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GROUP TERM LIFE AND AD&D/GROUP SUPPLEMENTAL LIFE/GROUP LONG TERM DISABILITY FOR EMPLOYEES OF PUBLIC SERVICE INSURANCE COMPANY 401k Plan overview

Plan NameGROUP TERM LIFE AND AD&D/GROUP SUPPLEMENTAL LIFE/GROUP LONG TERM DISABILITY FOR EMPLOYEES OF PUBLIC SERVICE INSURANCE COMPANY
Plan identification number 504

GROUP TERM LIFE AND AD&D/GROUP SUPPLEMENTAL LIFE/GROUP LONG TERM DISABILITY FOR EMPLOYEES OF PUBLIC SERVICE INSURANCE COMPANY Benefits

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

401k Sponsoring company profile

PUBLIC SERVICE INSURANCE COMPANY has sponsored the creation of one or more 401k plans.

Company Name:PUBLIC SERVICE INSURANCE COMPANY
Employer identification number (EIN):131188550
NAIC Classification:524150

Additional information about PUBLIC SERVICE INSURANCE COMPANY

Jurisdiction of Incorporation: Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number: 736969

More information about PUBLIC SERVICE INSURANCE COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP TERM LIFE AND AD&D/GROUP SUPPLEMENTAL LIFE/GROUP LONG TERM DISABILITY FOR EMPLOYEES OF PUBLIC SERVICE INSURANCE COMPANY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042015-01-01GARY STEWART
5042014-01-01GARY STEWART
5042013-01-01GARY STEWART
5042012-01-01GARY STEWART
5042011-01-01GARY STEWART
5042010-01-01GARY STEWART
5042009-01-01GARY STEWART

Plan Statistics for GROUP TERM LIFE AND AD&D/GROUP SUPPLEMENTAL LIFE/GROUP LONG TERM DISABILITY FOR EMPLOYEES OF PUBLIC SERVICE INSURANCE COMPANY

401k plan membership statisitcs for GROUP TERM LIFE AND AD&D/GROUP SUPPLEMENTAL LIFE/GROUP LONG TERM DISABILITY FOR EMPLOYEES OF PUBLIC SERVICE INSURANCE COMPANY

Measure Date Value
2015: GROUP TERM LIFE AND AD&D/GROUP SUPPLEMENTAL LIFE/GROUP LONG TERM DISABILITY FOR EMPLOYEES OF PUBLIC SERVICE INSURANCE COMPANY 2015 401k membership
Total participants, beginning-of-year2015-01-01123
Total number of active participants reported on line 7a of the Form 55002015-01-01107
Total of all active and inactive participants2015-01-01107
Total participants2015-01-01107
2014: GROUP TERM LIFE AND AD&D/GROUP SUPPLEMENTAL LIFE/GROUP LONG TERM DISABILITY FOR EMPLOYEES OF PUBLIC SERVICE INSURANCE COMPANY 2014 401k membership
Total participants, beginning-of-year2014-01-01139
Total number of active participants reported on line 7a of the Form 55002014-01-01123
Total of all active and inactive participants2014-01-01123
Total participants2014-01-01123
2013: GROUP TERM LIFE AND AD&D/GROUP SUPPLEMENTAL LIFE/GROUP LONG TERM DISABILITY FOR EMPLOYEES OF PUBLIC SERVICE INSURANCE COMPANY 2013 401k membership
Total participants, beginning-of-year2013-01-01183
Total number of active participants reported on line 7a of the Form 55002013-01-01139
Total of all active and inactive participants2013-01-01139
Total participants2013-01-01139
2012: GROUP TERM LIFE AND AD&D/GROUP SUPPLEMENTAL LIFE/GROUP LONG TERM DISABILITY FOR EMPLOYEES OF PUBLIC SERVICE INSURANCE COMPANY 2012 401k membership
Total participants, beginning-of-year2012-01-01198
Total number of active participants reported on line 7a of the Form 55002012-01-01185
Total of all active and inactive participants2012-01-01185
Total participants2012-01-01185
2011: GROUP TERM LIFE AND AD&D/GROUP SUPPLEMENTAL LIFE/GROUP LONG TERM DISABILITY FOR EMPLOYEES OF PUBLIC SERVICE INSURANCE COMPANY 2011 401k membership
Total participants, beginning-of-year2011-01-01207
Total number of active participants reported on line 7a of the Form 55002011-01-01198
Total of all active and inactive participants2011-01-01198
Total participants2011-01-01198
2010: GROUP TERM LIFE AND AD&D/GROUP SUPPLEMENTAL LIFE/GROUP LONG TERM DISABILITY FOR EMPLOYEES OF PUBLIC SERVICE INSURANCE COMPANY 2010 401k membership
Total participants, beginning-of-year2010-01-01228
Total number of active participants reported on line 7a of the Form 55002010-01-01207
Total of all active and inactive participants2010-01-01207
Total participants2010-01-01207
2009: GROUP TERM LIFE AND AD&D/GROUP SUPPLEMENTAL LIFE/GROUP LONG TERM DISABILITY FOR EMPLOYEES OF PUBLIC SERVICE INSURANCE COMPANY 2009 401k membership
Total participants, beginning-of-year2009-01-01212
Total number of active participants reported on line 7a of the Form 55002009-01-01228
Total of all active and inactive participants2009-01-01228
Total participants2009-01-01228

