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AMICA MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 401k Plan overview

Plan NameAMICA MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN
Plan identification number 514

AMICA MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision

401k Sponsoring company profile

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

Company Name:AMICA MUTUAL INSURANCE COMPANY
Employer identification number (EIN):050348344
NAIC Classification:524150

Additional information about AMICA MUTUAL INSURANCE COMPANY

Jurisdiction of Incorporation: Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number: 565037

More information about AMICA MUTUAL INSURANCE COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMICA MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5142022-01-01SAMUEL C. PALMISANO2023-10-10
5142021-01-01JILL H. ANDY2022-09-23
5142020-01-01JILL H. ANDY2021-10-08
5142019-01-01
5142019-01-01
5142018-01-01
5142017-01-01JILL H. ANDY
5142016-01-01JILL H. ANDY
5142015-01-01JILL H. ANDY

Plan Statistics for AMICA MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN

401k plan membership statisitcs for AMICA MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN

Measure Date Value
2022: AMICA MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-012,268
Total number of active participants reported on line 7a of the Form 55002022-01-010
Number of retired or separated participants receiving benefits2022-01-012,415
Total of all active and inactive participants2022-01-012,415
Total participants2022-01-010
2021: AMICA MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01498
Total number of active participants reported on line 7a of the Form 55002021-01-010
Number of retired or separated participants receiving benefits2021-01-012,268
Total of all active and inactive participants2021-01-012,268
Total participants2021-01-010
2020: AMICA MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01590
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-01498
Total of all active and inactive participants2020-01-01498
Total participants2020-01-010
2019: AMICA MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01500
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-01590
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01590
2018: AMICA MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01394
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-01500
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01500
2017: AMICA MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01324
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of retired or separated participants receiving benefits2017-01-01394
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01394
2016: AMICA MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01284
Total number of active participants reported on line 7a of the Form 55002016-01-010
Number of retired or separated participants receiving benefits2016-01-01324
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01324
2015: AMICA MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-010
Total number of active participants reported on line 7a of the Form 55002015-01-010
Number of retired or separated participants receiving benefits2015-01-01284
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01284

