ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR PERMANENT FULL TIME EMPLOYEES 401k Plan overview

ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR PERMANENT FULL TIME EMPLOYEES Benefits

401k Sponsoring company profile

Company Name:	U. S. EPPERSON UNDERWRITING COMPANY
Employer identification number (EIN):	440237350
NAIC Classification:	524150

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
504	2015-01-01	MARY MOORE		MARY MOORE	2016-07-07
504	2014-01-01	J. JEFFREY POIRIER
504	2013-01-01	WILLIAM BROICH
504	2012-01-01	WILLIAM BROICH		WILLIAM BROICH	2013-07-26
504	2011-01-01	MICHAEL NORTH
504	2009-01-01	MICHAEL NORTH

Plan Statistics for ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR PERMANENT FULL TIME EMPLOYEES

Measure	Date	Value
2015: ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR PERMANENT FULL TIME EMPLOYEES 2015 401k membership
Total participants, beginning-of-year	2015-01-01	114
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	33
Total of all active and inactive participants	2015-01-01	33
2014: ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR PERMANENT FULL TIME EMPLOYEES 2014 401k membership
Total participants, beginning-of-year	2014-01-01	126
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	114
Total of all active and inactive participants	2014-01-01	114
2013: ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR PERMANENT FULL TIME EMPLOYEES 2013 401k membership
Total participants, beginning-of-year	2013-01-01	153
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	126
Total of all active and inactive participants	2013-01-01	126
2012: ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR PERMANENT FULL TIME EMPLOYEES 2012 401k membership
Total participants, beginning-of-year	2012-01-01	170
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	153
Total of all active and inactive participants	2012-01-01	153
2011: ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR PERMANENT FULL TIME EMPLOYEES 2011 401k membership
Total participants, beginning-of-year	2011-01-01	197
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	170
Total of all active and inactive participants	2011-01-01	170
Total participants	2011-01-01	170
2009: ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR PERMANENT FULL TIME EMPLOYEES 2009 401k membership
Total participants, beginning-of-year	2009-01-01	126
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	132
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	132
Total participants	2009-01-01	132

Form 5500 Responses for ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR PERMANENT FULL TIME EMPLOYEES

Insurance Providers Used on plan

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