PPG INDUSTRIES, INC. has sponsored the creation of one or more 401k plans.
Additional information about PPG INDUSTRIES, INC.
Submission information for form 5500 for 401k plan GROUP BENEFITS PLAN-LEXINGTON, NC
| Measure | Date | Value |
|---|
| 2018: GROUP BENEFITS PLAN-LEXINGTON, NC 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-12-31 | 158 |
| Number of retired or separated participants receiving benefits | 2018-12-31 | 5 |
| Total of all active and inactive participants | 2018-12-31 | 5 |
| Total participants | 2018-12-31 | 5 |
| 2017: GROUP BENEFITS PLAN-LEXINGTON, NC 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-12-31 | 253 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-12-31 | 153 |
| Number of retired or separated participants receiving benefits | 2017-12-31 | 5 |
| Total of all active and inactive participants | 2017-12-31 | 158 |
| Total participants | 2017-12-31 | 158 |
| 2016: GROUP BENEFITS PLAN-LEXINGTON, NC 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-12-31 | 278 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-12-31 | 251 |
| Number of retired or separated participants receiving benefits | 2016-12-31 | 2 |
| Total of all active and inactive participants | 2016-12-31 | 253 |
| Total participants | 2016-12-31 | 253 |
| 2015: GROUP BENEFITS PLAN-LEXINGTON, NC 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-12-31 | 314 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-12-31 | 276 |
| Number of retired or separated participants receiving benefits | 2015-12-31 | 2 |
| Total of all active and inactive participants | 2015-12-31 | 278 |
| Total participants | 2015-12-31 | 0 |
| 2014: GROUP BENEFITS PLAN-LEXINGTON, NC 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-12-31 | 353 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-12-31 | 308 |
| Number of retired or separated participants receiving benefits | 2014-12-31 | 6 |
| Total of all active and inactive participants | 2014-12-31 | 314 |
| Total participants | 2014-12-31 | 0 |
| 2013: GROUP BENEFITS PLAN-LEXINGTON, NC 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-12-31 | 352 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-12-31 | 345 |
| Number of retired or separated participants receiving benefits | 2013-12-31 | 8 |
| Total of all active and inactive participants | 2013-12-31 | 353 |
| Total participants | 2013-12-31 | 0 |
| 2012: GROUP BENEFITS PLAN-LEXINGTON, NC 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-12-31 | 406 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-12-31 | 344 |
| Number of retired or separated participants receiving benefits | 2012-12-31 | 8 |
| Total of all active and inactive participants | 2012-12-31 | 352 |
| Total participants | 2012-12-31 | 0 |
| 2011: GROUP BENEFITS PLAN-LEXINGTON, NC 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-12-31 | 419 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-12-31 | 396 |
| Number of retired or separated participants receiving benefits | 2011-12-31 | 10 |
| Total of all active and inactive participants | 2011-12-31 | 406 |
| Total participants | 2011-12-31 | 406 |
| 2010: GROUP BENEFITS PLAN-LEXINGTON, NC 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-12-31 | 429 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-12-31 | 409 |
| Number of retired or separated participants receiving benefits | 2010-12-31 | 10 |
| Total of all active and inactive participants | 2010-12-31 | 419 |
| Total participants | 2010-12-31 | 419 |
| 2009: GROUP BENEFITS PLAN-LEXINGTON, NC 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-12-31 | 332 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-12-31 | 414 |
| Number of retired or separated participants receiving benefits | 2009-12-31 | 15 |
| Total of all active and inactive participants | 2009-12-31 | 429 |
| Total participants | 2009-12-31 | 429 |
| 2018: GROUP BENEFITS PLAN-LEXINGTON, NC 2018 form 5500 responses |
|---|
| 2018-12-31 | Type of plan entity | Single employer plan |
| 2018-12-31 | This submission is the final filing | Yes |
| 2018-12-31 | Plan funding arrangement – Insurance | Yes |
| 2018-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-12-31 | Plan benefit arrangement – Insurance | Yes |
| 2018-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2017: GROUP BENEFITS PLAN-LEXINGTON, NC 2017 form 5500 responses |
|---|
| 2017-12-31 | Type of plan entity | Single employer plan |
| 2017-12-31 | Plan funding arrangement – Insurance | Yes |
| 2017-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-12-31 | Plan benefit arrangement – Insurance | Yes |
| 2017-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2016: GROUP BENEFITS PLAN-LEXINGTON, NC 2016 form 5500 responses |
|---|
| 2016-12-31 | Type of plan entity | Single employer plan |
| 2016-12-31 | Plan funding arrangement – Insurance | Yes |
| 2016-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-12-31 | Plan benefit arrangement – Insurance | Yes |
| 2016-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2015: GROUP BENEFITS PLAN-LEXINGTON, NC 2015 form 5500 responses |
|---|
| 2015-12-31 | Type of plan entity | Single employer plan |
| 2015-12-31 | Plan funding arrangement – Insurance | Yes |
| 2015-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-12-31 | Plan benefit arrangement – Insurance | Yes |
| 2015-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: GROUP BENEFITS PLAN-LEXINGTON, NC 2014 form 5500 responses |
|---|
| 2014-12-31 | Type of plan entity | Single employer plan |
| 2014-12-31 | Plan funding arrangement – Insurance | Yes |