Financial Data on AMICA MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN

Measure Date Value
2022 : AMICA MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-54,391,722
Total unrealized appreciation/depreciation of assets2022-12-31$-54,391,722
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$10,688,697
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$12,691,835
Total income from all sources (including contributions)2022-12-31$-54,484,764
Total loss/gain on sale of assets2022-12-31$10,253,319
Total of all expenses incurred2022-12-31$28,457,657
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$18,253,269
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$8,264,043
Value of total assets at end of year2022-12-31$332,476,437
Value of total assets at beginning of year2022-12-31$417,421,996
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$10,204,388
Total interest from all sources2022-12-31$9,004,574
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$1,303,370
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$1,349,833
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$10,000,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$1,643,068
Assets. Other investments not covered elsewhere at end of year2022-12-31$62,525,029
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$77,956,927
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$3,063,456
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$2,416,261
Assets. Loans (other than to participants) at end of year2022-12-31$2,794,123
Assets. Loans (other than to participants) at beginning of year2022-12-31$3,483,939
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$10,038,200
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$12,481,908
Other income not declared elsewhere2022-12-31$18,031
Administrative expenses (other) incurred2022-12-31$10,204,388
Total non interest bearing cash at end of year2022-12-31$5,456
Total non interest bearing cash at beginning of year2022-12-31$2,396
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-82,942,421
Value of net assets at end of year (total assets less liabilities)2022-12-31$321,787,740
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$404,730,161
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Assets. partnership/joint venture interests at end of year2022-12-31$102,393,003
Assets. partnership/joint venture interests at beginning of year2022-12-31$40,645,237
Income. Interest from loans (other than to participants)2022-12-31$130,819
Interest earned on other investments2022-12-31$7,766,472
Income. Interest from US Government securities2022-12-31$388,204
Income. Interest from corporate debt instruments2022-12-31$591,734
Value of interest in common/collective trusts at end of year2022-12-31$22,465,186
Value of interest in common/collective trusts at beginning of year2022-12-31$56,066,367
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$21,029,159
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$79,329,445
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$79,329,445
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$127,345
Asset value of US Government securities at end of year2022-12-31$15,793,718
Asset value of US Government securities at beginning of year2022-12-31$17,450,371
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-21,778,988
Net investment gain or loss from common/collective trusts2022-12-31$-7,157,391
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$6,620,975
Income. Dividends from common stock2022-12-31$-46,463
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$18,253,269
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$12,243,702
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$20,160,023
Assets. Corporate common stocks other than exployer securities at end of year2022-12-31$90,163,605
Assets. Corporate common stocks other than exployer securities at beginning of year2022-12-31$119,911,030
Liabilities. Value of benefit claims payable at end of year2022-12-31$650,497
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$209,927
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$600,112,404
Aggregate carrying amount (costs) on sale of assets2022-12-31$589,859,085
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31KPMG LLP
Accountancy firm EIN2022-12-31135565207
2021 : AMICA MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$8,973,565
Total unrealized appreciation/depreciation of assets2021-12-31$8,973,565
Total transfer of assets to this plan2021-12-31$148,592,318
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$12,691,835
Total income from all sources (including contributions)2021-12-31$66,301,910
Total loss/gain on sale of assets2021-12-31$35,152,716
Total of all expenses incurred2021-12-31$35,303,016
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$17,647,859
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$7,965,590
Value of total assets at end of year2021-12-31$417,421,996
Value of total assets at beginning of year2021-12-31$225,138,949
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$17,655,157
Total interest from all sources2021-12-31$5,905,734
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$1,866,523
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$5,482
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$10,000,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$1,595,401
Assets. Other investments not covered elsewhere at end of year2021-12-31$77,956,927
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$2,416,261
Assets. Loans (other than to participants) at end of year2021-12-31$3,483,939
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$12,481,908
Other income not declared elsewhere2021-12-31$25,151
Administrative expenses (other) incurred2021-12-31$17,655,157
Total non interest bearing cash at end of year2021-12-31$2,396
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$30,998,894
Value of net assets at end of year (total assets less liabilities)2021-12-31$404,730,161
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$225,138,949
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Assets. partnership/joint venture interests at end of year2021-12-31$40,645,237
Income. Interest from loans (other than to participants)2021-12-31$150,205
Interest earned on other investments2021-12-31$4,955,140
Income. Interest from US Government securities2021-12-31$276,524
Income. Interest from corporate debt instruments2021-12-31$509,605
Value of interest in master investment trust accounts at beginning of year2021-12-31$225,138,949
Value of interest in common/collective trusts at end of year2021-12-31$56,066,367
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$79,329,445
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$14,260
Asset value of US Government securities at end of year2021-12-31$17,450,371
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$245,539
Net investment gain or loss from common/collective trusts2021-12-31$6,167,092
