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ALLIED TRUST FUND 401k Plan overview

Plan NameALLIED TRUST FUND
Plan identification number 501

ALLIED TRUST FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Severance pay
  • Other welfare benefit cover

401k Sponsoring company profile

ALLIED TRUST FUND has sponsored the creation of one or more 401k plans.

Company Name:ALLIED TRUST FUND
Employer identification number (EIN):226063410
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ALLIED TRUST FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01LINDA B. GLAZER2023-10-11
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01LINDA GLAZER
5012016-01-01LINDA GLAZER
5012015-01-01LINDA GLAZER
5012014-01-01LINDA GLAZER
5012013-01-01LINDA GLAZER
5012012-01-01LINDA GLAZER
5012011-01-01LINDA GLAZER
5012010-01-01LINDA B GLAZER
5012009-01-01EDWARD B NEWMAN PRACTITIONER-FILER

Plan Statistics for ALLIED TRUST FUND

401k plan membership statisitcs for ALLIED TRUST FUND

Measure Date Value
2022: ALLIED TRUST FUND 2022 401k membership
Total participants, beginning-of-year2022-01-0111
Total number of active participants reported on line 7a of the Form 55002022-01-012
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-019
Total of all active and inactive participants2022-01-0111
2021: ALLIED TRUST FUND 2021 401k membership
Total participants, beginning-of-year2021-01-0111
Total number of active participants reported on line 7a of the Form 55002021-01-012
Number of other retired or separated participants entitled to future benefits2021-01-019
Total of all active and inactive participants2021-01-0111
2020: ALLIED TRUST FUND 2020 401k membership
Total participants, beginning-of-year2020-01-0112
Total number of active participants reported on line 7a of the Form 55002020-01-012
Number of other retired or separated participants entitled to future benefits2020-01-019
Total of all active and inactive participants2020-01-0111
Total participants2020-01-0111
2019: ALLIED TRUST FUND 2019 401k membership
Total participants, beginning-of-year2019-01-0113
Total number of active participants reported on line 7a of the Form 55002019-01-012
Number of retired or separated participants receiving benefits2019-01-0110
Total of all active and inactive participants2019-01-0112
Total participants2019-01-0112
Number of participants with account balances2019-01-010
2018: ALLIED TRUST FUND 2018 401k membership
Total participants, beginning-of-year2018-01-0114
Total number of active participants reported on line 7a of the Form 55002018-01-013
Number of retired or separated participants receiving benefits2018-01-0110
Total of all active and inactive participants2018-01-0113
Total participants2018-01-0113
2017: ALLIED TRUST FUND 2017 401k membership
Total participants, beginning-of-year2017-01-0114
Total number of active participants reported on line 7a of the Form 55002017-01-013
Number of retired or separated participants receiving benefits2017-01-0111
Total of all active and inactive participants2017-01-0114
Total participants2017-01-0114
2016: ALLIED TRUST FUND 2016 401k membership
Total participants, beginning-of-year2016-01-0116
Total number of active participants reported on line 7a of the Form 55002016-01-013
Number of retired or separated participants receiving benefits2016-01-0111
Total of all active and inactive participants2016-01-0114
Total participants2016-01-0114
2015: ALLIED TRUST FUND 2015 401k membership
Total participants, beginning-of-year2015-01-0116
Total number of active participants reported on line 7a of the Form 55002015-01-013
Number of retired or separated participants receiving benefits2015-01-0113
Total of all active and inactive participants2015-01-0116
Total participants2015-01-0116
2014: ALLIED TRUST FUND 2014 401k membership
Total participants, beginning-of-year2014-01-0116
Total number of active participants reported on line 7a of the Form 55002014-01-013
Number of retired or separated participants receiving benefits2014-01-0113
Total of all active and inactive participants2014-01-0116
Total participants2014-01-0116
2013: ALLIED TRUST FUND 2013 401k membership
Total participants, beginning-of-year2013-01-0118
Total number of active participants reported on line 7a of the Form 55002013-01-013
Number of retired or separated participants receiving benefits2013-01-0113
Total of all active and inactive participants2013-01-0116
Total participants2013-01-0116
2012: ALLIED TRUST FUND 2012 401k membership
Total participants, beginning-of-year2012-01-0120
Total number of active participants reported on line 7a of the Form 55002012-01-013
Number of retired or separated participants receiving benefits2012-01-0115
Total of all active and inactive participants2012-01-0118
Total participants2012-01-0118
2011: ALLIED TRUST FUND 2011 401k membership
Total participants, beginning-of-year2011-01-0122
Total number of active participants reported on line 7a of the Form 55002011-01-013
Number of retired or separated participants receiving benefits2011-01-0117
Total of all active and inactive participants2011-01-0120
Total participants2011-01-0120
2010: ALLIED TRUST FUND 2010 401k membership
Total participants, beginning-of-year2010-01-0124
Total number of active participants reported on line 7a of the Form 55002010-01-013
Number of retired or separated participants receiving benefits2010-01-0119
Total of all active and inactive participants2010-01-0122
Total participants2010-01-0122
2009: ALLIED TRUST FUND 2009 401k membership
Total participants, beginning-of-year2009-01-0123
Total number of active participants reported on line 7a of the Form 55002009-01-013
Number of retired or separated participants receiving benefits2009-01-0121
Total of all active and inactive participants2009-01-0124
Total participants2009-01-0124

