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EXPERIENCE WORKS, INC. LIFE, DEPENDENT LIFE, SUPPLEMENTAL LIFE/AD&D 401k Plan overview

Plan NameEXPERIENCE WORKS, INC. LIFE, DEPENDENT LIFE, SUPPLEMENTAL LIFE/AD&D
Plan identification number 505

EXPERIENCE WORKS, INC. LIFE, DEPENDENT LIFE, SUPPLEMENTAL LIFE/AD&D Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Long-term disability cover

401k Sponsoring company profile

EXPERIENCE WORKS, INC. has sponsored the creation of one or more 401k plans.

Company Name:EXPERIENCE WORKS, INC.
Employer identification number (EIN):520817955
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Additional information about EXPERIENCE WORKS, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1993-08-20
Company Identification Number: 0009671307
Legal Registered Office Address: 900 AUSTIN AVE STE 303

WACO
United States of America (USA)
76701

More information about EXPERIENCE WORKS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EXPERIENCE WORKS, INC. LIFE, DEPENDENT LIFE, SUPPLEMENTAL LIFE/AD&D

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052015-05-01
5052014-05-01FANNY CASTELLAR, HR BENEFITS ADMIN
5052013-05-01FANNY CASTELLAR, HR BENEFITS ADMIN
5052012-05-01FANNY CASTELLAR, HR BENEFITS ADMIN
5052011-05-01WILLIAM H. DODSON, DIR HUMAN RESOUR
5052010-05-01WILLIAM H. DODSON, DIR HUMAN RESOUR

Form 5500 Responses for EXPERIENCE WORKS, INC. LIFE, DEPENDENT LIFE, SUPPLEMENTAL LIFE/AD&D

2015: EXPERIENCE WORKS, INC. LIFE, DEPENDENT LIFE, SUPPLEMENTAL LIFE/AD&D 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Submission has been amendedNo
2015-05-01This submission is the final filingYes
2015-05-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-05-01Plan is a collectively bargained planNo
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan benefit arrangement – InsuranceYes
2014: EXPERIENCE WORKS, INC. LIFE, DEPENDENT LIFE, SUPPLEMENTAL LIFE/AD&D 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
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: EXPERIENCE WORKS, INC. LIFE, DEPENDENT LIFE, SUPPLEMENTAL LIFE/AD&D 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
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: EXPERIENCE WORKS, INC. LIFE, DEPENDENT LIFE, SUPPLEMENTAL LIFE/AD&D 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
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: EXPERIENCE WORKS, INC. LIFE, DEPENDENT LIFE, SUPPLEMENTAL LIFE/AD&D 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: EXPERIENCE WORKS, INC. LIFE, DEPENDENT LIFE, SUPPLEMENTAL LIFE/AD&D 2010 form 5500 responses
2010-05-01Type of plan entitySingle employer plan
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

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05595946
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberH49495
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberH49495
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberH49495
Policy instance 2
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberH49495
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberH49495
Policy instance 2
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberH49495
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberH49495
Policy instance 1

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