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LIFE, LTD, AD&D AND VISION INSURANCE PLAN 401k Plan overview

Plan NameLIFE, LTD, AD&D AND VISION INSURANCE PLAN
Plan identification number 503

LIFE, LTD, AD&D AND VISION INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Vision
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

DEDHAM INSTITUTION FOR SAVINGS has sponsored the creation of one or more 401k plans.

Company Name:DEDHAM INSTITUTION FOR SAVINGS
Employer identification number (EIN):041238770
NAIC Classification:522120
NAIC Description:Savings Institutions

Additional information about DEDHAM INSTITUTION FOR SAVINGS

Jurisdiction of Incorporation: Commonwealth of Massachusetts Corporations Division
Incorporation Date:
Company Identification Number: 041238700

More information about DEDHAM INSTITUTION FOR SAVINGS

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIFE, LTD, AD&D AND VISION INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032023-01-01VICTORIA B. KANE2024-06-05 VICTORIA B. KANE2024-06-05
5032022-01-01VICTORIA B. KANE2023-05-23 VICTORIA B. KANE2023-05-23
5032021-01-01VICTORIA B. KANE2022-07-20 VICTORIA B. KANE2022-07-20
5032020-01-01JEAN TENNIHAN2021-06-15 JEAN TENNIHAN2021-06-15

Plan Statistics for LIFE, LTD, AD&D AND VISION INSURANCE PLAN

401k plan membership statisitcs for LIFE, LTD, AD&D AND VISION INSURANCE PLAN

Measure Date Value
2023: LIFE, LTD, AD&D AND VISION INSURANCE PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01203
Total number of active participants reported on line 7a of the Form 55002023-01-01197
Total of all active and inactive participants2023-01-01197
2022: LIFE, LTD, AD&D AND VISION INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01197
Total number of active participants reported on line 7a of the Form 55002022-01-01203
Total of all active and inactive participants2022-01-01203
2021: LIFE, LTD, AD&D AND VISION INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01195
Total number of active participants reported on line 7a of the Form 55002021-01-01197
Total of all active and inactive participants2021-01-01197
2020: LIFE, LTD, AD&D AND VISION INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01195
Total number of active participants reported on line 7a of the Form 55002020-01-01195
Total of all active and inactive participants2020-01-01195

Form 5500 Responses for LIFE, LTD, AD&D AND VISION INSURANCE PLAN

2023: LIFE, LTD, AD&D AND VISION INSURANCE PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: LIFE, LTD, AD&D AND VISION INSURANCE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: LIFE, LTD, AD&D AND VISION INSURANCE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: LIFE, LTD, AD&D AND VISION INSURANCE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01First time form 5500 has been submittedYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number867952G
Policy instance 1
Insurance contract or identification number867952G
Number of Individuals Covered197
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $21,901
Total amount of fees paid to insurance companyUSD $10,502
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $145,236
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12700002
Policy instance 2
Insurance contract or identification number12700002
Number of Individuals Covered154
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $1,549
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number867952G
Policy instance 1
Insurance contract or identification number867952G
Number of Individuals Covered203
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $20,460
Total amount of fees paid to insurance companyUSD $636
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $135,540
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12700002
Policy instance 2
Insurance contract or identification number12700002
Number of Individuals Covered151
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $1,750
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number867952G
Policy instance 1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12700002
Policy instance 2
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number867952G
Policy instance 1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12700002
Policy instance 2

Potentially related plans

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