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CITIZENS BANK LIFE INSURANCE PLAN 401k Plan overview

Plan NameCITIZENS BANK LIFE INSURANCE PLAN
Plan identification number 501

CITIZENS BANK LIFE INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Other welfare benefit cover

401k Sponsoring company profile

CITIZENS BANK OF LAFAYETTE has sponsored the creation of one or more 401k plans.

Company Name:CITIZENS BANK OF LAFAYETTE
Employer identification number (EIN):620123135
NAIC Classification:522110
NAIC Description:Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CITIZENS BANK LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-08-01
5012019-08-01
5012019-02-01
5012018-02-01
5012017-02-01SUSAN ROGERS
5012016-02-01SUSAN ROGERS
5012015-02-01SUSAN ROGERS
5012014-02-01SUSAN ROGERS
5012013-02-01SUSAN ROGERS
5012012-02-01SUSAN ROGERS
5012011-02-01SUSAN ROGERS
5012010-02-01SUSAN ROGERS
5012009-02-01SUSAN ROGERS
5012009-02-01SUSAN ROGERS
5012009-02-01SUSAN ROGERS

Plan Statistics for CITIZENS BANK LIFE INSURANCE PLAN

401k plan membership statisitcs for CITIZENS BANK LIFE INSURANCE PLAN

Measure Date Value
2020: CITIZENS BANK LIFE INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-08-01202
Total number of active participants reported on line 7a of the Form 55002020-08-01240
Total of all active and inactive participants2020-08-01240
2019: CITIZENS BANK LIFE INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-08-01199
Total number of active participants reported on line 7a of the Form 55002019-08-01202
Total of all active and inactive participants2019-08-01202
Total participants, beginning-of-year2019-02-01197
Total number of active participants reported on line 7a of the Form 55002019-02-01199
Total of all active and inactive participants2019-02-01199
2018: CITIZENS BANK LIFE INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-02-01188
Total number of active participants reported on line 7a of the Form 55002018-02-01197
Total of all active and inactive participants2018-02-01197
2017: CITIZENS BANK LIFE INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-02-01182
Total number of active participants reported on line 7a of the Form 55002017-02-01188
Total of all active and inactive participants2017-02-01188
2016: CITIZENS BANK LIFE INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-02-01175
Total number of active participants reported on line 7a of the Form 55002016-02-01182
Total of all active and inactive participants2016-02-01182
2015: CITIZENS BANK LIFE INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-02-01134
Total number of active participants reported on line 7a of the Form 55002015-02-01175
Total of all active and inactive participants2015-02-01175
2014: CITIZENS BANK LIFE INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-02-01132
Total number of active participants reported on line 7a of the Form 55002014-02-01133
Number of retired or separated participants receiving benefits2014-02-011
Total of all active and inactive participants2014-02-01134
2013: CITIZENS BANK LIFE INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-02-01136
Total number of active participants reported on line 7a of the Form 55002013-02-01132
Total of all active and inactive participants2013-02-01132
2012: CITIZENS BANK LIFE INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-02-01147
Total number of active participants reported on line 7a of the Form 55002012-02-01136
Total of all active and inactive participants2012-02-01136
2011: CITIZENS BANK LIFE INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-02-01139
Total number of active participants reported on line 7a of the Form 55002011-02-01147
Total of all active and inactive participants2011-02-01147
2010: CITIZENS BANK LIFE INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year2010-02-01145
Total number of active participants reported on line 7a of the Form 55002010-02-01139
Total of all active and inactive participants2010-02-01139
2009: CITIZENS BANK LIFE INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-02-01135
Total number of active participants reported on line 7a of the Form 55002009-02-01145
Total of all active and inactive participants2009-02-01145

