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GROUP INSURANCE PLAN OF UTICA MUTUAL INSURANCE EMPLOYEES 401k Plan overview

Plan NameGROUP INSURANCE PLAN OF UTICA MUTUAL INSURANCE EMPLOYEES
Plan identification number 501

GROUP INSURANCE PLAN OF UTICA MUTUAL INSURANCE EMPLOYEES Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

UTICA MUTUAL INSURANCE COMPANY has sponsored the creation of one or more 401k plans.

Company Name:UTICA MUTUAL INSURANCE COMPANY
Employer identification number (EIN):150476880
NAIC Classification:524290

Additional information about UTICA MUTUAL INSURANCE COMPANY

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 2016-10-20
Company Identification Number: 604050180
Legal Registered Office Address: 7322 58TH STREET CT W APT 15-103

UNIVERSITY PLACE
United States of America (USA)
984674613

More information about UTICA MUTUAL INSURANCE COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP INSURANCE PLAN OF UTICA MUTUAL INSURANCE EMPLOYEES

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-01-01GAIL STEDMAN
5012017-01-01
5012016-01-01GAIL STEDMAN
5012015-01-01GAIL STEDMAN
5012014-01-01GAIL STEDMAN
5012013-01-01GAIL STEDMAN
5012012-01-01GAIL STEDMAN
5012011-01-01GAIL STEDMAN
5012009-01-01GAIL STEDMAN

Plan Statistics for GROUP INSURANCE PLAN OF UTICA MUTUAL INSURANCE EMPLOYEES

401k plan membership statisitcs for GROUP INSURANCE PLAN OF UTICA MUTUAL INSURANCE EMPLOYEES

Measure Date Value
2017: GROUP INSURANCE PLAN OF UTICA MUTUAL INSURANCE EMPLOYEES 2017 401k membership
Total participants, beginning-of-year2017-01-011,109
Total number of active participants reported on line 7a of the Form 55002017-01-011,076
Number of retired or separated participants receiving benefits2017-01-0146
Total of all active and inactive participants2017-01-011,122
Total participants2017-01-011,122
2016: GROUP INSURANCE PLAN OF UTICA MUTUAL INSURANCE EMPLOYEES 2016 401k membership
Total participants, beginning-of-year2016-01-011,089
Total number of active participants reported on line 7a of the Form 55002016-01-011,071
Number of retired or separated participants receiving benefits2016-01-0138
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-011,109
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-011,109
2015: GROUP INSURANCE PLAN OF UTICA MUTUAL INSURANCE EMPLOYEES 2015 401k membership
Total participants, beginning-of-year2015-01-011,058
Total number of active participants reported on line 7a of the Form 55002015-01-011,051
Number of retired or separated participants receiving benefits2015-01-0138
Total of all active and inactive participants2015-01-011,089
Total participants2015-01-011,089
2014: GROUP INSURANCE PLAN OF UTICA MUTUAL INSURANCE EMPLOYEES 2014 401k membership
Total participants, beginning-of-year2014-01-011,114
Total number of active participants reported on line 7a of the Form 55002014-01-011,023
Number of retired or separated participants receiving benefits2014-01-0135
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-011,058
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-011,058
2013: GROUP INSURANCE PLAN OF UTICA MUTUAL INSURANCE EMPLOYEES 2013 401k membership
Total participants, beginning-of-year2013-01-011,147
Total number of active participants reported on line 7a of the Form 55002013-01-011,091
Number of retired or separated participants receiving benefits2013-01-0123
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-011,114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-011,114
2012: GROUP INSURANCE PLAN OF UTICA MUTUAL INSURANCE EMPLOYEES 2012 401k membership
Total participants, beginning-of-year2012-01-011,175
Total number of active participants reported on line 7a of the Form 55002012-01-011,147
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-011,147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-011,147
2011: GROUP INSURANCE PLAN OF UTICA MUTUAL INSURANCE EMPLOYEES 2011 401k membership
Total participants, beginning-of-year2011-01-011,196
Total number of active participants reported on line 7a of the Form 55002011-01-011,175
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-011,175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-011,175
2009: GROUP INSURANCE PLAN OF UTICA MUTUAL INSURANCE EMPLOYEES 2009 401k membership
Total participants, beginning-of-year2009-01-011,762
Total number of active participants reported on line 7a of the Form 55002009-01-011,221
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-01461
Total of all active and inactive participants2009-01-011,682
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-011,682

