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GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT, AND TEMPORARY DISABILITY PLAN 401k Plan overview

Plan NameGROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT, AND TEMPORARY DISABILITY PLAN
Plan identification number 503

GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT, AND TEMPORARY DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

OSI INDUSTRIES, LLC has sponsored the creation of one or more 401k plans.

Company Name:OSI INDUSTRIES, LLC
Employer identification number (EIN):522399960
NAIC Classification:311110
NAIC Description: Animal Food Manufacturing

Additional information about OSI INDUSTRIES, LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date: 1975-07-11
Company Identification Number: 0814272
Legal Registered Office Address: Corporation Trust Center
1209 Orange St
Wilmington
United States of America (USA)
19801

More information about OSI INDUSTRIES, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT, AND TEMPORARY DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032017-01-01
5032016-01-01SAMER N. NADDA
5032015-01-01JENNIFER DISCHER
5032015-01-01JENNIFER DISCHER
5032014-01-01JENNIFER DISCHER
5032013-01-01JENNIFER DISCHER
5032012-01-01JENNIFER DISCHER
5032011-01-01JENNIFER DISCHER MIGUEL DIAZ2012-10-11
5032009-01-01JENNIFER DISCHER MIGUEL DIAZ2010-10-14

Plan Statistics for GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT, AND TEMPORARY DISABILITY PLAN

401k plan membership statisitcs for GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT, AND TEMPORARY DISABILITY PLAN

Measure Date Value
2017: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT, AND TEMPORARY DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-012,126
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-010
2016: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT, AND TEMPORARY DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,999
Total number of active participants reported on line 7a of the Form 55002016-01-012,489
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-012,489
2015: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT, AND TEMPORARY DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,980
Total number of active participants reported on line 7a of the Form 55002015-01-011,999
Total of all active and inactive participants2015-01-011,999
Total participants2015-01-011,999
2014: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT, AND TEMPORARY DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-012,068
Total number of active participants reported on line 7a of the Form 55002014-01-011,980
Total of all active and inactive participants2014-01-011,980
Total participants2014-01-011,980
2013: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT, AND TEMPORARY DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-012,013
Total number of active participants reported on line 7a of the Form 55002013-01-012,068
Total of all active and inactive participants2013-01-012,068
Total participants2013-01-012,068
2012: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT, AND TEMPORARY DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-012,073
Total number of active participants reported on line 7a of the Form 55002012-01-012,013
Total of all active and inactive participants2012-01-012,013
Total participants2012-01-012,013
2011: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT, AND TEMPORARY DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-012,388
Total number of active participants reported on line 7a of the Form 55002011-01-012,073
Total of all active and inactive participants2011-01-012,073
Total participants2011-01-012,073
2009: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT, AND TEMPORARY DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-012,302
Total number of active participants reported on line 7a of the Form 55002009-01-012,197
Total of all active and inactive participants2009-01-012,197
Total participants2009-01-012,197

Form 5500 Responses for GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT, AND TEMPORARY DISABILITY PLAN

2017: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT, AND TEMPORARY DISABILITY PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01This submission is the final filingYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT, AND TEMPORARY DISABILITY PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT, AND TEMPORARY DISABILITY PLAN 2015 form 5500 responses
2015-01-01Type of plan entityMulitple employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT, AND TEMPORARY DISABILITY PLAN 2014 form 5500 responses
2014-01-01Type of plan entityMulitple employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT, AND TEMPORARY DISABILITY PLAN 2013 form 5500 responses
2013-01-01Type of plan entityMulitple employer plan
2013-01-01Submission has been amendedYes
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT, AND TEMPORARY DISABILITY PLAN 2012 form 5500 responses
2012-01-01Type of plan entityMulitple employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT, AND TEMPORARY DISABILITY PLAN 2011 form 5500 responses
2011-01-01Type of plan entityMulitple employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT, AND TEMPORARY DISABILITY PLAN 2009 form 5500 responses
2009-01-01Type of plan entityMulitple employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX967628
Policy instance 1
Insurance contract or identification numberFLX967628
Number of Individuals Covered2653
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $6,978
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $314,610
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees6978
Additional information about fees paid to insurance brokerOVERRIDE
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICES, INC.
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0146091LAS
Policy instance 1
Insurance contract or identification number0146091LAS
Number of Individuals Covered1999
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $5,540
Total amount of fees paid to insurance companyUSD $531
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $325,183
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees531
Additional information about fees paid to insurance brokerSUPPLEMENTAL AND NON-MONETARY COMPENSATION
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $5,540
Insurance broker nameTOTAL BENEFIT CONSULTANTS INC
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0146091OTH
Policy instance 1
Insurance contract or identification number0146091OTH
Number of Individuals Covered1980
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $32,998
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $322,886
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,998
Insurance broker organization code?3
Insurance broker nameTOTAL BENEFIT CONSULTANTS INC
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number146091
Policy instance 1
Insurance contract or identification number146091
Number of Individuals Covered2068
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $29,679
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $307,769
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,679
Insurance broker organization code?3
Insurance broker nameTOTAL BENEFIT CONSULTANTS INC
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0146091
Policy instance 1
Insurance contract or identification number0146091
Number of Individuals Covered2013
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $29,364
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $297,797
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,364
Insurance broker nameTOTAL BENEFIT CONSULTANTS INC.
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number146091
Policy instance 1
Insurance contract or identification number146091
Number of Individuals Covered2073
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $26,264
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $291,810
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 number621324-LIFE
Policy instance 1
Insurance contract or identification number621324-LIFE
Number of Individuals Covered2008
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $14,725
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $211,154
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,725
Insurance broker organization code?3
Insurance broker nameTOTAL BENEFIT CONSULTANTS INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number621324-TDI
Policy instance 2
Insurance contract or identification number621324-TDI
Number of Individuals Covered380
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $4,980
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $77,998
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,980
Insurance broker organization code?3
Insurance broker nameTOTAL BENEFIT CONSULTANTS INC

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