401k Plan data: SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN plan

SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN 401k Plan overview

Plan Name	SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN
Plan identification number	504

SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

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

Company Name: SECURITY MUTUAL LIFE INSURANCE COMPANY

Employer identification number (EIN): 150442730

NAIC Classification: 524140

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2016-01-01 RICHARD SHAW
504 2015-01-01 RICHARD SHAW
504 2014-01-01 RICHARD SHAW RICHARD SHAW 2015-10-13
504 2013-01-01 RICHARD SHAW
504 2012-01-01 RICHARD SHAW RICHARD SHAW 2013-10-15
504 2011-01-01 RICHARD SHAW
504 2009-01-01 RICHARD SHAW

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
504	2016-01-01	RICHARD SHAW
504	2015-01-01	RICHARD SHAW
504	2014-01-01	RICHARD SHAW	RICHARD SHAW	2015-10-13
504	2013-01-01	RICHARD SHAW
504	2012-01-01	RICHARD SHAW	RICHARD SHAW	2013-10-15
504	2011-01-01	RICHARD SHAW
504	2009-01-01	RICHARD SHAW

Plan Statistics for SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN

401k plan membership statisitcs for SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN

Measure Date Value
2016: SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 345
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 347
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 347
2015: SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 345
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 347
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 347
2014: SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 342
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 345
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 345
2013: SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 321
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 319
Number of retired or separated participants receiving benefits 2013-01-01 5
Total of all active and inactive participants 2013-01-01 324
2012: SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 329
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 316
Number of retired or separated participants receiving benefits 2012-01-01 5
Total of all active and inactive participants 2012-01-01 321
2011: SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 334
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 326
Number of retired or separated participants receiving benefits 2011-01-01 8
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 334
2009: SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 334
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 331
Number of retired or separated participants receiving benefits 2009-01-01 10
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 341
Total participants 2009-01-01 0

Measure	Date	Value
2016: SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	345
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	347
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	347
2015: SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	345
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	347
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	347
2014: SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	342
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	345
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	345
2013: SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	321
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	319
Number of retired or separated participants receiving benefits	2013-01-01	5
Total of all active and inactive participants	2013-01-01	324
2012: SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	329
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	316
Number of retired or separated participants receiving benefits	2012-01-01	5
Total of all active and inactive participants	2012-01-01	321
2011: SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	334
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	326
Number of retired or separated participants receiving benefits	2011-01-01	8
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	334
2009: SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	334
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	331
Number of retired or separated participants receiving benefits	2009-01-01	10
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	341
Total participants	2009-01-01	0

Financial Data on SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN

Measure	Date	Value
2013 : SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN 2013 401k financial data
Total transfer of assets from this plan	2013-12-31	$429,675
Total income from all sources (including contributions)	2013-12-31	$209,596
Total of all expenses incurred	2013-12-31	$209,596
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$209,596
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$209,596
Value of total assets at end of year	2013-12-31	$0
Value of total assets at beginning of year	2013-12-31	$429,675
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$9
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$0
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$429,675
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$88,864
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$340,802
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$340,802
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$209,596
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$209,596
Did the plan have assets held for investment	2013-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Unqualified
Accountancy firm name	2013-12-31	JOHNSON, LAUDER & SAVAGE, LLP
Accountancy firm EIN	2013-12-31	160919630
2012 : SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2012-12-31	$665
Total unrealized appreciation/depreciation of assets	2012-12-31	$665
Total income from all sources (including contributions)	2012-12-31	$290,032
Total of all expenses incurred	2012-12-31	$342,390
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$342,390
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$286,627
Value of total assets at end of year	2012-12-31	$429,675
Value of total assets at beginning of year	2012-12-31	$482,033
Total interest from all sources	2012-12-31	$845
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$1,540
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$1,540
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$29,842
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$9
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$40
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$-52,358
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$429,675
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$482,033
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$88,864
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$88,200
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$340,802
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$393,793
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$393,793
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$845
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$142,566
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$355
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$256,785
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$199,824
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	No
Opinion of an independent qualified public accountant for this plan	2012-12-31	Unqualified
Accountancy firm name	2012-12-31	JOHNSON, LAUDER & SAVAGE, LLP
Accountancy firm EIN	2012-12-31	160919630
2011 : SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN 2011 401k financial data
Unrealized appreciation/depreciation of real estate assets	2011-12-31	$3,667
Total unrealized appreciation/depreciation of assets	2011-12-31	$3,667
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$171,748
Total loss/gain on sale of assets	2011-12-31	$-21,932
Total of all expenses incurred	2011-12-31	$303,352
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$303,352
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$179,687
Value of total assets at end of year	2011-12-31	$482,033
Value of total assets at beginning of year	2011-12-31	$613,637
Total interest from all sources	2011-12-31	$43
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$10,283
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$10,283
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$30,344
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$40
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$279
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-131,604
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$482,033
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$613,637
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$88,200
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$544,646
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$393,793
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$68,712
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$68,712
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$43
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$142,336
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$149,343
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$161,016
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Aggregate proceeds on sale of assets	2011-12-31	$438,114
Aggregate carrying amount (costs) on sale of assets	2011-12-31	$460,046
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Unqualified
Accountancy firm name	2011-12-31	JOHNSON, LAUDER & SAVAGE, LLP
Accountancy firm EIN	2011-12-31	160919630
2010 : SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$56,396
Total unrealized appreciation/depreciation of assets	2010-12-31	$56,396
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$340,226
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$271,178
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$271,178
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$271,178
Value of total assets at end of year	2010-12-31	$613,637
Value of total assets at beginning of year	2010-12-31	$544,589
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$0
Total interest from all sources	2010-12-31	$39
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$12,613
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$12,613
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$29,672
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$279
Assets. Other investments not covered elsewhere at beginning of year	2010-12-31	$244
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$69,048
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$613,637
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$544,589
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$544,646
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$488,251
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$68,712
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$56,094
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$56,094
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$39
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$138,944
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$241,506
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$132,234
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Unqualified
Accountancy firm name	2010-12-31	JOHNSON, LAUDER & SAVAGE, LLP
Accountancy firm EIN	2010-12-31	160919630

Form 5500 Responses for SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN

2016: SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN 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	No
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 funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: SECURITY MUTUAL LIFE INS CO OF NY SHORT TERM DISABILITY PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
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 funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05573241
Policy instance	1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05573241
Policy instance	1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05573241
Policy instance	1

Potentially related plans

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Company Name:	SECURITY MUTUAL LIFE INSURANCE COMPANY
Employer identification number (EIN):	150442730
NAIC Classification:	524140