OGLETHORPE POWER CORPORATION (AN ELECTRIC MEMBERSHIP CORPORATION) has sponsored the creation of one or more 401k plans.
Measure | Date | Value |
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2023: OPC-TRAVEL ACCIDENT PLAN 2023 401k membership |
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Total participants, beginning-of-year | 2023-04-08 | 822 |
Total number of active participants reported on line 7a of the Form 5500 | 2023-04-08 | 822 |
Number of retired or separated participants receiving benefits | 2023-04-08 | 0 |
Number of other retired or separated participants entitled to future benefits | 2023-04-08 | 0 |
Total of all active and inactive participants | 2023-04-08 | 822 |
2022: OPC-TRAVEL ACCIDENT PLAN 2022 401k membership |
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Total participants, beginning-of-year | 2022-04-08 | 822 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-04-08 | 822 |
Number of retired or separated participants receiving benefits | 2022-04-08 | 0 |
Number of other retired or separated participants entitled to future benefits | 2022-04-08 | 0 |
Total of all active and inactive participants | 2022-04-08 | 822 |
2021: OPC-TRAVEL ACCIDENT PLAN 2021 401k membership |
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Total participants, beginning-of-year | 2021-04-08 | 822 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-04-08 | 822 |
Number of retired or separated participants receiving benefits | 2021-04-08 | 0 |
Number of other retired or separated participants entitled to future benefits | 2021-04-08 | 0 |
Total of all active and inactive participants | 2021-04-08 | 822 |
2020: OPC-TRAVEL ACCIDENT PLAN 2020 401k membership |
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Total participants, beginning-of-year | 2020-04-08 | 822 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-04-08 | 822 |
Number of retired or separated participants receiving benefits | 2020-04-08 | 0 |
Number of other retired or separated participants entitled to future benefits | 2020-04-08 | 0 |
Total of all active and inactive participants | 2020-04-08 | 822 |
2019: OPC-TRAVEL ACCIDENT PLAN 2019 401k membership |
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Total participants, beginning-of-year | 2019-04-08 | 822 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-04-08 | 822 |
Number of retired or separated participants receiving benefits | 2019-04-08 | 0 |
Number of other retired or separated participants entitled to future benefits | 2019-04-08 | 0 |
Total of all active and inactive participants | 2019-04-08 | 822 |
2018: OPC-TRAVEL ACCIDENT PLAN 2018 401k membership |
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Total participants, beginning-of-year | 2018-04-08 | 810 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-04-08 | 822 |
Number of retired or separated participants receiving benefits | 2018-04-08 | 0 |
Number of other retired or separated participants entitled to future benefits | 2018-04-08 | 0 |
Total of all active and inactive participants | 2018-04-08 | 822 |
2017: OPC-TRAVEL ACCIDENT PLAN 2017 401k membership |
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Total participants, beginning-of-year | 2017-04-08 | 810 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-04-08 | 810 |
Number of retired or separated participants receiving benefits | 2017-04-08 | 0 |
Number of other retired or separated participants entitled to future benefits | 2017-04-08 | 0 |
Total of all active and inactive participants | 2017-04-08 | 810 |
2016: OPC-TRAVEL ACCIDENT PLAN 2016 401k membership |
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Total participants, beginning-of-year | 2016-04-08 | 900 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-04-08 | 810 |
Number of retired or separated participants receiving benefits | 2016-04-08 | 0 |
Number of other retired or separated participants entitled to future benefits | 2016-04-08 | 0 |
Total of all active and inactive participants | 2016-04-08 | 810 |
2015: OPC-TRAVEL ACCIDENT PLAN 2015 401k membership |
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Total participants, beginning-of-year | 2015-04-08 | 800 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-04-08 | 900 |
Number of retired or separated participants receiving benefits | 2015-04-08 | 0 |
Number of other retired or separated participants entitled to future benefits | 2015-04-08 | 0 |
Total of all active and inactive participants | 2015-04-08 | 900 |
2014: OPC-TRAVEL ACCIDENT PLAN 2014 401k membership |
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Total participants, beginning-of-year | 2014-04-08 | 812 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-04-08 | 800 |
Number of retired or separated participants receiving benefits | 2014-04-08 | 0 |
