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| Plan Name | GROUP TRAVEL ACCIDENT PLAN FOR SURFACE COMBUSTION, |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | SURFACE COMBUSTION, INC. |
| Employer identification number (EIN): | 341568193 |
| NAIC Classification: | 333900 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2017-01-01 | ||||
| 502 | 2016-01-01 | ||||
| 502 | 2015-01-01 | ||||
| 502 | 2014-01-01 |
| Measure | Date | Value |
|---|---|---|
| 2017: GROUP TRAVEL ACCIDENT PLAN FOR SURFACE COMBUSTION, 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-01-01 | 93 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 93 |
| Total of all active and inactive participants | 2017-01-01 | 93 |
| 2016: GROUP TRAVEL ACCIDENT PLAN FOR SURFACE COMBUSTION, 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-01-01 | 99 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 93 |
| Total of all active and inactive participants | 2016-01-01 | 93 |
| 2015: GROUP TRAVEL ACCIDENT PLAN FOR SURFACE COMBUSTION, 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-01-01 | 114 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 99 |
| Total of all active and inactive participants | 2015-01-01 | 99 |
| 2014: GROUP TRAVEL ACCIDENT PLAN FOR SURFACE COMBUSTION, 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-01-01 | 110 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 114 |
| Total of all active and inactive participants | 2014-01-01 | 114 |
| 2017: GROUP TRAVEL ACCIDENT PLAN FOR SURFACE COMBUSTION, 2017 form 5500 responses | ||
|---|---|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: GROUP TRAVEL ACCIDENT PLAN FOR SURFACE COMBUSTION, 2016 form 5500 responses | ||
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: GROUP TRAVEL ACCIDENT PLAN FOR SURFACE COMBUSTION, 2015 form 5500 responses | ||
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: GROUP TRAVEL ACCIDENT PLAN FOR SURFACE COMBUSTION, 2014 form 5500 responses | ||
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | ETB018928 |
| Policy instance | 1 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | ETB018928 |
| Policy instance | 1 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | ETB018928 |
| Policy instance | 1 |
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