401k Plan data: CIGNA INTERNATIONAL EXPATRIATE BENEFITS INSURANCE PLAN plan

CIGNA INTERNATIONAL EXPATRIATE BENEFITS INSURANCE PLAN 401k Plan overview

Plan Name	CIGNA INTERNATIONAL EXPATRIATE BENEFITS INSURANCE PLAN
Plan identification number	515

CIGNA INTERNATIONAL EXPATRIATE BENEFITS INSURANCE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

GEORGETOWN UNIVERSITY has sponsored the creation of one or more 401k plans.

Company Name: GEORGETOWN UNIVERSITY

Employer identification number (EIN): 530196603

NAIC Classification: 611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CIGNA INTERNATIONAL EXPATRIATE BENEFITS INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
515 2012-07-01 CHARLES DESANTIS
515 2011-07-01 CHARLES DESANTIS
515 2010-07-01 CHARLES DESANTIS
515 2009-07-01 CHARLES DESANTIS

Plan id#	Filing Submission Date	Name of Administrator
515	2012-07-01	CHARLES DESANTIS
515	2011-07-01	CHARLES DESANTIS
515	2010-07-01	CHARLES DESANTIS
515	2009-07-01	CHARLES DESANTIS

Plan Statistics for CIGNA INTERNATIONAL EXPATRIATE BENEFITS INSURANCE PLAN

401k plan membership statisitcs for CIGNA INTERNATIONAL EXPATRIATE BENEFITS INSURANCE PLAN

Measure Date Value
2012: CIGNA INTERNATIONAL EXPATRIATE BENEFITS INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 119
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 0
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 0
Total of all active and inactive participants 2012-07-01 0
2011: CIGNA INTERNATIONAL EXPATRIATE BENEFITS INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 116
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 120
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 1
Total of all active and inactive participants 2011-07-01 121
2010: CIGNA INTERNATIONAL EXPATRIATE BENEFITS INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year 2010-07-01 114
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 115
Number of retired or separated participants receiving benefits 2010-07-01 0
Number of other retired or separated participants entitled to future benefits 2010-07-01 11
Total of all active and inactive participants 2010-07-01 126
2009: CIGNA INTERNATIONAL EXPATRIATE BENEFITS INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 101
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 111
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 3
Total of all active and inactive participants 2009-07-01 114

Measure	Date	Value
2012: CIGNA INTERNATIONAL EXPATRIATE BENEFITS INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	119
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	0
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	0
Total of all active and inactive participants	2012-07-01	0
2011: CIGNA INTERNATIONAL EXPATRIATE BENEFITS INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	116
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	120
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	1
Total of all active and inactive participants	2011-07-01	121
2010: CIGNA INTERNATIONAL EXPATRIATE BENEFITS INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-07-01	114
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	115
Number of retired or separated participants receiving benefits	2010-07-01	0
Number of other retired or separated participants entitled to future benefits	2010-07-01	11
Total of all active and inactive participants	2010-07-01	126
2009: CIGNA INTERNATIONAL EXPATRIATE BENEFITS INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	101
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	111
Number of retired or separated participants receiving benefits	2009-07-01	0
Number of other retired or separated participants entitled to future benefits	2009-07-01	3
Total of all active and inactive participants	2009-07-01	114

Form 5500 Responses for CIGNA INTERNATIONAL EXPATRIATE BENEFITS INSURANCE PLAN

2012: CIGNA INTERNATIONAL EXPATRIATE BENEFITS INSURANCE PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	Yes
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2011: CIGNA INTERNATIONAL EXPATRIATE BENEFITS INSURANCE PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2010: CIGNA INTERNATIONAL EXPATRIATE BENEFITS INSURANCE PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Submission has been amended	No
2010-07-01	This submission is the final filing	No
2010-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-07-01	Plan is a collectively bargained plan	No
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan benefit arrangement – Insurance	Yes
2009: CIGNA INTERNATIONAL EXPATRIATE BENEFITS INSURANCE PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	First time form 5500 has been submitted	Yes
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	GEORGETOWN UNIVERSITY
Employer identification number (EIN):	530196603
NAIC Classification:	611000