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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

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
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0146091LAS
Policy instance 1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0146091OTH
Policy instance 1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number146091
Policy instance 1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0146091
Policy instance 1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number146091
Policy instance 1
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number621324-LIFE
Policy instance 1
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number621324-TDI
Policy instance 2

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