MUTUAL OF OMAHA CRITICAL ILLNESS 401k Plan overview

MUTUAL OF OMAHA CRITICAL ILLNESS Benefits

401k Sponsoring company profile

Company Name:	SIA PARTNERS US, INC.
Employer identification number (EIN):	743243189
NAIC Classification:	541600

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
506	2022-06-01	MICHAEL EEM	2023-12-21
506	2021-06-01	SHARI SPARLING	2023-01-10

Plan Statistics for MUTUAL OF OMAHA CRITICAL ILLNESS

Measure	Date	Value
2022: MUTUAL OF OMAHA CRITICAL ILLNESS 2022 401k membership
Total participants, beginning-of-year	2022-06-01	160
Total number of active participants reported on line 7a of the Form 5500	2022-06-01	219
Number of retired or separated participants receiving benefits	2022-06-01	0
Number of other retired or separated participants entitled to future benefits	2022-06-01	0
Total of all active and inactive participants	2022-06-01	219
Number of employers contributing to the scheme	2022-06-01	0
2021: MUTUAL OF OMAHA CRITICAL ILLNESS 2021 401k membership
Total participants, beginning-of-year	2021-06-01	160
Total number of active participants reported on line 7a of the Form 5500	2021-06-01	160
Number of retired or separated participants receiving benefits	2021-06-01	0
Number of other retired or separated participants entitled to future benefits	2021-06-01	0
Total of all active and inactive participants	2021-06-01	160
Number of employers contributing to the scheme	2021-06-01	0

Form 5500 Responses for MUTUAL OF OMAHA CRITICAL ILLNESS

Insurance Providers Used on plan

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