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-CIRCLEVILLE, OH
| Measure | Date | Value |
|---|
| 2021: GROUP BENEFITS PLAN-CIRCLEVILLE, OH 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-12-31 | 124 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-12-31 | 133 |
| Number of retired or separated participants receiving benefits | 2021-12-31 | 3 |
| Total of all active and inactive participants | 2021-12-31 | 136 |
| Total participants | 2021-12-31 | 136 |
| 2020: GROUP BENEFITS PLAN-CIRCLEVILLE, OH 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-12-31 | 124 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-12-31 | 112 |
| Number of retired or separated participants receiving benefits | 2020-12-31 | 12 |
| Total of all active and inactive participants | 2020-12-31 | 124 |
| Total participants | 2020-12-31 | 124 |
| 2019: GROUP BENEFITS PLAN-CIRCLEVILLE, OH 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-12-31 | 132 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-12-31 | 124 |
| Total of all active and inactive participants | 2019-12-31 | 124 |
| Total participants | 2019-12-31 | 124 |
| 2018: GROUP BENEFITS PLAN-CIRCLEVILLE, OH 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-12-31 | 140 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-12-31 | 132 |
| Total of all active and inactive participants | 2018-12-31 | 132 |
| Total participants | 2018-12-31 | 132 |
| 2017: GROUP BENEFITS PLAN-CIRCLEVILLE, OH 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-12-31 | 117 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-12-31 | 140 |
| Total of all active and inactive participants | 2017-12-31 | 140 |
| Total participants | 2017-12-31 | 140 |
| 2016: GROUP BENEFITS PLAN-CIRCLEVILLE, OH 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-12-31 | 114 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-12-31 | 117 |
| Total of all active and inactive participants | 2016-12-31 | 117 |
| Total participants | 2016-12-31 | 117 |
| 2015: GROUP BENEFITS PLAN-CIRCLEVILLE, OH 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-12-31 | 132 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-12-31 | 114 |
| Total of all active and inactive participants | 2015-12-31 | 114 |
| Total participants | 2015-12-31 | 0 |
| 2014: GROUP BENEFITS PLAN-CIRCLEVILLE, OH 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-12-31 | 116 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-12-31 | 132 |
| Total of all active and inactive participants | 2014-12-31 | 132 |
| Total participants | 2014-12-31 | 0 |
| 2013: GROUP BENEFITS PLAN-CIRCLEVILLE, OH 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-12-31 | 105 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-12-31 | 116 |
| Total of all active and inactive participants | 2013-12-31 | 116 |
| Total participants | 2013-12-31 | 0 |
| 2012: GROUP BENEFITS PLAN-CIRCLEVILLE, OH 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-12-31 | 112 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-12-31 | 105 |
| Total of all active and inactive participants | 2012-12-31 | 105 |
| Total participants | 2012-12-31 | 0 |
| 2011: GROUP BENEFITS PLAN-CIRCLEVILLE, OH 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-12-31 | 117 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-12-31 | 112 |
| Total of all active and inactive participants | 2011-12-31 | 112 |
| Total participants | 2011-12-31 | 112 |
| 2010: GROUP BENEFITS PLAN-CIRCLEVILLE, OH 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-12-31 | 115 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-12-31 | 110 |
| Number of retired or separated participants receiving benefits | 2010-12-31 | 7 |
| Total of all active and inactive participants | 2010-12-31 | 117 |
| Total participants | 2010-12-31 | 117 |
| 2009: GROUP BENEFITS PLAN-CIRCLEVILLE, OH 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-12-31 | 113 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-12-31 | 108 |
| Number of retired or separated participants receiving benefits | 2009-12-31 | 7 |
| Total of all active and inactive participants | 2009-12-31 | 115 |
| Total participants | 2009-12-31 | 115 |
| 2021: GROUP BENEFITS PLAN-CIRCLEVILLE, OH 2021 form 5500 responses |
|---|
| 2021-12-31 | Type of plan entity | Single employer plan |
| 2021-12-31 | Plan is a collectively bargained plan | Yes |
| 2021-12-31 | Plan funding arrangement – Insurance | Yes |
| 2021-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-12-31 | Plan benefit arrangement – Insurance | Yes |
| 2021-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2020: GROUP BENEFITS PLAN-CIRCLEVILLE, OH 2020 form 5500 responses |
|---|
| 2020-12-31 | Type of plan entity | Single employer plan |
| 2020-12-31 | Plan is a collectively bargained plan | Yes |
| 2020-12-31 | Plan funding arrangement – Insurance | Yes |
| 2020-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2020-12-31 | Plan benefit arrangement – Insurance | Yes |
| 2020-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2019: GROUP BENEFITS PLAN-CIRCLEVILLE, OH 2019 form 5500 responses |
|---|
| 2019-12-31 | Type of plan entity | Single employer plan |
| 2019-12-31 | Plan is a collectively bargained plan | Yes |
| 2019-12-31 | Plan funding arrangement – Insurance | Yes |
| 2019-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-12-31 | Plan benefit arrangement – Insurance | Yes |
| 2019-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2018: GROUP BENEFITS PLAN-CIRCLEVILLE, OH 2018 form 5500 responses |
|---|
| 2018-12-31 | Type of plan entity | Single employer plan |
| 2018-12-31 | Plan is a collectively bargained plan | 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-CIRCLEVILLE, OH 2017 form 5500 responses |
