401k Plan data: LONG TERM DISABILITY plan

LONG TERM DISABILITY 401k Plan overview

Plan Name	LONG TERM DISABILITY
Plan identification number	501

LONG TERM DISABILITY Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

AAA CLUB ALLIANCE INC. has sponsored the creation of one or more 401k plans.

Company Name: AAA CLUB ALLIANCE INC.

Employer identification number (EIN): 230758010

NAIC Classification: 524150

Additional information about AAA CLUB ALLIANCE INC.

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 2148251

More information about AAA CLUB ALLIANCE INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LONG TERM DISABILITY

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-01-01 DEBRA MAHER 2024-09-26
501 2016-01-01 DEBRA F. KING
501 2015-01-01 DEBRA KING
501 2014-01-01 DEBRA F. KING DEBRA F. KING 2015-07-31
501 2014-01-01 DEBRA KING
501 2013-01-01 DEBRA KING DEBRA KING 2014-10-02
501 2012-01-01 DEBRA KING
501 2011-01-01 DEBRA KING
501 2010-01-01 ELIZABETH LEE
501 2009-01-01 ELIZABETH LEE 2010-10-15

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2023-01-01	DEBRA MAHER	2024-09-26
501	2016-01-01	DEBRA F. KING
501	2015-01-01	DEBRA KING
501	2014-01-01	DEBRA F. KING		DEBRA F. KING	2015-07-31
501	2014-01-01	DEBRA KING
501	2013-01-01	DEBRA KING		DEBRA KING	2014-10-02
501	2012-01-01	DEBRA KING
501	2011-01-01	DEBRA KING
501	2010-01-01	ELIZABETH LEE
501	2009-01-01			ELIZABETH LEE	2010-10-15

Plan Statistics for LONG TERM DISABILITY

401k plan membership statisitcs for LONG TERM DISABILITY

Measure Date Value
2023: LONG TERM DISABILITY 2023 401k membership
Total participants, beginning-of-year 2023-01-01 426
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 0
Number of retired or separated participants receiving benefits 2023-01-01 0
Number of other retired or separated participants entitled to future benefits 2023-01-01 0
Total of all active and inactive participants 2023-01-01 0
2016: LONG TERM DISABILITY 2016 401k membership
Total participants, beginning-of-year 2016-01-01 2,090
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
2015: LONG TERM DISABILITY 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,997
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 2,014
Total of all active and inactive participants 2015-01-01 2,014
Total participants 2015-01-01 2,014
2014: LONG TERM DISABILITY 2014 401k membership
Total participants, beginning-of-year 2014-01-01 646
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 612
Number of retired or separated participants receiving benefits 2014-01-01 83
Total of all active and inactive participants 2014-01-01 695
Total participants 2014-01-01 1,989
2013: LONG TERM DISABILITY 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,663
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,658
Total of all active and inactive participants 2013-01-01 1,658
Total participants 2013-01-01 1,658
2012: LONG TERM DISABILITY 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,798
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,687
Total of all active and inactive participants 2012-01-01 1,687
Total participants 2012-01-01 1,687
2011: LONG TERM DISABILITY 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,730
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,777
Total of all active and inactive participants 2011-01-01 1,777
Total participants 2011-01-01 1,777
2010: LONG TERM DISABILITY 2010 401k membership
Total participants, beginning-of-year 2010-01-01 2,171
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 2,071
Total of all active and inactive participants 2010-01-01 2,071
Total participants 2010-01-01 2,071
2009: LONG TERM DISABILITY 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2,086
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 2,167
Total of all active and inactive participants 2009-01-01 2,167
Total participants 2009-01-01 2,167

Measure	Date	Value
2023: LONG TERM DISABILITY 2023 401k membership
Total participants, beginning-of-year	2023-01-01	426
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	0
Number of retired or separated participants receiving benefits	2023-01-01	0
Number of other retired or separated participants entitled to future benefits	2023-01-01	0
Total of all active and inactive participants	2023-01-01	0
2016: LONG TERM DISABILITY 2016 401k membership
Total participants, beginning-of-year	2016-01-01	2,090
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
2015: LONG TERM DISABILITY 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,997
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	2,014
Total of all active and inactive participants	2015-01-01	2,014
Total participants	2015-01-01	2,014
2014: LONG TERM DISABILITY 2014 401k membership
Total participants, beginning-of-year	2014-01-01	646
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	612
Number of retired or separated participants receiving benefits	2014-01-01	83
Total of all active and inactive participants	2014-01-01	695
Total participants	2014-01-01	1,989
2013: LONG TERM DISABILITY 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,663
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,658
Total of all active and inactive participants	2013-01-01	1,658
Total participants	2013-01-01	1,658
2012: LONG TERM DISABILITY 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,798
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,687
Total of all active and inactive participants	2012-01-01	1,687
Total participants	2012-01-01	1,687
2011: LONG TERM DISABILITY 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,730
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,777
Total of all active and inactive participants	2011-01-01	1,777
Total participants	2011-01-01	1,777
2010: LONG TERM DISABILITY 2010 401k membership
Total participants, beginning-of-year	2010-01-01	2,171
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	2,071
Total of all active and inactive participants	2010-01-01	2,071
Total participants	2010-01-01	2,071
2009: LONG TERM DISABILITY 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2,086
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	2,167
Total of all active and inactive participants	2009-01-01	2,167
Total participants	2009-01-01	2,167

Form 5500 Responses for LONG TERM DISABILITY

2023: LONG TERM DISABILITY 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Submission has been amended	No
2023-01-01	This submission is the final filing	Yes
2023-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2023-01-01	Plan is a collectively bargained plan	No
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: LONG TERM DISABILITY 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: LONG TERM DISABILITY 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: LONG TERM DISABILITY 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: LONG TERM DISABILITY 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: LONG TERM DISABILITY 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: LONG TERM DISABILITY 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: LONG TERM DISABILITY 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: LONG TERM DISABILITY 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G 00621820

Policy instance

Insurance contract or identification number	G 00621820
Number of Individuals Covered	356
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $6,683
Total amount of fees paid to insurance company	USD $5,456
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	BASIC AD&D
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 Carrier	USD $123,975
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

51320

Policy instance

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

51320

Policy instance

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

51320

Policy instance

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

51320

Policy instance

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

648148

Policy instance

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

44548

Policy instance

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Company Name:	AAA CLUB ALLIANCE INC.
Employer identification number (EIN):	230758010
NAIC Classification:	524150

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	2148251