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TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 401k Plan overview

Plan NameTULANE UNIVERSITY TRAVEL ACCIDENT PLAN
Plan identification number 503

TULANE UNIVERSITY TRAVEL ACCIDENT PLAN Benefits

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

401k Sponsoring company profile

ADMINISTRATORS OF THE TULANE UNIVERSITY EDUCATIONAL FUND has sponsored the creation of one or more 401k plans.

Company Name:ADMINISTRATORS OF THE TULANE UNIVERSITY EDUCATIONAL FUND
Employer identification number (EIN):720423889
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TULANE UNIVERSITY TRAVEL ACCIDENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032022-01-01
5032021-01-01
5032020-01-01
5032019-01-01
5032018-01-01
5032017-01-01SHANTAY BOLTON
5032016-01-01SHANTAY BOLTON SHANTAY BOLTON2017-07-28
5032015-01-01DOREEN NICHOLS DOREEN NICHOLS2016-07-28
5032014-01-01DOREEN NICHOLS DOREEN NICHOLS2015-07-29
5032013-01-01DOREEN NICHOLS DOREEN NICHOLS2014-07-15
5032012-01-01DOREEN NICHOLS DOREEN NICHOLS2013-10-09
5032011-09-26JEAN HOLTMAN JEAN HOLTMAN2012-07-10
5032010-09-26JEAN HOLTMAN JEAN HOLTMAN2012-07-10
5032009-09-26JEAN HOLTMAN
5032008-09-26JEAN HOLTMAN
5032007-09-26JEAN HOLTMAN

Plan Statistics for TULANE UNIVERSITY TRAVEL ACCIDENT PLAN

401k plan membership statisitcs for TULANE UNIVERSITY TRAVEL ACCIDENT PLAN

Measure Date Value
2022: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0118,663
Total number of active participants reported on line 7a of the Form 55002022-01-0118,663
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-0118,663
2021: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-015,546
Total number of active participants reported on line 7a of the Form 55002021-01-0118,663
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-0118,663
2020: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-015,082
Total number of active participants reported on line 7a of the Form 55002020-01-015,546
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-015,546
2019: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-015,082
Total number of active participants reported on line 7a of the Form 55002019-01-015,082
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-015,082
2018: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-015,045
Total number of active participants reported on line 7a of the Form 55002018-01-015,082
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-015,082
2017: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-014,817
Total number of active participants reported on line 7a of the Form 55002017-01-015,045
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-015,045
2016: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-014,814
Total number of active participants reported on line 7a of the Form 55002016-01-014,817
Number of retired or separated participants receiving benefits2016-01-010
Total of all active and inactive participants2016-01-014,817
Total participants2016-01-014,817
2015: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-014,484
Total number of active participants reported on line 7a of the Form 55002015-01-014,814
Number of retired or separated participants receiving benefits2015-01-010
Total of all active and inactive participants2015-01-014,814
Total participants2015-01-014,814
2014: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-014,452
Total number of active participants reported on line 7a of the Form 55002014-01-014,484
Total of all active and inactive participants2014-01-014,484
Total participants2014-01-014,484
2013: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-014,390
Total number of active participants reported on line 7a of the Form 55002013-01-014,484
Total of all active and inactive participants2013-01-014,484
Total participants2013-01-014,484
2012: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-014,376
Total number of active participants reported on line 7a of the Form 55002012-01-014,390
Total of all active and inactive participants2012-01-014,390
Total participants2012-01-014,390
2011: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-09-264,376
Total number of active participants reported on line 7a of the Form 55002011-09-264,376
Total of all active and inactive participants2011-09-264,376
Total participants2011-09-264,376
2010: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2010 401k membership
Total participants, beginning-of-year2010-09-264,232
Total number of active participants reported on line 7a of the Form 55002010-09-264,376
Total of all active and inactive participants2010-09-264,376
Total participants2010-09-264,376
2009: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-09-264,178
Total number of active participants reported on line 7a of the Form 55002009-09-264,232
Total of all active and inactive participants2009-09-264,232
Total participants2009-09-264,232
2008: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2008 401k membership
Total participants, beginning-of-year2008-09-264,069
Total number of active participants reported on line 7a of the Form 55002008-09-264,178
Total of all active and inactive participants2008-09-264,178
Total participants2008-09-264,178
2007: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2007 401k membership
Total participants, beginning-of-year2007-09-263,797
Total number of active participants reported on line 7a of the Form 55002007-09-264,069
Total of all active and inactive participants2007-09-264,069
Total participants2007-09-264,069

