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| Plan Name | NORTH STAR MUTUAL INSURANCE COMPANY GROUP HEALTH PLAN |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | NORTH STAR MUTUAL INSURANCE COMPANY |
| Employer identification number (EIN): | 410446840 |
| NAIC Classification: | 524150 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2012-01-01 | MELINDA SCHMIDT | |||
| 504 | 2011-01-01 | MELINDA SCHMIDT | |||
| 504 | 2009-01-01 | MELINDA SCHMIDT |
| Measure | Date | Value |
|---|---|---|
| 2012: NORTH STAR MUTUAL INSURANCE COMPANY GROUP HEALTH PLAN 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-01-01 | 163 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 166 |
| Number of retired or separated participants receiving benefits | 2012-01-01 | 3 |
| Total of all active and inactive participants | 2012-01-01 | 169 |
| 2011: NORTH STAR MUTUAL INSURANCE COMPANY GROUP HEALTH PLAN 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-01-01 | 152 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 165 |
| Number of retired or separated participants receiving benefits | 2011-01-01 | 3 |
| Total of all active and inactive participants | 2011-01-01 | 168 |
| 2009: NORTH STAR MUTUAL INSURANCE COMPANY GROUP HEALTH PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 145 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 146 |
| Total of all active and inactive participants | 2009-01-01 | 146 |
| 2012: NORTH STAR MUTUAL INSURANCE COMPANY GROUP HEALTH PLAN 2012 form 5500 responses | ||
|---|---|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2011: NORTH STAR MUTUAL INSURANCE COMPANY GROUP HEALTH PLAN 2011 form 5500 responses | ||
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2009: NORTH STAR MUTUAL INSURANCE COMPANY GROUP HEALTH PLAN 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
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