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VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 401k Plan overview

Plan NameVOLUNTARY GROUP ACCIDENT INSURANCE PLAN
Plan identification number 501

VOLUNTARY GROUP ACCIDENT INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

FEDERAL SCREW WORKS has sponsored the creation of one or more 401k plans.

Company Name:FEDERAL SCREW WORKS
Employer identification number (EIN):380533740
NAIC Classification:332700

Additional information about FEDERAL SCREW WORKS

Jurisdiction of Incorporation: Michigan Secretary of State
Incorporation Date: 0000-00-00
Company Identification Number: 153176
Legal Registered Office Address: GODDARD RD ROMULUS 48174


United States of America (USA)
34846

More information about FEDERAL SCREW WORKS

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VOLUNTARY GROUP ACCIDENT INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01J. BUCKLER J. BUCKLER2019-04-16
5012017-01-01J. BUCKLER J. BUCKLER2018-04-19
5012016-01-01J. BUCKLER J. BUCKLER2017-06-12
5012015-01-01J. BUCKLER J. BUCKLER2016-03-08
5012014-01-01J. BUCKLER J. BUCKLER2015-04-23
5012013-01-01JAN BUCKLER JAN BUCKLER2014-04-09
5012012-01-01JAN BUCKLER JAN BUCKLER2013-02-19
5012011-01-01JAN BUCKLER JAN BUCKLER2012-06-28
5012010-01-01DAVID C. SWERC DAVID C. SWERC2011-07-20
5012009-01-01DAVID C. SWERC DAVID C. SWERC2010-07-22

Plan Statistics for VOLUNTARY GROUP ACCIDENT INSURANCE PLAN

401k plan membership statisitcs for VOLUNTARY GROUP ACCIDENT INSURANCE PLAN

Measure Date Value
2022: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0150
Total number of active participants reported on line 7a of the Form 55002022-01-0144
Total of all active and inactive participants2022-01-0144
Total participants2022-01-0144
2021: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0152
Total number of active participants reported on line 7a of the Form 55002021-01-0150
Total of all active and inactive participants2021-01-0150
Total participants2021-01-0150
2020: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0157
Total number of active participants reported on line 7a of the Form 55002020-01-0152
Total of all active and inactive participants2020-01-0152
Total participants2020-01-0152
2019: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0159
Total number of active participants reported on line 7a of the Form 55002019-01-0157
Total of all active and inactive participants2019-01-0157
Total participants2019-01-0157
2018: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0167
Total number of active participants reported on line 7a of the Form 55002018-01-0159
Total of all active and inactive participants2018-01-0159
Total participants2018-01-0159
2017: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0169
Total number of active participants reported on line 7a of the Form 55002017-01-0167
Total of all active and inactive participants2017-01-0167
Total participants2017-01-0167
2016: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0165
Total number of active participants reported on line 7a of the Form 55002016-01-0169
Total of all active and inactive participants2016-01-0169
Total participants2016-01-0169
2015: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0157
Total number of active participants reported on line 7a of the Form 55002015-01-0165
Total of all active and inactive participants2015-01-0165
Total participants2015-01-0165
2014: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0147
Total number of active participants reported on line 7a of the Form 55002014-01-0157
Total of all active and inactive participants2014-01-0157
Total participants2014-01-0157
2013: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0147
Total number of active participants reported on line 7a of the Form 55002013-01-0147
Total of all active and inactive participants2013-01-0147
Total participants2013-01-0147
2012: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0147
Total number of active participants reported on line 7a of the Form 55002012-01-0147
Total of all active and inactive participants2012-01-0147
Total participants2012-01-0147
2011: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0148
Total number of active participants reported on line 7a of the Form 55002011-01-0147
Total of all active and inactive participants2011-01-0147
Total participants2011-01-0147
2010: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0149
Total number of active participants reported on line 7a of the Form 55002010-01-0148
Total of all active and inactive participants2010-01-0148
Total participants2010-01-0148
2009: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0168
Total number of active participants reported on line 7a of the Form 55002009-01-0149
Total of all active and inactive participants2009-01-0149
Total participants2009-01-0149

