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THE MEDICAL AND LIFE BENEFITS PLAN FOR HOURLY RETIREES 401k Plan overview

Plan NameTHE MEDICAL AND LIFE BENEFITS PLAN FOR HOURLY RETIREES
Plan identification number 533

THE MEDICAL AND LIFE BENEFITS PLAN FOR HOURLY RETIREES Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

ALTRIA CLIENT SERVICES LLC has sponsored the creation of one or more 401k plans.

Company Name:ALTRIA CLIENT SERVICES LLC
Employer identification number (EIN):472929146
NAIC Classification:312200
NAIC Description: Tobacco Manufacturing

Additional information about ALTRIA CLIENT SERVICES LLC

Jurisdiction of Incorporation: Virginia Secretary of State
Incorporation Date: 2013-02-27
Company Identification Number: S443360
Legal Registered Office Address: 6601 West Broad Street

Richmond
United States of America (USA)
23230

More information about ALTRIA CLIENT SERVICES LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE MEDICAL AND LIFE BENEFITS PLAN FOR HOURLY RETIREES

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5332022-01-01
5332021-01-01
5332020-01-01
5332019-01-01
5332018-01-01
5332017-12-27THOMAS HOUGHTALING

Plan Statistics for THE MEDICAL AND LIFE BENEFITS PLAN FOR HOURLY RETIREES

401k plan membership statisitcs for THE MEDICAL AND LIFE BENEFITS PLAN FOR HOURLY RETIREES

Measure Date Value
2022: THE MEDICAL AND LIFE BENEFITS PLAN FOR HOURLY RETIREES 2022 401k membership
Total participants, beginning-of-year2022-01-016,515
Total number of active participants reported on line 7a of the Form 55002022-01-010
Number of retired or separated participants receiving benefits2022-01-016,354
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-016,354
2021: THE MEDICAL AND LIFE BENEFITS PLAN FOR HOURLY RETIREES 2021 401k membership
Total participants, beginning-of-year2021-01-016,754
Total number of active participants reported on line 7a of the Form 55002021-01-010
Number of retired or separated participants receiving benefits2021-01-016,515
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-016,515
2020: THE MEDICAL AND LIFE BENEFITS PLAN FOR HOURLY RETIREES 2020 401k membership
Total participants, beginning-of-year2020-01-016,897
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-016,754
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-016,754
2019: THE MEDICAL AND LIFE BENEFITS PLAN FOR HOURLY RETIREES 2019 401k membership
Total participants, beginning-of-year2019-01-017,030
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-016,897
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-016,897
2018: THE MEDICAL AND LIFE BENEFITS PLAN FOR HOURLY RETIREES 2018 401k membership
Total participants, beginning-of-year2018-01-017,121
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-017,030
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-017,030
2017: THE MEDICAL AND LIFE BENEFITS PLAN FOR HOURLY RETIREES 2017 401k membership
Total participants, beginning-of-year2017-12-270
Total number of active participants reported on line 7a of the Form 55002017-12-270
Number of retired or separated participants receiving benefits2017-12-277,121
Number of other retired or separated participants entitled to future benefits2017-12-270
Total of all active and inactive participants2017-12-277,121