Financial Data on ALLIED TRUST FUND

Measure Date Value
2022 : ALLIED TRUST FUND 2022 401k financial data
Total plan liabilities at end of year2022-12-31$38,622
Total plan liabilities at beginning of year2022-12-31$69,253
Total income from all sources2022-12-31$-89,566
Expenses. Total of all expenses incurred2022-12-31$169,344
Benefits paid (including direct rollovers)2022-12-31$125,246
Total plan assets at end of year2022-12-31$812,498
Total plan assets at beginning of year2022-12-31$1,102,039
Value of fidelity bond covering the plan2022-12-31$500,000
Other income received2022-12-31$-89,566
Net income (gross income less expenses)2022-12-31$-258,910
Net plan assets at end of year (total assets less liabilities)2022-12-31$773,876
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$1,032,786
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$44,098
2021 : ALLIED TRUST FUND 2021 401k financial data
Total plan liabilities at end of year2021-12-31$69,253
Total plan liabilities at beginning of year2021-12-31$29,982
Total income from all sources2021-12-31$150,025
Expenses. Total of all expenses incurred2021-12-31$182,511
Benefits paid (including direct rollovers)2021-12-31$134,368
Total plan assets at end of year2021-12-31$1,102,039
Total plan assets at beginning of year2021-12-31$1,095,254
Value of fidelity bond covering the plan2021-12-31$500,000
Expenses. Other expenses not covered elsewhere2021-12-31$48,143
Other income received2021-12-31$150,025
Net income (gross income less expenses)2021-12-31$-32,486
Net plan assets at end of year (total assets less liabilities)2021-12-31$1,032,786
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$1,065,272
2020 : ALLIED TRUST FUND 2020 401k financial data
Total plan liabilities at end of year2020-12-31$29,982
Total plan liabilities at beginning of year2020-12-31$27,928
Total income from all sources2020-12-31$39,367
Expenses. Total of all expenses incurred2020-12-31$141,022
Benefits paid (including direct rollovers)2020-12-31$86,441
Total plan assets at end of year2020-12-31$1,095,254
Total plan assets at beginning of year2020-12-31$1,194,855
Value of fidelity bond covering the plan2020-12-31$500,000
Other income received2020-12-31$39,367
Net income (gross income less expenses)2020-12-31$-101,655
Net plan assets at end of year (total assets less liabilities)2020-12-31$1,065,272
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$1,166,927
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$54,581
2019 : ALLIED TRUST FUND 2019 401k financial data
Total plan liabilities at end of year2019-12-31$27,928
Total plan liabilities at beginning of year2019-12-31$22,688
Total income from all sources2019-12-31$169,554
Expenses. Total of all expenses incurred2019-12-31$191,839
Benefits paid (including direct rollovers)2019-12-31$126,139
Total plan assets at end of year2019-12-31$1,194,855
Total plan assets at beginning of year2019-12-31$1,211,900
Value of fidelity bond covering the plan2019-12-31$500,000
Other income received2019-12-31$169,554
Net income (gross income less expenses)2019-12-31$-22,285
Net plan assets at end of year (total assets less liabilities)2019-12-31$1,166,927
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$1,189,212
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$65,700
2018 : ALLIED TRUST FUND 2018 401k financial data
Total plan liabilities at end of year2018-12-31$22,688
Total plan liabilities at beginning of year2018-12-31$20,765
Total income from all sources2018-12-31$-31,147
Expenses. Total of all expenses incurred2018-12-31$165,091
Benefits paid (including direct rollovers)2018-12-31$115,607
Total plan assets at end of year2018-12-31$1,211,900
Total plan assets at beginning of year2018-12-31$1,406,215
Value of fidelity bond covering the plan2018-12-31$500,000
Other income received2018-12-31$-31,147
Net income (gross income less expenses)2018-12-31$-196,238
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,189,212
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$1,385,450
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$49,484
2017 : ALLIED TRUST FUND 2017 401k financial data
Total plan liabilities at end of year2017-12-31$20,765
Total plan liabilities at beginning of year2017-12-31$21,444
Total income from all sources2017-12-31$148,555
Expenses. Total of all expenses incurred2017-12-31$189,866
Benefits paid (including direct rollovers)2017-12-31$129,552
Total plan assets at end of year2017-12-31$1,406,215
Total plan assets at beginning of year2017-12-31$1,448,205
Value of fidelity bond covering the plan2017-12-31$500,000
Other income received2017-12-31$148,555
Net income (gross income less expenses)2017-12-31$-41,311
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,385,450
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,426,761
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$60,314
2016 : ALLIED TRUST FUND 2016 401k financial data
Total plan liabilities at end of year2016-12-31$21,443
Total plan liabilities at beginning of year2016-12-31$30,969
Total income from all sources2016-12-31$127,771
Expenses. Total of all expenses incurred2016-12-31$178,285
Benefits paid (including direct rollovers)2016-12-31$120,070
