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| Plan Name | BOSTON MUTUAL HOSPITALIZATION FOR SALARIED AND CERTAIN OTHER EMPLOYEES |
| Plan identification number | 505 |
| 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
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 505 | 2011-01-01 | ELEANOR GRANT | CHRISTINE COUGHLIN | 2012-09-13 | |
| 505 | 2009-01-01 | ELEANOR GRANT | 2011-01-04 | ||
| 505 | 2009-01-01 | ELEANOR GRANT | CHRISTINE COUGHLIN | 2010-09-15 |
| Measure | Date | Value |
|---|---|---|
| 2011: BOSTON MUTUAL HOSPITALIZATION FOR SALARIED AND CERTAIN OTHER EMPLOYEES 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-01-01 | 23 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 0 |
| Total of all active and inactive participants | 2011-01-01 | 0 |
| Total participants | 2011-01-01 | 0 |
| 2009: BOSTON MUTUAL HOSPITALIZATION FOR SALARIED AND CERTAIN OTHER EMPLOYEES 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 138 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 24 |
| Number of retired or separated participants receiving benefits | 2009-01-01 | 4 |
| Total of all active and inactive participants | 2009-01-01 | 28 |
| Total participants | 2009-01-01 | 28 |
| 2011: BOSTON MUTUAL HOSPITALIZATION FOR SALARIED AND CERTAIN OTHER EMPLOYEES 2011 form 5500 responses | ||
|---|---|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Submission has been amended | No |
| 2011-01-01 | This submission is the final filing | Yes |
| 2011-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-01-01 | Plan is a collectively bargained plan | No |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: BOSTON MUTUAL HOSPITALIZATION FOR SALARIED AND CERTAIN OTHER EMPLOYEES 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Submission has been amended | Yes |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-01-01 | Plan is a collectively bargained plan | No |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
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