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-EAST POINT, GA
| Measure | Date | Value |
|---|
| 2021: GROUP BENEFITS PLAN-EAST POINT, GA 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-12-31 | 51 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-12-31 | 54 |
| Number of retired or separated participants receiving benefits | 2021-12-31 | 3 |
| Total of all active and inactive participants | 2021-12-31 | 57 |
| Total participants | 2021-12-31 | 57 |
| 2020: GROUP BENEFITS PLAN-EAST POINT, GA 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-12-31 | 49 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-12-31 | 50 |
| Number of retired or separated participants receiving benefits | 2020-12-31 | 1 |
| Total of all active and inactive participants | 2020-12-31 | 51 |
| Total participants | 2020-12-31 | 51 |
| 2019: GROUP BENEFITS PLAN-EAST POINT, GA 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-12-31 | 57 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-12-31 | 49 |
| Total of all active and inactive participants | 2019-12-31 | 49 |
| Total participants | 2019-12-31 | 49 |
| 2018: GROUP BENEFITS PLAN-EAST POINT, GA 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-12-31 | 72 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-12-31 | 56 |
| Number of retired or separated participants receiving benefits | 2018-12-31 | 1 |
| Total of all active and inactive participants | 2018-12-31 | 57 |
| Total participants | 2018-12-31 | 57 |
| 2017: GROUP BENEFITS PLAN-EAST POINT, GA 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-12-31 | 49 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-12-31 | 71 |
| Number of retired or separated participants receiving benefits | 2017-12-31 | 1 |
| Total of all active and inactive participants | 2017-12-31 | 72 |
| Total participants | 2017-12-31 | 72 |
| 2016: GROUP BENEFITS PLAN-EAST POINT, GA 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-12-31 | 63 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-12-31 | 48 |
| Number of retired or separated participants receiving benefits | 2016-12-31 | 1 |
| Total of all active and inactive participants | 2016-12-31 | 49 |
| Total participants | 2016-12-31 | 49 |
| 2015: GROUP BENEFITS PLAN-EAST POINT, GA 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-12-31 | 66 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-12-31 | 62 |
| Number of retired or separated participants receiving benefits | 2015-12-31 | 1 |
| Total of all active and inactive participants | 2015-12-31 | 63 |
| Total participants | 2015-12-31 | 0 |
| 2014: GROUP BENEFITS PLAN-EAST POINT, GA 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-12-31 | 77 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-12-31 | 65 |
| Number of retired or separated participants receiving benefits | 2014-12-31 | 1 |
| Total of all active and inactive participants | 2014-12-31 | 66 |
| Total participants | 2014-12-31 | 0 |
| 2013: GROUP BENEFITS PLAN-EAST POINT, GA 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-12-31 | 75 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-12-31 | 71 |
| Number of retired or separated participants receiving benefits | 2013-12-31 | 6 |
| Total of all active and inactive participants | 2013-12-31 | 77 |
| Total participants | 2013-12-31 | 0 |
| 2012: GROUP BENEFITS PLAN-EAST POINT, GA 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-12-31 | 73 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-12-31 | 67 |
| Number of retired or separated participants receiving benefits | 2012-12-31 | 8 |
| Total of all active and inactive participants | 2012-12-31 | 75 |
| Total participants | 2012-12-31 | 0 |
| 2011: GROUP BENEFITS PLAN-EAST POINT, GA 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-12-31 | 61 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-12-31 | 71 |
| Number of retired or separated participants receiving benefits | 2011-12-31 | 2 |
| Total of all active and inactive participants | 2011-12-31 | 73 |
| Total participants | 2011-12-31 | 73 |
| 2010: GROUP BENEFITS PLAN-EAST POINT, GA 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-12-31 | 65 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-12-31 | 60 |
| Number of retired or separated participants receiving benefits | 2010-12-31 | 1 |
| Total of all active and inactive participants | 2010-12-31 | 61 |
| Total participants | 2010-12-31 | 61 |
| 2009: GROUP BENEFITS PLAN-EAST POINT, GA 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-12-31 | 62 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-12-31 | 60 |
| Number of retired or separated participants receiving benefits | 2009-12-31 | 5 |
| Total of all active and inactive participants | 2009-12-31 | 65 |
| Total participants | 2009-12-31 | 65 |
| 2021: GROUP BENEFITS PLAN-EAST POINT, GA 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-EAST POINT, GA 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-EAST POINT, GA 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-EAST POINT, GA 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-EAST POINT, GA 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-EAST POINT, GA 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-EAST POINT, GA 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-EAST POINT, GA 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-EAST POINT, GA 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-EAST POINT, GA 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-EAST POINT, GA 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-EAST POINT, GA 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-EAST POINT, GA 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-EAST POINT, GA 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 | 54 | | 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 $1,685 | | 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 | 1 |
| Insurance contract or identification number | GTA101506 | | Number of Individuals Covered | 54 | | 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 |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 681077 |
| Policy instance | 2 |
| Insurance contract or identification number | 681077 | | Number of Individuals Covered | 43 | | 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 $2,058 | | 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 | 42 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | 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 | 4 |
| Insurance contract or identification number | 6036796 | | Number of Individuals Covered | 76 | | 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 $2,116 | | 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 | CH#800129 |
| Policy instance | 5 |
