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| Plan Name | NATIVE HAWAIIAN VETERANS LLC HEALTH AND WELFARE BENEFIT PLANS |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | NATIVE HAWAIIAN VETERANS, LLC |
| Employer identification number (EIN): | 760778367 |
| NAIC Classification: | 561300 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2018-09-01 | ||||
| 501 | 2017-09-01 | ||||
| 501 | 2016-09-01 | BRITNI DELANEY |
| Measure | Date | Value |
|---|---|---|
| 2018: NATIVE HAWAIIAN VETERANS LLC HEALTH AND WELFARE BENEFIT PLANS 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-09-01 | 129 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-09-01 | 0 |
| Total of all active and inactive participants | 2018-09-01 | 0 |
| Total participants | 2018-09-01 | 0 |
| 2017: NATIVE HAWAIIAN VETERANS LLC HEALTH AND WELFARE BENEFIT PLANS 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-09-01 | 114 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-09-01 | 129 |
| Total of all active and inactive participants | 2017-09-01 | 129 |
| Total participants | 2017-09-01 | 129 |
| 2016: NATIVE HAWAIIAN VETERANS LLC HEALTH AND WELFARE BENEFIT PLANS 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-09-01 | 130 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-09-01 | 114 |
| Total of all active and inactive participants | 2016-09-01 | 114 |
| Total participants | 2016-09-01 | 114 |
| 2018: NATIVE HAWAIIAN VETERANS LLC HEALTH AND WELFARE BENEFIT PLANS 2018 form 5500 responses | ||
|---|---|---|
| 2018-09-01 | Type of plan entity | Single employer plan |
| 2018-09-01 | Submission has been amended | No |
| 2018-09-01 | This submission is the final filing | Yes |
| 2018-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-09-01 | Plan is a collectively bargained plan | No |
| 2018-09-01 | Plan funding arrangement – Insurance | Yes |
| 2018-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: NATIVE HAWAIIAN VETERANS LLC HEALTH AND WELFARE BENEFIT PLANS 2017 form 5500 responses | ||
| 2017-09-01 | Type of plan entity | Single employer plan |
| 2017-09-01 | Submission has been amended | No |
| 2017-09-01 | This submission is the final filing | No |
| 2017-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-09-01 | Plan is a collectively bargained plan | No |
| 2017-09-01 | Plan funding arrangement – Insurance | Yes |
| 2017-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: NATIVE HAWAIIAN VETERANS LLC HEALTH AND WELFARE BENEFIT PLANS 2016 form 5500 responses | ||
| 2016-09-01 | Type of plan entity | Single employer plan |
| 2016-09-01 | First time form 5500 has been submitted | Yes |
| 2016-09-01 | Submission has been amended | No |
| 2016-09-01 | This submission is the final filing | No |
| 2016-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-09-01 | Plan is a collectively bargained plan | No |
| 2016-09-01 | Plan funding arrangement – Insurance | Yes |
| 2016-09-01 | Plan benefit arrangement – Insurance | Yes |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 607027 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 607027 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | KM05938087 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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