Number of other retired or separated participants entitled to future benefits | 2014-04-08 | 0 |
Total of all active and inactive participants | 2014-04-08 | 800 |
2013: OPC-TRAVEL ACCIDENT PLAN 2013 401k membership |
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Total participants, beginning-of-year | 2013-04-08 | 850 |
Total number of active participants reported on line 7a of the Form 5500 | 2013-04-08 | 812 |
Number of retired or separated participants receiving benefits | 2013-04-08 | 0 |
Number of other retired or separated participants entitled to future benefits | 2013-04-08 | 0 |
Total of all active and inactive participants | 2013-04-08 | 812 |
2012: OPC-TRAVEL ACCIDENT PLAN 2012 401k membership |
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Total participants, beginning-of-year | 2012-04-08 | 784 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-04-08 | 850 |
Number of retired or separated participants receiving benefits | 2012-04-08 | 0 |
Number of other retired or separated participants entitled to future benefits | 2012-04-08 | 0 |
Total of all active and inactive participants | 2012-04-08 | 850 |
2011: OPC-TRAVEL ACCIDENT PLAN 2011 401k membership |
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Total participants, beginning-of-year | 2011-04-08 | 800 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-04-08 | 784 |
Total of all active and inactive participants | 2011-04-08 | 784 |
2010: OPC-TRAVEL ACCIDENT PLAN 2010 401k membership |
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Total participants, beginning-of-year | 2010-04-08 | 815 |
Total number of active participants reported on line 7a of the Form 5500 | 2010-04-08 | 800 |
Total of all active and inactive participants | 2010-04-08 | 800 |
2009: OPC-TRAVEL ACCIDENT PLAN 2009 401k membership |
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Total participants, beginning-of-year | 2009-04-08 | 771 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-04-08 | 815 |
Number of retired or separated participants receiving benefits | 2009-04-08 | 0 |
Number of other retired or separated participants entitled to future benefits | 2009-04-08 | 0 |
Total of all active and inactive participants | 2009-04-08 | 815 |
2023: OPC-TRAVEL ACCIDENT PLAN 2023 form 5500 responses |
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2023-04-08 | Type of plan entity | Single employer plan |
2023-04-08 | Submission has been amended | No |
2023-04-08 | This submission is the final filing | No |
2023-04-08 | This return/report is a short plan year return/report (less than 12 months) | No |
2023-04-08 | Plan is a collectively bargained plan | No |
2023-04-08 | Plan funding arrangement – Insurance | Yes |
2023-04-08 | Plan benefit arrangement – Insurance | Yes |
2022: OPC-TRAVEL ACCIDENT PLAN 2022 form 5500 responses |
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2022-04-08 | Type of plan entity | Single employer plan |
2022-04-08 | Submission has been amended | No |
2022-04-08 | This submission is the final filing | No |
2022-04-08 | This return/report is a short plan year return/report (less than 12 months) | No |
2022-04-08 | Plan is a collectively bargained plan | No |
2022-04-08 | Plan funding arrangement – Insurance | Yes |
2022-04-08 | Plan benefit arrangement – Insurance | Yes |
2021: OPC-TRAVEL ACCIDENT PLAN 2021 form 5500 responses |
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2021-04-08 | Type of plan entity | Single employer plan |
2021-04-08 | Submission has been amended | No |
2021-04-08 | This submission is the final filing | No |
2021-04-08 | This return/report is a short plan year return/report (less than 12 months) | No |
2021-04-08 | Plan is a collectively bargained plan | No |
2021-04-08 | Plan funding arrangement – Insurance | Yes |
2021-04-08 | Plan benefit arrangement – Insurance | Yes |
2020: OPC-TRAVEL ACCIDENT PLAN 2020 form 5500 responses |
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2020-04-08 | Type of plan entity | Single employer plan |
2020-04-08 | Submission has been amended | No |
2020-04-08 | This submission is the final filing | No |
2020-04-08 | This return/report is a short plan year return/report (less than 12 months) | No |
2020-04-08 | Plan is a collectively bargained plan | No |
2020-04-08 | Plan funding arrangement – Insurance | Yes |
2020-04-08 | Plan benefit arrangement – Insurance | Yes |
2019: OPC-TRAVEL ACCIDENT PLAN 2019 form 5500 responses |
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2019-04-08 | Type of plan entity | Single employer plan |
2019-04-08 | Submission has been amended | No |
2019-04-08 | This submission is the final filing | No |
2019-04-08 | This return/report is a short plan year return/report (less than 12 months) | No |
2019-04-08 | Plan is a collectively bargained plan | No |
2019-04-08 | Plan funding arrangement – Insurance | Yes |
