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401(K) PROFIT SHARING PLAN FOR UNION EMPLOYEES OF JERSEY SHORE STEEL COMPANY, INC. FABRICATION DIVISION 401k Plan overview

Plan Name401(K) PROFIT SHARING PLAN FOR UNION EMPLOYEES OF JERSEY SHORE STEEL COMPANY, INC. FABRICATION DIVISION
Plan identification number 002

401(K) PROFIT SHARING PLAN FOR UNION EMPLOYEES OF JERSEY SHORE STEEL COMPANY, INC. FABRICATION DIVISION Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

JERSEY SHORE STEEL COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name:JERSEY SHORE STEEL COMPANY, INC.
Employer identification number (EIN):240622582
NAIC Classification:331200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 401(K) PROFIT SHARING PLAN FOR UNION EMPLOYEES OF JERSEY SHORE STEEL COMPANY, INC. FABRICATION DIVISION

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01
0022021-01-01
0022020-01-01
0022019-01-01
0022018-01-01
0022017-01-01
0022016-01-01MARK SCHEFFEY2017-07-12 MARK SCHEFFEY2017-07-12
0022015-01-01MARK SCHEFFEY2016-07-22
0022014-01-01MARK SCHEFFEY2015-07-14 MARK SCHEFFEY2015-07-14
0022013-01-01MARK SCHEFFEY2014-07-15 MARK SCHEFFEY2014-07-15
0022012-02-29MARK SCHEFFEY MARK SCHEFFEY2013-10-09
0022011-03-01MARK SCHEFFEY MARK SCHEFFEY2012-12-14
0022009-03-01ROBERT PURSELL
0022009-03-01ROBERT PURSELL ROBERT PURSELL2010-12-14

Plan Statistics for 401(K) PROFIT SHARING PLAN FOR UNION EMPLOYEES OF JERSEY SHORE STEEL COMPANY, INC. FABRICATION DIVISION

401k plan membership statisitcs for 401(K) PROFIT SHARING PLAN FOR UNION EMPLOYEES OF JERSEY SHORE STEEL COMPANY, INC. FABRICATION DIVISION

Measure Date Value
2012: 401(K) PROFIT SHARING PLAN FOR UNION EMPLOYEES OF JERSEY SHORE STEEL COMPANY, INC. FABRICATION DIVISION 2012 401k membership
Total participants, beginning-of-year2012-02-2985
Total number of active participants reported on line 7a of the Form 55002012-02-2979
Number of retired or separated participants receiving benefits2012-02-290
Number of other retired or separated participants entitled to future benefits2012-02-2920
Total of all active and inactive participants2012-02-2999
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-02-291
Total participants2012-02-29100
Number of participants with account balances2012-02-2998
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-02-299
2011: 401(K) PROFIT SHARING PLAN FOR UNION EMPLOYEES OF JERSEY SHORE STEEL COMPANY, INC. FABRICATION DIVISION 2011 401k membership
Total participants, beginning-of-year2011-03-0193
Total number of active participants reported on line 7a of the Form 55002011-03-0168
Number of retired or separated participants receiving benefits2011-03-010
Number of other retired or separated participants entitled to future benefits2011-03-0117
Total of all active and inactive participants2011-03-0185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-03-010
Total participants2011-03-0185
Number of participants with account balances2011-03-0184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-03-0112
2009: 401(K) PROFIT SHARING PLAN FOR UNION EMPLOYEES OF JERSEY SHORE STEEL COMPANY, INC. FABRICATION DIVISION 2009 401k membership
Total participants, beginning-of-year2009-03-01141
Total number of active participants reported on line 7a of the Form 55002009-03-0190
Number of retired or separated participants receiving benefits2009-03-010
Number of other retired or separated participants entitled to future benefits2009-03-0136
Total of all active and inactive participants2009-03-01126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-03-010
Total participants2009-03-01126
Number of participants with account balances2009-03-01126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-03-0110

Financial Data on 401(K) PROFIT SHARING PLAN FOR UNION EMPLOYEES OF JERSEY SHORE STEEL COMPANY, INC. FABRICATION DIVISION