Form 5500 Responses for GROUP INSURANCE PLAN OF UTICA MUTUAL INSURANCE EMPLOYEES

2017: GROUP INSURANCE PLAN OF UTICA MUTUAL INSURANCE EMPLOYEES 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: GROUP INSURANCE PLAN OF UTICA MUTUAL INSURANCE EMPLOYEES 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: GROUP INSURANCE PLAN OF UTICA MUTUAL INSURANCE EMPLOYEES 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: GROUP INSURANCE PLAN OF UTICA MUTUAL INSURANCE EMPLOYEES 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: GROUP INSURANCE PLAN OF UTICA MUTUAL INSURANCE EMPLOYEES 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: GROUP INSURANCE PLAN OF UTICA MUTUAL INSURANCE EMPLOYEES 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: GROUP INSURANCE PLAN OF UTICA MUTUAL INSURANCE EMPLOYEES 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: GROUP INSURANCE PLAN OF UTICA MUTUAL INSURANCE EMPLOYEES 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberSA3-880-054556-
Policy instance 1
Insurance contract or identification numberSA3-880-054556-
Number of Individuals Covered1076
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $23,056
Total amount of fees paid to insurance companyUSD $10,064
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $503,620
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,056
Amount paid for insurance broker fees10064
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameLAWLEY BENEFITS GROUP LLC
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number906958
Policy instance 1
Insurance contract or identification number906958
Number of Individuals Covered1089
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $33,610
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $540,087
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,203
Amount paid for insurance broker fees7407
Additional information about fees paid to insurance brokerSALES COMMISSION AND ADDITIONAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameLAWLEY BENEFITS GROUP LLC
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number906958
Policy instance 1
Insurance contract or identification number906958
Number of Individuals Covered1058
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $41,063
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $493,813
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,984
Amount paid for insurance broker fees9079
Additional information about fees paid to insurance brokerSALES COMMISSION AND ADDITIONAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameLAWLEY BENEFITS GROUP LLC
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number906958
Policy instance 1
Insurance contract or identification number906958
Number of Individuals Covered1102
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $47,232
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $522,232
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,787
Amount paid for insurance broker fees10445
Additional information about fees paid to insurance brokerSALES COMMISSION AND ADDITIONAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameLAWLEY BENEFITS GROUP LLC
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number906958
Policy instance 1
Insurance contract or identification number906958
Number of Individuals Covered1147
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $34,309
Total amount of fees paid to insurance companyUSD $9,149
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $457,460
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,309
Amount paid for insurance broker fees9149
Additional information about fees paid to insurance brokerSALES COMMISSION AND ADDITIONAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameLAWLEY BENEFITS GROUP LLC
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number906958
Policy instance 1
Insurance contract or identification number906958
Number of Individuals Covered1218
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $33,616
Total amount of fees paid to insurance companyUSD $6,720
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $436,083
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number906958
Policy instance 2
Insurance contract or identification number906958
Number of Individuals Covered1196
Insurance policy start date2010-05-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $24,488
Total amount of fees paid to insurance companyUSD $6,530
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $326,515
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,488
Amount paid for insurance broker fees6530
Additional information about fees paid to insurance brokerCOMMISSIONS AND ADDITIONAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameLAWLEY BENEFITS GROUP LLC
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0104996
Policy instance 1
Insurance contract or identification number0104996
Number of Individuals Covered1674
Insurance policy start date2010-01-01
Insurance policy end date2010-04-30
Total amount of commissions paid to insurance brokerUSD $26,592
Total amount of fees paid to insurance companyUSD $1,033
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $202,018
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,592
Amount paid for insurance broker fees1033
Additional information about fees paid to insurance brokerBASE COMMISSIONS AND SUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameLAWLEY BENEFITS GROUP LLC

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