| 2014-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-12-31 | Plan benefit arrangement – Insurance | Yes |
| 2014-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2013: GROUP BENEFITS PLAN-LEXINGTON, NC 2013 form 5500 responses |
|---|
| 2013-12-31 | Type of plan entity | Single employer plan |
| 2013-12-31 | Plan funding arrangement – Insurance | Yes |
| 2013-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-12-31 | Plan benefit arrangement – Insurance | Yes |
| 2013-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2012: GROUP BENEFITS PLAN-LEXINGTON, NC 2012 form 5500 responses |
|---|
| 2012-12-31 | Type of plan entity | Single employer plan |
| 2012-12-31 | Plan funding arrangement – Insurance | Yes |
| 2012-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-12-31 | Plan benefit arrangement – Insurance | Yes |
| 2012-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2011: GROUP BENEFITS PLAN-LEXINGTON, NC 2011 form 5500 responses |
|---|
| 2011-12-31 | Type of plan entity | Single employer plan |
| 2011-12-31 | Plan funding arrangement – Insurance | Yes |
| 2011-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-12-31 | Plan benefit arrangement – Insurance | Yes |
| 2011-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2010: GROUP BENEFITS PLAN-LEXINGTON, NC 2010 form 5500 responses |
|---|
| 2010-12-31 | Type of plan entity | Single employer plan |
| 2010-12-31 | Plan funding arrangement – Insurance | Yes |
| 2010-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2010-12-31 | Plan benefit arrangement – Insurance | Yes |
| 2010-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2009: GROUP BENEFITS PLAN-LEXINGTON, NC 2009 form 5500 responses |
|---|
| 2009-12-31 | Type of plan entity | Single employer plan |
| 2009-12-31 | This submission is the final filing | No |
| 2009-12-31 | Plan funding arrangement – Insurance | Yes |
| 2009-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-12-31 | Plan benefit arrangement – Insurance | Yes |
| 2009-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2008: GROUP BENEFITS PLAN-LEXINGTON, NC 2008 form 5500 responses |
|---|
| 2008-12-31 | Type of plan entity | Single employer plan |
| 2008-12-31 | Submission has been amended | No |
| 2008-12-31 | This submission is the final filing | No |
| 2008-12-31 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2008-12-31 | Plan is a collectively bargained plan | No |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 040875 |
| Policy instance | 1 |
| Insurance contract or identification number | 040875 | | Number of Individuals Covered | 5 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
| Policy contract number | 00-ADD-S06751 |
| Policy instance | 2 |
| Insurance contract or identification number | 00-ADD-S06751 | | Number of Individuals Covered | 153 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Other welfare benefits provided | SEAT BELT AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $115 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
| Policy contract number | 342132 |
| Policy instance | 4 |
| Insurance contract or identification number | 342132 | | Number of Individuals Covered | 153 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SHORT TERM DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $6,131 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
| Policy contract number | ETB 201322 |
| Policy instance | 3 |
| Insurance contract or identification number | ETB 201322 | | Number of Individuals Covered | 153 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | GROUP TRAVEL & ACCIDENT AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $170 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
| Policy contract number | 341948 |
| Policy instance | 5 |
| Insurance contract or identification number | 341948 | | Number of Individuals Covered | 153 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | FIBER GLASS BASIC LTD | | Welfare Benefit Premiums Paid to Carrier | USD $42,231 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 040875 |
| Policy instance | 6 |
| Insurance contract or identification number | 040875 | | Number of Individuals Covered | 168 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Were dividends or retroactive rate refunds paid as a credit? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 6036796 |
| Policy instance | 7 |
| Insurance contract or identification number | 6036796 | | Number of Individuals Covered | 140 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,599 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | VARIOUS |
| Policy instance | 1 |
| Insurance contract or identification number | VARIOUS | | Number of Individuals Covered | 29 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $9,108 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
| Policy contract number | ETB 201322 |
| Policy instance | 3 |
| Insurance contract or identification number | ETB 201322 | | Number of Individuals Covered | 328 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | GROUP TRAVEL & ACCIDENT AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $456 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
| Policy contract number | 00-ADD-S06751 |
| Policy instance | 2 |
| Insurance contract or identification number | 00-ADD-S06751 | | Number of Individuals Covered | 328 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Other welfare benefits provided | SEAT BELT AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $288 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
| Policy contract number | 342132 |
| Policy instance | 4 |