Measure Date Value
2012 : 401(K) PROFIT SHARING PLAN FOR UNION EMPLOYEES OF JERSEY SHORE STEEL COMPANY, INC. FABRICATION DIVISION 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$192,775
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$234,457
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$231,942
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$126,340
Value of total assets at end of year2012-12-31$2,045,920
Value of total assets at beginning of year2012-12-31$2,087,602
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$2,515
Total interest from all sources2012-12-31$918
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$49,691
Participant contributions at end of year2012-12-31$0
Participant contributions at beginning of year2012-12-31$0
Total non interest bearing cash at end of year2012-12-31$46
Total non interest bearing cash at beginning of year2012-12-31$1,065
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-41,682
Value of net assets at end of year (total assets less liabilities)2012-12-31$2,045,920
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$2,087,602
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in pooled separate accounts at end of year2012-12-31$1,836,559
Value of interest in pooled separate accounts at beginning of year2012-12-31$1,804,094
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$918
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$197,388
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$259,820
Net investment gain/loss from pooled separate accounts2012-12-31$65,517
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$76,649
Employer contributions (assets) at end of year2012-12-31$11,927
Employer contributions (assets) at beginning of year2012-12-31$22,623
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$231,942
Contract administrator fees2012-12-31$2,515
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31KREISCHER MILLER
Accountancy firm EIN2012-12-31231980475
Total unrealized appreciation/depreciation of assets2012-02-28$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-02-28$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-02-28$0
Total income from all sources (including contributions)2012-02-28$152,675
Total loss/gain on sale of assets2012-02-28$0
Total of all expenses incurred2012-02-28$185,841
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-02-28$177,352
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-02-28$126,304
Value of total assets at end of year2012-02-28$2,087,602
Value of total assets at beginning of year2012-02-28$2,120,768
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-02-28$8,489
Total interest from all sources2012-02-28$2,234
Total dividends received (eg from common stock, registered investment company shares)2012-02-28$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-02-28No
Was this plan covered by a fidelity bond2012-02-28Yes
Value of fidelity bond cover2012-02-28$500,000
If this is an individual account plan, was there a blackout period2012-02-28No
Were there any nonexempt tranactions with any party-in-interest2012-02-28No
Contributions received from participants2012-02-28$48,160
Participant contributions at end of year2012-02-28$0
Participant contributions at beginning of year2012-02-28$0
Total non interest bearing cash at end of year2012-02-28$1,065
Total non interest bearing cash at beginning of year2012-02-28$1,907
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-02-28No
Value of net income/loss2012-02-28$-33,166
Value of net assets at end of year (total assets less liabilities)2012-02-28$2,087,602
Value of net assets at beginning of year (total assets less liabilities)2012-02-28$2,120,768
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2012-02-28No
Were any leases to which the plan was party in default or uncollectible2012-02-28No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-02-28$1,907,971
Value of interest in pooled separate accounts at end of year2012-02-28$1,804,094
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-02-28$2,234
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-02-28$259,820
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-02-28$191,769
Net investment gain/loss from pooled separate accounts2012-02-28$24,137
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-02-28No
Was there a failure to transmit to the plan any participant contributions2012-02-28No
Has the plan failed to provide any benefit when due under the plan2012-02-28No
Contributions received in cash from employer2012-02-28$78,144
Employer contributions (assets) at end of year2012-02-28$22,623
Employer contributions (assets) at beginning of year2012-02-28$19,121
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-02-28$177,352
Contract administrator fees2012-02-28$8,489
Did the plan have assets held for investment2012-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-02-28No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-02-28Yes
Opinion of an independent qualified public accountant for this plan2012-02-28Disclaimer
Accountancy firm name2012-02-28KREISCHER MILLER
Accountancy firm EIN2012-02-28231980475
2011 : 401(K) PROFIT SHARING PLAN FOR UNION EMPLOYEES OF JERSEY SHORE STEEL COMPANY, INC. FABRICATION DIVISION 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-02-28$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-02-28$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-02-28$0
Total income from all sources (including contributions)2011-02-28$427,520
Total loss/gain on sale of assets2011-02-28$0
Total of all expenses incurred2011-02-28$441,122
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-02-28$431,279
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-02-28$126,367
Value of total assets at end of year2011-02-28$2,120,768
Value of total assets at beginning of year2011-02-28$2,134,370
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-02-28$9,843
Total interest from all sources2011-02-28$3,441
Total dividends received (eg from common stock, registered investment company shares)2011-02-28$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-02-28No
Was this plan covered by a fidelity bond2011-02-28Yes
Value of fidelity bond cover2011-02-28$500,000
Were there any nonexempt tranactions with any party-in-interest2011-02-28No
Contributions received from participants2011-02-28$44,855
Participant contributions at end of year2011-02-28$0
Participant contributions at beginning of year2011-02-28$0
Total non interest bearing cash at end of year2011-02-28$1,907
Total non interest bearing cash at beginning of year2011-02-28$3,726
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-02-28No
Value of net income/loss2011-02-28$-13,602
Value of net assets at end of year (total assets less liabilities)2011-02-28$2,120,768
Value of net assets at beginning of year (total assets less liabilities)2011-02-28$2,134,370
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2011-02-28No
Were any leases to which the plan was party in default or uncollectible2011-02-28No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-02-28$1,907,971
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-02-28$1,910,529
Interest earned on other investments2011-02-28$3,441
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-02-28$191,769
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-02-28$200,892
Net investment gain/loss from pooled separate accounts2011-02-28$297,712
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-02-28No
Was there a failure to transmit to the plan any participant contributions2011-02-28No
Has the plan failed to provide any benefit when due under the plan2011-02-28No
Contributions received in cash from employer2011-02-28$81,512
Employer contributions (assets) at end of year2011-02-28$19,121
Employer contributions (assets) at beginning of year2011-02-28$19,223
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-02-28$431,279
Contract administrator fees2011-02-28$9,843
Did the plan have assets held for investment2011-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-02-28No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-02-28Yes
Opinion of an independent qualified public accountant for this plan2011-02-28Disclaimer
Accountancy firm name2011-02-28KREISCHER MILLER
Accountancy firm EIN2011-02-28231980475

