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LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES 401k Plan overview

Plan NameLONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES
Plan identification number 506

LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES Benefits

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

401k Sponsoring company profile

HOLLISTER INCORPORATED has sponsored the creation of one or more 401k plans.

Company Name:HOLLISTER INCORPORATED
Employer identification number (EIN):362404865
NAIC Classification:339110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062023-01-01
5062023-01-01LAURA ELLISON
5062022-01-01
5062022-01-01LAURA ELLISON
5062021-01-01
5062021-01-01LAURA ELLISON
5062020-01-01
5062019-01-01
5062017-01-01FRANK ARCARO FRANK ARCARO2018-10-05
5062016-01-01FRANK ARCARO FRANK ARCARO2017-10-04
5062015-01-01FRANK ARCARO FRANK ARCARO2016-10-14
5062014-01-01FRANK ARCARO FRANK ARCARO2015-10-09
5062013-01-01FRANK ARCARO FRANK ARCARO2014-10-15
5062012-01-01FRANK ARCARO
5062011-01-01FRANK ARCARO
5062009-01-01FRANK ARCARO

Plan Statistics for LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES

401k plan membership statisitcs for LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES

Measure Date Value
2023: LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES 2023 401k membership
Total participants, beginning-of-year2023-01-011,547
Total number of active participants reported on line 7a of the Form 55002023-01-011,383
Number of retired or separated participants receiving benefits2023-01-0192
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-011,475
2022: LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES 2022 401k membership
Total participants, beginning-of-year2022-01-011,355
Total number of active participants reported on line 7a of the Form 55002022-01-011,386
Number of retired or separated participants receiving benefits2022-01-01161
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-011,547
2021: LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES 2021 401k membership
Total participants, beginning-of-year2021-01-011,207
Total number of active participants reported on line 7a of the Form 55002021-01-011,334
Number of retired or separated participants receiving benefits2021-01-0121
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-011,355
2020: LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES 2020 401k membership
Total participants, beginning-of-year2020-01-011,258
Total number of active participants reported on line 7a of the Form 55002020-01-011,207
Total of all active and inactive participants2020-01-011,207
Total participants2020-01-011,207
2019: LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES 2019 401k membership
Total participants, beginning-of-year2019-01-011,223
Total number of active participants reported on line 7a of the Form 55002019-01-011,258
Total of all active and inactive participants2019-01-011,258
Total participants2019-01-011,258
2017: LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES 2017 401k membership
Total participants, beginning-of-year2017-01-011,381
Total number of active participants reported on line 7a of the Form 55002017-01-011,297
Total of all active and inactive participants2017-01-011,297
Total participants2017-01-011,297
2016: LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES 2016 401k membership
Total participants, beginning-of-year2016-01-011,326
Total number of active participants reported on line 7a of the Form 55002016-01-011,381
Total of all active and inactive participants2016-01-011,381
Total participants2016-01-011,381
2015: LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES 2015 401k membership
Total participants, beginning-of-year2015-01-011,221
Total number of active participants reported on line 7a of the Form 55002015-01-011,250
Total of all active and inactive participants2015-01-011,250
Total participants2015-01-011,250
2014: LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES 2014 401k membership
Total participants, beginning-of-year2014-01-011,210
Total number of active participants reported on line 7a of the Form 55002014-01-011,221
Total of all active and inactive participants2014-01-011,221
Total participants2014-01-011,221
2013: LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES 2013 401k membership
Total participants, beginning-of-year2013-01-011,209
Total number of active participants reported on line 7a of the Form 55002013-01-011,210
Total of all active and inactive participants2013-01-011,210
Total participants2013-01-011,210
2012: LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES 2012 401k membership
Total participants, beginning-of-year2012-01-011,205
Total number of active participants reported on line 7a of the Form 55002012-01-011,209
Total of all active and inactive participants2012-01-011,209
2011: LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES 2011 401k membership
Total participants, beginning-of-year2011-01-011,183
Total number of active participants reported on line 7a of the Form 55002011-01-011,205
Total of all active and inactive participants2011-01-011,205
2009: LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES 2009 401k membership
Total participants, beginning-of-year2009-01-011,162
Total number of active participants reported on line 7a of the Form 55002009-01-011,168
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-011,168

Form 5500 Responses for LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES

2023: LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2017: LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: LONG TERM DISABILITY INSURANCE PLAN FOR THE HOLLISTER INCORPORATED GROUP OF COMPANIES 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan 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 numberGF3-84044503301
Policy instance 1
Insurance contract or identification numberGF3-84044503301
Number of Individuals Covered1175
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $9,555
Total amount of fees paid to insurance companyUSD $17,037
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $417,538
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberGF-84044503301
Policy instance 1
Insurance contract or identification numberGF-84044503301
Number of Individuals Covered1131
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $6,389
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $400,353
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberGF-84044503301
Policy instance 1
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF384044503301
Policy instance 1
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF384044503301
Policy instance 1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK961258
Policy instance 1
CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 64548 )
Policy contract numberNYD068007
Policy instance 2
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number68655
Policy instance 3
THE PAUL REVERE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67598 )
Policy contract number04988622
Policy instance 2
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK961258
Policy instance 1
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number68655
Policy instance 4
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number393393
Policy instance 1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK961258
Policy instance 2
THE PAUL REVERE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67598 )
Policy contract number04988622
Policy instance 3
THE PAUL REVERE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67598 )
Policy contract number04988622
Policy instance 3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number393393
Policy instance 1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK961258
Policy instance 2
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 961258
Policy instance 2
THE PAUL REVERE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67598 )
Policy contract number04988622
Policy instance 3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number393393
Policy instance 1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK961258
Policy instance 3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number393393
Policy instance 2
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number393393
Policy instance 3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK961258
Policy instance 2

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