401k Plan data: MEDICAL REIMBURSEMENT ACCOUNT PLAN plan

MEDICAL REIMBURSEMENT ACCOUNT PLAN 401k Plan overview

Plan Name	MEDICAL REIMBURSEMENT ACCOUNT PLAN
Plan identification number	518

MEDICAL REIMBURSEMENT ACCOUNT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Other welfare benefit cover

401k Sponsoring company profile

MUTUAL OF OMAHA INSURANCE COMPANY has sponsored the creation of one or more 401k plans.

Company Name: MUTUAL OF OMAHA INSURANCE COMPANY

Employer identification number (EIN): 470245611

NAIC Classification: 524140

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDICAL REIMBURSEMENT ACCOUNT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
518 2013-01-01 ROBERT FOLEY ROBERT FOLEY 2014-06-03
518 2012-01-01 ROBERT FOLEY ROBERT FOLEY 2013-07-17
518 2011-01-01 ROBERT FOLEY

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
518	2013-01-01	ROBERT FOLEY	ROBERT FOLEY	2014-06-03
518	2012-01-01	ROBERT FOLEY	ROBERT FOLEY	2013-07-17
518	2011-01-01	ROBERT FOLEY

Plan Statistics for MEDICAL REIMBURSEMENT ACCOUNT PLAN

401k plan membership statisitcs for MEDICAL REIMBURSEMENT ACCOUNT PLAN

Measure Date Value
2013: MEDICAL REIMBURSEMENT ACCOUNT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 2,107
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,992
Total of all active and inactive participants 2013-01-01 1,992
Total participants 2013-01-01 1,992
2012: MEDICAL REIMBURSEMENT ACCOUNT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2,134
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 2,022
Total of all active and inactive participants 2012-01-01 2,022
Total participants 2012-01-01 2,022
2011: MEDICAL REIMBURSEMENT ACCOUNT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 2,201
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 2,124
Total of all active and inactive participants 2011-01-01 2,124
Total participants 2011-01-01 2,124

Measure	Date	Value
2013: MEDICAL REIMBURSEMENT ACCOUNT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	2,107
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,992
Total of all active and inactive participants	2013-01-01	1,992
Total participants	2013-01-01	1,992
2012: MEDICAL REIMBURSEMENT ACCOUNT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2,134
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	2,022
Total of all active and inactive participants	2012-01-01	2,022
Total participants	2012-01-01	2,022
2011: MEDICAL REIMBURSEMENT ACCOUNT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	2,201
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	2,124
Total of all active and inactive participants	2011-01-01	2,124
Total participants	2011-01-01	2,124

Form 5500 Responses for MEDICAL REIMBURSEMENT ACCOUNT PLAN

2013: MEDICAL REIMBURSEMENT ACCOUNT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: MEDICAL REIMBURSEMENT ACCOUNT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: MEDICAL REIMBURSEMENT ACCOUNT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	MUTUAL OF OMAHA INSURANCE COMPANY
Employer identification number (EIN):	470245611
NAIC Classification:	524140