401k Plan data: MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN plan

MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN 401k Plan overview

Plan Name	MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN
Plan identification number	503

MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Temporary disability (accident and sickness) Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

MILLER NASH LLP has sponsored the creation of one or more 401k plans.

Company Name: MILLER NASH LLP

Employer identification number (EIN): 930410518

NAIC Classification: 541110
NAIC Description: Offices of Lawyers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2017-01-01 MISTY BENDER
503 2016-01-01 MISTY BENDER
503 2015-01-01 MISTY BENDER
503 2014-01-01 MISTY BENDER
503 2013-01-01 MISTY BENDER
503 2012-01-01 KIERAN CURLEY
503 2010-01-01 DONALD A. BURNS
503 2009-01-01 DONALD A. BURNS

Plan id#	Filing Submission Date	Name of Administrator
503	2017-01-01	MISTY BENDER
503	2016-01-01	MISTY BENDER
503	2015-01-01	MISTY BENDER
503	2014-01-01	MISTY BENDER
503	2013-01-01	MISTY BENDER
503	2012-01-01	KIERAN CURLEY
503	2010-01-01	DONALD A. BURNS
503	2009-01-01	DONALD A. BURNS

Plan Statistics for MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN

401k plan membership statisitcs for MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN

Measure Date Value
2017: MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 311
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 312
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 312
Total participants 2017-01-01 312
2016: MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 332
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 312
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 312
Total participants 2016-01-01 312
2015: MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 322
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 334
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 334
Total participants 2015-01-01 334
2014: MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 247
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 255
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 255
Total participants 2014-01-01 255
2013: MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 240
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 247
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 247
Total participants 2013-01-01 247
2012: MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 251
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 240
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 240
2010: MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 264
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 257
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 257
2009: MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 244
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 235
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 235

Measure	Date	Value
2017: MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	311
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	312
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	312
Total participants	2017-01-01	312
2016: MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	332
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	312
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	312
Total participants	2016-01-01	312
2015: MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	322
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	334
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	334
Total participants	2015-01-01	334
2014: MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	247
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	255
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	255
Total participants	2014-01-01	255
2013: MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	240
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	247
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	247
Total participants	2013-01-01	247
2012: MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	251
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	240
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	240
2010: MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	264
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	257
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	257
2009: MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	244
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	235
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	235

Form 5500 Responses for MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN

2017: MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2010: MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: MILLER NASH GRAHAM & DUNN LLP TRAVEL ACCIDENT INSURANCE PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

ETB-011342

Policy instance

Insurance contract or identification number	ETB-011342
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $16
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	BUSINESS TRAVEL ACCIDENT
Welfare Benefit Premiums Paid to Carrier	USD $1,248
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	16
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3
Insurance broker name	THE PARTNERS GROUP

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Company Name:	MILLER NASH LLP
Employer identification number (EIN):	930410518
NAIC Classification:	541110
NAIC Description:	Offices of Lawyers