Form 5500 Responses for 401(K) PROFIT SHARING PLAN FOR UNION EMPLOYEES OF JERSEY SHORE STEEL COMPANY, INC. FABRICATION DIVISION

2012: 401(K) PROFIT SHARING PLAN FOR UNION EMPLOYEES OF JERSEY SHORE STEEL COMPANY, INC. FABRICATION DIVISION 2012 form 5500 responses
2012-02-29Type of plan entitySingle employer plan
2012-02-29Submission has been amendedNo
2012-02-29This submission is the final filingNo
2012-02-29This return/report is a short plan year return/report (less than 12 months)Yes
2012-02-29Plan is a collectively bargained planYes
2012-02-29Plan funding arrangement – InsuranceYes
2012-02-29Plan funding arrangement – TrustYes
2012-02-29Plan benefit arrangement – InsuranceYes
2012-02-29Plan benefit arrangement - TrustYes
2011: 401(K) PROFIT SHARING PLAN FOR UNION EMPLOYEES OF JERSEY SHORE STEEL COMPANY, INC. FABRICATION DIVISION 2011 form 5500 responses
2011-03-01Type of plan entitySingle employer plan
2011-03-01Submission has been amendedNo
2011-03-01This submission is the final filingNo
2011-03-01This return/report is a short plan year return/report (less than 12 months)Yes
2011-03-01Plan is a collectively bargained planYes
2011-03-01Plan funding arrangement – InsuranceYes
2011-03-01Plan funding arrangement – TrustYes
2011-03-01Plan benefit arrangement – InsuranceYes
2011-03-01Plan benefit arrangement - TrustYes
2009: 401(K) PROFIT SHARING PLAN FOR UNION EMPLOYEES OF JERSEY SHORE STEEL COMPANY, INC. FABRICATION DIVISION 2009 form 5500 responses
2009-03-01Type of plan entitySingle employer plan
2009-03-01Submission has been amendedNo
2009-03-01This submission is the final filingNo
2009-03-01This return/report is a short plan year return/report (less than 12 months)No
2009-03-01Plan is a collectively bargained planYes
2009-03-01Plan funding arrangement – InsuranceYes
2009-03-01Plan funding arrangement – TrustYes
2009-03-01Plan benefit arrangement – InsuranceYes
2009-03-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number13748
Policy instance 1
Insurance contract or identification number13748
Number of Individuals Covered106
Insurance policy start date2012-02-29
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $6,182
Total amount of fees paid to insurance companyUSD $782
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?Yes
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 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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,182
Insurance broker organization code?3
Amount paid for insurance broker fees782
Additional information about fees paid to insurance brokerTPA COMPENSATION OTHER ALLOWANCES
Insurance broker nameTHE PARAGON ALLIANCE GROUP LLC
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number13748
Policy instance 1
Insurance contract or identification number13748
Number of Individuals Covered96
Insurance policy start date2011-03-01
Insurance policy end date2012-02-28
Total amount of commissions paid to insurance brokerUSD $7,729
Total amount of fees paid to insurance companyUSD $1,022
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?Yes
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 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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number13748
Policy instance 1
Insurance contract or identification number13748
Number of Individuals Covered98
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Total amount of commissions paid to insurance brokerUSD $7,309
Total amount of fees paid to insurance companyUSD $1,027
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?Yes
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 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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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