Form 5500 Responses for GROUP TERM LIFE AND AD&D/GROUP SUPPLEMENTAL LIFE/GROUP LONG TERM DISABILITY FOR EMPLOYEES OF PUBLIC SERVICE INSURANCE COMPANY

2015: GROUP TERM LIFE AND AD&D/GROUP SUPPLEMENTAL LIFE/GROUP LONG TERM DISABILITY FOR EMPLOYEES OF PUBLIC SERVICE INSURANCE COMPANY 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: GROUP TERM LIFE AND AD&D/GROUP SUPPLEMENTAL LIFE/GROUP LONG TERM DISABILITY FOR EMPLOYEES OF PUBLIC SERVICE INSURANCE COMPANY 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: GROUP TERM LIFE AND AD&D/GROUP SUPPLEMENTAL LIFE/GROUP LONG TERM DISABILITY FOR EMPLOYEES OF PUBLIC SERVICE INSURANCE COMPANY 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: GROUP TERM LIFE AND AD&D/GROUP SUPPLEMENTAL LIFE/GROUP LONG TERM DISABILITY FOR EMPLOYEES OF PUBLIC SERVICE INSURANCE COMPANY 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: GROUP TERM LIFE AND AD&D/GROUP SUPPLEMENTAL LIFE/GROUP LONG TERM DISABILITY FOR EMPLOYEES OF PUBLIC SERVICE INSURANCE COMPANY 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: GROUP TERM LIFE AND AD&D/GROUP SUPPLEMENTAL LIFE/GROUP LONG TERM DISABILITY FOR EMPLOYEES OF PUBLIC SERVICE INSURANCE COMPANY 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: GROUP TERM LIFE AND AD&D/GROUP SUPPLEMENTAL LIFE/GROUP LONG TERM DISABILITY FOR EMPLOYEES OF PUBLIC SERVICE INSURANCE COMPANY 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number000010117841
Policy instance 1
Insurance contract or identification number000010117841
Number of Individuals Covered107
Insurance policy start date2015-01-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $1,720
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $40,366
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,720
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP INC
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number000010163919
Policy instance 2
Insurance contract or identification number000010163919
Number of Individuals Covered103
Insurance policy start date2015-01-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $1,428
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,280
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,428
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSUTLING GROUP INC
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number000400147905
Policy instance 3
Insurance contract or identification number000400147905
Number of Individuals Covered47
Insurance policy start date2015-01-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $1,452
Other welfare benefits providedSUPPLEMENTAL LIFE
Welfare Benefit Premiums Paid to CarrierUSD $9,681
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,452
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP INC
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract numberG000AXX5
Policy instance 4
Insurance contract or identification numberG000AXX5
Number of Individuals Covered104
Insurance policy start date2015-10-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,032
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $10,323
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,032
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000AXX5
Policy instance 5
Insurance contract or identification numberG000AXX5
Number of Individuals Covered104
Insurance policy start date2015-10-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $599
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,987
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $599
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP INC
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract numberG000AXX5
Policy instance 6
Insurance contract or identification numberG000AXX5
Number of Individuals Covered16
Insurance policy start date2015-10-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $437
Other welfare benefits providedSUPPLEMENT LIFE AND AD&D
Welfare Benefit Premiums Paid to CarrierUSD $2,912
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $437
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP INC.
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number000010163919
Policy instance 2
Insurance contract or identification number000010163919
Number of Individuals Covered121
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $2,447
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,467
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,447
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number000010117841
Policy instance 1
Insurance contract or identification number000010117841
Number of Individuals Covered123
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $3,116
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $65,365
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,116
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number000400147905
Policy instance 3