2019-04-08 | Plan benefit arrangement – Insurance | Yes |
2018: OPC-TRAVEL ACCIDENT PLAN 2018 form 5500 responses |
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2018-04-08 | Type of plan entity | Single employer plan |
2018-04-08 | Submission has been amended | No |
2018-04-08 | This submission is the final filing | No |
2018-04-08 | This return/report is a short plan year return/report (less than 12 months) | No |
2018-04-08 | Plan is a collectively bargained plan | No |
2018-04-08 | Plan funding arrangement – Insurance | Yes |
2018-04-08 | Plan benefit arrangement – Insurance | Yes |
2017: OPC-TRAVEL ACCIDENT PLAN 2017 form 5500 responses |
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2017-04-08 | Type of plan entity | Single employer plan |
2017-04-08 | Submission has been amended | No |
2017-04-08 | This submission is the final filing | No |
2017-04-08 | This return/report is a short plan year return/report (less than 12 months) | No |
2017-04-08 | Plan is a collectively bargained plan | No |
2017-04-08 | Plan funding arrangement – Insurance | Yes |
2017-04-08 | Plan benefit arrangement – Insurance | Yes |
2016: OPC-TRAVEL ACCIDENT PLAN 2016 form 5500 responses |
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2016-04-08 | Type of plan entity | Single employer plan |
2016-04-08 | Submission has been amended | No |
2016-04-08 | This submission is the final filing | No |
2016-04-08 | This return/report is a short plan year return/report (less than 12 months) | No |
2016-04-08 | Plan is a collectively bargained plan | No |
2016-04-08 | Plan funding arrangement – Insurance | Yes |
2016-04-08 | Plan benefit arrangement – Insurance | Yes |
2015: OPC-TRAVEL ACCIDENT PLAN 2015 form 5500 responses |
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2015-04-08 | Type of plan entity | Single employer plan |
2015-04-08 | Submission has been amended | No |
2015-04-08 | This submission is the final filing | No |
2015-04-08 | This return/report is a short plan year return/report (less than 12 months) | No |
2015-04-08 | Plan is a collectively bargained plan | No |
2015-04-08 | Plan funding arrangement – Insurance | Yes |
2015-04-08 | Plan benefit arrangement – Insurance | Yes |
2014: OPC-TRAVEL ACCIDENT PLAN 2014 form 5500 responses |
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2014-04-08 | Type of plan entity | Single employer plan |
2014-04-08 | Submission has been amended | No |
2014-04-08 | This submission is the final filing | No |
2014-04-08 | This return/report is a short plan year return/report (less than 12 months) | No |
2014-04-08 | Plan is a collectively bargained plan | No |
2014-04-08 | Plan funding arrangement – Insurance | Yes |
2014-04-08 | Plan benefit arrangement – Insurance | Yes |
2013: OPC-TRAVEL ACCIDENT PLAN 2013 form 5500 responses |
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2013-04-08 | Type of plan entity | Single employer plan |
2013-04-08 | Submission has been amended | No |
2013-04-08 | This submission is the final filing | No |
2013-04-08 | This return/report is a short plan year return/report (less than 12 months) | No |
2013-04-08 | Plan is a collectively bargained plan | No |
2013-04-08 | Plan funding arrangement – Insurance | Yes |
2013-04-08 | Plan benefit arrangement – Insurance | Yes |
2012: OPC-TRAVEL ACCIDENT PLAN 2012 form 5500 responses |
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2012-04-08 | Type of plan entity | Single employer plan |
2012-04-08 | Submission has been amended | No |
2012-04-08 | This submission is the final filing | No |
2012-04-08 | This return/report is a short plan year return/report (less than 12 months) | No |
2012-04-08 | Plan is a collectively bargained plan | No |
2012-04-08 | Plan funding arrangement – Insurance | Yes |
2012-04-08 | Plan benefit arrangement – Insurance | Yes |
2011: OPC-TRAVEL ACCIDENT PLAN 2011 form 5500 responses |
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2011-04-08 | Type of plan entity | Single employer plan |
2011-04-08 | Submission has been amended | No |
2011-04-08 | This submission is the final filing | No |
2011-04-08 | This return/report is a short plan year return/report (less than 12 months) | No |
2011-04-08 | Plan is a collectively bargained plan | No |
2011-04-08 | Plan funding arrangement – Insurance | Yes |
2011-04-08 | Plan benefit arrangement – Insurance | Yes |
2010: OPC-TRAVEL ACCIDENT PLAN 2010 form 5500 responses |
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2010-04-08 | Type of plan entity | Single employer plan |
2010-04-08 | Submission has been amended | No |
2010-04-08 | This submission is the final filing | No |
2010-04-08 | This return/report is a short plan year return/report (less than 12 months) | No |
2010-04-08 | Plan is a collectively bargained plan | No |
2010-04-08 | Plan funding arrangement – Insurance | Yes |
