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GROUP LIFE AND AD&D INSURANCE 401k Plan overview

Plan NameGROUP LIFE AND AD&D INSURANCE
Plan identification number 501

GROUP LIFE AND AD&D INSURANCE Benefits

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

401k Sponsoring company profile

THE COLONIAL WILLIAMSBURG FOUNDATION has sponsored the creation of one or more 401k plans.

Company Name:THE COLONIAL WILLIAMSBURG FOUNDATION
Employer identification number (EIN):540505888
NAIC Classification:712100
NAIC Description: Museums, Historical Sites, and Similar Institutions

Additional information about THE COLONIAL WILLIAMSBURG FOUNDATION

Jurisdiction of Incorporation: Virginia Secretary of State
Incorporation Date: 1928-02-29
Company Identification Number: 0032233
Legal Registered Office Address: 134 N HENRY ST

WILLIAMSBURG
United States of America (USA)
23185

More information about THE COLONIAL WILLIAMSBURG FOUNDATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP LIFE AND AD&D INSURANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012016-01-01KEVIN PATRICK, VICE PRESIDENT
5012016-01-01
5012015-01-01NICHOLE MCDONALD, VICE PRESIDENT
5012014-01-01JEFFREY A. DUNCAN, CONTROLLER
5012013-01-01LAURA LODA, VICE PRESIDENT
5012012-01-01LAURA LODA, VICE PRESIDENT
5012011-01-01LAURA LODA VICE PRESIDENT
5012009-01-01LAURA LODA VICE PRESIDENT

Plan Statistics for GROUP LIFE AND AD&D INSURANCE

401k plan membership statisitcs for GROUP LIFE AND AD&D INSURANCE

Measure Date Value
2016: GROUP LIFE AND AD&D INSURANCE 2016 401k membership
Total participants, beginning-of-year2016-01-012,065
Total of all active and inactive participants2016-01-010
Total participants2016-01-010
Total number of active participants reported on line 7a of the Form 55002016-01-012,005
Number of retired or separated participants receiving benefits2016-01-01973
2015: GROUP LIFE AND AD&D INSURANCE 2015 401k membership
Total participants, beginning-of-year2015-01-012,863
Total number of active participants reported on line 7a of the Form 55002015-01-012,065
Number of retired or separated participants receiving benefits2015-01-01809
Total of all active and inactive participants2015-01-012,874
Total participants2015-01-010
2014: GROUP LIFE AND AD&D INSURANCE 2014 401k membership
Total participants, beginning-of-year2014-01-012,780
Total number of active participants reported on line 7a of the Form 55002014-01-012,104
Number of retired or separated participants receiving benefits2014-01-01759
Total of all active and inactive participants2014-01-012,863
Total participants2014-01-010
2013: GROUP LIFE AND AD&D INSURANCE 2013 401k membership
Total participants, beginning-of-year2013-01-012,838
Total number of active participants reported on line 7a of the Form 55002013-01-012,040
Number of retired or separated participants receiving benefits2013-01-01740
Total of all active and inactive participants2013-01-012,780
Total participants2013-01-010
2012: GROUP LIFE AND AD&D INSURANCE 2012 401k membership
Total participants, beginning-of-year2012-01-012,805
Total number of active participants reported on line 7a of the Form 55002012-01-012,078
Number of retired or separated participants receiving benefits2012-01-01760
Total of all active and inactive participants2012-01-012,838
Total participants2012-01-010
2011: GROUP LIFE AND AD&D INSURANCE 2011 401k membership
Total participants, beginning-of-year2011-01-012,813
Total number of active participants reported on line 7a of the Form 55002011-01-012,025
Number of retired or separated participants receiving benefits2011-01-01780
Total of all active and inactive participants2011-01-012,805
Total participants2011-01-012,805
2009: GROUP LIFE AND AD&D INSURANCE 2009 401k membership
Total participants, beginning-of-year2009-01-013,184
Total number of active participants reported on line 7a of the Form 55002009-01-012,101
Number of retired or separated participants receiving benefits2009-01-01802
Total of all active and inactive participants2009-01-012,903
Total participants2009-01-012,903

Form 5500 Responses for GROUP LIFE AND AD&D INSURANCE

2016: GROUP LIFE AND AD&D INSURANCE 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedYes
2016-01-01This submission is the final filingYes
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: GROUP LIFE AND AD&D INSURANCE 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: GROUP LIFE AND AD&D INSURANCE 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: GROUP LIFE AND AD&D INSURANCE 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: GROUP LIFE AND AD&D INSURANCE 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: GROUP LIFE AND AD&D INSURANCE 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: GROUP LIFE AND AD&D INSURANCE 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number300193
Policy instance 1
Insurance contract or identification number300193
Number of Individuals Covered2874
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $26,350
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,198,244
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,981
Insurance broker organization code?3
Insurance broker nameUSI INSURANCE SERVICES, LLC
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number300193
Policy instance 1
Insurance contract or identification number300193
Number of Individuals Covered2863
Insurance policy start date2014-01-01
Insurance policy end date2014-01-01
Total amount of commissions paid to insurance brokerUSD $20,241
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,127,828
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,241
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INSURANCE SERVICES
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number300193
Policy instance 1
Insurance contract or identification number300193
Number of Individuals Covered2780
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $20,037
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,114,039
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,037
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INSURANCE SERVICES
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number300193
Policy instance 1
Insurance contract or identification number300193
Number of Individuals Covered2838
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $20,077
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,105,883
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,077
Insurance broker nameWELLS FARGO INSURANCE SERVICES
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number300193
Policy instance 1
Insurance contract or identification number300193
Number of Individuals Covered2805
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $18,944
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,083,272
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number300193
Policy instance 1
Insurance contract or identification number300193
Number of Individuals Covered2813
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $18,578
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,202,185
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,578
Insurance broker nameWELLS FARGO INSURANCE SERVICES

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