Form 5500 Responses for CITIZENS BANK LIFE INSURANCE PLAN

2020: CITIZENS BANK LIFE INSURANCE PLAN 2020 form 5500 responses
2020-08-01Type of plan entitySingle employer plan
2020-08-01Plan funding arrangement – InsuranceYes
2020-08-01Plan benefit arrangement – InsuranceYes
2019: CITIZENS BANK LIFE INSURANCE PLAN 2019 form 5500 responses
2019-08-01Type of plan entitySingle employer plan
2019-08-01Plan funding arrangement – InsuranceYes
2019-08-01Plan benefit arrangement – InsuranceYes
2019-02-01Type of plan entitySingle employer plan
2019-02-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-02-01Plan funding arrangement – InsuranceYes
2019-02-01Plan benefit arrangement – InsuranceYes
2018: CITIZENS BANK LIFE INSURANCE PLAN 2018 form 5500 responses
2018-02-01Type of plan entitySingle employer plan
2018-02-01Plan funding arrangement – InsuranceYes
2018-02-01Plan benefit arrangement – InsuranceYes
2017: CITIZENS BANK LIFE INSURANCE PLAN 2017 form 5500 responses
2017-02-01Type of plan entitySingle employer plan
2017-02-01Plan funding arrangement – InsuranceYes
2017-02-01Plan benefit arrangement – InsuranceYes
2016: CITIZENS BANK LIFE INSURANCE PLAN 2016 form 5500 responses
2016-02-01Type of plan entitySingle employer plan
2016-02-01Plan funding arrangement – InsuranceYes
2016-02-01Plan benefit arrangement – InsuranceYes
2015: CITIZENS BANK LIFE INSURANCE PLAN 2015 form 5500 responses
2015-02-01Type of plan entitySingle employer plan
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan benefit arrangement – InsuranceYes
2014: CITIZENS BANK LIFE INSURANCE PLAN 2014 form 5500 responses
2014-02-01Type of plan entitySingle employer plan
2014-02-01Plan funding arrangement – InsuranceYes
2014-02-01Plan benefit arrangement – InsuranceYes
2013: CITIZENS BANK LIFE INSURANCE PLAN 2013 form 5500 responses
2013-02-01Type of plan entitySingle employer plan
2013-02-01Plan funding arrangement – InsuranceYes
2013-02-01Plan benefit arrangement – InsuranceYes
2012: CITIZENS BANK LIFE INSURANCE PLAN 2012 form 5500 responses
2012-02-01Type of plan entitySingle employer plan
2012-02-01Plan funding arrangement – InsuranceYes
2012-02-01Plan benefit arrangement – InsuranceYes
2011: CITIZENS BANK LIFE INSURANCE PLAN 2011 form 5500 responses
2011-02-01Type of plan entitySingle employer plan
2011-02-01Plan funding arrangement – InsuranceYes
2011-02-01Plan benefit arrangement – InsuranceYes
2010: CITIZENS BANK LIFE INSURANCE PLAN 2010 form 5500 responses
2010-02-01Type of plan entitySingle employer plan
2010-02-01Plan funding arrangement – InsuranceYes
2010-02-01Plan benefit arrangement – InsuranceYes
2009: CITIZENS BANK LIFE INSURANCE PLAN 2009 form 5500 responses
2009-02-01Type of plan entitySingle employer plan
2009-02-01This submission is the final filingNo
2009-02-01Plan funding arrangement – InsuranceYes
2009-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1114592
Policy instance 2
Insurance contract or identification number1114592
Number of Individuals Covered363
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $20,719
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $154,793
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,719
Insurance broker organization code?3
UNICARE HEALTH AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80314 )
Policy contract number146269
Policy instance 1
Insurance contract or identification number146269
Number of Individuals Covered25
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $143
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $968
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $143
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1114592
Policy instance 2
Insurance contract or identification number1114592
Number of Individuals Covered331
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $19,765
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $147,926
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,765
Insurance broker organization code?3
UNICARE HEALTH AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80314 )
Policy contract number146269
Policy instance 1
Insurance contract or identification number146269
Number of Individuals Covered28
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $141
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $877
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $141
Insurance broker organization code?3
UNICARE HEALTH AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80314 )
Policy contract number146269
Policy instance 2
Insurance contract or identification number146269
Number of Individuals Covered28
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $142
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $859
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $142
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number03444
Policy instance 1
Insurance contract or identification number03444
Number of Individuals Covered202
Insurance policy start date2019-02-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $7,444
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $49,279
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,444
Insurance broker organization code?3
UNICARE HEALTH AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80314 )
Policy contract number146269
Policy instance 2
Insurance contract or identification number146269
Number of Individuals Covered32
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $109
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $972
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $109
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number03444
Policy instance 1
Insurance contract or identification number03444
Number of Individuals Covered197
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $13,831
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $91,826
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,831
Insurance broker organization code?3
UNICARE HEALTH AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80314 )
Policy contract number146269
Policy instance 2
Insurance contract or identification number146269
Number of Individuals Covered32
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $137
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $842
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $137
Insurance broker organization code?3
Insurance broker nameFINANCIAL PRODUCTS AND SERVICES
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number03444
Policy instance 1
Insurance contract or identification number03444
Number of Individuals Covered188
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $13,000
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $85,762
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,000
Insurance broker organization code?3
Insurance broker nameFINANCIAL PRODUCTS AND SERVICES
UNICARE HEALTH AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80314 )
Policy contract number146269
Policy instance 2
Insurance contract or identification number146269
Number of Individuals Covered33
Insurance policy start date2014-11-01
Insurance policy end date2015-10-31
Total amount of commissions paid to insurance brokerUSD $183
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,087
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $183
Insurance broker organization code?3
Insurance broker nameFINANCIAL PRODUCTS AND SERVICES
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number03444
Policy instance 1
Insurance contract or identification number03444
Number of Individuals Covered175
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $10,815
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $69,359
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,815
Insurance broker organization code?3
Insurance broker nameFINANCIAL PRODUCTS AND SERVICES
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number03444
Policy instance 1
Insurance contract or identification number03444
Number of Individuals Covered133
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $7,750
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $47,898
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,750
Insurance broker organization code?3
Insurance broker nameFINANCIAL PRODUCTS AND SERVICES
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number03444
Policy instance 1
Insurance contract or identification number03444
Number of Individuals Covered136
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $7,702
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $47,366
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,702
Insurance broker organization code?3
Insurance broker nameFINANCIAL PRODUCTS AND SERVICES
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number03444
Policy instance 1
Insurance contract or identification number03444
Number of Individuals Covered136
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $8,767
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $47,109
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,767
Insurance broker organization code?3
Insurance broker nameFINANCIAL PRODUCTS AND SERVICES
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number03444
Policy instance 1
Insurance contract or identification number03444
Number of Individuals Covered147
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $7,255
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $44,332
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number03444
Policy instance 1
Insurance contract or identification number03444
Number of Individuals Covered139
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $7,807
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $41,789
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,807
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameFINANCIAL PRODUCTS AND SERVICES

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