Financial Data on THE MEDICAL AND LIFE BENEFITS PLAN FOR HOURLY RETIREES

Measure Date Value
2022 : THE MEDICAL AND LIFE BENEFITS PLAN FOR HOURLY RETIREES 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-15,737,117
Total unrealized appreciation/depreciation of assets2022-12-31$-15,737,117
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$9,614,664
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$9,329,165
Total income from all sources (including contributions)2022-12-31$-31,007,920
Total loss/gain on sale of assets2022-12-31$-6,840,705
Total of all expenses incurred2022-12-31$38,782,398
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$37,321,763
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$5,585,949
Value of total assets at end of year2022-12-31$123,756,442
Value of total assets at beginning of year2022-12-31$193,261,261
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$1,460,635
Total interest from all sources2022-12-31$2,739,923
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$298,961
Assets. Corporate prefeered stocks other than exployer securities at end of year2022-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2022-12-31$0
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$60,000,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$5,104,359
Participant contributions at end of year2022-12-31$393,638
Participant contributions at beginning of year2022-12-31$489,517
Assets. Other investments not covered elsewhere at end of year2022-12-31$2,559,312
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$671,266
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$1,298,941
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$2,871,577
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$8,140,860
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$5,296,696
Liabilities. Value of operating payables at end of year2022-12-31$115,066
Liabilities. Value of operating payables at beginning of year2022-12-31$91,158
Total non interest bearing cash at end of year2022-12-31$0
Total non interest bearing cash at beginning of year2022-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-69,790,318
Value of net assets at end of year (total assets less liabilities)2022-12-31$114,141,778
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$183,932,096
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$215,767
Interest earned on other investments2022-12-31$186,308
Income. Interest from US Government securities2022-12-31$83,470
Income. Interest from corporate debt instruments2022-12-31$2,404,074
Value of interest in common/collective trusts at end of year2022-12-31$65,072,306
Value of interest in common/collective trusts at beginning of year2022-12-31$108,845,360
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$3,950,317
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$7,340,332
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$7,340,332
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$66,071
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$9,055,303
Asset value of US Government securities at end of year2022-12-31$6,924,166
Asset value of US Government securities at beginning of year2022-12-31$7,968,107
Net investment gain or loss from common/collective trusts2022-12-31$-16,755,970
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$481,590
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$28,266,460
Asset. Corporate debt instrument preferred debt at end of year2022-12-31$206,739
Asset. Corporate debt instrument preferred debt at beginning of year2022-12-31$245,513
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$43,351,023
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$64,829,589
Contract administrator fees2022-12-31$945,907
Liabilities. Value of benefit claims payable at end of year2022-12-31$1,358,738
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$3,941,311
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$25,892,886
Aggregate carrying amount (costs) on sale of assets2022-12-31$32,733,591
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31PRICEWATERHOUSECOOPERS LLC
Accountancy firm EIN2022-12-31134008324
2021 : THE MEDICAL AND LIFE BENEFITS PLAN FOR HOURLY RETIREES 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$-2,214,332
Total unrealized appreciation/depreciation of assets2021-12-31$-2,214,332
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$9,329,165
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$9,871,636
Total income from all sources (including contributions)2021-12-31$31,402,017
Total loss/gain on sale of assets2021-12-31$-1,214,538
Total of all expenses incurred2021-12-31$50,193,698
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$48,615,788
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$6,784,256
Value of total assets at end of year2021-12-31$193,261,261
Value of total assets at beginning of year2021-12-31$212,595,413
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$1,577,910
Total interest from all sources2021-12-31$2,710,277
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$269,845
Assets. Corporate prefeered stocks other than exployer securities at end of year2021-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2021-12-31$0
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$60,000,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$6,211,556
Participant contributions at end of year2021-12-31$489,517
Participant contributions at beginning of year2021-12-31$521,734
Assets. Other investments not covered elsewhere at end of year2021-12-31$671,266
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$6,505,397
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$2,871,577
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$1,308,111
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$5,296,696
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$7,393,235
Administrative expenses (other) incurred2021-12-31$786
Liabilities. Value of operating payables at end of year2021-12-31$91,158
Liabilities. Value of operating payables at beginning of year2021-12-31$67,315
Total non interest bearing cash at end of year2021-12-31$0
Total non interest bearing cash at beginning of year2021-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-18,791,681
Value of net assets at end of year (total assets less liabilities)2021-12-31$183,932,096
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$202,723,777
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$256,593
Interest earned on other investments2021-12-31$149,891
Income. Interest from US Government securities2021-12-31$32,119
Income. Interest from corporate debt instruments2021-12-31$2,528,267
Value of interest in common/collective trusts at end of year2021-12-31$108,845,360
Value of interest in common/collective trusts at beginning of year2021-12-31$121,530,510
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$7,340,332
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$5,992,344
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$5,992,344
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$11,271,441
Asset value of US Government securities at end of year2021-12-31$7,968,107
Asset value of US Government securities at beginning of year2021-12-31$10,182,239
Net investment gain or loss from common/collective trusts2021-12-31$25,336,354
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$572,700
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$37,344,347
Asset. Corporate debt instrument preferred debt at end of year2021-12-31$245,513
Asset. Corporate debt instrument preferred debt at beginning of year2021-12-31$531,110
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$64,829,589
Asset. Corporate debt instrument debt (other) at beginning of year2021-12-31$66,023,968
Contract administrator fees2021-12-31$1,050,686
Liabilities. Value of benefit claims payable at end of year2021-12-31$3,941,311
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$2,411,086
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$49,075,401
Aggregate carrying amount (costs) on sale of assets2021-12-31$50,289,939
