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THE HARTFORD AD&D PLAN 401k Plan overview

Plan NameTHE HARTFORD AD&D PLAN
Plan identification number 504

THE HARTFORD AD&D PLAN Benefits

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

401k Sponsoring company profile

FARMERS UNION SERVICE ASSOCIATION, LTD. has sponsored the creation of one or more 401k plans.

Company Name:FARMERS UNION SERVICE ASSOCIATION, LTD.
Employer identification number (EIN):450133342
NAIC Classification:524210
NAIC Description:Insurance Agencies and Brokerages

Additional information about FARMERS UNION SERVICE ASSOCIATION, LTD.

Jurisdiction of Incorporation: Colorado Department of State
Incorporation Date: 1951-01-25
Company Identification Number: 19871119451
Legal Registered Office Address: 7900 E. Union Ave.
Suite 200
Denver
United States of America (USA)
80237

More information about FARMERS UNION SERVICE ASSOCIATION, LTD.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE HARTFORD AD&D PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042021-12-01TANIA FALK2023-06-28
5042020-12-01TANIA FALK2022-06-30
5042019-12-01TANIA FALK2021-08-02
5042018-12-01MARK ANDERSON2020-10-15
5042017-12-01MARK ANDERSON2020-10-15
5042016-12-01MARK ANDERSON2020-10-15

Plan Statistics for THE HARTFORD AD&D PLAN

401k plan membership statisitcs for THE HARTFORD AD&D PLAN

Measure Date Value
2021: THE HARTFORD AD&D PLAN 2021 401k membership
Total participants, beginning-of-year2021-12-01183
Total number of active participants reported on line 7a of the Form 55002021-12-01196
Total of all active and inactive participants2021-12-01196
2020: THE HARTFORD AD&D PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-01195
Total number of active participants reported on line 7a of the Form 55002020-12-01183
Total of all active and inactive participants2020-12-01183
2019: THE HARTFORD AD&D PLAN 2019 401k membership
Total participants, beginning-of-year2019-12-01193
Total number of active participants reported on line 7a of the Form 55002019-12-01195
Total of all active and inactive participants2019-12-01195
2018: THE HARTFORD AD&D PLAN 2018 401k membership
Total participants, beginning-of-year2018-12-01175
Total number of active participants reported on line 7a of the Form 55002018-12-01193
Total of all active and inactive participants2018-12-01193
2017: THE HARTFORD AD&D PLAN 2017 401k membership
Total participants, beginning-of-year2017-12-01187
Total number of active participants reported on line 7a of the Form 55002017-12-01175
Total of all active and inactive participants2017-12-01175
2016: THE HARTFORD AD&D PLAN 2016 401k membership
Total participants, beginning-of-year2016-12-01187
Total number of active participants reported on line 7a of the Form 55002016-12-01187
Total of all active and inactive participants2016-12-01187
Total participants2016-12-01187

Form 5500 Responses for THE HARTFORD AD&D PLAN

2021: THE HARTFORD AD&D PLAN 2021 form 5500 responses
2021-12-01Type of plan entityMulitple employer plan
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan benefit arrangement – InsuranceYes
2020: THE HARTFORD AD&D PLAN 2020 form 5500 responses
2020-12-01Type of plan entityMulitple employer plan
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – InsuranceYes
2019: THE HARTFORD AD&D PLAN 2019 form 5500 responses
2019-12-01Type of plan entityMulitple employer plan
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan benefit arrangement – InsuranceYes
2018: THE HARTFORD AD&D PLAN 2018 form 5500 responses
2018-12-01Type of plan entityMulitple employer plan
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan benefit arrangement – InsuranceYes
2017: THE HARTFORD AD&D PLAN 2017 form 5500 responses
2017-12-01Type of plan entityMulitple employer plan
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan benefit arrangement – InsuranceYes
2016: THE HARTFORD AD&D PLAN 2016 form 5500 responses
2016-12-01Type of plan entityMulitple employer plan
2016-12-01First time form 5500 has been submittedYes
2016-12-01Submission has been amendedNo
2016-12-01This submission is the final filingNo
2016-12-01This return/report is a short plan year return/report (less than 12 months)No
2016-12-01Plan is a collectively bargained planNo
2016-12-01Plan funding arrangement – InsuranceYes
2016-12-01Plan 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 numberADD003212
Policy instance 1
Insurance contract or identification numberADD003212
Number of Individuals Covered196
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $1,825
Total amount of fees paid to insurance companyUSD $242
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,168
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,825
Amount paid for insurance broker fees242
Additional information about fees paid to insurance brokerBONUS PAID
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADD003212
Policy instance 1
Insurance contract or identification numberADD003212
Number of Individuals Covered183
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $1,875
Total amount of fees paid to insurance companyUSD $296
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,498
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,875
Amount paid for insurance broker fees296
Additional information about fees paid to insurance brokerBONUS PAID
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADD003212
Policy instance 1
Insurance contract or identification numberADD003212
Number of Individuals Covered195
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $1,978
Total amount of fees paid to insurance companyUSD $371
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,186
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,978
Amount paid for insurance broker fees371
Additional information about fees paid to insurance brokerBONUS PAID
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADD003212
Policy instance 1
Insurance contract or identification numberADD003212
Number of Individuals Covered193
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $2,019
Total amount of fees paid to insurance companyUSD $68
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,463
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,019
Amount paid for insurance broker fees68
Additional information about fees paid to insurance brokerBONUS PAID
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADD003212
Policy instance 1
Insurance contract or identification numberADD003212
Number of Individuals Covered175
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $2,041
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,605
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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