Form 5500 Responses for TULANE UNIVERSITY TRAVEL ACCIDENT PLAN

2022: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingYes
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2011 form 5500 responses
2011-09-26Type of plan entitySingle employer plan
2011-09-26Submission has been amendedNo
2011-09-26This submission is the final filingNo
2011-09-26This return/report is a short plan year return/report (less than 12 months)Yes
2011-09-26Plan is a collectively bargained planNo
2011-09-26Plan funding arrangement – InsuranceYes
2011-09-26Plan benefit arrangement – InsuranceYes
2010: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2010 form 5500 responses
2010-09-26Type of plan entitySingle employer plan
2010-09-26Submission has been amendedNo
2010-09-26This submission is the final filingNo
2010-09-26This return/report is a short plan year return/report (less than 12 months)No
2010-09-26Plan is a collectively bargained planNo
2010-09-26Plan funding arrangement – InsuranceYes
2010-09-26Plan benefit arrangement – InsuranceYes
2009: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2009 form 5500 responses
2009-09-26Type of plan entitySingle employer plan
2009-09-26Submission has been amendedNo
2009-09-26This submission is the final filingNo
2009-09-26This return/report is a short plan year return/report (less than 12 months)No
2009-09-26Plan is a collectively bargained planNo
2009-09-26Plan funding arrangement – InsuranceYes
2009-09-26Plan benefit arrangement – InsuranceYes
2008: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2008 form 5500 responses
2008-09-26Type of plan entitySingle employer plan
2008-09-26Submission has been amendedYes
2008-09-26This submission is the final filingNo
2008-09-26This return/report is a short plan year return/report (less than 12 months)No
2008-09-26Plan is a collectively bargained planNo
2008-09-26Plan funding arrangement – InsuranceYes
2008-09-26Plan benefit arrangement – InsuranceYes
2007: TULANE UNIVERSITY TRAVEL ACCIDENT PLAN 2007 form 5500 responses
2007-09-26Type of plan entitySingle employer plan
2007-09-26Submission has been amendedYes
2007-09-26This submission is the final filingNo
2007-09-26This return/report is a short plan year return/report (less than 12 months)No
2007-09-26Plan is a collectively bargained planNo
2007-09-26Plan funding arrangement – InsuranceYes
2007-09-26Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 )
Policy contract number9906-39-63
Policy instance 1
Insurance contract or identification number9906-39-63
Number of Individuals Covered18663
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 providedACCIDENTAL DEATH AND DISMEMBERMENT BTA
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 $6,836
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 )
Policy contract number9906-39-63
Policy instance 1
Insurance contract or identification number9906-39-63
Number of Individuals Covered18663
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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 providedACCIDENTAL DEATH AND DISMEMBERMENT BTA
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 $6,836
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 )
Policy contract number9906-39-63
Policy instance 1
Insurance contract or identification number9906-39-63
Number of Individuals Covered5546
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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 providedACCIDENTAL DEATH AND 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 $6,836
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 number000099063963
Policy instance 1
Insurance contract or identification number000099063963
Number of Individuals Covered5082
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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 providedACCIDENTAL DEATH AND 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 $6,836
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 number000099063963
Policy instance 1
Insurance contract or identification number000099063963
Number of Individuals Covered5082
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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 providedACCIDENTAL DEATH AND 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 $6,836
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 number000099063963
Policy instance 1
Insurance contract or identification number000099063963
Number of Individuals Covered5045
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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 providedACCIDENTAL DEATH AND 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 number000099063963
Policy instance 1
Insurance contract or identification number000099063963
Number of Individuals Covered4563
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 providedACCIDENTAL DEATH AND 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 number9906-3963
Policy instance 1
Insurance contract or identification number9906-3963
Number of Individuals Covered4484
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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 providedACCIDENTAL DEATH AND 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 $2,148
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker name
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number99063963
Policy instance 1
Insurance contract or identification number99063963
Number of Individuals Covered4484
Insurance policy start date2013-01-01
Insurance policy end date2014-01-01
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 providedACCIDENTAL DEATH AND 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 $2,148
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 number99063963
Policy instance 1
Insurance contract or identification number99063963
Number of Individuals Covered4390
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 number99063963
Policy instance 1
Insurance contract or identification number99063963
Number of Individuals Covered6647
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Other welfare benefits providedBUSINESS TRAVEL ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $23,355
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number99063963
Policy instance 1
Insurance contract or identification number99063963
Number of Individuals Covered6647
Insurance policy start date2010-09-26
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $142
Other welfare benefits providedBUSINESS TRAVEL ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $947
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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