Opinion of an independent qualified public accountant for this plan2021-12-31Disclaimer
Accountancy firm name2021-12-31PRICEWATERHOUSECOOPERS LLC
Accountancy firm EIN2021-12-31134008324
2020 : THE MEDICAL AND LIFE BENEFITS PLAN FOR HOURLY RETIREES 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$5,767,132
Total unrealized appreciation/depreciation of assets2020-12-31$5,767,132
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$9,871,636
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$20,548,779
Total income from all sources (including contributions)2020-12-31$37,610,474
Total loss/gain on sale of assets2020-12-31$4,182,366
Total of all expenses incurred2020-12-31$46,002,634
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$44,178,310
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$7,146,472
Value of total assets at end of year2020-12-31$212,595,413
Value of total assets at beginning of year2020-12-31$231,664,716
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$1,824,324
Total interest from all sources2020-12-31$3,341,636
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$230,699
Assets. Corporate prefeered stocks other than exployer securities at end of year2020-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2020-12-31$0
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$60,000,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$6,715,672
Participant contributions at end of year2020-12-31$521,734
Participant contributions at beginning of year2020-12-31$551,572
Assets. Other investments not covered elsewhere at end of year2020-12-31$6,505,397
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$6,944,210
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$1,308,111
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$10,033,712
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$7,393,235
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$14,908,834
Liabilities. Value of operating payables at end of year2020-12-31$67,315
Liabilities. Value of operating payables at beginning of year2020-12-31$112,028
Total non interest bearing cash at end of year2020-12-31$0
Total non interest bearing cash at beginning of year2020-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-8,392,160
Value of net assets at end of year (total assets less liabilities)2020-12-31$202,723,777
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$211,115,937
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$287,646
Interest earned on other investments2020-12-31$369,913
Income. Interest from US Government securities2020-12-31$100,986
Income. Interest from corporate debt instruments2020-12-31$2,851,512
Value of interest in common/collective trusts at end of year2020-12-31$121,530,510
Value of interest in common/collective trusts at beginning of year2020-12-31$121,377,106
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$5,992,344
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$4,790,742
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$4,790,742
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$19,225
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$7,296,083
Asset value of US Government securities at end of year2020-12-31$10,182,239
Asset value of US Government securities at beginning of year2020-12-31$15,999,702
Net investment gain or loss from common/collective trusts2020-12-31$17,172,868
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$430,800
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$36,882,227
Asset. Corporate debt instrument preferred debt at end of year2020-12-31$531,110
Asset. Corporate debt instrument preferred debt at beginning of year2020-12-31$62,894,188
Asset. Corporate debt instrument debt (other) at end of year2020-12-31$66,023,968
Asset. Corporate debt instrument debt (other) at beginning of year2020-12-31$9,073,484
Contract administrator fees2020-12-31$1,305,979
Liabilities. Value of benefit claims payable at end of year2020-12-31$2,411,086
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$5,527,917
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$180,244,702
Aggregate carrying amount (costs) on sale of assets2020-12-31$176,062,336
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31PRICEWATERHOUSECOOPERS LLC
Accountancy firm EIN2020-12-31134008324
2019 : THE MEDICAL AND LIFE BENEFITS PLAN FOR HOURLY RETIREES 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$10,531,226
Total unrealized appreciation/depreciation of assets2019-12-31$10,531,226
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$20,548,779
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$20,548,779
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$5,634,896
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$5,634,896
Total income from all sources (including contributions)2019-12-31$58,161,051
Total income from all sources (including contributions)2019-12-31$58,161,051
Total loss/gain on sale of assets2019-12-31$6,756,903
Total of all expenses incurred2019-12-31$55,521,099
Total of all expenses incurred2019-12-31$55,521,099
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$53,450,847
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$53,450,847
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$7,532,555
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$7,532,555
Value of total assets at end of year2019-12-31$231,664,716
Value of total assets at beginning of year2019-12-31$214,110,881
Value of total assets at beginning of year2019-12-31$214,110,881
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$2,070,252
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$2,070,252
Total interest from all sources2019-12-31$4,614,527
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$247,071
Administrative expenses professional fees incurred2019-12-31$247,071
Assets. Corporate prefeered stocks other than exployer securities at end of year2019-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2019-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2019-12-31$966,010
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2019-12-31$966,010
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$10,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$7,029,455
Contributions received from participants2019-12-31$7,029,455
Participant contributions at end of year2019-12-31$551,572
Participant contributions at end of year2019-12-31$551,572
Participant contributions at beginning of year2019-12-31$618,232
Participant contributions at beginning of year2019-12-31$618,232
Assets. Other investments not covered elsewhere at end of year2019-12-31$6,944,210
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$3,113,408
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$3,113,408
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$10,033,712
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$10,033,712
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$1,999,533
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$14,908,834
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$1,932,029
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$1,932,029
Liabilities. Value of operating payables at end of year2019-12-31$112,028
Liabilities. Value of operating payables at beginning of year2019-12-31$102,644
Liabilities. Value of operating payables at beginning of year2019-12-31$102,644
Total non interest bearing cash at end of year2019-12-31$0
Total non interest bearing cash at end of year2019-12-31$0
Total non interest bearing cash at beginning of year2019-12-31$0
Total non interest bearing cash at beginning of year2019-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$2,639,952
Value of net income/loss2019-12-31$2,639,952
Value of net assets at end of year (total assets less liabilities)2019-12-31$211,115,937
Value of net assets at end of year (total assets less liabilities)2019-12-31$211,115,937
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$208,475,985
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$208,475,985
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$333,576
Investment advisory and management fees2019-12-31$333,576
Interest earned on other investments2019-12-31$585,572
