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GROUP LIFE AD&D FOR WEEKLY AND SALARIED EMPLOYEES 401k Plan overview

Plan NameGROUP LIFE AD&D FOR WEEKLY AND SALARIED EMPLOYEES
Plan identification number 502

GROUP LIFE AD&D FOR WEEKLY AND SALARIED EMPLOYEES Benefits

401k Plan Type
Plan Features/Benefits

    401k Sponsoring company profile

    BOSTON MUTUAL LIFE INSURANCE COMPANY has sponsored the creation of one or more 401k plans.

    Company Name:BOSTON MUTUAL LIFE INSURANCE COMPANY
    Employer identification number (EIN):041106240
    NAIC Classification:524140

    Additional information about BOSTON MUTUAL LIFE INSURANCE COMPANY

    Jurisdiction of Incorporation: Georgia Department of States Corporations Division
    Incorporation Date:
    Company Identification Number: 734335

    More information about BOSTON MUTUAL LIFE INSURANCE COMPANY

    Form 5500 Filing Information

    Submission information for form 5500 for 401k plan GROUP LIFE AD&D FOR WEEKLY AND SALARIED EMPLOYEES

    Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
    5022019-01-01
    5022018-01-01
    5022017-01-01CHRISTINE COUGHLIN SUSAN GARDNER2018-09-14
    5022016-01-01KIM BROSNAN CHRISTINE COUGHLIN2017-09-15
    5022015-01-01KIM BROSNAN CHRISTINE COUGHLIN2016-09-15
    5022014-01-01KIM BROSNAN CHRISTINE COUGHLIN2015-09-15
    5022013-01-01CHRISTINE COUGHLIN KIM BROSNAN2014-09-15
    5022012-01-01KIM BROSNAN CHRISTINE COUGHLIN2013-09-16
    5022011-01-01ELEANOR GRANT CHRISTINE COUGHLIN2012-09-13
    5022010-01-01ELEANOR GRANT CHRISTINE COUGHLIN2011-09-15
    5022009-01-01ELEANOR GRANT CHRISTINE COUGHLIN2010-09-14

    Plan Statistics for GROUP LIFE AD&D FOR WEEKLY AND SALARIED EMPLOYEES

    401k plan membership statisitcs for GROUP LIFE AD&D FOR WEEKLY AND SALARIED EMPLOYEES

    Measure Date Value
    2019
    Total participants, beginning-of-year2019-01-01337
    Total number of active participants reported on line 7a of the Form 55002019-01-01245
    Number of retired or separated participants receiving benefits2019-01-01109
    Total of all active and inactive participants2019-01-01354
    Total participants2019-01-01354
    2018
    Total participants, beginning-of-year2018-01-01354
    Total number of active participants reported on line 7a of the Form 55002018-01-01228
    Number of retired or separated participants receiving benefits2018-01-01109
    Total of all active and inactive participants2018-01-01337
    Total participants2018-01-01337
    2017
    Total participants, beginning-of-year2017-01-01366
    Total number of active participants reported on line 7a of the Form 55002017-01-01238
    Number of retired or separated participants receiving benefits2017-01-01116
    Total of all active and inactive participants2017-01-01354
    Total participants2017-01-01354
    2016
    Total participants, beginning-of-year2016-01-01387
    Total number of active participants reported on line 7a of the Form 55002016-01-01239
    Number of retired or separated participants receiving benefits2016-01-01127
    Total of all active and inactive participants2016-01-01366
    Total participants2016-01-01366
    2015
    Total participants, beginning-of-year2015-01-01379
    Total number of active participants reported on line 7a of the Form 55002015-01-01260
    Number of retired or separated participants receiving benefits2015-01-01127
    Total of all active and inactive participants2015-01-01387
    Total participants2015-01-01387
    2014
    Total participants, beginning-of-year2014-01-01379
    Total number of active participants reported on line 7a of the Form 55002014-01-01262
    Number of retired or separated participants receiving benefits2014-01-01127
    Total of all active and inactive participants2014-01-01389
    Total participants2014-01-01389
    2013
    Total participants, beginning-of-year2013-01-01376
    Total number of active participants reported on line 7a of the Form 55002013-01-01255
    Number of retired or separated participants receiving benefits2013-01-01124
    Total of all active and inactive participants2013-01-01379
    Total participants2013-01-01379
    2012
    Total participants, beginning-of-year2012-01-01372
    Total number of active participants reported on line 7a of the Form 55002012-01-01252
    Number of retired or separated participants receiving benefits2012-01-01124
    Total of all active and inactive participants2012-01-01376
    Total participants2012-01-01376
    2011
    Total participants, beginning-of-year2011-01-01376
    Total number of active participants reported on line 7a of the Form 55002011-01-01246
    Number of retired or separated participants receiving benefits2011-01-01126
    Total of all active and inactive participants2011-01-01372
    Total participants2011-01-01372
    2010
    Total participants, beginning-of-year2010-01-01411
    Total number of active participants reported on line 7a of the Form 55002010-01-01251
    Number of other retired or separated participants entitled to future benefits2010-01-01125
    Total of all active and inactive participants2010-01-01376
    Total participants2010-01-01376
    2009
    Total participants, beginning-of-year2009-01-01429
    Total number of active participants reported on line 7a of the Form 55002009-01-01280
    Number of other retired or separated participants entitled to future benefits2009-01-01131
    Total of all active and inactive participants2009-01-01411
    Total participants2009-01-01411

