A.M. LITHOGRAPHY has sponsored the creation of one or more 401k plans.
Additional information about A.M. LITHOGRAPHY
Submission information for form 5500 for 401k plan AM LITHOGRAPHY SHORT TERM DISABILITY PLAN
| Measure | Date | Value |
|---|
| 2019: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-03-01 | 113 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-03-01 | 0 |
| Number of retired or separated participants receiving benefits | 2019-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-03-01 | 0 |
| Total of all active and inactive participants | 2019-03-01 | 0 |
| Number of employers contributing to the scheme | 2019-03-01 | 0 |
| 2018: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-03-01 | 109 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-03-01 | 109 |
| Number of retired or separated participants receiving benefits | 2018-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-03-01 | 0 |
| Total of all active and inactive participants | 2018-03-01 | 109 |
| Number of employers contributing to the scheme | 2018-03-01 | 0 |
| 2017: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-03-01 | 112 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-03-01 | 112 |
| Number of retired or separated participants receiving benefits | 2017-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-03-01 | 0 |
| Total of all active and inactive participants | 2017-03-01 | 112 |
| Number of employers contributing to the scheme | 2017-03-01 | 0 |
| 2016: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-03-01 | 109 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-03-01 | 109 |
| Number of retired or separated participants receiving benefits | 2016-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-03-01 | 0 |
| Total of all active and inactive participants | 2016-03-01 | 109 |
| Number of employers contributing to the scheme | 2016-03-01 | 0 |
| 2015: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-03-01 | 112 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-03-01 | 112 |
| Number of retired or separated participants receiving benefits | 2015-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-03-01 | 0 |
| Total of all active and inactive participants | 2015-03-01 | 112 |
| Number of employers contributing to the scheme | 2015-03-01 | 0 |
| 2014: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-03-01 | 110 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-03-01 | 110 |
| Number of retired or separated participants receiving benefits | 2014-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-03-01 | 0 |
| Total of all active and inactive participants | 2014-03-01 | 110 |
| Number of employers contributing to the scheme | 2014-03-01 | 0 |
| 2013: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-03-01 | 109 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-03-01 | 110 |
| Number of retired or separated participants receiving benefits | 2013-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2013-03-01 | 0 |
| Total of all active and inactive participants | 2013-03-01 | 110 |
| Number of employers contributing to the scheme | 2013-03-01 | 0 |
| 2012: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-03-01 | 109 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-03-01 | 109 |
| Number of retired or separated participants receiving benefits | 2012-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-03-01 | 0 |
| Total of all active and inactive participants | 2012-03-01 | 109 |
| Number of employers contributing to the scheme | 2012-03-01 | 0 |
| 2011: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-03-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-03-01 | 109 |
| Number of retired or separated participants receiving benefits | 2011-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-03-01 | 0 |
| Total of all active and inactive participants | 2011-03-01 | 109 |
| Number of employers contributing to the scheme | 2011-03-01 | 0 |
| 2010: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-03-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-03-01 | 100 |
| Number of retired or separated participants receiving benefits | 2010-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2010-03-01 | 0 |
| Total of all active and inactive participants | 2010-03-01 | 100 |
| Number of employers contributing to the scheme | 2010-03-01 | 0 |
| 2009: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-03-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-03-01 | 100 |
| Number of retired or separated participants receiving benefits | 2009-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2009-03-01 | 0 |
| Total of all active and inactive participants | 2009-03-01 | 100 |
| Number of employers contributing to the scheme | 2009-03-01 | 0 |
| 2008: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2008 401k membership |
|---|
| Total participants, beginning-of-year | 2008-03-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2008-03-01 | 100 |
| Number of retired or separated participants receiving benefits | 2008-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2008-03-01 | 0 |
| Total of all active and inactive participants | 2008-03-01 | 100 |
| Number of employers contributing to the scheme | 2008-03-01 | 0 |
| 2007: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2007 401k membership |
|---|
