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| Plan Name | PAN-AMERICAN LIFE INSURANCE GROUP RETIREE WELFARE BENEFIT PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | PAN-AMERICAN LIFE INSURANCE GROUP, INC. |
| Employer identification number (EIN): | 205816271 |
| NAIC Classification: | 524140 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2022-01-01 | AMANDA NEWELL | 2023-10-13 | ||
| 502 | 2021-01-01 | JOSEPH VICKNAIR | 2022-10-11 | ||
| 502 | 2020-06-30 | JOSEPH VICKNAIR | 2022-01-03 |
| Measure | Date | Value |
|---|---|---|
| 2022: PAN-AMERICAN LIFE INSURANCE GROUP RETIREE WELFARE BENEFIT PLAN 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-01-01 | 133 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 108 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 0 |
| Total of all active and inactive participants | 2022-01-01 | 108 |
| 2021: PAN-AMERICAN LIFE INSURANCE GROUP RETIREE WELFARE BENEFIT PLAN 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-01-01 | 190 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 133 |
| Number of retired or separated participants receiving benefits | 2021-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 0 |
| Total of all active and inactive participants | 2021-01-01 | 133 |
| 2020: PAN-AMERICAN LIFE INSURANCE GROUP RETIREE WELFARE BENEFIT PLAN 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-06-30 | 194 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-06-30 | 0 |
| Number of retired or separated participants receiving benefits | 2020-06-30 | 190 |
| Number of other retired or separated participants entitled to future benefits | 2020-06-30 | 0 |
| Total of all active and inactive participants | 2020-06-30 | 190 |
| 2022: PAN-AMERICAN LIFE INSURANCE GROUP RETIREE WELFARE BENEFIT PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Submission has been amended | No |
| 2022-01-01 | This submission is the final filing | No |
| 2022-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-01-01 | Plan is a collectively bargained plan | No |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: PAN-AMERICAN LIFE INSURANCE GROUP RETIREE WELFARE BENEFIT PLAN 2021 form 5500 responses | ||
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Submission has been amended | No |
| 2021-01-01 | This submission is the final filing | No |
| 2021-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-01-01 | Plan is a collectively bargained plan | No |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: PAN-AMERICAN LIFE INSURANCE GROUP RETIREE WELFARE BENEFIT PLAN 2020 form 5500 responses | ||
| 2020-06-30 | Type of plan entity | Single employer plan |
| 2020-06-30 | First time form 5500 has been submitted | Yes |
| 2020-06-30 | Submission has been amended | No |
| 2020-06-30 | This submission is the final filing | No |
| 2020-06-30 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2020-06-30 | Plan is a collectively bargained plan | No |
| 2020-06-30 | Plan funding arrangement – Insurance | Yes |
| 2020-06-30 | Plan benefit arrangement – Insurance | Yes |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 70074 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 70074 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 70074 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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