Income. Interest from US Government securities2019-12-31$274,151
Income. Interest from US Government securities2019-12-31$274,151
Income. Interest from corporate debt instruments2019-12-31$3,623,912
Income. Interest from corporate debt instruments2019-12-31$3,623,912
Value of interest in common/collective trusts at end of year2019-12-31$121,377,106
Value of interest in common/collective trusts at end of year2019-12-31$121,377,106
Value of interest in common/collective trusts at beginning of year2019-12-31$102,671,493
Value of interest in common/collective trusts at beginning of year2019-12-31$102,671,493
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$4,790,742
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$4,790,742
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$8,705,228
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$8,705,228
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$130,892
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$130,892
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$7,760,630
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$7,760,630
Asset value of US Government securities at end of year2019-12-31$15,999,702
Asset value of US Government securities at end of year2019-12-31$15,999,702
Asset value of US Government securities at beginning of year2019-12-31$16,646,807
Net investment gain or loss from common/collective trusts2019-12-31$28,725,840
Net investment gain or loss from common/collective trusts2019-12-31$28,725,840
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$503,100
Contributions received in cash from employer2019-12-31$503,100
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$45,690,217
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$45,690,217
Asset. Corporate debt instrument preferred debt at end of year2019-12-31$62,894,188
Asset. Corporate debt instrument preferred debt at end of year2019-12-31$62,894,188
Asset. Corporate debt instrument preferred debt at beginning of year2019-12-31$71,028,824
Asset. Corporate debt instrument preferred debt at beginning of year2019-12-31$71,028,824
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$9,073,484
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$9,073,484
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$8,361,346
Contract administrator fees2019-12-31$1,489,605
Contract administrator fees2019-12-31$1,489,605
Liabilities. Value of benefit claims payable at end of year2019-12-31$5,527,917
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$3,600,223
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$3,600,223
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$99,046,944
Aggregate carrying amount (costs) on sale of assets2019-12-31$92,290,041
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31PRICEWATERHOUSECOOPERS LLC
Accountancy firm name2019-12-31PRICEWATERHOUSECOOPERS LLC
Accountancy firm EIN2019-12-31134008324
Accountancy firm EIN2019-12-31134008324
2018 : THE MEDICAL AND LIFE BENEFITS PLAN FOR HOURLY RETIREES 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-6,847,221
Total unrealized appreciation/depreciation of assets2018-12-31$-6,847,221
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$5,634,896
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$-4,388,957
Total loss/gain on sale of assets2018-12-31$-3,209,345
Total of all expenses incurred2018-12-31$56,742,719
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$54,393,079
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$8,080,651
Value of total assets at end of year2018-12-31$214,110,881
Value of total assets at beginning of year2018-12-31$269,607,661
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$2,349,640
Total interest from all sources2018-12-31$5,047,040
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$4,913
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$4,913
Administrative expenses professional fees incurred2018-12-31$170,887
Assets. Corporate prefeered stocks other than exployer securities at end of year2018-12-31$966,010
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2018-12-31$0
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$75,000,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$7,810,707
Participant contributions at end of year2018-12-31$618,232
Participant contributions at beginning of year2018-12-31$0
Assets. Other investments not covered elsewhere at end of year2018-12-31$3,113,408
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$1,999,533
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$1,932,029
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$0
Other income not declared elsewhere2018-12-31$689
Liabilities. Value of operating payables at end of year2018-12-31$102,644
Liabilities. Value of operating payables at beginning of year2018-12-31$0
Total non interest bearing cash at end of year2018-12-31$0
Total non interest bearing cash at beginning of year2018-12-31$122,000,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-61,131,676
Value of net assets at end of year (total assets less liabilities)2018-12-31$208,475,985
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$269,607,661
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$342,813
Interest earned on other investments2018-12-31$921,814
Income. Interest from US Government securities2018-12-31$613,995
Income. Interest from corporate debt instruments2018-12-31$3,507,683
Value of interest in common/collective trusts at end of year2018-12-31$102,671,493
Value of interest in common/collective trusts at beginning of year2018-12-31$147,607,661
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$8,705,228
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$3,548
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$6,311,379
Asset value of US Government securities at end of year2018-12-31$16,646,807
Asset value of US Government securities at beginning of year2018-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-620,920
Net investment gain or loss from common/collective trusts2018-12-31$-6,844,764
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$269,944
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$48,081,700
Asset. Corporate debt instrument preferred debt at end of year2018-12-31$71,028,824
Asset. Corporate debt instrument preferred debt at beginning of year2018-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2018-12-31$8,361,346
Asset. Corporate debt instrument debt (other) at beginning of year2018-12-31$0
Contract administrator fees2018-12-31$1,835,940
Liabilities. Value of benefit claims payable at end of year2018-12-31$3,600,223
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$0
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$120,033,406
Aggregate carrying amount (costs) on sale of assets2018-12-31$123,242,751
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31PRICEWATERHOUSECOOPERS LLC
Accountancy firm EIN2018-12-31134008324
2017 : THE MEDICAL AND LIFE BENEFITS PLAN FOR HOURLY RETIREES 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$269,607,661
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$270,000,000
Value of total assets at end of year2017-12-31$269,607,661
Value of total assets at beginning of year2017-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$0
Total interest from all sources2017-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$75,000,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Total non interest bearing cash at end of year2017-12-31$122,000,000
Total non interest bearing cash at beginning of year2017-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$269,607,661
Value of net assets at end of year (total assets less liabilities)2017-12-31$269,607,661
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in common/collective trusts at end of year2017-12-31$147,607,661
Value of interest in common/collective trusts at beginning of year2017-12-31$0
Net investment gain or loss from common/collective trusts2017-12-31$-392,339
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$270,000,000
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31PRICEWATERHOUSECOOPERS LLC
Accountancy firm EIN2017-12-31134008324