| Insurance contract or identification number | 342132 | | Number of Individuals Covered | 328 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SHORT TERM DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $17,935 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
| Policy contract number | 341948 |
| Policy instance | 5 |
| Insurance contract or identification number | 341948 | | Number of Individuals Covered | 328 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | FIBER GLASS BASIC LTD | | Welfare Benefit Premiums Paid to Carrier | USD $68,014 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 040875 |
| Policy instance | 6 |
| Insurance contract or identification number | 040875 | | Number of Individuals Covered | 323 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Were dividends or retroactive rate refunds paid as a credit? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 6036796 |
| Policy instance | 7 |
| Insurance contract or identification number | 6036796 | | Number of Individuals Covered | 333 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $11,134 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | VARIOUS |
| Policy instance | 1 |
| Insurance contract or identification number | VARIOUS | | Number of Individuals Covered | 34 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $22,211 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 6036796 |
| Policy instance | 8 |
| Insurance contract or identification number | 6036796 | | Number of Individuals Covered | 338 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $11,598 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
| Policy contract number | 341948 |
| Policy instance | 6 |
| Insurance contract or identification number | 341948 | | Number of Individuals Covered | 373 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | FIBER GLASS BASIC LTD | | Welfare Benefit Premiums Paid to Carrier | USD $73,639 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 040875 |
| Policy instance | 7 |
| Insurance contract or identification number | 040875 | | Number of Individuals Covered | 319 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Were dividends or retroactive rate refunds paid as a credit? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
| Policy contract number | 342132 |
| Policy instance | 5 |
| Insurance contract or identification number | 342132 | | Number of Individuals Covered | 373 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SHORT TERM DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $17,344 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
| Policy contract number | ETB 201322 |
| Policy instance | 4 |
| Insurance contract or identification number | ETB 201322 | | Number of Individuals Covered | 373 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | GROUP TRAVEL & ACCIDENT AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $489 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | 060303370 |
| Policy instance | 2 |
| Insurance contract or identification number | 060303370 | | Number of Individuals Covered | 8 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,147 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | VARIOUS |
| Policy instance | 1 |
| Insurance contract or identification number | VARIOUS | | Number of Individuals Covered | 39 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $23,684 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
| Policy contract number | 00-ADD-S06751 |
| Policy instance | 3 |
| Insurance contract or identification number | 00-ADD-S06751 | | Number of Individuals Covered | 373 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Other welfare benefits provided | SEAT BELT AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $280 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
| Policy contract number | 00-ADD-S06751 |
| Policy instance | 6 |
| Insurance contract or identification number | 00-ADD-S06751 | | Number of Individuals Covered | 353 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Other welfare benefits provided | SEAT BELT AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $286 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | 060303370 |
| Policy instance | 7 |
| Insurance contract or identification number | 060303370 | | Number of Individuals Covered | 8 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,317 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 040875 |
| Policy instance | 2 |
| Insurance contract or identification number | 040875 | | Number of Individuals Covered | 330 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Were dividends or retroactive rate refunds paid as a credit? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
| Policy contract number | 341948 |
| Policy instance | 3 |
| Insurance contract or identification number | 341948 | | Number of Individuals Covered | 353 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | FIBER GLASS BASIC LTD | | Welfare Benefit Premiums Paid to Carrier | USD $77,147 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
| Policy contract number | 342132 |
| Policy instance | 4 |
| Insurance contract or identification number | 342132 | | Number of Individuals Covered | 353 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SHORT TERM DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $18,627 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
| Policy contract number | ETB 201322 |
| Policy instance | 5 |