| Insurance contract or identification number | CH#800129 | | Number of Individuals Covered | 34 | | 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 $21,044 | | 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 | 17 | | 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 $892 | | 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 | 54 | | 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 $329 | | 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 | 1 |
| Insurance contract or identification number | ETB 200939 | | Number of Individuals Covered | 50 | | 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 $63 | | 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 | 2 |
| Insurance contract or identification number | 378050 | | Number of Individuals Covered | 37 | | 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 $3,232 | | 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 | 26 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | 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 | 4 |
| Insurance contract or identification number | 6036796 | | Number of Individuals Covered | 44 | | 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 $1,490 | | 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 | CH#800129 |
| Policy instance | 5 |
| Insurance contract or identification number | CH#800129 | | Number of Individuals Covered | 18 | | 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 $7,374 | | 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 | 13 | | 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 $588 | | 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 | 50 | | 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 $311 | | 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 | 50 | | 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 $1,249 | | 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 | CH#800129 |
| Policy instance | 6 |
| Insurance contract or identification number | CH#800129 | | Number of Individuals Covered | 10 | | 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 $6,142 | | 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 | 59 | | 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 $1,955 | | 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 | 04344100 |
| Policy instance | 4 |
| Insurance contract or identification number | 04344100 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | 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 | 3 |
| Insurance contract or identification number | 378050 | | Number of Individuals Covered | 16 | | 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 $3,848 | | 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 | 49 | | 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 $63 | | 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 | 1 |
| Insurance contract or identification number | 00-ADD-S06751 | | Number of Individuals Covered | 49 | | 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 $37 | | 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 | 1 |
| Insurance contract or identification number | 060303370 | | Number of Individuals Covered | 1 | | 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 $984 | | 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 | LK 100004 |
| Policy instance | 2 |
| Insurance contract or identification number | LK 100004 | | Number of Individuals Covered | 56 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Other welfare benefits provided | SHORT TERM DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $36,052 | | 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 | 56 | | 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 $44 | | 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 | 4 |
| Insurance contract or identification number | ETB 200939 | | Number of Individuals Covered | 56 | | 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 $68 | | 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 | 38 | | 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 $4,252 | | 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 | 04344100 |
| Policy instance | 6 |
| Insurance contract or identification number | 04344100 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | 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 | 50 | | 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 $1,452 | | 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 | CH#800129 |
| Policy instance | 8 |
| Insurance contract or identification number | CH#800129 | | Number of Individuals Covered | 20 | | 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 $9,769 | | 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 | LK 100004 |
| Policy instance | 2 |
| Insurance contract or identification number | LK 100004 | | Number of Individuals Covered | 71 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Other welfare benefits provided | SHORT TERM DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $21,891 | | 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 | 3 |
| Insurance contract or identification number | 00-ADD-S06751 | | Number of Individuals Covered | 71 | | 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 $53 | | 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 | 4 |
| Insurance contract or identification number | ETB 200939 | | Number of Individuals Covered | 71 | | 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 $66 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| 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 | 44 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Other welfare benefits provided | HOURLY BASIC LTD | | Welfare Benefit Premiums Paid to Carrier | USD $4,964 | | 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 | 04344100 |
| Policy instance | 6 |
| Insurance contract or identification number | 04344100 | | Number of Individuals Covered | 40 | | 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 |
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| 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 | 54 | | 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 $1,774 | | 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 | CH#800129 |
| Policy instance | 8 |
| Insurance contract or identification number | CH#800129 | | Number of Individuals Covered | 20 | | 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 $6,282 | | 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 | 1 |
| Insurance contract or identification number | 060303370 | | Number of Individuals Covered | 1 | | 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 $1,821 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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