401k Plan data: THE CITIZENS BANK LONG TERM DISABILITY PLAN plan

THE CITIZENS BANK LONG TERM DISABILITY PLAN 401k Plan overview

Plan Name	THE CITIZENS BANK LONG TERM DISABILITY PLAN
Plan identification number	502

THE CITIZENS BANK LONG TERM DISABILITY PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Long-term disability cover

401k Sponsoring company profile

THE CITIZENS BANK has sponsored the creation of one or more 401k plans.

Company Name: THE CITIZENS BANK

Employer identification number (EIN): 850021005

NAIC Classification: 522110
NAIC Description: Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE CITIZENS BANK LONG TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2018-01-01
502 2017-01-01 CHRISSY ANDREWS CHRISSY ANDREWS 2018-07-30
502 2016-01-01 CHRISSY HOOPER CHRISSY HOOPER 2017-05-19
502 2015-01-01 CHRISSY HOOPER CHRISSY HOOPER 2017-05-19
502 2014-01-01 CHRISSY HOOPER CHRISSY HOOPER 2017-05-19
502 2013-01-01 CHRISSY HOOPER CHRISSY HOOPER 2017-05-31
502 2012-01-01 CHRISSY HOOPER CHRISSY HOOPER 2017-05-19
502 2011-01-01 CHRISSY HOOPER CHRISSY HOOPER 2017-05-19
502 2010-01-01 CHRISSY HOOPER CHRISSY HOOPER 2017-05-19
502 2009-01-01 CHRISSY HOOPER CHRISSY HOOPER 2017-05-19
502 2008-01-01 CHRISSY HOOPER CHRISSY HOOPER 2017-05-19
502 2007-01-01 CHRISSY HOOPER CHRISSY HOOPER 2017-05-19
502 2006-01-01 CHRISSY HOOPER CHRISSY HOOPER 2017-05-19
502 2005-01-01 CHRISSY HOOPER CHRISSY HOOPER 2017-05-19
502 2004-01-01 CHRISSY HOOPER CHRISSY HOOPER 2017-05-19

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
502	2018-01-01
502	2017-01-01	CHRISSY ANDREWS	CHRISSY ANDREWS	2018-07-30
502	2016-01-01	CHRISSY HOOPER	CHRISSY HOOPER	2017-05-19
502	2015-01-01	CHRISSY HOOPER	CHRISSY HOOPER	2017-05-19
502	2014-01-01	CHRISSY HOOPER	CHRISSY HOOPER	2017-05-19
502	2013-01-01	CHRISSY HOOPER	CHRISSY HOOPER	2017-05-31
502	2012-01-01	CHRISSY HOOPER	CHRISSY HOOPER	2017-05-19
502	2011-01-01	CHRISSY HOOPER	CHRISSY HOOPER	2017-05-19
502	2010-01-01	CHRISSY HOOPER	CHRISSY HOOPER	2017-05-19
502	2009-01-01	CHRISSY HOOPER	CHRISSY HOOPER	2017-05-19
502	2008-01-01	CHRISSY HOOPER	CHRISSY HOOPER	2017-05-19
502	2007-01-01	CHRISSY HOOPER	CHRISSY HOOPER	2017-05-19
502	2006-01-01	CHRISSY HOOPER	CHRISSY HOOPER	2017-05-19
502	2005-01-01	CHRISSY HOOPER	CHRISSY HOOPER	2017-05-19
502	2004-01-01	CHRISSY HOOPER	CHRISSY HOOPER	2017-05-19

