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GROUP TERM LIFE GROUP AD&D 401k Plan overview

Plan NameGROUP TERM LIFE GROUP AD&D
Plan identification number 504

GROUP TERM LIFE GROUP AD&D Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

SERVUS, INC. has sponsored the creation of one or more 401k plans.

Company Name:SERVUS, INC.
Employer identification number (EIN):351279978
NAIC Classification:722511
NAIC Description:Full-Service Restaurants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP TERM LIFE GROUP AD&D

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042018-02-01KRISTI MEHRINGER KRISTI MEHRINGER2019-07-25
5042017-02-01JASON KELLY JASON KELLY2018-07-26
5042016-02-01JASON KELLY JASON KELLY2017-10-13
5042015-02-01JASON KELLY JASON KELLY2016-07-20
5042014-02-01JASON KELLY JASON KELLY2015-07-15
5042013-02-01JASON KELLY JASON KELLY2014-06-26
5042012-02-01JASON KELLY JASON KELLY2013-07-11
5042011-02-01JASON KELLY JASON KELLY2012-07-18
5042010-02-01JASON KELLY JASON KELLY2011-07-11
5042009-02-01JASON KELLY JASON KELLY2010-07-26

Plan Statistics for GROUP TERM LIFE GROUP AD&D

401k plan membership statisitcs for GROUP TERM LIFE GROUP AD&D

Measure Date Value
2018: GROUP TERM LIFE GROUP AD&D 2018 401k membership
Total participants, beginning-of-year2018-02-01311
Total number of active participants reported on line 7a of the Form 55002018-02-0190
Number of retired or separated participants receiving benefits2018-02-010
Number of other retired or separated participants entitled to future benefits2018-02-010
Total of all active and inactive participants2018-02-0190
2017: GROUP TERM LIFE GROUP AD&D 2017 401k membership
Total participants, beginning-of-year2017-02-01129
Total number of active participants reported on line 7a of the Form 55002017-02-01311
Number of retired or separated participants receiving benefits2017-02-010
Number of other retired or separated participants entitled to future benefits2017-02-010
Total of all active and inactive participants2017-02-01311
2016: GROUP TERM LIFE GROUP AD&D 2016 401k membership
Total participants, beginning-of-year2016-02-01368
Total number of active participants reported on line 7a of the Form 55002016-02-01129
Number of retired or separated participants receiving benefits2016-02-010
Number of other retired or separated participants entitled to future benefits2016-02-010
Total of all active and inactive participants2016-02-01129
2015: GROUP TERM LIFE GROUP AD&D 2015 401k membership
Total participants, beginning-of-year2015-02-01414
Total number of active participants reported on line 7a of the Form 55002015-02-01368
Number of retired or separated participants receiving benefits2015-02-010
Number of other retired or separated participants entitled to future benefits2015-02-010
Total of all active and inactive participants2015-02-01368
2014: GROUP TERM LIFE GROUP AD&D 2014 401k membership
Total participants, beginning-of-year2014-02-01510
Total number of active participants reported on line 7a of the Form 55002014-02-01414
Number of retired or separated participants receiving benefits2014-02-010
Number of other retired or separated participants entitled to future benefits2014-02-010
Total of all active and inactive participants2014-02-01414
2013: GROUP TERM LIFE GROUP AD&D 2013 401k membership
Total participants, beginning-of-year2013-02-01545
Total number of active participants reported on line 7a of the Form 55002013-02-01510
Total of all active and inactive participants2013-02-01510
2012: GROUP TERM LIFE GROUP AD&D 2012 401k membership
Total participants, beginning-of-year2012-02-01483
Total number of active participants reported on line 7a of the Form 55002012-02-01545
Total of all active and inactive participants2012-02-01545
2011: GROUP TERM LIFE GROUP AD&D 2011 401k membership
Total participants, beginning-of-year2011-02-01417
Total number of active participants reported on line 7a of the Form 55002011-02-01483
Total of all active and inactive participants2011-02-01483
2010: GROUP TERM LIFE GROUP AD&D 2010 401k membership
Total participants, beginning-of-year2010-02-01433
Total number of active participants reported on line 7a of the Form 55002010-02-01417
Total of all active and inactive participants2010-02-01417
2009: GROUP TERM LIFE GROUP AD&D 2009 401k membership
Total participants, beginning-of-year2009-02-01440
Total number of active participants reported on line 7a of the Form 55002009-02-01433
Total of all active and inactive participants2009-02-01433

Form 5500 Responses for GROUP TERM LIFE GROUP AD&D

2018: GROUP TERM LIFE GROUP AD&D 2018 form 5500 responses
2018-02-01Type of plan entitySingle employer plan
2018-02-01Plan funding arrangement – InsuranceYes
2018-02-01Plan benefit arrangement – InsuranceYes
2017: GROUP TERM LIFE GROUP AD&D 2017 form 5500 responses
2017-02-01Type of plan entitySingle employer plan
2017-02-01Plan funding arrangement – InsuranceYes
2017-02-01Plan benefit arrangement – InsuranceYes
2016: GROUP TERM LIFE GROUP AD&D 2016 form 5500 responses
2016-02-01Type of plan entitySingle employer plan
2016-02-01Plan funding arrangement – InsuranceYes
2016-02-01Plan benefit arrangement – InsuranceYes
2015: GROUP TERM LIFE GROUP AD&D 2015 form 5500 responses
2015-02-01Type of plan entitySingle employer plan
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan benefit arrangement – InsuranceYes
2014: GROUP TERM LIFE GROUP AD&D 2014 form 5500 responses
2014-02-01Type of plan entitySingle employer plan
2014-02-01Plan funding arrangement – InsuranceYes
2014-02-01Plan benefit arrangement – InsuranceYes
2013: GROUP TERM LIFE GROUP AD&D 2013 form 5500 responses
2013-02-01Type of plan entitySingle employer plan
2013-02-01Submission has been amendedYes
2013-02-01Plan funding arrangement – InsuranceYes
2013-02-01Plan benefit arrangement – InsuranceYes
2012: GROUP TERM LIFE GROUP AD&D 2012 form 5500 responses
2012-02-01Type of plan entitySingle employer plan
2012-02-01Plan funding arrangement – InsuranceYes
2012-02-01Plan benefit arrangement – InsuranceYes
2011: GROUP TERM LIFE GROUP AD&D 2011 form 5500 responses
2011-02-01Type of plan entitySingle employer plan
2011-02-01Plan funding arrangement – InsuranceYes
2011-02-01Plan benefit arrangement – InsuranceYes
2010: GROUP TERM LIFE GROUP AD&D 2010 form 5500 responses
2010-02-01Type of plan entitySingle employer plan
2010-02-01Plan funding arrangement – InsuranceYes
2010-02-01Plan benefit arrangement – InsuranceYes
2009: GROUP TERM LIFE GROUP AD&D 2009 form 5500 responses
2009-02-01Type of plan entitySingle employer plan
2009-02-01Plan funding arrangement – InsuranceYes
2009-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000400001000 23
Policy instance 1
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-016264-00
Policy instance 1
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-016264-00
Policy instance 1
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-016264-00
Policy instance 1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 961880
Policy instance 1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 961880
Policy instance 1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 961880
Policy instance 1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 961880
Policy instance 1

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