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THE AUTO CLUB GROUP ACCIDENT PLAN 401k Plan overview

Plan NameTHE AUTO CLUB GROUP ACCIDENT PLAN
Plan identification number 509

THE AUTO CLUB GROUP ACCIDENT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

AUTO CLUB INSURANCE ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name:AUTO CLUB INSURANCE ASSOCIATION
Employer identification number (EIN):380477270
NAIC Classification:524150

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE AUTO CLUB GROUP ACCIDENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5092022-01-01CARMEN MABE2023-10-02
5092021-01-01CARMEN MABE2022-10-03

Plan Statistics for THE AUTO CLUB GROUP ACCIDENT PLAN

401k plan membership statisitcs for THE AUTO CLUB GROUP ACCIDENT PLAN

Measure Date Value
2022: THE AUTO CLUB GROUP ACCIDENT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-012,496
Total number of active participants reported on line 7a of the Form 55002022-01-013,275
Total of all active and inactive participants2022-01-013,275
Total participants2022-01-013,275
2021: THE AUTO CLUB GROUP ACCIDENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-010
Total number of active participants reported on line 7a of the Form 55002021-01-012,496
Total of all active and inactive participants2021-01-012,496
Total participants2021-01-012,496

Form 5500 Responses for THE AUTO CLUB GROUP ACCIDENT PLAN

2022: THE AUTO CLUB GROUP ACCIDENT PLAN 2022 form 5500 responses
2022-01-01Type of plan entityMulitple employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: THE AUTO CLUB GROUP ACCIDENT PLAN 2021 form 5500 responses
2021-01-01Type of plan entityMulitple employer plan
2021-01-01First time form 5500 has been submittedYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number681821G
Policy instance 1
Insurance contract or identification number681821G
Number of Individuals Covered3275
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $193,547
Total amount of fees paid to insurance companyUSD $10,757
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $621,467
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $193,547
Insurance broker organization code?3
Amount paid for insurance broker fees9846
Additional information about fees paid to insurance brokerFEES PAID FOR ADMINISTRATIVE AND OTHER SERVICES
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number681821G
Policy instance 1
Insurance contract or identification number681821G
Number of Individuals Covered2496
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $345,197
Total amount of fees paid to insurance companyUSD $12,125
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $493,139
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $345,197
Insurance broker organization code?3
Amount paid for insurance broker fees11028
Additional information about fees paid to insurance brokerFEES PAID FOR ADMINISTRATIVE AND OTHER SERVICES

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