| Total participants, beginning-of-year | 2007-03-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2007-03-01 | 100 |
| Number of retired or separated participants receiving benefits | 2007-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2007-03-01 | 0 |
| Total of all active and inactive participants | 2007-03-01 | 100 |
| Number of employers contributing to the scheme | 2007-03-01 | 0 |
| 2006: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2006 401k membership |
|---|
| Total participants, beginning-of-year | 2006-03-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2006-03-01 | 100 |
| Number of retired or separated participants receiving benefits | 2006-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2006-03-01 | 0 |
| Total of all active and inactive participants | 2006-03-01 | 100 |
| Number of employers contributing to the scheme | 2006-03-01 | 0 |
| 2005: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2005 401k membership |
|---|
| Total participants, beginning-of-year | 2005-03-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2005-03-01 | 100 |
| Number of retired or separated participants receiving benefits | 2005-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2005-03-01 | 0 |
| Total of all active and inactive participants | 2005-03-01 | 100 |
| Number of employers contributing to the scheme | 2005-03-01 | 0 |
| 2004: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2004 401k membership |
|---|
| Total participants, beginning-of-year | 2004-03-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2004-03-01 | 100 |
| Number of retired or separated participants receiving benefits | 2004-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2004-03-01 | 0 |
| Total of all active and inactive participants | 2004-03-01 | 100 |
| Number of employers contributing to the scheme | 2004-03-01 | 0 |
| 2003: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2003 401k membership |
|---|
| Total participants, beginning-of-year | 2003-03-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2003-03-01 | 100 |
| Number of retired or separated participants receiving benefits | 2003-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2003-03-01 | 0 |
| Total of all active and inactive participants | 2003-03-01 | 100 |
| Number of employers contributing to the scheme | 2003-03-01 | 0 |
| 2002: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2002 401k membership |
|---|
| Total participants, beginning-of-year | 2002-03-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2002-03-01 | 100 |
| Number of retired or separated participants receiving benefits | 2002-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2002-03-01 | 0 |
| Total of all active and inactive participants | 2002-03-01 | 100 |
| Number of employers contributing to the scheme | 2002-03-01 | 0 |
| 2001: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2001 401k membership |
|---|
| Total participants, beginning-of-year | 2001-03-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2001-03-01 | 100 |
| Number of retired or separated participants receiving benefits | 2001-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2001-03-01 | 0 |
| Total of all active and inactive participants | 2001-03-01 | 100 |
| Number of employers contributing to the scheme | 2001-03-01 | 0 |
| 2000: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2000 401k membership |
|---|
| Total participants, beginning-of-year | 2000-03-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2000-03-01 | 100 |
| Number of retired or separated participants receiving benefits | 2000-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2000-03-01 | 0 |
| Total of all active and inactive participants | 2000-03-01 | 100 |
| Number of employers contributing to the scheme | 2000-03-01 | 0 |
| 1999: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 1999 401k membership |
|---|
| Total participants, beginning-of-year | 1999-03-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 1999-03-01 | 100 |
| Number of retired or separated participants receiving benefits | 1999-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 1999-03-01 | 0 |
| Total of all active and inactive participants | 1999-03-01 | 100 |
| Number of employers contributing to the scheme | 1999-03-01 | 0 |
| 2019: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2019 form 5500 responses |
|---|
| 2019-03-01 | Type of plan entity | Single employer plan |
| 2019-03-01 | This submission is the final filing | Yes |
| 2019-03-01 | Plan funding arrangement – Insurance | Yes |
| 2019-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2018 form 5500 responses |
|---|
| 2018-03-01 | Type of plan entity | Single employer plan |
| 2018-03-01 | Plan funding arrangement – Insurance | Yes |
| 2018-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2017 form 5500 responses |
|---|
| 2017-03-01 | Type of plan entity | Single employer plan |
| 2017-03-01 | Plan funding arrangement – Insurance | Yes |
| 2017-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2016 form 5500 responses |
|---|
| 2016-03-01 | Type of plan entity | Single employer plan |
| 2016-03-01 | Plan funding arrangement – Insurance | Yes |
| 2016-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2015 form 5500 responses |
|---|
| 2015-03-01 | Type of plan entity | Single employer plan |
| 2015-03-01 | Plan funding arrangement – Insurance | Yes |