2010-04-08 | Plan benefit arrangement – Insurance | Yes |
2009: OPC-TRAVEL ACCIDENT PLAN 2009 form 5500 responses |
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2009-04-08 | Type of plan entity | Single employer plan |
2009-04-08 | Submission has been amended | No |
2009-04-08 | This submission is the final filing | No |
2009-04-08 | This return/report is a short plan year return/report (less than 12 months) | No |
2009-04-08 | Plan is a collectively bargained plan | No |
2009-04-08 | Plan funding arrangement – Insurance | Yes |
2009-04-08 | Plan benefit arrangement – Insurance | Yes |
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: ) |
Policy contract number | 99068349 |
Policy instance | 1 |
Insurance contract or identification number | 99068349 | Number of Individuals Covered | 822 | Insurance policy start date | 2023-04-08 | Insurance policy end date | 2024-04-07 | 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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | TRAVEL ACCIDENTAL DEATH & DISMEMBERMENT | 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 Carrier | USD $0 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: ) |
Policy contract number | 99068349 |
Policy instance | 1 |
Insurance contract or identification number | 99068349 | Number of Individuals Covered | 822 | Insurance policy start date | 2022-04-08 | Insurance policy end date | 2023-04-07 | Total amount of commissions paid to insurance broker | USD $6,176 | Total amount of fees paid to insurance company | USD $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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | TRAVEL ACCIDENTAL DEATH & DISMEMBERMENT | 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 Carrier | USD $20,585 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $6,176 | Insurance broker organization code? | 3 |
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FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: ) |
Policy contract number | 99068349 |
Policy instance | 1 |
Insurance contract or identification number | 99068349 | Number of Individuals Covered | 822 | Insurance policy start date | 2021-04-08 | Insurance policy end date | 2022-04-07 | 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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | TRAVEL ACCIDENTAL DEATH & DISMEMBERMENT | 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 Carrier | USD $0 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: ) |
Policy contract number | 99068349 |
Policy instance | 1 |
Insurance contract or identification number | 99068349 | Number of Individuals Covered | 822 | Insurance policy start date | 2020-04-08 | Insurance policy end date | 2021-04-07 | 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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | TRAVEL ACCIDENTAL DEATH & DISMEMBERMENT | 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 Carrier | USD $0 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: ) |
Policy contract number | 99068349 |
Policy instance | 1 |
Insurance contract or identification number | 99068349 | Number of Individuals Covered | 822 | Insurance policy start date | 2019-04-08 | Insurance policy end date | 2020-04-07 | Total amount of commissions paid to insurance broker | USD $5,146 | Total amount of fees paid to insurance company | USD $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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | TRAVEL ACCIDENTAL DEATH & DISMEMBERMENT | 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 Carrier | USD $20,585 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $5,146 | Insurance broker organization code? | 3 |
|
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: ) |
Policy contract number | 99068349 |
Policy instance | 1 |
Insurance contract or identification number | 99068349 | Number of Individuals Covered | 822 | Insurance policy start date | 2018-04-08 | Insurance policy end date | 2019-04-07 | 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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | TRAVEL ACCIDENTAL DEATH & DISMEMBERMENT | 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 Carrier | USD $0 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: ) |
Policy contract number | 99068349 |
Policy instance | 1 |
Insurance contract or identification number | 99068349 | Number of Individuals Covered | 810 | Insurance policy start date | 2017-04-08 | Insurance policy end date | 2018-04-07 | 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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | TRAVEL ACCIDENTAL DEATH & DISMEMBERMENT | 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 Carrier | USD $0 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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