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GROUP TRAVEL ACCIDENT INSURANCE PLAN 401k Plan overview

Plan NameGROUP TRAVEL ACCIDENT INSURANCE PLAN
Plan identification number 509

GROUP TRAVEL 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 GROUP TRAVEL ACCIDENT INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5092022-07-01
5092021-07-01
5092020-07-01
5092019-07-01
5092018-07-01JAN BUCKLER JAN BUCKLER2019-07-09
5092017-07-01JAN BUCKLER JAN BUCKLER2018-07-11
5092016-07-01JAN BUCKLER JAN BUCKLER2017-07-11
5092015-07-01JAN BUCKLER JAN BUCKLER2016-07-14
5092014-07-01JAN BUCKLER JAN BUCKLER2015-08-06
5092013-07-01JAN BUCKLER JAN BUCKLER2014-07-10
5092012-07-01JAN BUCKLER JAN BUCKLER2013-10-10
5092011-07-01JAN BUCKLER JAN BUCKLER2012-08-29
5092009-07-01DAVID C. SWERC DAVID C. SWERC2011-01-25

Plan Statistics for GROUP TRAVEL ACCIDENT INSURANCE PLAN

401k plan membership statisitcs for GROUP TRAVEL ACCIDENT INSURANCE PLAN

Measure Date Value
2022: GROUP TRAVEL ACCIDENT INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-0148
Total number of active participants reported on line 7a of the Form 55002022-07-0145
Total of all active and inactive participants2022-07-0145
Total participants2022-07-0145
2021: GROUP TRAVEL ACCIDENT INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01193
Total number of active participants reported on line 7a of the Form 55002021-07-01232
Total of all active and inactive participants2021-07-01232
Total participants2021-07-01232
2020: GROUP TRAVEL ACCIDENT INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01204
Total number of active participants reported on line 7a of the Form 55002020-07-01193
Total of all active and inactive participants2020-07-01193
Total participants2020-07-01193
2019: GROUP TRAVEL ACCIDENT INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01203
Total number of active participants reported on line 7a of the Form 55002019-07-01204
Total of all active and inactive participants2019-07-01204
Total participants2019-07-01204
2018: GROUP TRAVEL ACCIDENT INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01208
Total number of active participants reported on line 7a of the Form 55002018-07-01203
Total of all active and inactive participants2018-07-01203
Total participants2018-07-01203
2017: GROUP TRAVEL ACCIDENT INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01199
Total number of active participants reported on line 7a of the Form 55002017-07-01208
Total of all active and inactive participants2017-07-01208
Total participants2017-07-01208
2016: GROUP TRAVEL ACCIDENT INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01204
Total number of active participants reported on line 7a of the Form 55002016-07-01199
Total of all active and inactive participants2016-07-01199
Total participants2016-07-01199
2015: GROUP TRAVEL ACCIDENT INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01186
Total number of active participants reported on line 7a of the Form 55002015-07-01204
Total of all active and inactive participants2015-07-01204
Total participants2015-07-01204
2014: GROUP TRAVEL ACCIDENT INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01184
Total number of active participants reported on line 7a of the Form 55002014-07-01186
Total of all active and inactive participants2014-07-01186
Total participants2014-07-01186
2013: GROUP TRAVEL ACCIDENT INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01169
Total number of active participants reported on line 7a of the Form 55002013-07-01184
Total of all active and inactive participants2013-07-01184
Total participants2013-07-01184
2012: GROUP TRAVEL ACCIDENT INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01168
Total number of active participants reported on line 7a of the Form 55002012-07-01169
Total of all active and inactive participants2012-07-01169
Total participants2012-07-01169
2011: GROUP TRAVEL ACCIDENT INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01164
Total number of active participants reported on line 7a of the Form 55002011-07-01168
Total of all active and inactive participants2011-07-01168
Total participants2011-07-01168
2009: GROUP TRAVEL ACCIDENT INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01139
Total number of active participants reported on line 7a of the Form 55002009-07-01162
Total of all active and inactive participants2009-07-01162
Total participants2009-07-01162