|---|
| 2017-12-31 | Type of plan entity | Single employer plan |
| 2017-12-31 | Plan is a collectively bargained plan | Yes |
| 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-CIRCLEVILLE, OH 2016 form 5500 responses |
|---|
| 2016-12-31 | Type of plan entity | Single employer plan |
| 2016-12-31 | Plan is a collectively bargained plan | Yes |
| 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-CIRCLEVILLE, OH 2015 form 5500 responses |
|---|
| 2015-12-31 | Type of plan entity | Single employer plan |
| 2015-12-31 | Plan is a collectively bargained plan | Yes |
| 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-CIRCLEVILLE, OH 2014 form 5500 responses |
|---|
| 2014-12-31 | Type of plan entity | Single employer plan |
| 2014-12-31 | Plan is a collectively bargained plan | Yes |
| 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-CIRCLEVILLE, OH 2013 form 5500 responses |
|---|
| 2013-12-31 | Type of plan entity | Single employer plan |
| 2013-12-31 | Plan is a collectively bargained plan | Yes |
| 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-CIRCLEVILLE, OH 2012 form 5500 responses |
|---|
| 2012-12-31 | Type of plan entity | Single employer plan |
| 2012-12-31 | Plan is a collectively bargained plan | Yes |
| 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-CIRCLEVILLE, OH 2011 form 5500 responses |
|---|
| 2011-12-31 | Type of plan entity | Single employer plan |
| 2011-12-31 | Plan is a collectively bargained plan | Yes |
| 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-CIRCLEVILLE, OH 2010 form 5500 responses |
|---|
| 2010-12-31 | Type of plan entity | Single employer plan |
| 2010-12-31 | Plan is a collectively bargained plan | Yes |
| 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-CIRCLEVILLE, OH 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 is a collectively bargained plan | Yes |
| 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-CIRCLEVILLE, OH 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 |
| MAGELLAN HEALTH SERVICES (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | N/A |
| Policy instance | 8 |
| Insurance contract or identification number | N/A | | Number of Individuals Covered | 133 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Other welfare benefits provided | EMPLOYEE ASSISTANCE PROGRAM | | Welfare Benefit Premiums Paid to Carrier | USD $4,150 | | 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 | 51 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $31,567 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | GTA101506 |
| Policy instance | 2 |
| Insurance contract or identification number | GTA101506 | | Number of Individuals Covered | 133 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | EMERGENCY SQUAD AD&D | | 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 | VARIOUS |
| Policy instance | 3 |
| Insurance contract or identification number | VARIOUS | | Number of Individuals Covered | 110 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | 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 | 4 |
| Insurance contract or identification number | 6036796 | | Number of Individuals Covered | 155 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,316 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 681077 |
| Policy instance | 5 |
| Insurance contract or identification number | 681077 | | Number of Individuals Covered | 108 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Other welfare benefits provided | HOURLY BASIC LTD | | Welfare Benefit Premiums Paid to Carrier | USD $3,720 | | 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 | 0229100 |
| Policy instance | 6 |
| Insurance contract or identification number | 0229100 | | Number of Individuals Covered | 27 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Other welfare benefits provided | BASIC CRITICAL ILLNESS | | Welfare Benefit Premiums Paid to Carrier | USD $1,292 | | 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 | 0214387 |
| Policy instance | 7 |
| Insurance contract or identification number | 0214387 | | Number of Individuals Covered | 133 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Other welfare benefits provided | SEAT BELT AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $934 | | 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 | 27 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $11,060 | | 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 200939 |
| Policy instance | 2 |
| Insurance contract or identification number | ETB 200939 | | Number of Individuals Covered | 112 | | Insurance policy start date | 2020-06-01 | | Insurance policy end date | 2021-05-31 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D FIRE SQUAD-CNR | | Welfare Benefit Premiums Paid to Carrier | USD $142 | | 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 | VARIOUS |
| Policy instance | 3 |
| Insurance contract or identification number | VARIOUS | | Number of Individuals Covered | 93 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | 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 | 4 |
| Insurance contract or identification number | 6036796 | | Number of Individuals Covered | 101 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,419 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 378050 |
| Policy instance | 5 |
| Insurance contract or identification number | 378050 | | Number of Individuals Covered | 85 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Other welfare benefits provided | HOURLY BASIC LTD | | Welfare Benefit Premiums Paid to Carrier | USD $7,654 | | 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 | 0229100 |
