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LIFE INSURANCE DEATH AND DISMEMBERMENT PLAN 401k Plan overview

Plan NameLIFE INSURANCE DEATH AND DISMEMBERMENT PLAN
Plan identification number 501

LIFE INSURANCE DEATH AND DISMEMBERMENT PLAN Benefits

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

401k Sponsoring company profile

NYSARC, INC. ERIE COUNTY CHAPTER DBA THE ARC ERIE COUNTY NEW YORK has sponsored the creation of one or more 401k plans.

Company Name:NYSARC, INC. ERIE COUNTY CHAPTER DBA THE ARC ERIE COUNTY NEW YORK
Employer identification number (EIN):160769044
NAIC Classification:624100
NAIC Description: Individual and Family Services

Additional information about NYSARC, INC. ERIE COUNTY CHAPTER DBA THE ARC ERIE COUNTY NEW YORK

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1949-01-31
Company Identification Number: 72827
Legal Registered Office Address: 29 BRITISH AMERICAN BOULEVARD
2ND FLOOR
LATHAM
United States of America (USA)
12110

More information about NYSARC, INC. ERIE COUNTY CHAPTER DBA THE ARC ERIE COUNTY NEW YORK

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIFE INSURANCE DEATH AND DISMEMBERMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-01-01LISSA CARROLL LISSA CARROLL2018-07-10
5012017-01-01LISSA CARROLL
5012016-01-01LISSA CARROLL
5012015-05-01LISSA CARROLL
5012014-05-01BARBARA KACZMAREK
5012013-05-01BARBARA KACZMAREK
5012012-05-01BARBARA KACZMAREK
5012011-05-01BARBARA KACZMAREK
5012011-01-01BARBARA KACZMAREK
5012009-05-01BARBARA KACZMAREK

Plan Statistics for LIFE INSURANCE DEATH AND DISMEMBERMENT PLAN

401k plan membership statisitcs for LIFE INSURANCE DEATH AND DISMEMBERMENT PLAN

Measure Date Value
2017: LIFE INSURANCE DEATH AND DISMEMBERMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01609
Total number of active participants reported on line 7a of the Form 55002017-01-01627
Total of all active and inactive participants2017-01-01627
Total participants2017-01-01627
2016: LIFE INSURANCE DEATH AND DISMEMBERMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01677
Total number of active participants reported on line 7a of the Form 55002016-01-01609
Total of all active and inactive participants2016-01-01609
Total participants2016-01-01609
2015: LIFE INSURANCE DEATH AND DISMEMBERMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-01681
Total number of active participants reported on line 7a of the Form 55002015-05-01677
Total of all active and inactive participants2015-05-01677
Total participants2015-05-01677
2014: LIFE INSURANCE DEATH AND DISMEMBERMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-05-01698
Total number of active participants reported on line 7a of the Form 55002014-05-01681
Total of all active and inactive participants2014-05-01681
Total participants2014-05-01681
2013: LIFE INSURANCE DEATH AND DISMEMBERMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-05-01722
Total number of active participants reported on line 7a of the Form 55002013-05-01698
Total of all active and inactive participants2013-05-01698
Total participants2013-05-01698
2012: LIFE INSURANCE DEATH AND DISMEMBERMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-05-01724
Total number of active participants reported on line 7a of the Form 55002012-05-01722
Total of all active and inactive participants2012-05-01722
Total participants2012-05-01722
2011: LIFE INSURANCE DEATH AND DISMEMBERMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-05-01705
Total number of active participants reported on line 7a of the Form 55002011-05-01724
Total of all active and inactive participants2011-05-01724
Total participants2011-05-01724
Total participants, beginning-of-year2011-01-01705
Total number of active participants reported on line 7a of the Form 55002011-01-01724
Total of all active and inactive participants2011-01-01724
Total participants2011-01-01724
2009: LIFE INSURANCE DEATH AND DISMEMBERMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-05-01703
Total number of active participants reported on line 7a of the Form 55002009-05-01681
Total of all active and inactive participants2009-05-01681
Total participants2009-05-01681