Insurance contract or identification number000400147905
Number of Individuals Covered48
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $2,029
Other welfare benefits providedSUPPLEMENTAL LIFE
Welfare Benefit Premiums Paid to CarrierUSD $13,529
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,029
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number000010163919
Policy instance 1
Insurance contract or identification number000010163919
Number of Individuals Covered139
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $2,919
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $29,187
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,919
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number000010117841
Policy instance 2
Insurance contract or identification number000010117841
Number of Individuals Covered139
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $3,250
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $72,255
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,250
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number000400147905
Policy instance 3
Insurance contract or identification number000400147905
Number of Individuals Covered50
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $2,296
Other welfare benefits providedSUPPLEMENTAL LIFE
Welfare Benefit Premiums Paid to CarrierUSD $15,308
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,296
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number223604
Policy instance 4
Insurance contract or identification number223604
Number of Individuals Covered185
Insurance policy start date2012-01-01
Insurance policy end date2012-08-31
Total amount of commissions paid to insurance brokerUSD $1,499
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,654
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,499
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number000010163919
Policy instance 1
Insurance contract or identification number000010163919
Number of Individuals Covered183
Insurance policy start date2012-09-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,241
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,414
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,241
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number000010117841
Policy instance 2
Insurance contract or identification number000010117841
Number of Individuals Covered183
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $3,199
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $69,871
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,199
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number000400147905
Policy instance 3
Insurance contract or identification number000400147905
Number of Individuals Covered66
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $2,182
Other welfare benefits providedSUPPLEMENTAL LIFE
Welfare Benefit Premiums Paid to CarrierUSD $14,543
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,182
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number223604
Policy instance 1
Insurance contract or identification number223604
Number of Individuals Covered198
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $4,001
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $35,008
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number10117841
Policy instance 2
Insurance contract or identification number10117841
Number of Individuals Covered196
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $3,256
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $73,067
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number400147905
Policy instance 3
Insurance contract or identification number400147905
Number of Individuals Covered26
Insurance policy start date2011-10-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $565
Other welfare benefits providedSUPPLEMENTAL LIFE
Welfare Benefit Premiums Paid to CarrierUSD $3,769
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number10117841
Policy instance 1
Insurance contract or identification number10117841
Number of Individuals Covered207
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $3,160
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $68,851
Commission paid to Insurance BrokerUSD $3,160
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number223604
Policy instance 2
Insurance contract or identification number223604
Number of Individuals Covered207
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $6,447
Total amount of fees paid to insurance companyUSD $545
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $51,206
Commission paid to Insurance BrokerUSD $6,447
Amount paid for insurance broker fees545
Additional information about fees paid to insurance brokerSUPPLEMENTAL NEW SALES BUSINESS
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.

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