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TRAVEL ACCIDENT INSURANCE 401k Plan overview

Plan NameTRAVEL ACCIDENT INSURANCE
Plan identification number 504

TRAVEL ACCIDENT INSURANCE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Other welfare benefit cover

401k Sponsoring company profile

NATIONAL GUARDIAN LIFE INSURANCE COMPANY has sponsored the creation of one or more 401k plans.

Company Name:NATIONAL GUARDIAN LIFE INSURANCE COMPANY
Employer identification number (EIN):390493780
NAIC Classification:524140

Additional information about NATIONAL GUARDIAN LIFE INSURANCE COMPANY

Jurisdiction of Incorporation: Georgia Department of States Corporations Division
Incorporation Date: 1998-08-11
Company Identification Number: 1083918
Legal Registered Office Address: PO BOX 1191
2 East Gilman Street
MADISON
United States of America (USA)
53701-1191

More information about NATIONAL GUARDIAN LIFE INSURANCE COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TRAVEL ACCIDENT INSURANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042017-07-23ROBERT MUCCI ROBERT MUCCI2018-09-20
5042016-07-23ROBERT MUCCI ROBERT MUCCI2017-08-31
5042015-07-23ROBERT MUCCI ROBERT MUCCI2016-09-27
5042014-07-23ROBERT MUCCI ROBERT MUCCI2015-09-22
5042013-07-23ROBERT MUCCI ROBERT MUCCI2014-12-08
5042012-07-23ROBERT MUCCI ROBERT MUCCI2013-09-17
5042011-07-23ROBERT MUCCI ROBERT MUCCI2012-10-12
5042009-07-23 ROBERT MUCCI2010-10-13

Plan Statistics for TRAVEL ACCIDENT INSURANCE

401k plan membership statisitcs for TRAVEL ACCIDENT INSURANCE

Measure Date Value
2017: TRAVEL ACCIDENT INSURANCE 2017 401k membership
Total participants, beginning-of-year2017-07-23434
Total number of active participants reported on line 7a of the Form 55002017-07-230
Total of all active and inactive participants2017-07-230
Total participants2017-07-230
2016: TRAVEL ACCIDENT INSURANCE 2016 401k membership
Total participants, beginning-of-year2016-07-23356
Total number of active participants reported on line 7a of the Form 55002016-07-23434
Number of retired or separated participants receiving benefits2016-07-230
Total of all active and inactive participants2016-07-23434
Total participants2016-07-23434
2015: TRAVEL ACCIDENT INSURANCE 2015 401k membership
Total participants, beginning-of-year2015-07-23320
Total number of active participants reported on line 7a of the Form 55002015-07-23356
Number of retired or separated participants receiving benefits2015-07-230
Total of all active and inactive participants2015-07-23356
Total participants2015-07-23356
2014: TRAVEL ACCIDENT INSURANCE 2014 401k membership
Total participants, beginning-of-year2014-07-23306
Total number of active participants reported on line 7a of the Form 55002014-07-23320
Total of all active and inactive participants2014-07-23320
Total participants2014-07-23320
2013: TRAVEL ACCIDENT INSURANCE 2013 401k membership
Total participants, beginning-of-year2013-07-23296
Total number of active participants reported on line 7a of the Form 55002013-07-23306
Total of all active and inactive participants2013-07-23306
Total participants2013-07-23306
2012: TRAVEL ACCIDENT INSURANCE 2012 401k membership
Total participants, beginning-of-year2012-07-23267
Total number of active participants reported on line 7a of the Form 55002012-07-23296
Total of all active and inactive participants2012-07-23296
Total participants2012-07-23296
2011: TRAVEL ACCIDENT INSURANCE 2011 401k membership
Total participants, beginning-of-year2011-07-23253
Total number of active participants reported on line 7a of the Form 55002011-07-23267
Total of all active and inactive participants2011-07-23267
Total participants2011-07-23267
2009: TRAVEL ACCIDENT INSURANCE 2009 401k membership
Total participants, beginning-of-year2009-07-23250
Total number of active participants reported on line 7a of the Form 55002009-07-23259
Total of all active and inactive participants2009-07-23259
Total participants2009-07-23259