Plan Statistics for THE CITIZENS BANK LONG TERM DISABILITY PLAN

401k plan membership statisitcs for THE CITIZENS BANK LONG TERM DISABILITY PLAN

Measure Date Value
2018: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 119
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 117
Total of all active and inactive participants 2018-01-01 117
2017: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 121
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 119
Total of all active and inactive participants 2017-01-01 119
2016: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 119
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 121
Total of all active and inactive participants 2016-01-01 121
2015: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 122
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 119
Total of all active and inactive participants 2015-01-01 119
2014: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 126
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 122
Total of all active and inactive participants 2014-01-01 122
2013: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 126
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 126
Total of all active and inactive participants 2013-01-01 126
2012: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 122
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 125
Total of all active and inactive participants 2012-01-01 125
2011: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 120
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 122
Total of all active and inactive participants 2011-01-01 122
2010: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 127
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 120
Total of all active and inactive participants 2010-01-01 120
2009: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 116
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 127
Total of all active and inactive participants 2009-01-01 127
2008: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2008 401k membership
Total participants, beginning-of-year 2008-01-01 113
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 116
Total of all active and inactive participants 2008-01-01 116
2007: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2007 401k membership
Total participants, beginning-of-year 2007-01-01 112
Total number of active participants reported on line 7a of the Form 5500 2007-01-01 113
Total of all active and inactive participants 2007-01-01 113
2006: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2006 401k membership
Total participants, beginning-of-year 2006-01-01 121
Total number of active participants reported on line 7a of the Form 5500 2006-01-01 112
Total of all active and inactive participants 2006-01-01 112
2005: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2005 401k membership
Total participants, beginning-of-year 2005-01-01 110
Total number of active participants reported on line 7a of the Form 5500 2005-01-01 121
Total of all active and inactive participants 2005-01-01 121
2004: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2004 401k membership
Total participants, beginning-of-year 2004-01-01 114
Total number of active participants reported on line 7a of the Form 5500 2004-01-01 110
Total of all active and inactive participants 2004-01-01 110

Measure	Date	Value
2018: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	119
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	117
Total of all active and inactive participants	2018-01-01	117
2017: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	121
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	119
Total of all active and inactive participants	2017-01-01	119
2016: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	119
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	121
Total of all active and inactive participants	2016-01-01	121
2015: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	122
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	119
Total of all active and inactive participants	2015-01-01	119
2014: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	126
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	122
Total of all active and inactive participants	2014-01-01	122
2013: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	126
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	126
Total of all active and inactive participants	2013-01-01	126
2012: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	122
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	125
Total of all active and inactive participants	2012-01-01	125
2011: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	120
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	122
Total of all active and inactive participants	2011-01-01	122
2010: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	127
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	120
Total of all active and inactive participants	2010-01-01	120
2009: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	116
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	127
Total of all active and inactive participants	2009-01-01	127
2008: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2008 401k membership
Total participants, beginning-of-year	2008-01-01	113
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	116
Total of all active and inactive participants	2008-01-01	116
2007: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2007 401k membership
Total participants, beginning-of-year	2007-01-01	112
Total number of active participants reported on line 7a of the Form 5500	2007-01-01	113
Total of all active and inactive participants	2007-01-01	113
2006: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2006 401k membership
Total participants, beginning-of-year	2006-01-01	121
Total number of active participants reported on line 7a of the Form 5500	2006-01-01	112
Total of all active and inactive participants	2006-01-01	112
2005: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2005 401k membership
Total participants, beginning-of-year	2005-01-01	110
Total number of active participants reported on line 7a of the Form 5500	2005-01-01	121
Total of all active and inactive participants	2005-01-01	121
2004: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2004 401k membership
Total participants, beginning-of-year	2004-01-01	114
Total number of active participants reported on line 7a of the Form 5500	2004-01-01	110
Total of all active and inactive participants	2004-01-01	110

Form 5500 Responses for THE CITIZENS BANK LONG TERM DISABILITY PLAN

2018: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2008: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Plan funding arrangement – Insurance	Yes
2008-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2008-01-01	Plan benefit arrangement – Insurance	Yes
2008-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2007: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2007 form 5500 responses
2007-01-01	Type of plan entity	Single employer plan
2007-01-01	Plan funding arrangement – Insurance	Yes
2007-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2007-01-01	Plan benefit arrangement – Insurance	Yes
2007-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2006: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2006 form 5500 responses
2006-01-01	Type of plan entity	Single employer plan
2006-01-01	Plan funding arrangement – Insurance	Yes
2006-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2006-01-01	Plan benefit arrangement – Insurance	Yes
2006-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2005: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2005 form 5500 responses
2005-01-01	Type of plan entity	Single employer plan
2005-01-01	Plan funding arrangement – Insurance	Yes
2005-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2005-01-01	Plan benefit arrangement – Insurance	Yes
2005-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2004: THE CITIZENS BANK LONG TERM DISABILITY PLAN 2004 form 5500 responses
2004-01-01	Type of plan entity	Single employer plan
2004-01-01	Plan funding arrangement – Insurance	Yes
2004-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2004-01-01	Plan benefit arrangement – Insurance	Yes
2004-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )

Policy contract number

656027

Policy instance

Insurance contract or identification number	656027
Number of Individuals Covered	119
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $3,396
Total amount of fees paid to insurance company	USD $696
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $23,386
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,396
Amount paid for insurance broker fees	696
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3
Insurance broker name	KAREN LOUISE BEDWELL HERHAHN

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Company Name:	THE CITIZENS BANK
Employer identification number (EIN):	850021005
NAIC Classification:	522110
NAIC Description:	Commercial Banking