| Insurance contract or identification number | ETB 201322 | | Number of Individuals Covered | 353 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | GROUP TRAVEL & ACCIDENT AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $507 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 6036796 |
| Policy instance | 1 |
| Insurance contract or identification number | 6036796 | | Number of Individuals Covered | 336 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $12,079 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | VARIOUS |
| Policy instance | 8 |
| Insurance contract or identification number | VARIOUS | | Number of Individuals Covered | 56 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $33,113 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | 060303370 |
| Policy instance | 7 |
| Insurance contract or identification number | 060303370 | | Number of Individuals Covered | 10 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,548 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | VARIOUS |
| Policy instance | 8 |
| Insurance contract or identification number | VARIOUS | | Number of Individuals Covered | 42 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $27,857 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
| Policy contract number | 00-ADD-S06751 |
| Policy instance | 6 |
| Insurance contract or identification number | 00-ADD-S06751 | | Number of Individuals Covered | 396 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Other welfare benefits provided | SEAT BELT AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $274 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
| Policy contract number | ETB 201322 |
| Policy instance | 5 |
| Insurance contract or identification number | ETB 201322 | | Number of Individuals Covered | 396 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | GROUP TRAVEL & ACCIDENT AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $568 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
| Policy contract number | 342132 |
| Policy instance | 4 |
| Insurance contract or identification number | 342132 | | Number of Individuals Covered | 396 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SHORT TERM DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $19,910 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
| Policy contract number | 341948 |
| Policy instance | 3 |
| Insurance contract or identification number | 341948 | | Number of Individuals Covered | 396 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | FIBER GLASS BASIC LTD | | Welfare Benefit Premiums Paid to Carrier | USD $54,289 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 040875 |
| Policy instance | 2 |
| Insurance contract or identification number | 040875 | | Number of Individuals Covered | 358 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Were dividends or retroactive rate refunds paid as a credit? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 6036796 |
| Policy instance | 1 |
| Insurance contract or identification number | 6036796 | | Number of Individuals Covered | 370 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $13,475 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
| Policy contract number | 342132 |
| Policy instance | 3 |
| Insurance contract or identification number | 342132 | | Number of Individuals Covered | 409 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SHORT TERM DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $20,358 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
| Policy contract number | 341948 |
| Policy instance | 4 |
| Insurance contract or identification number | 341948 | | Number of Individuals Covered | 409 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | FIBER GLASS BASIC LTD | | Welfare Benefit Premiums Paid to Carrier | USD $53,906 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 040875 |
| Policy instance | 5 |
| Insurance contract or identification number | 040875 | | Number of Individuals Covered | 370 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Were dividends or retroactive rate refunds paid as a credit? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | VARIOUS |
| Policy instance | 6 |
| Insurance contract or identification number | VARIOUS | | Number of Individuals Covered | 41 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $27,484 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
| Policy contract number | 00-ADD-S06751 |
| Policy instance | 1 |
| Insurance contract or identification number | 00-ADD-S06751 | | Number of Individuals Covered | 409 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SEAT BELT AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $319 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | 060303370 |
| Policy instance | 7 |
| Insurance contract or identification number | 060303370 | | Number of Individuals Covered | 10 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $22,000 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 6036796 |
| Policy instance | 8 |
| Insurance contract or identification number | 6036796 | | Number of Individuals Covered | 382 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $14,182 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
| Policy contract number | ETB 201322 |
| Policy instance | 2 |
| Insurance contract or identification number | ETB 201322 | | Number of Individuals Covered | 409 | | Insurance policy start date | 2010-05-01 | | Insurance policy end date | 2011-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | GROUP TRAVEL & ACCIDENT AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $607 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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