Form 5500 Responses for THE MEDICAL AND LIFE BENEFITS PLAN FOR HOURLY RETIREES

2022: THE MEDICAL AND LIFE BENEFITS PLAN FOR HOURLY RETIREES 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: THE MEDICAL AND LIFE BENEFITS PLAN FOR HOURLY RETIREES 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: THE MEDICAL AND LIFE BENEFITS PLAN FOR HOURLY RETIREES 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: THE MEDICAL AND LIFE BENEFITS PLAN FOR HOURLY RETIREES 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: THE MEDICAL AND LIFE BENEFITS PLAN FOR HOURLY RETIREES 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: THE MEDICAL AND LIFE BENEFITS PLAN FOR HOURLY RETIREES 2017 form 5500 responses
2017-12-27Type of plan entitySingle employer plan
2017-12-27First time form 5500 has been submittedYes
2017-12-27Submission has been amendedNo
2017-12-27This submission is the final filingNo
2017-12-27This return/report is a short plan year return/report (less than 12 months)Yes
2017-12-27Plan is a collectively bargained planYes
2017-12-27Plan funding arrangement – TrustYes
2017-12-27Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number807900G
Policy instance 1
Insurance contract or identification number807900G
Number of Individuals Covered6354
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?Yes
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number807900G
Policy instance 1
Insurance contract or identification number807900G
Number of Individuals Covered6515
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?Yes
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number807900G
Policy instance 1
Insurance contract or identification number807900G
Number of Individuals Covered6754
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?Yes
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number807900G
Policy instance 1
Insurance contract or identification number807900G
Number of Individuals Covered6897
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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 BenefitYes
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?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0016723
Policy instance 1
Insurance contract or identification number0016723
Number of Individuals Covered7030
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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 BenefitYes
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?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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