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GROUP TRAVEL ACCIDENT INSURANCE 401k Plan overview

Plan NameGROUP TRAVEL ACCIDENT INSURANCE
Plan identification number 503

GROUP TRAVEL ACCIDENT INSURANCE Benefits

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

401k Sponsoring company profile

NATIONAL TOBACCO COMPANY, L.P. has sponsored the creation of one or more 401k plans.

Company Name:NATIONAL TOBACCO COMPANY, L.P.
Employer identification number (EIN):611133037
NAIC Classification:312200
NAIC Description: Tobacco Manufacturing

Additional information about NATIONAL TOBACCO COMPANY, L.P.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1989-03-20
Company Identification Number: 0005495111
Legal Registered Office Address: 5201 INTERCHANGE WAY

LOUISVILLE
United States of America (USA)
40229

More information about NATIONAL TOBACCO COMPANY, L.P.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP TRAVEL ACCIDENT INSURANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032014-09-27CONNIE JANOWSKI
5032013-09-27DAVID L JOHNSON
5032012-09-27DAVID JOHNSON
5032011-09-27DAVID L. JOHNSON
5032009-09-27DAVID JOHNSON

Plan Statistics for GROUP TRAVEL ACCIDENT INSURANCE

401k plan membership statisitcs for GROUP TRAVEL ACCIDENT INSURANCE

Measure Date Value
2014: GROUP TRAVEL ACCIDENT INSURANCE 2014 401k membership
Total participants, beginning-of-year2014-09-27211
Total number of active participants reported on line 7a of the Form 55002014-09-270
Number of retired or separated participants receiving benefits2014-09-270
Number of other retired or separated participants entitled to future benefits2014-09-270
Total of all active and inactive participants2014-09-270
2013: GROUP TRAVEL ACCIDENT INSURANCE 2013 401k membership
Total participants, beginning-of-year2013-09-27212
Total number of active participants reported on line 7a of the Form 55002013-09-27211
Number of retired or separated participants receiving benefits2013-09-270
Number of other retired or separated participants entitled to future benefits2013-09-270
Total of all active and inactive participants2013-09-27211
2012: GROUP TRAVEL ACCIDENT INSURANCE 2012 401k membership
Total participants, beginning-of-year2012-09-27210
Total number of active participants reported on line 7a of the Form 55002012-09-27209
Number of retired or separated participants receiving benefits2012-09-270
Number of other retired or separated participants entitled to future benefits2012-09-270
Total of all active and inactive participants2012-09-27209
2011: GROUP TRAVEL ACCIDENT INSURANCE 2011 401k membership
Total participants, beginning-of-year2011-09-27202
Total number of active participants reported on line 7a of the Form 55002011-09-27213
Number of retired or separated participants receiving benefits2011-09-270
Number of other retired or separated participants entitled to future benefits2011-09-270
Total of all active and inactive participants2011-09-27213
2009: GROUP TRAVEL ACCIDENT INSURANCE 2009 401k membership
Total participants, beginning-of-year2009-09-27199
Total number of active participants reported on line 7a of the Form 55002009-09-27198
Number of retired or separated participants receiving benefits2009-09-270
Number of other retired or separated participants entitled to future benefits2009-09-270
Total of all active and inactive participants2009-09-27198
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-09-270
Total participants2009-09-27198

Form 5500 Responses for GROUP TRAVEL ACCIDENT INSURANCE

2014: GROUP TRAVEL ACCIDENT INSURANCE 2014 form 5500 responses
2014-09-27Type of plan entitySingle employer plan
2014-09-27Submission has been amendedNo
2014-09-27This submission is the final filingYes
2014-09-27This return/report is a short plan year return/report (less than 12 months)Yes
2014-09-27Plan is a collectively bargained planNo
2014-09-27Plan funding arrangement – InsuranceYes
2014-09-27Plan benefit arrangement – InsuranceYes
2013: GROUP TRAVEL ACCIDENT INSURANCE 2013 form 5500 responses
2013-09-27Type of plan entitySingle employer plan
2013-09-27Submission has been amendedNo
2013-09-27This submission is the final filingNo
2013-09-27This return/report is a short plan year return/report (less than 12 months)No
2013-09-27Plan is a collectively bargained planNo
2013-09-27Plan funding arrangement – InsuranceYes
2013-09-27Plan benefit arrangement – InsuranceYes
2012: GROUP TRAVEL ACCIDENT INSURANCE 2012 form 5500 responses
2012-09-27Type of plan entitySingle employer plan
2012-09-27Submission has been amendedNo
2012-09-27This submission is the final filingNo
2012-09-27This return/report is a short plan year return/report (less than 12 months)No
2012-09-27Plan is a collectively bargained planNo
2012-09-27Plan funding arrangement – InsuranceYes
2012-09-27Plan benefit arrangement – InsuranceYes
2011: GROUP TRAVEL ACCIDENT INSURANCE 2011 form 5500 responses
2011-09-27Type of plan entitySingle employer plan
2011-09-27Submission has been amendedNo
2011-09-27This submission is the final filingNo
2011-09-27This return/report is a short plan year return/report (less than 12 months)No
2011-09-27Plan is a collectively bargained planNo
2011-09-27Plan funding arrangement – InsuranceYes
2011-09-27Plan benefit arrangement – InsuranceYes
2009: GROUP TRAVEL ACCIDENT INSURANCE 2009 form 5500 responses
2009-09-27Type of plan entitySingle employer plan
2009-09-27Submission has been amendedNo
2009-09-27This submission is the final filingNo
2009-09-27This return/report is a short plan year return/report (less than 12 months)No
2009-09-27Plan is a collectively bargained planNo
2009-09-27Plan funding arrangement – InsuranceYes
2009-09-27Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract numberGTP0009120630
Policy instance 1
Insurance contract or identification numberGTP0009120630
Number of Individuals Covered228
Insurance policy start date2014-09-27
Insurance policy end date2015-08-19
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 providedBUSINESS TRAVEL ACCIDENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract numberGTP0009120630
Policy instance 1
Insurance contract or identification numberGTP0009120630
Number of Individuals Covered172
Insurance policy start date2013-09-27
Insurance policy end date2014-09-26
Total amount of commissions paid to insurance brokerUSD $331
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 providedBUSINESS TRAVEL ACCIDENT
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 $2,208
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $331
Insurance broker organization code?3
Insurance broker nameASSURED NEACE LUKENS
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract numberGTP0009120630
Policy instance 1
Insurance contract or identification numberGTP0009120630
Number of Individuals Covered209
Insurance policy start date2012-09-27
Insurance policy end date2013-09-26
Total amount of commissions paid to insurance brokerUSD $320
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 providedBUSINESS TRAVEL ACCIDENT
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 $2,131
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $320
Insurance broker organization code?3
Insurance broker nameNEACE LUKENS, INC.
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract numberGTP0009120630
Policy instance 1
Insurance contract or identification numberGTP0009120630
Number of Individuals Covered213
Insurance policy start date2011-09-27
Insurance policy end date2012-09-26
Total amount of commissions paid to insurance brokerUSD $320
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 providedBUSINESS TRAVEL ACCIDENT
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 $2,131
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract numberGTP0009120630
Policy instance 1
Insurance contract or identification numberGTP0009120630
Number of Individuals Covered202
Insurance policy start date2010-09-27
Insurance policy end date2011-09-26
Total amount of commissions paid to insurance brokerUSD $320
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 providedBUSINESS TRAVEL ACCIDENT
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 $2,131
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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