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| Plan Name | GROUP LIFE INSURANCE PLAN FOR KLEIN FINANCIAL, INC |
| Plan identification number | 512 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | OLD NATIONAL BANCORP |
| Employer identification number (EIN): | 351539838 |
| NAIC Classification: | 551111 |
| NAIC Description: | Offices of Bank Holding Companies |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 512 | 2018-01-01 | MARY SCHELLER | GEORGE LANCE | 2019-07-25 |
| Measure | Date | Value |
|---|---|---|
| 2018: GROUP LIFE INSURANCE PLAN FOR KLEIN FINANCIAL, INC 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-01-01 | 350 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2018-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-01-01 | 0 |
| Total of all active and inactive participants | 2018-01-01 | 0 |
| 2018: GROUP LIFE INSURANCE PLAN FOR KLEIN FINANCIAL, INC 2018 form 5500 responses | ||
|---|---|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Submission has been amended | No |
| 2018-01-01 | This submission is the final filing | Yes |
| 2018-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-01-01 | Plan is a collectively bargained plan | No |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 855573G |
| Policy instance | 1 |
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