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$6,370,189
Income. Dividends from common stock2021-12-31$1,861,041
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$17,647,859
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$20,160,023
Assets. Corporate common stocks other than exployer securities at end of year2021-12-31$119,911,030
Liabilities. Value of benefit claims payable at end of year2021-12-31$209,927
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$859,220,307
Aggregate carrying amount (costs) on sale of assets2021-12-31$824,067,591
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31KPMG LLP
Accountancy firm EIN2021-12-31135565207
2020 : AMICA MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$23,340,622
Total of all expenses incurred2020-12-31$2,400,385
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$2,400,385
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$171,513
Value of total assets at end of year2020-12-31$225,138,949
Value of total assets at beginning of year2020-12-31$204,198,712
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$10,000,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$20,940,237
Value of net assets at end of year (total assets less liabilities)2020-12-31$225,138,949
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$204,198,712
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in master investment trust accounts at end of year2020-12-31$225,138,949
Value of interest in master investment trust accounts at beginning of year2020-12-31$204,198,712
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$171,513
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$2,400,385
Did the plan have assets held for investment2020-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31KPMG LLP
Accountancy firm EIN2020-12-31135565207
2019 : AMICA MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total transfer of assets from this plan2019-12-31$121,673,636
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$8,149,658
Total income from all sources (including contributions)2019-12-31$39,764,445
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$1,941,449
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,922,369
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$9,653,230
Value of total assets at end of year2019-12-31$204,198,712
Value of total assets at beginning of year2019-12-31$296,199,010
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$19,080
Total interest from all sources2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2019-12-31$106,000
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$10,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$54,083,619
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$-3,764,516
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$1,154,954
Assets. Loans (other than to participants) at beginning of year2019-12-31$2,116,152
Liabilities. Value of operating payables at beginning of year2019-12-31$4,385,142
Total non interest bearing cash at beginning of year2019-12-31$757
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$37,822,996
Value of net assets at end of year (total assets less liabilities)2019-12-31$204,198,712
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$288,049,352
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Assets. partnership/joint venture interests at beginning of year2019-12-31$20,585,310
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$2,932,832
Value of interest in master investment trust accounts at end of year2019-12-31$204,198,712
Value of interest in master investment trust accounts at beginning of year2019-12-31$0
Value of interest in common/collective trusts at beginning of year2019-12-31$55,223,369
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$9,493,018
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$9,493,018
Asset value of US Government securities at beginning of year2019-12-31$16,083,548
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$9,653,230
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,922,369
Asset. Corporate debt instrument preferred debt at beginning of year2019-12-31$8,355,003
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$20,613,678
Contract administrator fees2019-12-31$19,080
Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$105,450,770
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$3,764,516
Did the plan have assets held for investment2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31KPMG LLP
Accountancy firm EIN2019-12-31135565207
2018 : AMICA MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-22,800,511
Total unrealized appreciation/depreciation of assets2018-12-31$-22,800,511
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$8,149,658
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$3,365,475
Total income from all sources (including contributions)2018-12-31$62,649,067
Total loss/gain on sale of assets2018-12-31$14,393,993
Total of all expenses incurred2018-12-31$74,516,489
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$71,493,528
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$74,022,512
Value of total assets at end of year2018-12-31$296,199,010
Value of total assets at beginning of year2018-12-31$303,282,249
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$3,022,961
Total interest from all sources2018-12-31$3,448,860
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$2,883,668
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$67,731
Assets. Corporate prefeered stocks other than exployer securities at end of year2018-12-31$106,000
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2018-12-31$0
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$10,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$13,533,093
Assets. Other investments not covered elsewhere at end of year2018-12-31$54,083,619
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$54,130,827
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$123,153
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-12-31$63,697,727
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$1,154,954
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$924,940
Assets. Loans (other than to participants) at end of year2018-12-31$2,116,152
Assets. Loans (other than to participants) at beginning of year2018-12-31$1,620,394
Other income not declared elsewhere2018-12-31$-43,953
Liabilities. Value of operating payables at end of year2018-12-31$4,385,142
Liabilities. Value of operating payables at beginning of year2018-12-31$94,936
Total non interest bearing cash at end of year2018-12-31$757
Total non interest bearing cash at beginning of year2018-12-31$1,175
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-11,867,422
Value of net assets at end of year (total assets less liabilities)2018-12-31$288,049,352
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$299,916,774
