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LONG TERM DISABILITY BENEFIT PLAN 401k Plan overview

Plan NameLONG TERM DISABILITY BENEFIT PLAN
Plan identification number 509

LONG TERM DISABILITY BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Long-term disability cover

401k Sponsoring company profile

UNITED STATES PLAYING CARD COMPANY has sponsored the creation of one or more 401k plans.

Company Name:UNITED STATES PLAYING CARD COMPANY
Employer identification number (EIN):311421130
NAIC Classification:323100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LONG TERM DISABILITY BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5092004-01-01DAVID RUSSELL2021-10-13

Plan Statistics for LONG TERM DISABILITY BENEFIT PLAN

401k plan membership statisitcs for LONG TERM DISABILITY BENEFIT PLAN

Measure Date Value
2004: LONG TERM DISABILITY BENEFIT PLAN 2004 401k membership
Total participants, beginning-of-year2004-01-01136
Total number of active participants reported on line 7a of the Form 55002004-01-010
Number of retired or separated participants receiving benefits2004-01-010
Number of other retired or separated participants entitled to future benefits2004-01-010
Total of all active and inactive participants2004-01-010
Number of employers contributing to the scheme2004-01-010

Form 5500 Responses for LONG TERM DISABILITY BENEFIT PLAN

2004: LONG TERM DISABILITY BENEFIT PLAN 2004 form 5500 responses
2004-01-01Type of plan entitySingle employer plan
2004-01-01Submission has been amendedYes
2004-01-01This submission is the final filingYes
2004-01-01Plan funding arrangement – InsuranceYes
2004-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUD57R2
Policy instance 1
Insurance contract or identification numberGUD57R2
Number of Individuals Covered510
Insurance policy start date2004-01-01
Insurance policy end date2004-12-31
Total amount of commissions paid to insurance brokerUSD $7,259
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,502
Amount paid for insurance broker fees0
Insurance broker organization code?3

Potentially related plans

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