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CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN 401k Plan overview

Plan NameCAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN
Plan identification number 501

CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

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

Company Name:CAMERON MUTUAL INSURANCE COMPANY
Employer identification number (EIN):440447850
NAIC Classification:524140

Additional information about CAMERON MUTUAL INSURANCE COMPANY

Jurisdiction of Incorporation: Missouri Secretary of State
Incorporation Date:
Company Identification Number: M00000049

More information about CAMERON MUTUAL INSURANCE COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-05-01
5012020-05-01
5012019-05-01
5012018-05-01
5012017-05-01BRAD FOWLER BRAD FOWLER2018-07-18
5012016-05-01BRAD FOWLER BRAD FOWLER2017-07-18
5012015-05-01BRAD FOWLER BRAD FOWLER2016-07-21
5012014-05-01BRAD FOWLER BRAD FOWLER2015-07-09
5012013-05-01GARY MYERS
5012012-05-01GARY MYERS
5012011-05-01ANDREA LOCKRIDGE GARY MYERS2012-07-24
5012010-05-01ANDREA LOCKRIDGE RONALD KOESTER2011-07-18
5012009-05-01JANET STONUM KENT OSBORN2010-07-13

Plan Statistics for CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN

401k plan membership statisitcs for CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN

Measure Date Value
2021: CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN 2021 401k membership
Total participants, beginning-of-year2021-05-0193
Total number of active participants reported on line 7a of the Form 55002021-05-0186
Number of retired or separated participants receiving benefits2021-05-010
Number of other retired or separated participants entitled to future benefits2021-05-010
Total of all active and inactive participants2021-05-0186
2020: CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN 2020 401k membership
Total participants, beginning-of-year2020-05-0198
Total number of active participants reported on line 7a of the Form 55002020-05-0193
Number of retired or separated participants receiving benefits2020-05-011
Total of all active and inactive participants2020-05-0194
Total participants2020-05-0194
2019: CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-05-0197
Total number of active participants reported on line 7a of the Form 55002019-05-0198
Number of retired or separated participants receiving benefits2019-05-012
Total of all active and inactive participants2019-05-01100
Total participants2019-05-01100
2018: CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-05-01102
Total number of active participants reported on line 7a of the Form 55002018-05-0198
Number of retired or separated participants receiving benefits2018-05-013
Total of all active and inactive participants2018-05-01101
Total participants2018-05-01101
2017: CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-05-01109
Total number of active participants reported on line 7a of the Form 55002017-05-01102
Number of retired or separated participants receiving benefits2017-05-013
Total of all active and inactive participants2017-05-01105
Total participants2017-05-01105
2016: CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-05-01106
Total number of active participants reported on line 7a of the Form 55002016-05-01107
Number of retired or separated participants receiving benefits2016-05-013
Total of all active and inactive participants2016-05-01110
Total participants2016-05-01110
2015: CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-01107
Total number of active participants reported on line 7a of the Form 55002015-05-01107
Number of retired or separated participants receiving benefits2015-05-013
Total of all active and inactive participants2015-05-01110
Total participants2015-05-01110
2014: CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-05-01112
Total number of active participants reported on line 7a of the Form 55002014-05-01109
Number of retired or separated participants receiving benefits2014-05-013
Total of all active and inactive participants2014-05-01112
Total participants2014-05-01112
2013: CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year2013-05-01111
Total number of active participants reported on line 7a of the Form 55002013-05-01110
Number of retired or separated participants receiving benefits2013-05-012
Total of all active and inactive participants2013-05-01112
Total participants2013-05-01112
2012: CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-05-01113
Total number of active participants reported on line 7a of the Form 55002012-05-01111
Number of retired or separated participants receiving benefits2012-05-012
Total of all active and inactive participants2012-05-01113
Total participants2012-05-01113
2011: CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-05-01128
Total number of active participants reported on line 7a of the Form 55002011-05-01118
Number of retired or separated participants receiving benefits2011-05-012
Total of all active and inactive participants2011-05-01120
Total participants2011-05-01120
2010: CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN 2010 401k membership
Total participants, beginning-of-year2010-05-01147
Total number of active participants reported on line 7a of the Form 55002010-05-01128
Number of retired or separated participants receiving benefits2010-05-011
Total of all active and inactive participants2010-05-01129
Total participants2010-05-01129
2009: CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year2009-05-01153
Total number of active participants reported on line 7a of the Form 55002009-05-01147
Total of all active and inactive participants2009-05-01147
Total participants2009-05-01147

