code? | 3 | | Insurance broker name | LOCKTON COMPANIES, LLC |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | OK 807273 |
| Policy instance | 4 |
| Insurance contract or identification number | OK 807273 | | Number of Individuals Covered | 32 | | Insurance policy start date | 2012-04-01 | | Insurance policy end date | 2013-03-31 | | Total amount of fees paid to insurance company | USD $62 | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $2,823 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 62 | | Additional information about fees paid to insurance broker | OVERRIDE | | Insurance broker organization code? | 3 | | Insurance broker name | LOCKTON COMAPNIES, LLC |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | LTD 105846 |
| Policy instance | 5 |
| Insurance contract or identification number | LTD 105846 | | Number of Individuals Covered | 113 | | Insurance policy start date | 2012-08-01 | | Insurance policy end date | 2013-07-31 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $28,740 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 211862 |
| Policy instance | 6 |
| Insurance contract or identification number | 211862 | | Number of Individuals Covered | 246 | | Insurance policy start date | 2012-08-01 | | Insurance policy end date | 2013-07-31 | | Welfare Benefit Premiums Paid to Carrier | USD $280,438 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | LTD 105846 |
| Policy instance | 5 |
| Insurance contract or identification number | LTD 105846 | | Number of Individuals Covered | 141 | | Insurance policy start date | 2011-08-01 | | Insurance policy end date | 2012-07-31 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $30,197 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | OK 807273 |
| Policy instance | 4 |
| Insurance contract or identification number | OK 807273 | | Number of Individuals Covered | 33 | | Insurance policy start date | 2011-04-01 | | Insurance policy end date | 2012-03-31 | | Other welfare benefits provided | ACCIDENTAL DEATH DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $2,768 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | ETB200733 |
| Policy instance | 3 |
| Insurance contract or identification number | ETB200733 | | Number of Individuals Covered | 110 | | Insurance policy start date | 2011-03-01 | | Insurance policy end date | 2012-02-28 | | Total amount of commissions paid to insurance broker | USD $414 | | Other welfare benefits provided | ACCIDENTAL DEATH DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $2,757 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | BGGR099695 |
| Policy instance | 2 |
| Insurance contract or identification number | BGGR099695 | | Number of Individuals Covered | 80 | | Insurance policy start date | 2011-02-01 | | Insurance policy end date | 2012-01-31 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $24,799 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 131268 |
| Policy instance | 1 |
| Insurance contract or identification number | GL 131268 | | Number of Individuals Covered | 313 | | Insurance policy start date | 2011-08-01 | | Insurance policy end date | 2012-07-31 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $46,984 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 211862 |
| Policy instance | 6 |
| Insurance contract or identification number | 211862 | | Number of Individuals Covered | 246 | | Insurance policy start date | 2011-08-01 | | Insurance policy end date | 2012-07-31 | | Total amount of fees paid to insurance company | USD $4,713 | | Welfare Benefit Premiums Paid to Carrier | USD $294,599 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 537008530050 |
| Policy instance | 6 |
| Insurance contract or identification number | 537008530050 | | Number of Individuals Covered | 251 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Welfare Benefit Premiums Paid to Carrier | USD $327,534 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | LTD 105846 |
| Policy instance | 5 |
| Insurance contract or identification number | LTD 105846 | | Number of Individuals Covered | 142 | | Insurance policy start date | 2010-08-01 | | Insurance policy end date | 2011-07-31 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $31,276 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | ETB200733 |
| Policy instance | 3 |
| Insurance contract or identification number | ETB200733 | | Number of Individuals Covered | 110 | | Insurance policy start date | 2010-03-01 | | Insurance policy end date | 2011-02-28 | | Total amount of commissions paid to insurance broker | USD $414 | | Other welfare benefits provided | ACCIDENTAL DEATH DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $2,757 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | BGGR099695 |
| Policy instance | 2 |
| Insurance contract or identification number | BGGR099695 | | Number of Individuals Covered | 88 | | Insurance policy start date | 2010-02-01 | | Insurance policy end date | 2011-01-31 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ADD | | Welfare Benefit Premiums Paid to Carrier | USD $23,030 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 131268 |
| Policy instance | 1 |
| Insurance contract or identification number | GL 131268 | | Number of Individuals Covered | 317 | | Insurance policy start date | 2010-08-01 | | Insurance policy end date | 2011-07-31 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $48,628 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | OK 807273 |
| Policy instance | 4 |
| Insurance contract or identification number | OK 807273 | | Number of Individuals Covered | 31 | | Insurance policy start date | 2010-04-01 | | Insurance policy end date | 2011-03-31 | | Other welfare benefits provided | ACCIDENTAL DEATH DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $2,900 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