Form 5500 Responses for GROUP TRAVEL ACCIDENT INSURANCE PLAN

2022: GROUP TRAVEL ACCIDENT INSURANCE PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – InsuranceYes
2021: GROUP TRAVEL ACCIDENT INSURANCE PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes
2020: GROUP TRAVEL ACCIDENT INSURANCE PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes
2019: GROUP TRAVEL ACCIDENT INSURANCE PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – InsuranceYes
2018: GROUP TRAVEL ACCIDENT INSURANCE PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes
2017: GROUP TRAVEL ACCIDENT INSURANCE PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2016: GROUP TRAVEL ACCIDENT INSURANCE PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: GROUP TRAVEL ACCIDENT INSURANCE PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: GROUP TRAVEL ACCIDENT INSURANCE PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: GROUP TRAVEL ACCIDENT INSURANCE PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: GROUP TRAVEL ACCIDENT INSURANCE PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: GROUP TRAVEL ACCIDENT INSURANCE PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2009: GROUP TRAVEL ACCIDENT INSURANCE PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan 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 numberABL614389
Policy instance 1
Insurance contract or identification numberABL614389
Number of Individuals Covered45
Insurance policy start date2022-06-30
Insurance policy end date2023-06-29
Other welfare benefits providedACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $1,092
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL614389
Policy instance 1
Insurance contract or identification numberABL614389
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $164
Other welfare benefits providedACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $1,092
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $164
Additional information about fees paid to insurance brokerSALE AND SERVICE
Insurance broker organization code?7
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL614389
Policy instance 1
Insurance contract or identification numberABL614389
Number of Individuals Covered193
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $164
Total amount of fees paid to insurance companyUSD $19
Other welfare benefits providedACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $1,092
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $164
Amount paid for insurance broker fees19
Insurance broker organization code?7
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL614389
Policy instance 1
Insurance contract or identification numberABL614389
Number of Individuals Covered204
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $164
Total amount of fees paid to insurance companyUSD $13
Other welfare benefits providedACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $1,092
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $164
Amount paid for insurance broker fees13
Insurance broker organization code?7
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL614389
Policy instance 1
Insurance contract or identification numberABL614389
Number of Individuals Covered203
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $164
Other welfare benefits providedACCIDENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $164
Additional information about fees paid to insurance brokerSALES AND SERVICE
Insurance broker organization code?7
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL614389
Policy instance 1
Insurance contract or identification numberABL614389
Number of Individuals Covered208
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $143
Total amount of fees paid to insurance companyUSD $14
Other welfare benefits providedACCIDENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $143
Amount paid for insurance broker fees14
Additional information about fees paid to insurance brokerSALES AND SERVICE
Insurance broker organization code?7
Insurance broker nameMARSH & MCLENNAN AGENCY
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL614389
Policy instance 1
Insurance contract or identification numberABL614389
Number of Individuals Covered204
Insurance policy start date2016-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $143
Total amount of fees paid to insurance companyUSD $11
Other welfare benefits providedACCIDENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $143
Amount paid for insurance broker fees11
Additional information about fees paid to insurance brokerSALES SERVICE OVERRIDE
Insurance broker organization code?7
Insurance broker nameMARSH & MCLENNAN AGENCY
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL614389
Policy instance 1
Insurance contract or identification numberABL614389
Number of Individuals Covered186
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $150
Other welfare benefits providedACCIDENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $150
Additional information about fees paid to insurance brokerSALES AND SERVICE
Insurance broker organization code?3
Insurance broker nameMARSH & MCLENNAN AGENCY
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL614389
Policy instance 1
Insurance contract or identification numberABL614389
Number of Individuals Covered184
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $180
Other welfare benefits providedACCIDENT
Commission paid to Insurance BrokerUSD $180
Additional information about fees paid to insurance brokerSALES SERVICE
Insurance broker organization code?3
Insurance broker nameMCGRAW WENTWORTH
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL614389
Policy instance 1
Insurance contract or identification numberABL614389
Number of Individuals Covered169
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $150
Total amount of fees paid to insurance companyUSD $15
Other welfare benefits providedACCIDENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $150
Additional information about fees paid to insurance brokerSALES AND SERVICE
Insurance broker organization code?3
Amount paid for insurance broker fees15
Insurance broker nameMCGRAW WENTWORTH
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL614389
Policy instance 1
Insurance contract or identification numberABL614389
Number of Individuals Covered168
Insurance policy start date2011-06-30
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $150
Other welfare benefits providedACCIDENT
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL614389
Policy instance 1
Insurance contract or identification numberABL614389
Number of Individuals Covered164
Insurance policy start date2010-06-30
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $150
Total amount of fees paid to insurance companyUSD $15
Other welfare benefits providedACCIDENT

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