Form 5500 Responses for CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN

2021: CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan benefit arrangement – InsuranceYes
2020: CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01First time form 5500 has been submittedYes
2020-05-01Submission has been amendedNo
2020-05-01This submission is the final filingNo
2020-05-01This return/report is a short plan year return/report (less than 12 months)No
2020-05-01Plan is a collectively bargained planNo
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan benefit arrangement – InsuranceYes
2019: CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01First time form 5500 has been submittedYes
2019-05-01Submission has been amendedNo
2019-05-01This submission is the final filingNo
2019-05-01This return/report is a short plan year return/report (less than 12 months)No
2019-05-01Plan is a collectively bargained planNo
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan benefit arrangement – InsuranceYes
2018: CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN 2018 form 5500 responses
2018-05-01Type of plan entitySingle employer plan
2018-05-01First time form 5500 has been submittedYes
2018-05-01Submission has been amendedNo
2018-05-01This submission is the final filingNo
2018-05-01This return/report is a short plan year return/report (less than 12 months)No
2018-05-01Plan is a collectively bargained planNo
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan benefit arrangement – InsuranceYes
2017: CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01First time form 5500 has been submittedYes
2017-05-01Submission has been amendedNo
2017-05-01This submission is the final filingNo
2017-05-01This return/report is a short plan year return/report (less than 12 months)No
2017-05-01Plan is a collectively bargained planNo
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan benefit arrangement – InsuranceYes
2016: CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01First time form 5500 has been submittedYes
2016-05-01Submission has been amendedNo
2016-05-01This submission is the final filingNo
2016-05-01This return/report is a short plan year return/report (less than 12 months)No
2016-05-01Plan is a collectively bargained planNo
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan benefit arrangement – InsuranceYes
2015: CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01First time form 5500 has been submittedYes
2015-05-01Submission has been amendedNo
2015-05-01This submission is the final filingNo
2015-05-01This return/report is a short plan year return/report (less than 12 months)No
2015-05-01Plan is a collectively bargained planNo
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan benefit arrangement – InsuranceYes
2014: CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01First time form 5500 has been submittedYes
2014-05-01Submission has been amendedNo
2014-05-01This submission is the final filingNo
2014-05-01This return/report is a short plan year return/report (less than 12 months)No
2014-05-01Plan is a collectively bargained planNo
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan benefit arrangement – InsuranceYes
2013: CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01First time form 5500 has been submittedYes
2013-05-01Submission has been amendedNo
2013-05-01This submission is the final filingNo
2013-05-01This return/report is a short plan year return/report (less than 12 months)No
2013-05-01Plan is a collectively bargained planNo
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan benefit arrangement – InsuranceYes
2012: CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01First time form 5500 has been submittedYes
2012-05-01Submission has been amendedNo
2012-05-01This submission is the final filingNo
2012-05-01This return/report is a short plan year return/report (less than 12 months)No
2012-05-01Plan is a collectively bargained planNo
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan benefit arrangement – InsuranceYes
2011: CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Submission has been amendedNo
2011-05-01This submission is the final filingNo
2011-05-01This return/report is a short plan year return/report (less than 12 months)No
2011-05-01Plan is a collectively bargained planNo
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan benefit arrangement – InsuranceYes
2010: CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN 2010 form 5500 responses
2010-05-01Type of plan entitySingle employer plan
2010-05-01First time form 5500 has been submittedYes
2010-05-01Submission has been amendedNo
2010-05-01This submission is the final filingNo
2010-05-01This return/report is a short plan year return/report (less than 12 months)No
2010-05-01Plan is a collectively bargained planNo
2010-05-01Plan funding arrangement – InsuranceYes
2010-05-01Plan benefit arrangement – InsuranceYes
2009: CAMERON MUTUAL INSURANCE COMPANY STD LTD DISABILITY PLAN 2009 form 5500 responses
2009-05-01Type of plan entitySingle employer plan
2009-05-01First time form 5500 has been submittedYes
2009-05-01Submission has been amendedNo
2009-05-01This submission is the final filingNo
2009-05-01This return/report is a short plan year return/report (less than 12 months)No
2009-05-01Plan is a collectively bargained planNo
2009-05-01Plan funding arrangement – InsuranceYes
2009-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number25320
Policy instance 1
Insurance contract or identification number25320
Number of Individuals Covered86
Insurance policy start date2021-05-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $9,242
Total amount of fees paid to insurance companyUSD $12
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $32,105
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,242
Insurance broker organization code?3
Amount paid for insurance broker fees12
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATION
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number25320
Policy instance 1
Insurance contract or identification number25320
Number of Individuals Covered94
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $11,220
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 BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $47,195
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1501
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMMISSIONS
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $9,719
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number25320
Policy instance 1
Insurance contract or identification number25320
Number of Individuals Covered98
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $5,989
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 BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $45,945
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $244
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMMISSIONS
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number25320
Policy instance 1
Insurance contract or identification number25320
Number of Individuals Covered98
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $5,531
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 BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $44,251
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,844
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerSALES AND SERVICE COMPENSATION
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number25320
Policy instance 1
Insurance contract or identification number25320
Number of Individuals Covered105
Insurance policy start date2017-05-01
Insurance policy end date2017-04-30
Total amount of commissions paid to insurance brokerUSD $5,801
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 BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $44,619
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,801
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameGALLAGHER

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