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OPC-TRAVEL ACCIDENT PLAN 401k Plan overview

Plan NameOPC-TRAVEL ACCIDENT PLAN
Plan identification number 503

OPC-TRAVEL ACCIDENT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

OGLETHORPE POWER CORPORATION (AN ELECTRIC MEMBERSHIP CORPORATION) has sponsored the creation of one or more 401k plans.

Company Name:OGLETHORPE POWER CORPORATION (AN ELECTRIC MEMBERSHIP CORPORATION)
Employer identification number (EIN):581211925
NAIC Classification:221100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OPC-TRAVEL ACCIDENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032023-04-08
5032022-04-08
5032021-04-08
5032020-04-08
5032019-04-08
5032018-04-08HOMERZELLE GENTRY
5032017-04-08HOMERZELLE GENTRY
5032016-04-08HOMERZELLE GENTRY
5032015-04-08HOMERZELLE GENTRY
5032014-04-08HOMERZELLE GENTRY
5032013-04-08HOMERZELLE GENTRY
5032012-04-08HOMERZELLE GENTRY
5032011-04-08HOMERZELLE GENTRY HOMERZELLE GENTRY2012-07-27
5032010-04-08HOMERZELLE GENTRY HOMERZELLE GENTRY2011-07-29
5032009-04-08HOMERZELLE GENTRY

Plan Statistics for OPC-TRAVEL ACCIDENT PLAN

401k plan membership statisitcs for OPC-TRAVEL ACCIDENT PLAN

Measure Date Value
2023: OPC-TRAVEL ACCIDENT PLAN 2023 401k membership
Total participants, beginning-of-year2023-04-08822
Total number of active participants reported on line 7a of the Form 55002023-04-08822
Number of retired or separated participants receiving benefits2023-04-080
Number of other retired or separated participants entitled to future benefits2023-04-080
Total of all active and inactive participants2023-04-08822
2022: OPC-TRAVEL ACCIDENT PLAN 2022 401k membership
Total participants, beginning-of-year2022-04-08822
Total number of active participants reported on line 7a of the Form 55002022-04-08822
Number of retired or separated participants receiving benefits2022-04-080
Number of other retired or separated participants entitled to future benefits2022-04-080
Total of all active and inactive participants2022-04-08822
2021: OPC-TRAVEL ACCIDENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-04-08822
Total number of active participants reported on line 7a of the Form 55002021-04-08822
Number of retired or separated participants receiving benefits2021-04-080
Number of other retired or separated participants entitled to future benefits2021-04-080
Total of all active and inactive participants2021-04-08822
2020: OPC-TRAVEL ACCIDENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-04-08822
Total number of active participants reported on line 7a of the Form 55002020-04-08822
Number of retired or separated participants receiving benefits2020-04-080
Number of other retired or separated participants entitled to future benefits2020-04-080
Total of all active and inactive participants2020-04-08822
2019: OPC-TRAVEL ACCIDENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-08822
Total number of active participants reported on line 7a of the Form 55002019-04-08822
Number of retired or separated participants receiving benefits2019-04-080
Number of other retired or separated participants entitled to future benefits2019-04-080
Total of all active and inactive participants2019-04-08822
2018: OPC-TRAVEL ACCIDENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-04-08810
Total number of active participants reported on line 7a of the Form 55002018-04-08822
Number of retired or separated participants receiving benefits2018-04-080
Number of other retired or separated participants entitled to future benefits2018-04-080
Total of all active and inactive participants2018-04-08822
2017: OPC-TRAVEL ACCIDENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-08810
Total number of active participants reported on line 7a of the Form 55002017-04-08810
Number of retired or separated participants receiving benefits2017-04-080
Number of other retired or separated participants entitled to future benefits2017-04-080
Total of all active and inactive participants2017-04-08810
2016: OPC-TRAVEL ACCIDENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-08900
Total number of active participants reported on line 7a of the Form 55002016-04-08810
Number of retired or separated participants receiving benefits2016-04-080
Number of other retired or separated participants entitled to future benefits2016-04-080
Total of all active and inactive participants2016-04-08810
2015: OPC-TRAVEL ACCIDENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-08800
Total number of active participants reported on line 7a of the Form 55002015-04-08900
Number of retired or separated participants receiving benefits2015-04-080
Number of other retired or separated participants entitled to future benefits2015-04-080
Total of all active and inactive participants2015-04-08900
2014: OPC-TRAVEL ACCIDENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-08812
Total number of active participants reported on line 7a of the Form 55002014-04-08800
Number of retired or separated participants receiving benefits2014-04-080
Number of other retired or separated participants entitled to future benefits2014-04-080
Total of all active and inactive participants2014-04-08800
2013: OPC-TRAVEL ACCIDENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-08850
Total number of active participants reported on line 7a of the Form 55002013-04-08812
Number of retired or separated participants receiving benefits2013-04-080
Number of other retired or separated participants entitled to future benefits2013-04-080
Total of all active and inactive participants2013-04-08812
2012: OPC-TRAVEL ACCIDENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-08784
Total number of active participants reported on line 7a of the Form 55002012-04-08850
Number of retired or separated participants receiving benefits2012-04-080
Number of other retired or separated participants entitled to future benefits2012-04-080
Total of all active and inactive participants2012-04-08850
2011: OPC-TRAVEL ACCIDENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-08800
Total number of active participants reported on line 7a of the Form 55002011-04-08784
Total of all active and inactive participants2011-04-08784
2010: OPC-TRAVEL ACCIDENT PLAN 2010 401k membership
Total participants, beginning-of-year2010-04-08815
Total number of active participants reported on line 7a of the Form 55002010-04-08800
Total of all active and inactive participants2010-04-08800
2009: OPC-TRAVEL ACCIDENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-04-08771
Total number of active participants reported on line 7a of the Form 55002009-04-08815
Number of retired or separated participants receiving benefits2009-04-080
Number of other retired or separated participants entitled to future benefits2009-04-080
Total of all active and inactive participants2009-04-08815