Form 5500 Responses for LIFE INSURANCE DEATH AND DISMEMBERMENT PLAN

2017: LIFE INSURANCE DEATH AND DISMEMBERMENT PLAN 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: LIFE INSURANCE DEATH AND DISMEMBERMENT PLAN 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: LIFE INSURANCE DEATH AND DISMEMBERMENT PLAN 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Submission has been amendedNo
2015-05-01This submission is the final filingNo
2015-05-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-05-01Plan is a collectively bargained planNo
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan benefit arrangement – InsuranceYes
2014: LIFE INSURANCE DEATH AND DISMEMBERMENT PLAN 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Submission has been amendedNo
2014-05-01This submission is the final filingNo
2014-05-01This return/report is a short plan year return/report (less than 12 months)No
2014-05-01Plan is a collectively bargained planNo
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan benefit arrangement – InsuranceYes
2013: LIFE INSURANCE DEATH AND DISMEMBERMENT PLAN 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Submission has been amendedNo
2013-05-01This submission is the final filingNo
2013-05-01This return/report is a short plan year return/report (less than 12 months)No
2013-05-01Plan is a collectively bargained planNo
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan benefit arrangement – InsuranceYes
2012: LIFE INSURANCE DEATH AND DISMEMBERMENT PLAN 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Submission has been amendedNo
2012-05-01This submission is the final filingNo
2012-05-01This return/report is a short plan year return/report (less than 12 months)No
2012-05-01Plan is a collectively bargained planNo
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan benefit arrangement – InsuranceYes
2011: LIFE INSURANCE DEATH AND DISMEMBERMENT PLAN 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Submission has been amendedYes
2011-05-01This submission is the final filingNo
2011-05-01This return/report is a short plan year return/report (less than 12 months)No
2011-05-01Plan is a collectively bargained planNo
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan benefit arrangement – InsuranceYes
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: LIFE INSURANCE DEATH AND DISMEMBERMENT PLAN 2009 form 5500 responses
2009-05-01Type of plan entitySingle employer plan
2009-05-01Submission has been amendedNo
2009-05-01This submission is the final filingNo
2009-05-01This return/report is a short plan year return/report (less than 12 months)No
2009-05-01Plan is a collectively bargained planNo
2009-05-01Plan funding arrangement – InsuranceYes
2009-05-01Plan 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 numberSA3-88005451401
Policy instance 1
Insurance contract or identification numberSA3-88005451401
Number of Individuals Covered627
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $6,514
Total amount of fees paid to insurance companyUSD $1,324
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 $59,323
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,514
Amount paid for insurance broker fees1324
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameLAWLEY BENEFITS GROUP LLC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number300956
Policy instance 1
Insurance contract or identification number300956
Number of Individuals Covered681
Insurance policy start date2015-05-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $2,192
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 $45,260
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,149
Insurance broker nameALLIANCE ADVISORY GROUP
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number300956
Policy instance 1
Insurance contract or identification number300956
Number of Individuals Covered681
Insurance policy start date2013-05-01
Insurance policy end date2015-04-30
Total amount of commissions paid to insurance brokerUSD $4,739
Total amount of fees paid to insurance companyUSD $4,190
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 $67,474
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $93
Amount paid for insurance broker fees4190
Insurance broker nameLAWLEY BENEFITS GROUP LLC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number300956
Policy instance 1
Insurance contract or identification number300956
Number of Individuals Covered698
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $5,217
Total amount of fees paid to insurance companyUSD $4,516
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 $68,664
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $102
Amount paid for insurance broker fees4516
Insurance broker nameLAWLEY BENEFITS GROUP, LLC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number300956
Policy instance 1
Insurance contract or identification number300956
Number of Individuals Covered722
Insurance policy start date2012-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $5,311
Total amount of fees paid to insurance companyUSD $4,301
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $80,901
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,311
Amount paid for insurance broker fees4301
Insurance broker nameALLIANCE ADVISORY GROUP
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number309956
Policy instance 1
Insurance contract or identification number309956
Number of Individuals Covered724
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $4,644
Total amount of fees paid to insurance companyUSD $4,170
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $68,851
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number309956
Policy instance 1
Insurance contract or identification number309956
Number of Individuals Covered724
Insurance policy start date2011-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $4,644
Total amount of fees paid to insurance companyUSD $4,170
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $68,851
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number309956
Policy instance 1
Insurance contract or identification number309956
Number of Individuals Covered705
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $5,429
Total amount of fees paid to insurance companyUSD $3,943
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $78,447
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,323
Amount paid for insurance broker fees3943
Insurance broker nameALLIANCE ADVISORY GROUP

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