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| Plan Name | CIGNA GROUP INSURANCE |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | CITY OF LIBERAL |
| Employer identification number (EIN): | 486009365 |
| NAIC Classification: | 921000 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2017-07-18 | MADALEN DAY | |||
| 502 | 2016-07-18 | MADALEN DAY |
| 2017: CIGNA GROUP INSURANCE 2017 form 5500 responses | ||
|---|---|---|
| 2017-07-18 | Type of plan entity | Single employer plan |
| 2017-07-18 | First time form 5500 has been submitted | Yes |
| 2017-07-18 | Submission has been amended | No |
| 2017-07-18 | This submission is the final filing | No |
| 2017-07-18 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-07-18 | Plan is a collectively bargained plan | No |
| 2017-07-18 | Plan funding arrangement – Insurance | Yes |
| 2017-07-18 | Plan benefit arrangement – Insurance | Yes |
| 2016: CIGNA GROUP INSURANCE 2016 form 5500 responses | ||
| 2016-07-18 | Type of plan entity | Single employer plan |
| 2016-07-18 | First time form 5500 has been submitted | Yes |
| 2016-07-18 | Submission has been amended | No |
| 2016-07-18 | This submission is the final filing | No |
| 2016-07-18 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-07-18 | Plan is a collectively bargained plan | No |
| 2016-07-18 | Plan funding arrangement – Insurance | Yes |
| 2016-07-18 | Plan benefit arrangement – Insurance | Yes |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |
| Policy contract number | ABL962586 |
| Policy instance | 1 |
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