| 2015-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2014 form 5500 responses |
|---|
| 2014-03-01 | Type of plan entity | Single employer plan |
| 2014-03-01 | Plan funding arrangement – Insurance | Yes |
| 2014-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2013 form 5500 responses |
|---|
| 2013-03-01 | Type of plan entity | Single employer plan |
| 2013-03-01 | Plan funding arrangement – Insurance | Yes |
| 2013-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2012 form 5500 responses |
|---|
| 2012-03-01 | Type of plan entity | Single employer plan |
| 2012-03-01 | Plan funding arrangement – Insurance | Yes |
| 2012-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2011 form 5500 responses |
|---|
| 2011-03-01 | Type of plan entity | Single employer plan |
| 2011-03-01 | Plan funding arrangement – Insurance | Yes |
| 2011-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2010 form 5500 responses |
|---|
| 2010-03-01 | Type of plan entity | Single employer plan |
| 2010-03-01 | Plan funding arrangement – Insurance | Yes |
| 2010-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2009 form 5500 responses |
|---|
| 2009-03-01 | Type of plan entity | Single employer plan |
| 2009-03-01 | Plan funding arrangement – Insurance | Yes |
| 2009-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2008: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2008 form 5500 responses |
|---|
| 2008-03-01 | Type of plan entity | Single employer plan |
| 2008-03-01 | Plan funding arrangement – Insurance | Yes |
| 2008-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2007: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2007 form 5500 responses |
|---|
| 2007-03-01 | Type of plan entity | Single employer plan |
| 2007-03-01 | Plan funding arrangement – Insurance | Yes |
| 2007-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2006: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2006 form 5500 responses |
|---|
| 2006-03-01 | Type of plan entity | Single employer plan |
| 2006-03-01 | Plan funding arrangement – Insurance | Yes |
| 2006-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2005: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2005 form 5500 responses |
|---|
| 2005-03-01 | Type of plan entity | Single employer plan |
| 2005-03-01 | Plan funding arrangement – Insurance | Yes |
| 2005-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2004: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2004 form 5500 responses |
|---|
| 2004-03-01 | Type of plan entity | Single employer plan |
| 2004-03-01 | Plan funding arrangement – Insurance | Yes |
| 2004-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2003: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2003 form 5500 responses |
|---|
| 2003-03-01 | Type of plan entity | Single employer plan |
| 2003-03-01 | Plan funding arrangement – Insurance | Yes |
| 2003-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2002: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2002 form 5500 responses |
|---|
| 2002-03-01 | Type of plan entity | Single employer plan |
| 2002-03-01 | Plan funding arrangement – Insurance | Yes |
| 2002-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2001: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2001 form 5500 responses |
|---|
| 2001-03-01 | Type of plan entity | Single employer plan |
| 2001-03-01 | Plan funding arrangement – Insurance | Yes |
| 2001-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2000: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 2000 form 5500 responses |
|---|
| 2000-03-01 | Type of plan entity | Single employer plan |
| 2000-03-01 | Plan funding arrangement – Insurance | Yes |
| 2000-03-01 | Plan benefit arrangement – Insurance | Yes |
| 1999: AM LITHOGRAPHY SHORT TERM DISABILITY PLAN 1999 form 5500 responses |
|---|
| 1999-03-01 | Type of plan entity | Single employer plan |
| 1999-03-01 | First time form 5500 has been submitted | Yes |
| 1999-03-01 | Plan funding arrangement – Insurance | Yes |
| 1999-03-01 | Plan benefit arrangement – Insurance | Yes |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 212774 |
| Policy instance | 1 |
| Insurance contract or identification number | 212774 | | Number of Individuals Covered | 109 | | Insurance policy start date | 2018-03-01 | | Insurance policy end date | 2019-02-28 | | Total amount of commissions paid to insurance broker | USD $2,460 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $31,693 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,460 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 212774 |
| Policy instance | 1 |
| Insurance contract or identification number | 212774 | | Number of Individuals Covered | 113 | | Insurance policy start date | 2017-03-01 | | Insurance policy end date | 2018-02-28 | | Total amount of commissions paid to insurance broker | USD $1,909 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $22,117 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,909 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 212774 |
| Policy instance | 1 |
| Insurance contract or identification number | 212774 | | Number of Individuals Covered | 109 | | Insurance policy start date | 2016-03-01 | | Insurance policy end date | 2017-02-28 | | Total amount of commissions paid to insurance broker | USD $1,863 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $21,504 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,102 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 212774 |