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Assets. partnership/joint venture interests at end of year2018-12-31$20,585,310
Assets. partnership/joint venture interests at beginning of year2018-12-31$15,990,226
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$2,932,832
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$0
Income. Interest from loans (other than to participants)2018-12-31$83,338
Interest earned on other investments2018-12-31$1,828,297
Income. Interest from US Government securities2018-12-31$405,043
Income. Interest from corporate debt instruments2018-12-31$1,072,613
Value of interest in common/collective trusts at end of year2018-12-31$55,223,369
Value of interest in common/collective trusts at beginning of year2018-12-31$49,805,273
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$9,493,018
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$3,022,915
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$3,022,915
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$59,569
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$6,291,176
Asset value of US Government securities at end of year2018-12-31$16,083,548
Asset value of US Government securities at beginning of year2018-12-31$14,289,627
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-704,629
Net investment gain or loss from common/collective trusts2018-12-31$-8,550,873
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$60,366,266
Income. Dividends from preferred stock2018-12-31$2,363
Income. Dividends from common stock2018-12-31$2,813,574
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,504,625
Asset. Corporate debt instrument preferred debt at end of year2018-12-31$8,355,003
Asset. Corporate debt instrument preferred debt at beginning of year2018-12-31$6,236,108
Asset. Corporate debt instrument debt (other) at end of year2018-12-31$20,613,678
Asset. Corporate debt instrument debt (other) at beginning of year2018-12-31$20,415,509
Contract administrator fees2018-12-31$3,022,961
Assets. Corporate common stocks other than exployer securities at end of year2018-12-31$105,450,770
Assets. Corporate common stocks other than exployer securities at beginning of year2018-12-31$136,845,255
Liabilities. Value of benefit claims payable at end of year2018-12-31$3,764,516
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$3,270,539
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$653,905,168
Aggregate carrying amount (costs) on sale of assets2018-12-31$639,511,175
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31KPMG LLP
Accountancy firm EIN2018-12-31135565207
2017 : AMICA MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$15,021,862
Total unrealized appreciation/depreciation of assets2017-12-31$15,021,862
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$3,365,475
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$7,979,415
Total income from all sources (including contributions)2017-12-31$104,430,776
Total loss/gain on sale of assets2017-12-31$6,376,078
Total of all expenses incurred2017-12-31$66,909,092
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$64,273,130
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$66,286,607
Value of total assets at end of year2017-12-31$303,282,249
Value of total assets at beginning of year2017-12-31$270,374,505
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$2,635,962
Total interest from all sources2017-12-31$2,674,161
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$2,904,314
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$10,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$12,888,364
Assets. Other investments not covered elsewhere at end of year2017-12-31$54,130,827
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$44,771,062
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$466,134
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$57,028,885
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$924,940
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$5,656,045
Assets. Loans (other than to participants) at end of year2017-12-31$1,620,394
Assets. Loans (other than to participants) at beginning of year2017-12-31$643,364
Other income not declared elsewhere2017-12-31$-4,274
Liabilities. Value of operating payables at end of year2017-12-31$94,936
Liabilities. Value of operating payables at beginning of year2017-12-31$5,331,361
Total non interest bearing cash at end of year2017-12-31$1,175
Total non interest bearing cash at beginning of year2017-12-31$286,184
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$37,521,684
Value of net assets at end of year (total assets less liabilities)2017-12-31$299,916,774
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$262,395,090
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Assets. partnership/joint venture interests at end of year2017-12-31$15,990,226
Assets. partnership/joint venture interests at beginning of year2017-12-31$12,632,172
Income. Interest from loans (other than to participants)2017-12-31$53,803
Interest earned on other investments2017-12-31$1,483,736
Income. Interest from US Government securities2017-12-31$382,234
Income. Interest from corporate debt instruments2017-12-31$734,704
Value of interest in common/collective trusts at end of year2017-12-31$49,805,273
Value of interest in common/collective trusts at beginning of year2017-12-31$38,649,150
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$3,022,915
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$16,229,704
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$16,229,704
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$19,684
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$6,114,433
Asset value of US Government securities at end of year2017-12-31$14,289,627
Asset value of US Government securities at beginning of year2017-12-31$11,602,271
Net investment gain or loss from common/collective trusts2017-12-31$11,172,028
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$52,932,109
Income. Dividends from common stock2017-12-31$2,904,314
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,129,812
Asset. Corporate debt instrument preferred debt at end of year2017-12-31$6,236,108
Asset. Corporate debt instrument preferred debt at beginning of year2017-12-31$6,622,459
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$20,415,509
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$3,300,938
Contract administrator fees2017-12-31$2,635,962
Assets. Corporate common stocks other than exployer securities at end of year2017-12-31$136,845,255
Assets. Corporate common stocks other than exployer securities at beginning of year2017-12-31$129,981,156
Liabilities. Value of benefit claims payable at end of year2017-12-31$3,270,539
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$2,648,054
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$524,169,614
Aggregate carrying amount (costs) on sale of assets2017-12-31$517,793,536
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31KPMG LLP