| Policy instance | 6 |
| Insurance contract or identification number | 0229100 | | Number of Individuals Covered | 15 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Other welfare benefits provided | BASIC CRITICAL ILLNESS | | Welfare Benefit Premiums Paid to Carrier | USD $981 | | 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 | 0214387 |
| Policy instance | 7 |
| Insurance contract or identification number | 0214387 | | Number of Individuals Covered | 112 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Other welfare benefits provided | SEAT BELT AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $936 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 697331 |
| Policy instance | 8 |
| Insurance contract or identification number | 697331 | | Number of Individuals Covered | 112 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Other welfare benefits provided | LEAVE MANAGEMENT | | Welfare Benefit Premiums Paid to Carrier | USD $3,172 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 378050 |
| Policy instance | 6 |
| Insurance contract or identification number | 378050 | | Number of Individuals Covered | 90 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Other welfare benefits provided | HOURLY BASIC LTD | | Welfare Benefit Premiums Paid to Carrier | USD $8,774 | | 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 | 5 |
| Insurance contract or identification number | 6036796 | | Number of Individuals Covered | 121 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,009 | | 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 | VARIOUS |
| Policy instance | 4 |
| Insurance contract or identification number | VARIOUS | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | 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 | ETB 200939 |
| Policy instance | 3 |
| Insurance contract or identification number | ETB 200939 | | Number of Individuals Covered | 124 | | Insurance policy start date | 2019-06-01 | | Insurance policy end date | 2020-05-31 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D FIRE SQUAD-CNR | | Welfare Benefit Premiums Paid to Carrier | USD $160 | | 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 | 124 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SEAT BELT AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $93 | | 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 | 12 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $7,371 | | 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 | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $16,607 | | 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 | 132 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SEAT BELT AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $103 | | 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 200939 |
| Policy instance | 3 |
| Insurance contract or identification number | ETB 200939 | | Number of Individuals Covered | 132 | | Insurance policy start date | 2018-06-01 | | Insurance policy end date | 2019-05-31 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D FIRE SQUAD-CNR | | Welfare Benefit Premiums Paid to Carrier | USD $159 | | 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 | VARIOUS |
| Policy instance | 4 |
| Insurance contract or identification number | VARIOUS | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | 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 | 5 |
| Insurance contract or identification number | 6036796 | | Number of Individuals Covered | 121 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,514 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 378050 |
| Policy instance | 6 |
| Insurance contract or identification number | 378050 | | Number of Individuals Covered | 62 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Other welfare benefits provided | HOURLY BASIC LTD | | Welfare Benefit Premiums Paid to Carrier | USD $7,773 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 378050 |
| Policy instance | 6 |
| Insurance contract or identification number | 378050 | | Number of Individuals Covered | 92 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Welfare Benefit Premiums Paid to Carrier | USD $10,379 | | 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 | 5 |
| Insurance contract or identification number | 6036796 | | Number of Individuals Covered | 116 | | 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 $3,811 | | 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 | VARIOUS |
| Policy instance | 4 |
| Insurance contract or identification number | VARIOUS | | Number of Individuals Covered | 98 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | 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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| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) |
| Policy contract number | ETB 200939 |
| Policy instance | 3 |
| Insurance contract or identification number | ETB 200939 | | Number of Individuals Covered | 140 | | Insurance policy start date | 2017-06-01 | | Insurance policy end date | 2018-05-31 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D FIRE SQUAD-CNR | | Welfare Benefit Premiums Paid to Carrier | USD $162 | | 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 | 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 |
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| 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 | 140 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SEAT BELT AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $105 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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