Form 5500 Responses for TRAVEL ACCIDENT INSURANCE

2017: TRAVEL ACCIDENT INSURANCE 2017 form 5500 responses
2017-07-23Type of plan entitySingle employer plan
2017-07-23Submission has been amendedNo
2017-07-23This submission is the final filingYes
2017-07-23This return/report is a short plan year return/report (less than 12 months)Yes
2017-07-23Plan is a collectively bargained planNo
2017-07-23Plan funding arrangement – InsuranceYes
2017-07-23Plan benefit arrangement – InsuranceYes
2016: TRAVEL ACCIDENT INSURANCE 2016 form 5500 responses
2016-07-23Type of plan entitySingle employer plan
2016-07-23Submission has been amendedNo
2016-07-23This submission is the final filingNo
2016-07-23This return/report is a short plan year return/report (less than 12 months)No
2016-07-23Plan is a collectively bargained planNo
2016-07-23Plan funding arrangement – InsuranceYes
2016-07-23Plan benefit arrangement – InsuranceYes
2015: TRAVEL ACCIDENT INSURANCE 2015 form 5500 responses
2015-07-23Type of plan entitySingle employer plan
2015-07-23Submission has been amendedNo
2015-07-23This submission is the final filingNo
2015-07-23This return/report is a short plan year return/report (less than 12 months)No
2015-07-23Plan is a collectively bargained planNo
2015-07-23Plan funding arrangement – InsuranceYes
2015-07-23Plan benefit arrangement – InsuranceYes
2014: TRAVEL ACCIDENT INSURANCE 2014 form 5500 responses
2014-07-23Type of plan entitySingle employer plan
2014-07-23Submission has been amendedNo
2014-07-23This submission is the final filingNo
2014-07-23This return/report is a short plan year return/report (less than 12 months)No
2014-07-23Plan is a collectively bargained planNo
2014-07-23Plan funding arrangement – InsuranceYes
2014-07-23Plan benefit arrangement – InsuranceYes
2013: TRAVEL ACCIDENT INSURANCE 2013 form 5500 responses
2013-07-23Type of plan entitySingle employer plan
2013-07-23Submission has been amendedYes
2013-07-23This submission is the final filingNo
2013-07-23This return/report is a short plan year return/report (less than 12 months)No
2013-07-23Plan is a collectively bargained planNo
2013-07-23Plan funding arrangement – InsuranceYes
2013-07-23Plan benefit arrangement – InsuranceYes
2012: TRAVEL ACCIDENT INSURANCE 2012 form 5500 responses
2012-07-23Type of plan entitySingle employer plan
2012-07-23Submission has been amendedNo
2012-07-23This submission is the final filingNo
2012-07-23This return/report is a short plan year return/report (less than 12 months)No
2012-07-23Plan is a collectively bargained planNo
2012-07-23Plan funding arrangement – InsuranceYes
2012-07-23Plan benefit arrangement – InsuranceYes
2011: TRAVEL ACCIDENT INSURANCE 2011 form 5500 responses
2011-07-23Type of plan entitySingle employer plan
2011-07-23Submission has been amendedNo
2011-07-23This submission is the final filingNo
2011-07-23This return/report is a short plan year return/report (less than 12 months)No
2011-07-23Plan is a collectively bargained planNo
2011-07-23Plan funding arrangement – InsuranceYes
2011-07-23Plan benefit arrangement – InsuranceYes
2009: TRAVEL ACCIDENT INSURANCE 2009 form 5500 responses
2009-07-23Type of plan entitySingle employer plan
2009-07-23Submission has been amendedNo
2009-07-23This submission is the final filingNo
2009-07-23This return/report is a short plan year return/report (less than 12 months)No
2009-07-23Plan is a collectively bargained planNo
2009-07-23Plan funding arrangement – InsuranceYes
2009-07-23Plan 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 numberABL457081
Policy instance 1
Insurance contract or identification numberABL457081
Number of Individuals Covered0
Insurance policy start date2017-07-23
Insurance policy end date2017-12-31
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 BenefitNo
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 $636
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameBAER INSURANCE SERVICES LLC
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL457081
Policy instance 1
Insurance contract or identification numberABL457081
Number of Individuals Covered356
Insurance policy start date2015-07-23
Insurance policy end date2016-07-22
Are there contracts with allocated funds for individual policies?No
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 BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedTRAVEL ACCIDENT
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 $1,254
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameBAER INSURANCE SERVICES LLC
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL457081
Policy instance 1
Insurance contract or identification numberABL457081
Number of Individuals Covered320
Insurance policy start date2014-07-23
Insurance policy end date2015-07-22
Are there contracts with allocated funds for individual policies?No
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 BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedTRAVEL ACCIDENT
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 $1,254
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameBAER INSURANCE SERVICES LLC
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL457081
Policy instance 1
Insurance contract or identification numberABL457081
Number of Individuals Covered306
Insurance policy start date2013-07-23
Insurance policy end date2014-07-22
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedTRAVEL ACCIDENT
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 $1,254
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
Insurance broker nameBAER INSURANCE SERVICES LLC
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL457081
Policy instance 1
Insurance contract or identification numberABL457081
Number of Individuals Covered296
Insurance policy start date2012-07-23
Insurance policy end date2013-07-22
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedTRAVEL ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $1,254
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
Insurance broker nameBAER INSURANCE SERVICES LLC
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL457081
Policy instance 1
Insurance contract or identification numberABL457081
Number of Individuals Covered267
Insurance policy start date2011-07-23
Insurance policy end date2012-07-22
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedTRAVEL ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $1,860
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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