Accountancy firm EIN2017-12-31135565207
2016 : AMICA MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$7,658,729
Total unrealized appreciation/depreciation of assets2016-12-31$7,658,729
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$7,979,415
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$3,040,421
Total income from all sources (including contributions)2016-12-31$89,579,524
Total loss/gain on sale of assets2016-12-31$5,744,527
Total of all expenses incurred2016-12-31$69,088,555
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$66,625,628
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$69,000,731
Value of total assets at end of year2016-12-31$270,374,505
Value of total assets at beginning of year2016-12-31$244,944,542
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$2,462,927
Total interest from all sources2016-12-31$2,176,944
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$2,944,181
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$10,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$12,661,220
Assets. Other investments not covered elsewhere at end of year2016-12-31$44,771,062
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$37,838,885
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$125,607
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$59,933,392
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$5,656,045
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$649,779
Assets. Loans (other than to participants) at end of year2016-12-31$643,364
Assets. Loans (other than to participants) at beginning of year2016-12-31$177,423
Other income not declared elsewhere2016-12-31$-15,489
Administrative expenses (other) incurred2016-12-31$3,229
Liabilities. Value of operating payables at end of year2016-12-31$5,331,361
Liabilities. Value of operating payables at beginning of year2016-12-31$480,191
Total non interest bearing cash at end of year2016-12-31$286,184
Total non interest bearing cash at beginning of year2016-12-31$1,094
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$20,490,969
Value of net assets at end of year (total assets less liabilities)2016-12-31$262,395,090
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$241,904,121
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Assets. partnership/joint venture interests at end of year2016-12-31$12,632,172
Assets. partnership/joint venture interests at beginning of year2016-12-31$10,448,116
Income. Interest from loans (other than to participants)2016-12-31$17,489
Interest earned on other investments2016-12-31$1,271,723
Income. Interest from US Government securities2016-12-31$367,766
Income. Interest from corporate debt instruments2016-12-31$369,681
Value of interest in common/collective trusts at end of year2016-12-31$38,649,150
Value of interest in common/collective trusts at beginning of year2016-12-31$35,549,355
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$16,229,704
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$13,167,537
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$13,167,537
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$150,285
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$5,835,163
Asset value of US Government securities at end of year2016-12-31$11,602,271
Asset value of US Government securities at beginning of year2016-12-31$14,907,097
Net investment gain or loss from common/collective trusts2016-12-31$2,069,901
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$56,213,904
Income. Dividends from common stock2016-12-31$2,944,181
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$857,073
Asset. Corporate debt instrument preferred debt at end of year2016-12-31$6,622,459
Asset. Corporate debt instrument preferred debt at beginning of year2016-12-31$4,619,432
Asset. Corporate debt instrument debt (other) at end of year2016-12-31$3,300,938
Asset. Corporate debt instrument debt (other) at beginning of year2016-12-31$5,948,764
Contract administrator fees2016-12-31$2,459,698
Assets. Corporate common stocks other than exployer securities at end of year2016-12-31$129,981,156
Assets. Corporate common stocks other than exployer securities at beginning of year2016-12-31$121,637,060
Liabilities. Value of benefit claims payable at end of year2016-12-31$2,648,054
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$2,560,230
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$52,872,850
Aggregate carrying amount (costs) on sale of assets2016-12-31$47,128,323
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31KPMG LLP
Accountancy firm EIN2016-12-31135565207

Form 5500 Responses for AMICA MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN

2022: AMICA MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement - TrustYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: AMICA MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement - TrustYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: AMICA MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement - TrustYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: AMICA MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 2019 form 5500 responses
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 – TrustYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement - TrustYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: AMICA MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 2018 form 5500 responses
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 – TrustYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: AMICA MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 2017 form 5500 responses
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 – TrustYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: AMICA MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 2016 form 5500 responses
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 – TrustYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: AMICA MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01First time form 5500 has been submittedYes
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 – TrustYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement - TrustYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberE00066875431
Policy instance 1
Insurance contract or identification numberE00066875431
Number of Individuals Covered799
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Welfare Benefit Premiums Paid to CarrierUSD $576,542
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10305351001
Policy instance 2
Insurance contract or identification number10305351001
Number of Individuals Covered1130
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $72,828
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 72222 )
Policy contract number2-10001
Policy instance 3
Insurance contract or identification number2-10001
Number of Individuals Covered1841
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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