| Policy instance | 1 |
| Insurance contract or identification number | 212774 | | Number of Individuals Covered | 112 | | Insurance policy start date | 2015-03-01 | | Insurance policy end date | 2016-02-29 | | Total amount of commissions paid to insurance broker | USD $1,691 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $22,844 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,691 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 212774 |
| Policy instance | 1 |
| Insurance contract or identification number | 212774 | | Number of Individuals Covered | 109 | | Insurance policy start date | 2014-03-01 | | Insurance policy end date | 2015-02-28 | | Total amount of commissions paid to insurance broker | USD $1,759 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $20,117 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,759 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 212774 |
| Policy instance | 1 |
| Insurance contract or identification number | 212774 | | Number of Individuals Covered | 109 | | Insurance policy start date | 2013-03-01 | | Insurance policy end date | 2014-02-28 | | Total amount of commissions paid to insurance broker | USD $1,772 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $24,127 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,772 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 212774 |
| Policy instance | 1 |
| Insurance contract or identification number | 212774 | | Number of Individuals Covered | 109 | | Insurance policy start date | 2012-03-01 | | Insurance policy end date | 2013-02-28 | | Total amount of commissions paid to insurance broker | USD $1,282 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $14,587 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,282 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 212774 |
| Policy instance | 1 |
| Insurance contract or identification number | 212774 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2011-03-01 | | Insurance policy end date | 2012-02-29 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 212774 |
| Policy instance | 1 |
| Insurance contract or identification number | 212774 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2010-03-01 | | Insurance policy end date | 2011-02-28 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 212774 |
| Policy instance | 1 |
| Insurance contract or identification number | 212774 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2009-03-01 | | Insurance policy end date | 2010-02-28 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 212774 |
| Policy instance | 1 |
| Insurance contract or identification number | 212774 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2008-03-01 | | Insurance policy end date | 2009-02-28 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 212774 |
| Policy instance | 1 |
| Insurance contract or identification number | 212774 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2007-03-01 | | Insurance policy end date | 2008-02-29 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 212774 |
| Policy instance | 1 |
| Insurance contract or identification number | 212774 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2006-03-01 | | Insurance policy end date | 2007-02-28 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 212774 |
| Policy instance | 1 |
| Insurance contract or identification number | 212774 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2005-03-01 | | Insurance policy end date | 2006-02-28 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 212774 |
| Policy instance | 1 |
| Insurance contract or identification number | 212774 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2004-03-01 | | Insurance policy end date | 2005-02-28 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 212774 |
| Policy instance | 1 |
| Insurance contract or identification number | 212774 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2003-03-01 | | Insurance policy end date | 2004-02-29 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 212774 |
| Policy instance | 1 |
| Insurance contract or identification number | 212774 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2002-03-01 | | Insurance policy end date | 2003-02-28 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
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| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 212774 |
| Policy instance | 1 |
| Insurance contract or identification number | 212774 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2001-03-01 | | Insurance policy end date | 2002-02-28 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 212774 |
| Policy instance | 1 |
| Insurance contract or identification number | 212774 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2000-03-01 | | Insurance policy end date | 2001-02-28 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
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| UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 212774 |
| Policy instance | 1 |
| Insurance contract or identification number | 212774 | | Number of Individuals Covered | 100 | | Insurance policy start date | 1999-03-01 | | Insurance policy end date | 2000-02-29 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
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