    Form 5500 Responses

    2019
    2019-01-01Type of plan entitySingle employer plan
    2019-01-01Submission has been amendedNo
    2019-01-01This submission is the final filingNo
    2019-01-01This return/report is a short plan year return/report (less than 12 months)No
    2019-01-01Plan is a collectively bargained planNo
    2019-01-01Plan funding arrangement – InsuranceYes
    2019-01-01Plan benefit arrangement – InsuranceYes
    2018
    2018-01-01Type of plan entitySingle employer plan
    2018-01-01Submission has been amendedNo
    2018-01-01This submission is the final filingNo
    2018-01-01This return/report is a short plan year return/report (less than 12 months)No
    2018-01-01Plan is a collectively bargained planNo
    2018-01-01Plan funding arrangement – InsuranceYes
    2018-01-01Plan benefit arrangement – InsuranceYes
    2017
    2017-01-01Type of plan entitySingle employer plan
    2017-01-01Submission has been amendedNo
    2017-01-01This submission is the final filingNo
    2017-01-01This return/report is a short plan year return/report (less than 12 months)No
    2017-01-01Plan is a collectively bargained planNo
    2017-01-01Plan funding arrangement – InsuranceYes
    2017-01-01Plan benefit arrangement – InsuranceYes
    2016
    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
    2015-01-01Type of plan entitySingle 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
    2014-01-01Type of plan entitySingle 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
    2013-01-01Type of plan entitySingle employer plan
    2013-01-01Submission has been amendedNo
    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
    2012-01-01Type of plan entitySingle 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
    2011-01-01Type of plan entitySingle 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
    2010
    2010-01-01Type of plan entitySingle employer plan
    2010-01-01Submission has been amendedNo
    2010-01-01This submission is the final filingNo
    2010-01-01This return/report is a short plan year return/report (less than 12 months)No
    2010-01-01Plan is a collectively bargained planNo
    2010-01-01Plan funding arrangement – InsuranceYes
    2010-01-01Plan benefit arrangement – InsuranceYes
    2009
    2009-01-01Type of plan entitySingle 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

    BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
    Policy contract number26000
    Policy instance 1
    Insurance contract or identification number26000
    Number of Individuals Covered340
    Insurance policy start date2019-01-01
    Insurance policy end date2019-12-31
    Are there contracts with allocated funds for individual policies?0
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitYes
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Welfare Benefit Premiums Paid to CarrierUSD $176,880
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
    Policy contract number26000
    Policy instance 1
    Insurance contract or identification number26000
    Number of Individuals Covered337
    Insurance policy start date2018-01-01
    Insurance policy end date2018-12-31
    Are there contracts with allocated funds for individual policies?0
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitYes
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Welfare Benefit Premiums Paid to CarrierUSD $186,954
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
    Policy contract number26000
    Policy instance 1
    Insurance contract or identification number26000
    Number of Individuals Covered354
    Insurance policy start date2017-01-01
    Insurance policy end date2017-12-31
    Are there contracts with allocated funds for individual policies?0
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitYes
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Welfare Benefit Premiums Paid to CarrierUSD $192,735
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
    Policy contract number26000
    Policy instance 1
    Insurance contract or identification number26000
    Number of Individuals Covered387
    Insurance policy start date2015-01-01
    Insurance policy end date2015-12-31
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitYes
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Welfare Benefit Premiums Paid to CarrierUSD $231,627
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
    Policy contract number26000
    Policy instance 1
    Insurance contract or identification number26000
    Number of Individuals Covered389
    Insurance policy start date2014-01-01
    Insurance policy end date2014-12-31
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitYes
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Welfare Benefit Premiums Paid to CarrierUSD $233,452
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
    Policy contract number26000
    Policy instance 1
    Insurance contract or identification number26000
    Number of Individuals Covered379
    Insurance policy start date2013-01-01
    Insurance policy end date2013-12-31
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitYes
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Welfare Benefit Premiums Paid to CarrierUSD $235,970
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
    Policy contract number26000
    Policy instance 1
    Insurance contract or identification number26000
    Number of Individuals Covered376
    Insurance policy start date2012-01-01
    Insurance policy end date2012-12-31
    Life Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $230,633
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
    Policy contract number26000
    Policy instance 1
    Insurance contract or identification number26000
    Number of Individuals Covered372
    Insurance policy start date2011-01-01
    Insurance policy end date2011-12-31
    Life Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $224,934
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
    Policy contract number26000
    Policy instance 1
    Insurance contract or identification number26000
    Number of Individuals Covered376
    Insurance policy start date2010-01-01
    Insurance policy end date2010-12-31
    Life Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $223,304
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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