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| Plan Name | GROUP LIFE INSURANCE PLAN OF SPECIAL SERVICES FOR GROUPS |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | SPECIAL SERVICE FOR GROUPS, INC. |
| Employer identification number (EIN): | 951716914 |
| NAIC Classification: | 624200 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2011-07-01 | HERBERT HATANAKA | HERBERT HATANAKA | 2013-04-08 | |
| 502 | 2011-07-01 | HERBERT HATANAKA | 2019-09-30 | ||
| 502 | 2009-07-01 | HERBERT HATANAKA | HERBERT HATANAKA | 2011-04-07 |
| Measure | Date | Value |
|---|---|---|
| 2011: GROUP LIFE INSURANCE PLAN OF SPECIAL SERVICES FOR GROUPS 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-07-01 | 383 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-07-01 | 13 |
| Number of retired or separated participants receiving benefits | 2011-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-07-01 | 11 |
| Total of all active and inactive participants | 2011-07-01 | 24 |
| Total participants | 2011-07-01 | 24 |
| Number of employers contributing to the scheme | 2011-07-01 | 0 |
| 2009: GROUP LIFE INSURANCE PLAN OF SPECIAL SERVICES FOR GROUPS 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-07-01 | 323 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-07-01 | 314 |
| Number of retired or separated participants receiving benefits | 2009-07-01 | 7 |
| Total of all active and inactive participants | 2009-07-01 | 321 |
| 2011: GROUP LIFE INSURANCE PLAN OF SPECIAL SERVICES FOR GROUPS 2011 form 5500 responses | ||
|---|---|---|
| 2011-07-01 | Type of plan entity | Single employer plan |
| 2011-07-01 | Submission has been amended | Yes |
| 2011-07-01 | This submission is the final filing | Yes |
| 2011-07-01 | Plan funding arrangement – Insurance | Yes |
| 2011-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: GROUP LIFE INSURANCE PLAN OF SPECIAL SERVICES FOR GROUPS 2009 form 5500 responses | ||
| 2009-07-01 | Type of plan entity | Single employer plan |
| 2009-07-01 | This submission is the final filing | No |
| 2009-07-01 | Plan funding arrangement – Insurance | Yes |
| 2009-07-01 | Plan benefit arrangement – Insurance | Yes |
| MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 ) | |
| Policy contract number | 013340-A |
| Policy instance | 1 |
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