Form 5500 Responses for VOLUNTARY GROUP ACCIDENT INSURANCE PLAN

2022: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: VOLUNTARY GROUP ACCIDENT INSURANCE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 810026
Policy instance 1
Insurance contract or identification numberOK 810026
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $824
Total amount of fees paid to insurance companyUSD $123
Other welfare benefits providedGROUP ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $5,489
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $824
Amount paid for insurance broker fees123
Additional information about fees paid to insurance brokerSALES SERVICE
Insurance broker organization code?7
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 810026
Policy instance 1
Insurance contract or identification numberOK 810026
Number of Individuals Covered50
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $765
Total amount of fees paid to insurance companyUSD $161
Other welfare benefits providedGROUP ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $6,173
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $765
Amount paid for insurance broker fees161
Additional information about fees paid to insurance brokerSALES AND SERVICE
Insurance broker organization code?7
CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 810026
Policy instance 1
Insurance contract or identification numberOK 810026
Number of Individuals Covered52
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $992
Total amount of fees paid to insurance companyUSD $125
Other welfare benefits providedGROUP ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $6,615
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $992
Amount paid for insurance broker fees125
Additional information about fees paid to insurance brokerSALES AND SERVICE
Insurance broker organization code?7
CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 810026
Policy instance 1
Insurance contract or identification numberOK 810026
Number of Individuals Covered57
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,074
Total amount of fees paid to insurance companyUSD $92
Other welfare benefits providedGROUP ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $7,162
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,074
Amount paid for insurance broker fees92
Additional information about fees paid to insurance brokerSALES AND SERVICE
Insurance broker organization code?7
CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 810026
Policy instance 1
Insurance contract or identification numberOK 810026
Number of Individuals Covered59
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,111
Other welfare benefits providedGROUP ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $7,406
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,111
Additional information about fees paid to insurance brokerSALES AND SERVICE
Insurance broker organization code?7
CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 810026
Policy instance 1
Insurance contract or identification numberOK 810026
Number of Individuals Covered67
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,227
Total amount of fees paid to insurance companyUSD $125
Other welfare benefits providedGROUP ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $8,180
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,227
Amount paid for insurance broker fees125
Additional information about fees paid to insurance brokerSALES AND SERVICE OVERRIDE
Insurance broker organization code?7
Insurance broker nameMARSH & MCLENNAN AGENCY
CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 810026
Policy instance 1
Insurance contract or identification numberOK 810026
Number of Individuals Covered65
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,080
Total amount of fees paid to insurance companyUSD $61
Other welfare benefits providedGROUP ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $7,199
Commission paid to Insurance BrokerUSD $1,080
Amount paid for insurance broker fees61
Additional information about fees paid to insurance brokerSALES AND SERVICE OVERRIDE
Insurance broker organization code?7
Insurance broker nameMARSH & MCLENNAN AGENCY
CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 810026
Policy instance 1
Insurance contract or identification numberOK 810026
Number of Individuals Covered57
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $914
Other welfare benefits providedGROUP ACCIDENT
Commission paid to Insurance BrokerUSD $914
Additional information about fees paid to insurance brokerSALES SERVICE
Insurance broker organization code?7
Insurance broker nameMCGRAW WENTWORTH & MARSH MCLENNAN
CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 810026
Policy instance 1
Insurance contract or identification numberOK 810026
Number of Individuals Covered47
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $665
Other welfare benefits providedGROUP ACCIDENT
Commission paid to Insurance BrokerUSD $665
Additional information about fees paid to insurance brokerSALES AND SERVICE
Insurance broker organization code?3
Insurance broker nameMCGRAW WENTWORTH
CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 810026
Policy instance 1
Insurance contract or identification numberOK 810026
Number of Individuals Covered47
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $877
Total amount of fees paid to insurance companyUSD $91
Other welfare benefits providedGROUP ACCIDENT
Commission paid to Insurance BrokerUSD $877
Amount paid for insurance broker fees91
Additional information about fees paid to insurance brokerSALES AND SERVICE
Insurance broker organization code?3
Insurance broker nameMCGRAW WENTWORTH
CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 810026
Policy instance 1
Insurance contract or identification numberOK 810026
Number of Individuals Covered47
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $907
Total amount of fees paid to insurance companyUSD $96
Other welfare benefits providedGROUP ACCIDENT
CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 810026
Policy instance 1
Insurance contract or identification numberOK 810026
Number of Individuals Covered48
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $958
Total amount of fees paid to insurance companyUSD $101
Other welfare benefits providedGROUP ACCIDENT
Commission paid to Insurance BrokerUSD $958
Amount paid for insurance broker fees101
Additional information about fees paid to insurance brokerSALES AND SERVICE
Insurance broker organization code?3
Insurance broker nameMCGRAW WENTWORTH

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