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GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT & LONG-TERM DISABILITY 401k Plan overview

Plan NameGROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT & LONG-TERM DISABILITY
Plan identification number 501

GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT & LONG-TERM DISABILITY Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

FAMILY SERVICES OF WESTERN PENNSYLVANIA has sponsored the creation of one or more 401k plans.

Company Name:FAMILY SERVICES OF WESTERN PENNSYLVANIA
Employer identification number (EIN):250965341
NAIC Classification:624100
NAIC Description: Individual and Family Services

Additional information about FAMILY SERVICES OF WESTERN PENNSYLVANIA

Jurisdiction of Incorporation: COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE
Incorporation Date:
Company Identification Number: 117502

More information about FAMILY SERVICES OF WESTERN PENNSYLVANIA

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT & LONG-TERM DISABILITY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012018-07-01APRIL RUDICK2019-07-31 GARY MATSON2019-07-30
5012017-07-01
5012016-07-01
5012015-07-01
5012014-07-01
5012013-07-01
5012012-07-01DONALD H. GOUGHLER
5012011-07-01DONALD GOUGHLER
5012009-07-01DONALD GOUGHLER

Plan Statistics for GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT & LONG-TERM DISABILITY

401k plan membership statisitcs for GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT & LONG-TERM DISABILITY

Measure Date Value
2018: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT & LONG-TERM DISABILITY 2018 401k membership
Total participants, beginning-of-year2018-07-01472
Total number of active participants reported on line 7a of the Form 55002018-07-010
Number of retired or separated participants receiving benefits2018-07-010
Number of other retired or separated participants entitled to future benefits2018-07-010
Total of all active and inactive participants2018-07-010
2017: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT & LONG-TERM DISABILITY 2017 401k membership
Total participants, beginning-of-year2017-07-01491
Total number of active participants reported on line 7a of the Form 55002017-07-01364
Number of retired or separated participants receiving benefits2017-07-01101
Number of other retired or separated participants entitled to future benefits2017-07-010
Total of all active and inactive participants2017-07-01465
2016: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT & LONG-TERM DISABILITY 2016 401k membership
Total participants, beginning-of-year2016-07-01505
Total number of active participants reported on line 7a of the Form 55002016-07-01418
Number of retired or separated participants receiving benefits2016-07-0197
Number of other retired or separated participants entitled to future benefits2016-07-010
Total of all active and inactive participants2016-07-01515
2015: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT & LONG-TERM DISABILITY 2015 401k membership
Total participants, beginning-of-year2015-07-01512
Total number of active participants reported on line 7a of the Form 55002015-07-01421
Number of retired or separated participants receiving benefits2015-07-0191
Number of other retired or separated participants entitled to future benefits2015-07-010
Total of all active and inactive participants2015-07-01512
2014: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT & LONG-TERM DISABILITY 2014 401k membership
Total participants, beginning-of-year2014-07-01493
Total number of active participants reported on line 7a of the Form 55002014-07-01424
Number of retired or separated participants receiving benefits2014-07-0187
Number of other retired or separated participants entitled to future benefits2014-07-010
Total of all active and inactive participants2014-07-01511
2013: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT & LONG-TERM DISABILITY 2013 401k membership
Total participants, beginning-of-year2013-07-01498
Total number of active participants reported on line 7a of the Form 55002013-07-01416
Number of retired or separated participants receiving benefits2013-07-0180
Number of other retired or separated participants entitled to future benefits2013-07-010
Total of all active and inactive participants2013-07-01496
2012: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT & LONG-TERM DISABILITY 2012 401k membership
Total participants, beginning-of-year2012-07-01467
Total number of active participants reported on line 7a of the Form 55002012-07-01425
Number of retired or separated participants receiving benefits2012-07-0172
Total of all active and inactive participants2012-07-01497
2011: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT & LONG-TERM DISABILITY 2011 401k membership
Total participants, beginning-of-year2011-07-01468
Total number of active participants reported on line 7a of the Form 55002011-07-01400
Number of retired or separated participants receiving benefits2011-07-0166
Number of other retired or separated participants entitled to future benefits2011-07-010
Total of all active and inactive participants2011-07-01466
2009: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT & LONG-TERM DISABILITY 2009 401k membership
Total participants, beginning-of-year2009-07-01458
Total number of active participants reported on line 7a of the Form 55002009-07-01391
Number of retired or separated participants receiving benefits2009-07-0160
Number of other retired or separated participants entitled to future benefits2009-07-010
Total of all active and inactive participants2009-07-01451

Form 5500 Responses for GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT & LONG-TERM DISABILITY

2018: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT & LONG-TERM DISABILITY 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01This submission is the final filingYes
2018-07-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes
2017: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT & LONG-TERM DISABILITY 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2016: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT & LONG-TERM DISABILITY 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT & LONG-TERM DISABILITY 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT & LONG-TERM DISABILITY 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT & LONG-TERM DISABILITY 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT & LONG-TERM DISABILITY 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT & LONG-TERM DISABILITY 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2009: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT & LONG-TERM DISABILITY 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number879207G
Policy instance 1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVG183321
Policy instance 3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 139323
Policy instance 2
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberLTD 113261
Policy instance 1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 139323
Policy instance 2
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVG183321
Policy instance 3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberLTD 113261
Policy instance 1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVG183321
Policy instance 3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 139323
Policy instance 2
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberLTD 113261
Policy instance 1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 139323
Policy instance 2
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberLTD 113261
Policy instance 1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVG183321
Policy instance 3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberLTD 113261
Policy instance 1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 139323
Policy instance 2
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberLTD 113261
Policy instance 2
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 139323
Policy instance 1

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