Form 5500 Responses for OPC-TRAVEL ACCIDENT PLAN

2023: OPC-TRAVEL ACCIDENT PLAN 2023 form 5500 responses
2023-04-08Type of plan entitySingle employer plan
2023-04-08Submission has been amendedNo
2023-04-08This submission is the final filingNo
2023-04-08This return/report is a short plan year return/report (less than 12 months)No
2023-04-08Plan is a collectively bargained planNo
2023-04-08Plan funding arrangement – InsuranceYes
2023-04-08Plan benefit arrangement – InsuranceYes
2022: OPC-TRAVEL ACCIDENT PLAN 2022 form 5500 responses
2022-04-08Type of plan entitySingle employer plan
2022-04-08Submission has been amendedNo
2022-04-08This submission is the final filingNo
2022-04-08This return/report is a short plan year return/report (less than 12 months)No
2022-04-08Plan is a collectively bargained planNo
2022-04-08Plan funding arrangement – InsuranceYes
2022-04-08Plan benefit arrangement – InsuranceYes
2021: OPC-TRAVEL ACCIDENT PLAN 2021 form 5500 responses
2021-04-08Type of plan entitySingle employer plan
2021-04-08Submission has been amendedNo
2021-04-08This submission is the final filingNo
2021-04-08This return/report is a short plan year return/report (less than 12 months)No
2021-04-08Plan is a collectively bargained planNo
2021-04-08Plan funding arrangement – InsuranceYes
2021-04-08Plan benefit arrangement – InsuranceYes
2020: OPC-TRAVEL ACCIDENT PLAN 2020 form 5500 responses
2020-04-08Type of plan entitySingle employer plan
2020-04-08Submission has been amendedNo
2020-04-08This submission is the final filingNo
2020-04-08This return/report is a short plan year return/report (less than 12 months)No
2020-04-08Plan is a collectively bargained planNo
2020-04-08Plan funding arrangement – InsuranceYes
2020-04-08Plan benefit arrangement – InsuranceYes
2019: OPC-TRAVEL ACCIDENT PLAN 2019 form 5500 responses
2019-04-08Type of plan entitySingle employer plan
2019-04-08Submission has been amendedNo
2019-04-08This submission is the final filingNo
2019-04-08This return/report is a short plan year return/report (less than 12 months)No
2019-04-08Plan is a collectively bargained planNo
2019-04-08Plan funding arrangement – InsuranceYes
2019-04-08Plan benefit arrangement – InsuranceYes
2018: OPC-TRAVEL ACCIDENT PLAN 2018 form 5500 responses
2018-04-08Type of plan entitySingle employer plan
2018-04-08Submission has been amendedNo
2018-04-08This submission is the final filingNo
2018-04-08This return/report is a short plan year return/report (less than 12 months)No
2018-04-08Plan is a collectively bargained planNo
2018-04-08Plan funding arrangement – InsuranceYes
2018-04-08Plan benefit arrangement – InsuranceYes
2017: OPC-TRAVEL ACCIDENT PLAN 2017 form 5500 responses
2017-04-08Type of plan entitySingle employer plan
2017-04-08Submission has been amendedNo
2017-04-08This submission is the final filingNo
2017-04-08This return/report is a short plan year return/report (less than 12 months)No
2017-04-08Plan is a collectively bargained planNo
2017-04-08Plan funding arrangement – InsuranceYes
2017-04-08Plan benefit arrangement – InsuranceYes
2016: OPC-TRAVEL ACCIDENT PLAN 2016 form 5500 responses
2016-04-08Type of plan entitySingle employer plan
2016-04-08Submission has been amendedNo
2016-04-08This submission is the final filingNo
2016-04-08This return/report is a short plan year return/report (less than 12 months)No
2016-04-08Plan is a collectively bargained planNo
2016-04-08Plan funding arrangement – InsuranceYes
2016-04-08Plan benefit arrangement – InsuranceYes
2015: OPC-TRAVEL ACCIDENT PLAN 2015 form 5500 responses
2015-04-08Type of plan entitySingle employer plan
2015-04-08Submission has been amendedNo
2015-04-08This submission is the final filingNo
2015-04-08This return/report is a short plan year return/report (less than 12 months)No
2015-04-08Plan is a collectively bargained planNo
2015-04-08Plan funding arrangement – InsuranceYes
2015-04-08Plan benefit arrangement – InsuranceYes
2014: OPC-TRAVEL ACCIDENT PLAN 2014 form 5500 responses
2014-04-08Type of plan entitySingle employer plan
2014-04-08Submission has been amendedNo
2014-04-08This submission is the final filingNo
2014-04-08This return/report is a short plan year return/report (less than 12 months)No
2014-04-08Plan is a collectively bargained planNo
2014-04-08Plan funding arrangement – InsuranceYes
2014-04-08Plan benefit arrangement – InsuranceYes
2013: OPC-TRAVEL ACCIDENT PLAN 2013 form 5500 responses
2013-04-08Type of plan entitySingle employer plan
2013-04-08Submission has been amendedNo
2013-04-08This submission is the final filingNo
2013-04-08This return/report is a short plan year return/report (less than 12 months)No
2013-04-08Plan is a collectively bargained planNo
2013-04-08Plan funding arrangement – InsuranceYes
2013-04-08Plan benefit arrangement – InsuranceYes
2012: OPC-TRAVEL ACCIDENT PLAN 2012 form 5500 responses
2012-04-08Type of plan entitySingle employer plan
2012-04-08Submission has been amendedNo
2012-04-08This submission is the final filingNo
2012-04-08This return/report is a short plan year return/report (less than 12 months)No