Total plan assets at end of year2016-12-31$1,448,205
Total plan assets at beginning of year2016-12-31$1,508,245
Value of fidelity bond covering the plan2016-12-31$500,000
Other income received2016-12-31$127,771
Net income (gross income less expenses)2016-12-31$-50,514
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,426,762
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,477,276
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$58,215
2015 : ALLIED TRUST FUND 2015 401k financial data
Total plan liabilities at end of year2015-12-31$30,969
Total plan liabilities at beginning of year2015-12-31$27,191
Total income from all sources2015-12-31$16,976
Expenses. Total of all expenses incurred2015-12-31$219,182
Benefits paid (including direct rollovers)2015-12-31$167,544
Total plan assets at end of year2015-12-31$1,508,245
Total plan assets at beginning of year2015-12-31$1,706,673
Value of fidelity bond covering the plan2015-12-31$500,000
Other income received2015-12-31$16,976
Net income (gross income less expenses)2015-12-31$-202,206
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,477,276
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$1,679,482
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$51,638
2014 : ALLIED TRUST FUND 2014 401k financial data
Total plan liabilities at end of year2014-12-31$27,191
Total plan liabilities at beginning of year2014-12-31$26,575
Total income from all sources2014-12-31$52,563
Expenses. Total of all expenses incurred2014-12-31$189,745
Benefits paid (including direct rollovers)2014-12-31$137,711
Total plan assets at end of year2014-12-31$1,706,673
Total plan assets at beginning of year2014-12-31$1,843,239
Value of fidelity bond covering the plan2014-12-31$500,000
Other income received2014-12-31$52,563
Net income (gross income less expenses)2014-12-31$-137,182
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,679,482
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$1,816,664
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$52,034
2013 : ALLIED TRUST FUND 2013 401k financial data
Total plan liabilities at end of year2013-12-31$26,575
Total plan liabilities at beginning of year2013-12-31$30,739
Total income from all sources2013-12-31$168,137
Expenses. Total of all expenses incurred2013-12-31$200,814
Benefits paid (including direct rollovers)2013-12-31$148,788
Total plan assets at end of year2013-12-31$1,843,239
Total plan assets at beginning of year2013-12-31$1,880,080
Value of fidelity bond covering the plan2013-12-31$500,000
Other income received2013-12-31$168,137
Net income (gross income less expenses)2013-12-31$-32,677
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,816,664
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$1,849,341
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$52,026
2012 : ALLIED TRUST FUND 2012 401k financial data
Total plan liabilities at end of year2012-12-31$30,739
Total plan liabilities at beginning of year2012-12-31$36,471
Total income from all sources2012-12-31$123,204
Expenses. Total of all expenses incurred2012-12-31$201,467
Benefits paid (including direct rollovers)2012-12-31$147,577
Total plan assets at end of year2012-12-31$1,880,080
Total plan assets at beginning of year2012-12-31$1,964,075
Value of fidelity bond covering the plan2012-12-31$500,000
Other income received2012-12-31$123,204
Net income (gross income less expenses)2012-12-31$-78,263
Net plan assets at end of year (total assets less liabilities)2012-12-31$1,849,341
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$1,927,604
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$53,890
2011 : ALLIED TRUST FUND 2011 401k financial data
Total plan liabilities at end of year2011-12-31$36,471
Total plan liabilities at beginning of year2011-12-31$107,817
Total income from all sources2011-12-31$33,416
Expenses. Total of all expenses incurred2011-12-31$263,328
Benefits paid (including direct rollovers)2011-12-31$181,358
Total plan assets at end of year2011-12-31$1,964,075
Total plan assets at beginning of year2011-12-31$2,265,333
Value of fidelity bond covering the plan2011-12-31$500,000
Other income received2011-12-31$33,416
Net income (gross income less expenses)2011-12-31$-229,912
Net plan assets at end of year (total assets less liabilities)2011-12-31$1,927,604
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$2,157,516
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$81,970
2010 : ALLIED TRUST FUND 2010 401k financial data
Total plan liabilities at end of year2010-12-31$107,817
Total plan liabilities at beginning of year2010-12-31$265,395
Total income from all sources2010-12-31$208,116
Expenses. Total of all expenses incurred2010-12-31$307,898
Benefits paid (including direct rollovers)2010-12-31$216,800
Total plan assets at end of year2010-12-31$2,265,333
Total plan assets at beginning of year2010-12-31$2,522,693
Value of fidelity bond covering the plan2010-12-31$500,000
Other income received2010-12-31$208,116
Net income (gross income less expenses)2010-12-31$-99,782
Net plan assets at end of year (total assets less liabilities)2010-12-31$2,157,516
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$2,257,298
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$91,098

Form 5500 Responses for ALLIED TRUST FUND

2022: ALLIED TRUST FUND 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: ALLIED TRUST FUND 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: ALLIED TRUST FUND 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: ALLIED TRUST FUND 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: ALLIED TRUST FUND 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: ALLIED TRUST FUND 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 – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: ALLIED TRUST FUND 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 – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: ALLIED TRUST FUND 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 – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: ALLIED TRUST FUND 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 – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: ALLIED TRUST FUND 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 – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: ALLIED TRUST FUND 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 – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: ALLIED TRUST FUND 2011 form 5500 responses
2011-01-01Type of plan entityMulitple 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 – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: ALLIED TRUST FUND 2010 form 5500 responses
2010-01-01Type of plan entityMulitple employer plan
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: ALLIED TRUST FUND 2009 form 5500 responses
2009-01-01Type of plan entityMulitple employer plan
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number284754397
Policy instance 1
Insurance contract or identification number284754397
Number of Individuals Covered2
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number284754397
Policy instance 1
Insurance contract or identification number284754397
Number of Individuals Covered2
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number284754397
Policy instance 1
Insurance contract or identification number284754397
Number of Individuals Covered2
Insurance policy start date2019-12-01
Insurance policy end date2020-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number284754397
Policy instance 1
Insurance contract or identification number284754397
Number of Individuals Covered12
Insurance policy start date2018-12-01
Insurance policy end date2019-12-01
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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