2012-04-08Plan is a collectively bargained planNo
2012-04-08Plan funding arrangement – InsuranceYes
2012-04-08Plan benefit arrangement – InsuranceYes
2011: OPC-TRAVEL ACCIDENT PLAN 2011 form 5500 responses
2011-04-08Type of plan entitySingle employer plan
2011-04-08Submission has been amendedNo
2011-04-08This submission is the final filingNo
2011-04-08This return/report is a short plan year return/report (less than 12 months)No
2011-04-08Plan is a collectively bargained planNo
2011-04-08Plan funding arrangement – InsuranceYes
2011-04-08Plan benefit arrangement – InsuranceYes
2010: OPC-TRAVEL ACCIDENT PLAN 2010 form 5500 responses
2010-04-08Type of plan entitySingle employer plan
2010-04-08Submission has been amendedNo
2010-04-08This submission is the final filingNo
2010-04-08This return/report is a short plan year return/report (less than 12 months)No
2010-04-08Plan is a collectively bargained planNo
2010-04-08Plan funding arrangement – InsuranceYes
2010-04-08Plan benefit arrangement – InsuranceYes
2009: OPC-TRAVEL ACCIDENT PLAN 2009 form 5500 responses
2009-04-08Type of plan entitySingle employer plan
2009-04-08Submission has been amendedNo
2009-04-08This submission is the final filingNo
2009-04-08This return/report is a short plan year return/report (less than 12 months)No
2009-04-08Plan is a collectively bargained planNo
2009-04-08Plan funding arrangement – InsuranceYes
2009-04-08Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number99068349
Policy instance 1
Insurance contract or identification number99068349
Number of Individuals Covered822
Insurance policy start date2023-04-08
Insurance policy end date2024-04-07
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 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 BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedTRAVEL 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 CarrierUSD $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 number99068349
Policy instance 1
Insurance contract or identification number99068349
Number of Individuals Covered822
Insurance policy start date2022-04-08
Insurance policy end date2023-04-07
Total amount of commissions paid to insurance brokerUSD $6,176
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 BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedTRAVEL 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 CarrierUSD $20,585
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,176
Insurance broker organization code?3
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number99068349
Policy instance 1
Insurance contract or identification number99068349
Number of Individuals Covered822
Insurance policy start date2021-04-08
Insurance policy end date2022-04-07
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 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 BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedTRAVEL 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 CarrierUSD $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 number99068349
Policy instance 1
Insurance contract or identification number99068349
Number of Individuals Covered822
Insurance policy start date2020-04-08
Insurance policy end date2021-04-07
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 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 BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedTRAVEL 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 CarrierUSD $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 number99068349
Policy instance 1
Insurance contract or identification number99068349
Number of Individuals Covered822
Insurance policy start date2019-04-08
Insurance policy end date2020-04-07
Total amount of commissions paid to insurance brokerUSD $5,146
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 BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedTRAVEL 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 CarrierUSD $20,585
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,146
Insurance broker organization code?3
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number99068349
Policy instance 1
Insurance contract or identification number99068349
Number of Individuals Covered822
Insurance policy start date2018-04-08
Insurance policy end date2019-04-07
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 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 BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedTRAVEL 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 CarrierUSD $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 number99068349
Policy instance 1
Insurance contract or identification number99068349
Number of Individuals Covered810
Insurance policy start date2017-04-08
Insurance policy end date2018-04-07
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 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 BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedTRAVEL 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 CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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